Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
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Monroe Carell Jr.
Children's Hospital
at Vanderbilt
2200 Children's Way
Nashville, TN 37232


(615) 936-1000

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Home / A–Z Services / Developmental Medicine / Clinics and Programs / STEP Clinic - Spasticity Treatment, Evaluation, and Planning
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STEP Clinic - Spasticity Treatment, Evaluation, and Planning
 

The STEP Clinic uses an interprofessional approach dedicated to addressing the following issues in children:

  • Motor delay
  • Motor impairment
  • Cerebral palsy
  • Dystonia
  • Spasticity
  • Ataxia
  • Brain injury
  • Balance and coordination problems
  • Hemiplegia                       

Our team consists of physicians, nurse practitioners, therapists, and the clinic nurse. The purpose of the clinic is to assess, treat, and plan for patients with motor delays and motor control issues. The most common treatment interventions include oral medications, intramuscular injections, selective dorsal rhizotomy, intrathecal baclofen pump, deep brain stimilation, serial casting, and other therapies. Referrals to other specialists are made when helpful. The team works together with the family to create the most optimal treatment plan possible for each child. 

Clinicians
Robert Steven Couch, M.D.

Alice Lawrence, M.D.
Stacy Stark, D.O.
Jennie Bowers Stevens, RN, MSN, CPNP
Shai Bynum, RN, MSN, CPNP
Laura Flynn, PT
Robin Cox, RN

The Clinic Process

Evaluation
Children are initially evaluated by our team. Based on the evaluation findings, the family and our team together decide on treatment recommendations. If your child currently has therapists, we appreciate your bringing progress reports or a note from them about your child so their input can also be considered.  If possible, it is helpful to bring any braces, splints, walkers, and wheelchair to the evaluation.

Appointments
A referral from your child’s primary care professional, neurologist or orthopedic physician is required to schedule an appointment in STEP clinic. The referring physician can obtain the form by contacting our office, and it can be faxed to 615-936-0256.


Last Edited: March 26, 2014