1. Rehabilitation Centre
WELCOME to
Tan Tock Seng Hospital
Rehabilitation Centre
Singapore

2. TTSH Today 1,456 beds 3,900 staff TTSH Main Building 1,172 beds 66 ICU
Rehabilitation Centre
95 beds
1 isolation
CDC 2
94 beds
18 ICU
76 isolation
CDC 1
91 beds
11 isolation

3. Largest and most established in Singapore offering inpatient rehabilitation services
First set up in 1973 at Mandalay Road
Relocated to current location at 17 Ang Mo Kio Avenue 9 in April 1994.

4. Statistics (2009) Admissions per year 1,090
Total patient days per year 27,717
Average length of stay days
SOC attendances ,844
Therapy sessions ,768
Acupuncture ,958
Community Rehab Program 5,225 sessions

5. Staffing by Professionals
Rehabilitation Specialists : 11 doctors with overseas
experience in rehabilitation
centers in US and Australia
1 doctor from South Korea
Junior doctors (residents) : 8
Medical Admin Assistant : 1
Allied Health (therapists, psychologists, MSW) : 70
Nurses (all grades) : 95
Ops and Admin : 11
TOTAL : 197

6. Spinal Cord Injury Rehabilitation
Spinal Cord Injuries
- complete
- incomplete

7. Orthopaedics and Trauma Rehabilitation
Amputees
Arthritis
Musculoskeletal disorders

8. Stroke Rehabilitation
Different types of stroke
- infarct
- haemorrhagic

9. Brain Injury Rehabilitation
Individualised and comprehensive physician-led rehabilitation program
Able to manage the most complex brain injured patients

10. Community Rehabilitation Program
Provides rehabilitation services for patients in their home environment

11. Medical Acupuncture Services
Pain management
Complements physiotherapy and occupational
therapy for patients with spinal cord injury, stroke, brain injury and musculoskeletal disorders

12. Leveraging on Technology to deliver customized care
Vestibular Rehabilitation using the Balance Master system
Advanced Gait Analysis Systems for clinical utility
- GaitRite system for clinical analysis, outcomes monitoring
and research
Robot-Assisted Gait Training with the Lokomat
- commenced in September 2008

13. Vestibular Rehabilitation
- Management of patients with dizziness and balance dysfunction by using the SMART Balance Master system

14. DYNAVISION
- to provide training for persons whose visual and motor
function has been compromised by injury or disease

15. GAITRite
Portable electronic walkway system
measuring :
- temporal (timing)
- spatial (distance) gait parameters
connected to the serial port of a
notebook computer
Advanced gait analysis

16. RoboWalk Program
The program involves the usage of a robotic gait orthosis (Lokomat system) which assists walking movements of patients

17. A Feasbility Study Using Interactive Commercial Off the Shelve Computer Gaming in Upper Limb Rehabilitation of Stroke Patients - accepted for publication 2010 Tjan SY, Xu D, Kong KH, Loh YJ, Christopher KWK, Thia CK
n = 20 stroke patients
mean 26.3 days post-stroke
Each patient received 6 sessions gaming over 2 week period
Each session = 30 mins
Outcome measures :
1) Fugl-Meyer Assessment (FMA)
2) Motricity Index (MI)
3) Modified Ashworth Scale (MAS)
4) Visual Analog Scale (VAS) for pain

18. TTSH Rehabilitation Research Collaborations : Development of Advanced Rehabilitation Technologies

19. Haptic Knob Haptic Knob research
Lambercy et al (2009) : Rehabilitation of grasping and forearm pronation / supination with the Haptic Knob

20. Research : Brain-Computer Interface (BCI) Robotic Rehabilitation for Stroke
Collaborative translational novel research funded by The Enterprise Challenge (S$ for 1 year duration)
New rehab device based on advanced BCI technology developed at I²R using thought detection
Stroke patients undergoing rehab will control a robotic shell with the help of BCI
Randomised controlled clinical trial

21. Brain Computer Interface (BCI) for Rehabilitation
TTSH Rehab Centre’s research collaboration with National Neuroscience Institute and A*STAR (Agency for Science, Technology and Research)

22. Research collaboration with Nanyang Technological University of Singapore

23. Biofeedback Gait Device for Spinal Cord Injury and Stroke Patients
TTSH Rehab Centre’s collaboration with Nanyang Technological University, Singapore