Clinical Leadership

Each patient's rehabilitation program is directed by a physician who specializes in physiatry (physical medicine and rehabilitation) and the overall medical care by a pediatrician. Both doctors visit each patient daily Monday through Friday and are actively involved in treatment planning, meeting with the rest of the team on a daily basis.

Dr. Adam Kafka

Adam Kafka, MD


Dr. Adam Kafka is a Lincoln native and graduated with a Doctor of Medicine from the University of Nebraska Medical Center. After an internship in Internal Medicine at Iowa Methodist Medical Center in Des Moines, he completed the Physical Medicine and Rehabilitation residency program at the University of Wisconsin.

Dr. Kafka oversees all physiatry needs for pediatric patients in The Alexis Verzal Children's Rehabilitation Unit at Madonna.

Amy Holst, MD

Dr. Amy Holst

Pediatric Hospitalist
Adolescent and Children Rehabilitation Program Medical Director

As the pediatric hospitalist for the inpatient pediatric rehabilitation program, Dr. Amy Holst develops and implements individualized treatment plans to manage the medical needs of our pediatric patients. Dr. Holst is a pediatrician that specializes in the management of hospitalized children. She collaborates with the rehabilitation team and the physiatrist to maximize the child's recovery while attending to any medical concerns. Dr. Holst is a 1997 graduate of the University of Nebraska Medical Center medical school and is a Fellow of the American Academy of Pediatrics.

Jeffrey Stec, MS CCC/SLP

As Pediatric Program Manager, Jeffrey Stec is responsible for the overall management of the Adolescent & Children's Rehabilitation Program in The Alexis Verzal Children's Rehabilitation Unit, including provision of clinical leadership and program development, quality improvement and outcomes management, referral development, and customer relations.

Jeffrey earned his Master of Science degree in Communication Disorders from the University of Nebraska at Kearney and has completed post graduate hours at the University of Cincinnati in Communication Sciences and Disorders. He is a member of the American Speech and Hearing Association and the Nebraska Speech Language and Hearing Association.

Pediatric Rehabilitation Team

Madonna has a dedicated team of inpatient and outpatient rehabilitation professionals who have completed pediatric competency training and testing, so have the skills necessary to integrate each child/adolescent's developmental as well as medical needs. In addition to the rehabilitation physician, each child/adolescent's team is made up of physical, occupational, speech, recreational, nutrition, and respiratory therapists as well as an educational specialist, neuropsychologist, social worker, rehabilitation nurse and case manager.

Together they work to meet the age and diagnosis-related physical, cognitive, social and emotional needs of the children and adolescents we serve. Madonna is the only rehabilitation hospital in Nebraska that has a full staff of specially trained rehabilitation and neuropsychologists on-site who are an integral part of the team, participating in team meetings, leading behavioral intervention plans, and providing counseling and support for both the patient and their family members.

Therapy team members hold special certifications in the following areas:

  • Child Passenger Safety Technician with a specialty in Transporting Children with Special Health Care Needs
  • Assistive Technology Practitioner
  • Pediatric Certified Specialist
  • Neurological Certified Specialist
  • Certified Brain Injury Specialist
  • Nonviolent Crisis Intervention
  • Neurodevelopmental Treatment
  • Certified Rehabilitation Registered Nurse
  • Pediatric Advanced Life Support
  • Cardiopulmonary Resuscitation
  • Lokomat Trained Clinician
  • VitalStim
  • Fiberoptic Endoscopic Evaluation of Swallowing
  • Modified Barium Swallow Study
  • Physical Agent Modalities

Therapy team members have completed additional training in the following areas:

  • Mary Massery Breathing Techniques
  • Serial Casting
  • Splinting & Bracing
  • Spasticity Management
  • Vestibular Rehabilitation
  • Driving Rehabilitation
  • Kinesiotaping
  • Neurological Vision Rehabilitation
  • Augmentative and Alternative Communication
  • Gait Analysis
  • Bioness H200/L300
  • Ventilator, Tracheostomy tube, and Passy Muir Speaking Valve
  • Sensory Integration
Madonna Rehabilitation Hospital
5401 South St.
Lincoln, NE 68506
Phone: (402) 413-3000
Toll-Free: (800) 676-5448