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We aim to give our patients access to comprehensive rehabilitation care from the acute phase of illness to inpatient intensive rehabilitation to outpatient rehabilitation in the community.  To this end, the same team provides inpatient and outpatient services at NUH, AH and NTFGH to ensure access to high standards of care and appropriate siting of care across these hospitals. Our services are grouped into the following:

• Inpatient care:
  
  We offer a comprehensive post-acute interdisciplinary inpatient rehabilitation for the following conditions:
  
  
• Stroke rehabilitation
• Acquired brain injury rehabilitation
• Spinal cord injury rehabilitation
• Cancer rehabilitation
• Post-cardiac surgery rehabilitation
• Neuropathies: Neurodegeneration, Acute neurological disorders including Guillain- Barre Syndrome, myopathy 
• Amputee rehabilitation, including prehabilitation and preamputation evaluation to optimize outcome
  
  

• Outpatient clinics:
  
  
• General rehabilitation medicine clinic
• covers conditions such as neuro-rehabilitation, cancer rehabilitation
   
• Rehabilitation Intervention clinic
• This group practice clinic offers medications, interventional spasticity management with botulinum toxin and chemical neurolysis in conjunction with rehabilitation interventions such as serial casting, functional electrical stimulation and functional retraining.
• Pain management interventions: physical modalities, deep joint injections including facet joint block, sacroiliac joint injections, and trigger point injections.
  
  
• Neuro-urology clinic
• This is a one-stop multidisciplinary clinic run by rehabilitation physician, urologist and urology nurses, for patients with spinal cord injury who have urinary involvement.  All issues related to spinal cord injury may be addressed at this clinic, including mobility, bladder, bowel, skin, spasticity, pain, fertility and return to work issues may be addressed.
  
  
• Spine clinic
• Rehabilitation physicians are part of the multidisciplinary Spine clinic run under Orthopaedic Surgery, offering expert diagnosis and multimodal treatment for spinal disorders.
   
• Sports Medicine clinic
• Rehabilitation physicians run the Sports Medicine clinic run under Orthopaedic Surgery, providing management of sports and musculoskeletal injuries, including interventions such as extracorporeal shock wave therapy, platelet rich plasma injections and other intra-articular injections.
  
  
• Neurodiagnostic clinic
• EMG services for diagnosis and prognostication of nerve or muscle disorders.

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Rehabilitation Medicine is actively involved in undergraduate and postgraduate education.

Our Senior Residency programme is combined with the NHG Rehabilitation Medicine Senior Residency Programme.

We also offer a 1-year fellowship programme in Neurorehabilitation:

Fellowship in Neurorehabilitation 

1. Entry requirements: MBBS or equivalent, 1-year postgraduate training in rehabilitation medicine or related specialties (neurology, geriatric medicine, occupational health, etc), SMC registration as clinical fellow

2. Duration of the entire training programme: 1 year

3. Objectives of the training programme:

a) To develop competency in assessment and management of a spectrum of neurorehabilitation: stroke, traumatic brain injury, spinal cord injury

b) To acquire key knowledge to tackle the medical complications and functional limitation in neurorehabilitation

c)   To acquire skills in the therapeutic use of motor point blocks and nerve blocks in spasticity management

d)  To acquire the clinical skills in the approach, investigation and management of various rehabilitation issues

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Rehabilitation Medicine is actively involved in numerous research, conducting multicentre clinical trials with collaborations with multiple academic institutions. Our research interests range from mechanisms of neuroplasticity to health services research into new models of care delivery.

1. Rehabilitation robotics

• Clinical studies in collaboration with engineering faculty from local academic institutions, include development and use of soft robotics with novel applications in rehabilitation, development of robotic exoskeleton with novel control algorithms.
• Evaluation of use of robotic exoskeletons across the spectrum of local rehabilitation care settings – from hospital to community.

2. Enhancement of neuroplasticity using non-invasive brain stimulation

• Clinical studies to define the use of repetitive transcranial magnetic stimulation and transcranial direct current stimulation to enhance recovery in stroke and other acquired brain injuries

3. Use of technology-enhanced neuro-feedback in neuro-rehabiliation

• Clinical studies in collaboration with engineers focused on use of brain-computer interface-assisted motor imagery and EEG and EMG biofeedback for enhancement of performance at rehabilitation

4. Neurophysiological mechanisms of stroke recovery

• Multimodal functional imaging with MRI, transcranial magnetic stimulation, EEG to elucidate changes within the neuronal networks with stroke recovery and various interventions, to better stratify patients and apply appropriate neuromodulatory interventions

5. Novel gait analysis using inertial sensors and vision-based approach.

• Clinical studies collaborating with engineers on developing a scalable and cost-effective system for rapidly detecting and evaluating abnormal gait.