VCU Physical Medicine and Rehabilitation

 

Hunter Holmes McGuire VAMC

The Richmond VAMC currently is a lead Polytrauma Rehabilitation Center, one of only four in the country.  In addition to offering intensive inpatient rehabilitation, the center offers a full spectrum of outpatient services including interdisciplinary day programming, individualized patient treatment plans and outpatient clinics specializing in the identification and management of traumatic brain injury.

The transitional rehabilitation program functions to optimize physical abilities through gradated exercise and work settings as well as to normalize cognitive-behavioral abilities by employing these skills in a challenging, “real world” setting.  This novel community reentry program will have 20 patients with cognitive, emotional and behavioral issues preventing full integration into the community.  This unique educational atmosphere encompasses health and wellness programming, drivers training, vocational rehab, cognitive rehabilitation. functional capacity evaluations and work hardening.

The Richmond VAMC offers a host of other rehabilitation training environments including an active SCI department, Muskuloskeletal rehabilitation clinics, exposure to EMGs and inpatient consultations.  Furthermore there are a host of Research activities including an active Parkinsons Research program.

The Spinal Cord Injury and Disorders (SCI&D) Service at the HHMVAMC has a long-standing, excellent academic training program, and is fully accredited by both CARF and JCAHO.  It is the largest of the SCI centers in the VA Health Care System with 80 acute care beds (including 10 ventilator beds) and 20 lodger beds, and manages a large number of the OIF/OEF and active duty service members who sustain SCI.  Five of the seven physicians on the SCI&D Service have subspecialty board certification in Spinal Cord Injury Medicine.  The SCI&D Service accepts referral from 13 Department of Veterans Affairs Medical Centers in the geographic catchments area defined by the Chief Consultant SCI Strategic Health Care Group in Washington D.C., and currently serves 1,542 unique veterans with SCI&D across 4 VISNs and 5 states.  Richmond's SCIM fellowship program is one of the few such programs accredited by ACGME.  The SCI Rehabilitation unit also boasts a Home Environmental Training Unit, roll-in therapeutic pool, drivers evaluation and training center, state-of-the-art prosthetics & orthotics laboratory, wheelchair seating clinic, iBOT evaluation & training center, and urodynamics suite.  In addition to a comprehensive inpatient treatment and post-injury rehabilitation program, the HHMVAMC SCI&D Center has its own outpatient clinic whose operation is dedicated to SCI&D patients and staffed with qualified SCI&D physicians, physician extenders, and support staff.

The 2000 ft² SCI Exercise Laboratory at the HHMVAMC is located on the Spinal Cord Injury 100-bed unit where it serves 1,542 veterans with SCI.  Exercise and body composition assessment equipment (totaling well over $750,000) includes a Hocoma Lokomat® robotic gait training device, Innoventor® Partial Weight-bear Treadmill Training (PWBTT) system,  Biodex® Isokinetic Dynamometer, a Lode Angio Upper Extremity Ergometer, a Wheelchair Aerobic Fitness Trainer (WAFT: Wheelchair Ergometer), SMARTWheel® ergometer (n=2), Lode Excalibur Bicycle Ergometer, four Monark 881Arm Crank Ergometers with adjustable tables, Cosmed® K4B² Portable Metabolic Device and ECG Telemetry system, ParvoMedics TrueMax® 2400 Metabolic Measurement System, Quinton Q710 Stress Testing/Resting ECG System, six MiniSun® accelerometers, and a wheelchair accessible multistation resistance training unit.  Body composition is determined within the SCI Exercise Laboratory using a combination of equipment including a Lunar Prodigy Advance® DXA scanner, underwater-weighing facility with overhead lift, Bod-Pod® (air displacement body composition assessment unit), multifrequency bioelectrical impedance analyzer (BIA), skinfold and anthropometric calipers. An $180,000 biomechanics gait laboratory is currently being added and will include a 16-channel EMG system, 8-camera 3D high resolution Motion Analysis system, with state-of-the-art force plate track system.

 

David Cifu, MD
David Gater, MD, Ph.D
Shane McNamee, MD
Abu Qutubuddin, MD
Denise Lester, MD
Yaoming Gu, MD
Tripti Jena, MD
Jatinder Sidhu., MD

1201 Broad Rock Blvd., RMS (117)
Richmond, VA 23249
Phone: 675-5117
Fax: 675-5857