Our physicians are pediatric physiatrists – doctors board-certified in rehabilitation for children of all ages. Focused solely on kids, they lead dedicated teams of skilled therapists, nurses and other specialists to help your child achieve the highest level of independence after an illness, injury or congenital condition.
Meet the Mary Free Bed Kids doctors and get answers to commonly asked questions below.
Commonly Asked Questions
What is physiatry?
Physical Medicine and Rehabilitation (PM&R), also known as physiatry, is a medical specialty that emphasizes the prevention, diagnosis, treatment and rehabilitation of people disabled by disease, disorder or injury.
Physiatrists are physicians who specialize in physical medicine and rehabilitation. Mary Free Bed Rehabilitation Hospital’s physiatrists work with therapists to treat patients with physical and cognitive disabilities. Their goal is to create and execute an individualized plan for every patient – to improve function, prevent further disability, avert disease complications and assist caregivers with treatment.
Mary Free Bed’s pediatric physiatrists are all board-certified in pediatric rehabilitation medicine. Focused solely on kids, they lead dedicated teams of skilled therapists, nurses and other specialists to help your child achieve the highest level of independence after an illness, injury or congenital condition.
What pediatric conditions are treated?
Mary Free Bed Kids offers comprehensive rehabilitation for children with complex and common conditions.
- Brachial Plexus
- Brain Injury
- Cerebral Palsy
- Chronic Pain (Complex regional pain syndrome, amplified musculoskeletal pain)
- Developmental Delay
- Dysphagia Feeding Difficulties
- Gait Abnormalities (toe walking, intoeing and others)
- Head Injuries
- Limb Differences
- Multiple Trauma
- Muscle and nerve disorders
- Musculoskeletal/Sports injuries
- Neurological Disorders
- Orthopedic Plagiocephaly
- Post Concussion
- Speech Difficulties
- Spinal Cord Injury
- Sports Injury
- Torticollis and plagiocephaly
What pediatric rehabilitation programs are available?
- Acute Inpatient Rehabilitation
- Outpatient Rehabilitation
- Chronic Pain Rehabilitation Program
- Constraint-Induced Movement Therapy
- Cerebral Palsy Multidisciplinary Clinic
- Neonatal Follow-up Clinic
- Pediatric Post Concussion Clinic
- Advance Management of Spasticity Program (in conjunction with pediatric neurology, neurosurgery and orthopedics at Helen DeVos Children’s Hospital)
What treatment methods are used?
- Ordering specific therapies and managing their rehabilitation program
- Medications for spasticity
- Botox injections and nerve blocks for spasticity
- Management of baclofen pumps
- Determine appropriate orthotics
- Adaptive equipment such as walkers and wheelchairs
- Patient/Family education
Where can I find pediatric physiatry services?
We provide Michigan’s most comprehensive pediatric rehabilitation services. You’ll find us at several locations across the state. Please contact us directly to learn more.
- Grand Rapids, 616.840.8005
- Holland, 616.294.4066
- Kalamazoo, 269.492.6575
- Saginaw, 989.583.6386
- Traverse City, 231.935.8604
Victoria Dufour, D.O.
Dr. Dufour is a pediatric physiatrist who cares for Mary Free Bed Kids patients in both our Grand Rapids hospital’s inpatient program and outpatient clinic. She joined Mary Free Bed in 2020.
She earned her medical degree at Des Moines University College of Osteopathic Medicine and completed a residency in Physical Medicine and Rehabilitation at Case Western Reserve University – MetroHealth Medical Center in Cleveland. Dr. Dufour also completed a fellowship in pediatric rehabilitation medicine at Spaulding Rehabilitation Hospital – Harvard Medical School in Boston.
Emily Gladstone, D.O.
Dr. Gladstone joined the Mary Free Bed Kids team of physiatrists in January. She primarily treats patients in our outpatient setting.
She attended A.T. Still University Kirksville College of Osteopathic Medicine and completed a Physical Medicine and Rehabilitation residency at MetroHealth-Case Western Reserve University, where she served as academic chief resident.
Dr. Gladstone did fellowship training in pediatric PM&R at Gillette Children’s Specialty Healthcare – University of Minnesota.
Douglas Henry, M.D.
Dr. Henry cares for Mary Free Bed Kids patients. He’s triple board certified in physical medicine and rehabilitation, pediatrics and pediatric rehabilitation medicine.
Dr. Henry, who joined Mary Free Bed in 2019, specializes in the treatment of physical and cognitive issues, including cerebral palsy, spasticity management, traumatic injuries, stroke and muscle and nerve disorders. He’s an expert in pediatric chronic pain conditions, including complex regional pain syndrome and fibromyalgia.
He earned his medical degree from Wayne State University and completed a combined residency in pediatrics and Physical Medicine and Rehabilitation at Children’s Hospital of Michigan and the Detroit Medical Center Rehabilitation Institute of Michigan, respectively.
Andrea Kuldanek, M.D.
Dr. Kuldanek, a member of the Mary Free Bed family since 1982, has played an instrumental role in the growth of Mary Free Bed’s pediatric programs and oversees its secure inpatient unit.
Board certified in both Pediatrics and Physical Medicine and Rehabilitation, Dr. Kuldanek specializes in the treatment of brain injuries and disorders arising from trauma, stroke, infection and other complex neurological conditions.
A graduate of Wayne State University Medical School, Dr. Kuldanek also specializes in the treatment of patients with cerebral palsy and spasticity management.
Marianne Mousigian, M.D.
Dr. Mousigian specializes in pediatric rehabilitation and is a member of the Mary Free Bed Kids team of physiatrists. She cares for patients in both our inpatient and outpatient programs at the Grand Rapids campus.
She earned her medical degree at Wayne State University School of Medicine and completed a residency in Physical Medicine and Rehabilitation at the University of Michigan (Michigan Medicine), where she also completed a fellowship in Pediatric Rehabilitation Medicine. She joined Mary Free Bed in November 2021.
Ian Gonzales, M.D.
Dr. Gonzales is board-certified in adult and pediatric rehabilitation medicine, and treats adults and children with a variety of diagnoses in both inpatient and outpatient settings at Mary Free Bed Rehabilitation at Covenant HealthCare.
After earning his medical degree at Michigan State University College of Human Medicine, he completed his Physical Medicine and Rehabilitation residency at Oakland University-William Beaumont Hospital, where he was chief resident. Dr. Gonzales did fellowship training in pediatric PM&R at the University of Michigan. He joined Mary Free in 2020.
Kimberly Augenstein, M.D.
Dr. Augenstein specializes in treating children and adolescents with developmental and physical disabilities, and traumatic brain injury, and spasticity in adults and children. She also performs electrodiagnostic testing, is a member of the inpatient rehabilitation team at Mary Free Bed at Munson Healthcare and performs rehabilitation consults at Grand Traverse Pavilions in Traverse City. She’s been a member of the Munson medical staff since 1998.
She’s board certified in Physical Medicine and Rehabilitation, general pediatrics and pediatric rehabilitation medicine. She’s a fellow of the American Academy of Physical Medicine and Rehabilitation, the American Academy of Cerebral Palsy and Developmental Medicine, and is a member of the Christian Medical Association.
She earned her medical degree from the University of Michigan, where she also completed a combined residency in Physical Medicine and Rehabilitation and pediatrics. She joined Mary Free Bed in 2019.