Paediatric Integrated Neuro-rehabilitation Service (PINS) AHP Training Programme
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For Allied Health Professionals
COMMENCING
FEBRUARY Paediatric Integrated Neuro-rehabilitation
2021 Service (PINS) AHP Training Programme
This training programme will be delivered in the
form of web-based lectures.
Registration opens on 1 December 2020 (Tuesday).
Pre-registration is required.
For more details, please email pins.rehab@kkh.com.sg or log on to
www.kkh.com.sg/events
Paediatric Integrated Neuro-rehabilitation
Service (PINS) AHP Training Programme
The Paediatric Integrated Neuro-rehabilitation Service (PINS) is a comprehensive
programme that provides children with neuro-disabilities with a continuum of
care between the tertiary hospital and the community. It aims to coordinate
neuro-rehabilitation services to optimise care for the child and family.
PINS Objectives:
1. Provide anticipatory care for children with neuro-disability through establishing a network of
community partners.
2. Provide training to community healthcare professionals in the management of children with
neuro-disability.
3. Provide patient-centred and family-centered care for children with neuro-disability by establishing a
seamless transition between services, and integration to home, school, and the community.
AHP Training Programme
The PINS AHP training programme is developed for occupational therapists, physiotherapists and
speech therapists working in paediatric settings. The training aims to provide an understanding of the
scope of practice and relevant knowledge associated with paediatric neuro-rehabilitation.
The training programme consists of a common introductory module and profession-specific modules.
Please refer to individual training overviews for detailed information on training modules.
This training is open to all occupational therapists, physiotherapists and speech therapists with full
registration under the Allied Health Professions Council (AHPC).
MODULE A - ALL DISCIPLINES MODULE A: Introduction to Neuro-rehabilitation February 2021 Instructors: Dr Ng Zhi Min Senior Consultant, Neurology Service Dr Yeo Tong Hong, Senior Consultant, Neurology Service Learning Outcomes: Upon completion of this module, the participant should be able to: 1. Understand essential components of neuro-anatomy and neuro-physiology and its implication on neuro-rehabilitation 2. Apply knowledge of neuro-anatomy and neuro-physiology in the management of children and adolescents with neurological conditions 3. Demonstrate understanding of common neurological conditions in the paediatric population and their clinical presentations Training Duration: 2 hours Content Overview: 1. Introduction to Paediatric Integrated Neuro-rehabilitation Service (PINS) 2. Essentials of neuro-anatomy and neuro-physiology - Application to neuro-rehabilitation 3. Common medical conditions in neuro-rehabilitation * Topics 1 to 3 of the PINS Education Series in November 2020 form the common introductory module for the PINS AHP Training Programme. Participants who attended these sessions will be exempted from this Module.
MODULE B - PHYSIOTHERAPY
TRAINING PROGRAMME
MODULE B : Medical and Therapeutic Management in Paediatric Neurological
Conditions (PT)
18 - 19 Feb 2021 and 25 March 2021
Instructors:
Assoc Prof Kevin Lim
Chairman, Division of Surgery and Senior Consultant, Department of Orthopaedic Surgery
Assoc Prof Arjandas S/O Mahadev
Head and Senior Consultant, Department of Orthopaedic Surgery
Dr Ng Zhi Min
Senior Consultant, Neurology Service
Dr Satyaki Sengupta
Deputy Director, Division of Allied Health Specialties
Ms Vellaichamy Maheswari
Principal Physiotherapist, Physiotherapy Department
Learning Outcomes:
Upon completion of this module, the participant should be able to:
1. Understand and describe common neurological and orthopaedic impairments in children with
neurological disorders
2. Understand medical and surgical management of common paediatric neurological conditions
3. Understand and assess gait and posture, muscle weakness, spasticity, contractures, skeletal deformity,
sensory problems and autonomic function disorder
4. Perform relevant clinical observations and be aware of available assessment tools to assess gait and
posture, deformity, muscle weakness, spasticity and contractures, sensory problems and autonomic
function
5. Demonstrate understanding of conservative management and therapeutic interventions of neurological
and orthopaedic issues
6. Understand the importance of hip surveillance in children with neurological disorders
7. Demonstrate understanding of physiotherapy management pre/post orthopaedic and neurological
surgical interventions
8. Understand and utilize Evidence-based Practice (EBP) approach in assessments and physiotherapy
interventions for children with neurological impairments
Training Duration: 14 hours
Topics
1. Common neurological disabilities
2. Clinical assessment
3. Medical management of neurological disorders
4. Therapeutic interventions and rehabilitation
5. Orthopaedic impairments in Neurological disorders
6. Surgical management of Orthopaedic impairments
7. Physiotherapy management pre and post-surgical and medical interventions
8. Application of theory and knowledge into practiceMODULE C - PHYSIOTHERAPY AND
OCCUPATIONAL THERAPY TRAINING PROGRAMME
MODULE C: Postural Management in Children with Neurological Conditions (PT/OT)
25 - 26 Feb 2021
Instructors:
Ms Asila Alia D/O K O Noordin
Senior Physiotherapist, Physiotherapy Department
Ms Melissa Yeong
Senior Occupational Therapist, Occupational Therapy Service
Learning Outcomes:
Upon completion of this module, the participant should be able to:
1. Understand and describe 24-hour postural management in children with neurological impairments
2. Understand “good posture” in supine, sitting and standing
3. Understand the principles of good manual handling and positioning in both sitting and lying
4. Demonstrate understanding of types of equipment that can be used for children to support their
posture and activity requirements
5. Select appropriate equipment and treatment options to customize an individualised postural
management plan
6. Educate caregivers on the importance of implementing proper postural management techniques
7. Understand the role of the multidisciplinary team in the successful implementation of 24-hour
postural management for children with neurological impairments
Training Duration: 8 hours
Topics
1. Overview of 24-hour postural management and causes of impaired posture and other complications
in children with neurological impairments
2. Types of equipment for postural management
3. Overview of seating prescription
4. Implementing standing programmes and selecting suitable mobility aids
5. Role of exercise in postural management
6. Role of multidisciplinary team in postural management (including case studies)MODULE D - PHYSIOTHERAPY
TRAINING PROGRAMME
MODULE D: Respiratory Management of Children with Neurological Impairment (PT)
18 - 19 Mar 2021
Instructors:
Ms Parveen Kaur
Senior Principal Physiotherapist, Physiotherapy Department
Ms Asila Alia D/O K O Noordin
Senior Physiotherapist, Physiotherapy Department
Learning Outcomes:
Upon completion of this module, the participant should be able to:
1. Understand and describe the pathophysiology of common respiratory conditions in children with
neurological impairments
2. Have a basic understanding of medical management of common cardiorespiratory conditions in children
with neurological impairments
3. Understand the effect of neuromuscular scoliosis on respiratory function
4. Understand respiratory management of children with neuromuscular disease
5. Conduct relevant cardiorespiratory subjective and objective assessments to manage common respiratory
conditions in children with neurological impairments in the community
6. Identify physiotherapy management strategies for common cardiorespiratory conditions in patients with
neurological impairments in the community
7. Understand and identify appropriate interventions to improve oxygenation and clear secretions in children
with neurological impairments
8. Understand the utility of appropriate outcome measures to evaluate effectiveness of treatment
9. Understand the role of the multidisciplinary team in the management of cardiorespiratory conditions in
children with neurological impairments
Training Duration: 6 hours
Topics
1. Anatomical and physiological differences between adults and children
2. Common acute respiratory conditions in children with neurological impairment
3. Medical management of cardiorespiratory issues in children with neurological impairment
4. Physiotherapy Management in Children with Neurological impairments
(Airway clearance devices, theory and practice)
5. Long-term ventilation for children with neurological impairment
6. Physiotherapy management of children on long-term ventilation
7. Community paediatric respiratory physiotherapy for the non-respiratory physiotherapistMODULE E - PHYSIOTHERAPY
TRAINING PROGRAMME
MODULE E: Lower limb Orthotic Management in Paediatric Neurological Rehabilitation (PT)
11- 12 Mar 2021 and 22 Apr 2021
Instructors:
Ms Vellaichamy Maheswari
Principal Physiotherapist, Physiotherapy Department
Mr Nigel Wong
Prosthetist and Orthotist, Orthotics and Podiatry Service
Ms Liu Chang
Prosthetist and Orthotist, Orthotics and Podiatry Service
Learning Outcomes:
Upon completion of this module, the participant should be able to:
1. Understand and describe lower limb orthotic management in children with neurological impairments
2. Understand the principles of orthotics
3. Demonstrate understanding of the kinematic and kinetics of pathological standing and gait deviations
4. Understand and describe relevant clinical observations and assessment of posture, joint range,
muscle strength, spasticity and contractures for the purpose of prescribing lower limb orthotics
5. Describe the use of orthotics in physiotherapy management of children with neurological impairments
6. Understand the role of the multi-disciplinary team in orthotic management of children with
neurological impairments.
Training Duration: 7 hours
Topics
1. Introduction to paediatric orthotics; Principles of orthotics and basic biomechanics
2. Material science; Assessment in orthotics; Classification of orthotics; Fabrication of orthotics
3. Indication and types of orthotics available
4. Orthotic problems, Different orthotics commonly used in Singapore
5. Use of orthotics in physiotherapy management of children with neurological impairments
6. Case presentation and discussionMODULE F - OCCUPATIONAL
THERAPY PROGRAMME
MODULE F: Seating and Positioning (OT)
4 - 5 Mar 2021
Instructors:
Ms Melissa Yeong
Senior Occupational Therapist, Occupational Therapy Service
Learning Outcomes:
Upon completion of this module, the participant should be able to:
1. Understand and describe the role of seating and positioning systems/ assistive technology devices in the
paediatric population with neurological conditions
2. Describe the factors impacting on the prescription of seating and positioning systems for
children/adolescents with neurological conditions
3. Describe knowledge of relevant clinical observations and assessment process in seating and positioning
4. Describe knowledge of clinical and functional considerations in the prescription of seating and
positioning equipment
5. Apply knowledge of assessments and best practices in prescription of seating and positioning systems
of children and adolescents with neurological conditions
Training Duration: 8 hours
Topics
1. Assistive technology (AT)
2. Seating and positioning system assessment
3. Fundamental principles and biomechanics of seating in relation to function
4. Application of theory and knowledge into practice
5. Wheelchair training
6. Considerations for assistive technology provision in the local landscapeMODULE G - OCCUPATIONAL THERAPY
TRAINING PROGRAMME
MODULE G: Neurological Upper Limb Rehabilitation in the Paediatric Population (OT)
15 - 16 Mar 2021
Instructors:
Ms Jo Chen Xiu Zhen
Principal Occupational Therapist, Occupational Therapy Service
Ms Nur Fadilah binte Shaik Mohamed Shafi’ee
Senior Occupational Therapist, Occupational Therapy Service
Learning Outcomes:
Upon completion of this module, the participant should be able to:
1. Identify the essential components in normal upper limb movement patterns in the paediatric population
2. Understand types of neurological conditions in the paediatric population and its implication on upper limb
movement and control
3. Recognise the components contributing to abnormal upper limb movement patterns in the paediatric
population with neurological conditions
4. Demonstrate knowledge of clinical assessments and interpretation of clinical observations in the
assessment of abnormal upper limb function in a child/adolescent with neurological condition
5. Understand and describe best practices in paediatric neuro-rehabilitation intervention approaches in
management of the upper extremity
6. Apply knowledge of assessments and interventions in the treatment of children and adolescents with
neurological upper limb conditions, based on evidence-based guidelines
Training Duration: 8 hours
Topics
1. Normal movement patterns of the upper limb
2. The neurological upper limb in the paediatric population
3. Assessment of the neurological upper limb
4. Intervention approaches in paediatric upper limb rehabilitation
5. Application of theory and knowledge into practice
- Group-based case study
- Group-based case presentation and discussionMODULE H - OCCUPATIONAL THERAPY
TRAINING PROGRAMME
MODULE H: Cognitive Rehabilitation in Paediatric Acquired Brain Injuries (OT)
22 - 23 Mar 2021
Instructors:
Ms Foo Ce Yu
Principal Occupational Therapist, Occupational Therapy Service
Ms Nur Fadilah binte Shaik Mohamed Shafi’ee
Senior Occupational Therapist, Occupational Therapy Service
Learning Outcomes:
Upon completion of this module, the participant should be able to:
1. Understand and describe types of acquired brain injuries in the paediatric population
2. Describe the cognitive, behavioural and emotional consequences associated with acquired brain injuries
in the paediatric population
3. Describe knowledge of relevant clinical observations and available assessment tools to assess
performance components and/or performance areas for a child/adolescent with cognitive deficits, secondary
to an acquired brain injury
4. Demonstrate knowledge of remediative and compensatory approaches in cognitive rehabilitation
5. Apply knowledge of assessments and interventions in the treatment of children and adolescents with an
acquired brain injury, based on evidence-based guidelines
Training Duration: 8 hours
Topics
1. Acquired brain injuries (ABI) in the paediatric population
2. Areas of cognitive function/skills
3. Cognitive rehabilitation
4. Application of theory and knowledge into practiceMODULE I - SPEECH THERAPY
TRAINING PROGRAMME
MODULE I: Paediatric Feeding in the Neurologically Compromised Child (ST)
16 - 18 March and 1 April 2021
Instructors:
Ms Leo Wei Zhi
Senior Speech Therapist, Speech Therapy Service
Ms Lydea Gn
Senior Speech Therapist, Speech Therapy Service
Ms Stacy Tan Man Ling
Principal Speech Therapist, Speech Therapy Service
Ms Li Aoyuan
Speech Therapist, Speech Therapy Service
Ms Chu Xiao Hui
Speech Therapist, Speech Therapy Service
Training Duration: 28 hours
Topics
1. Paediatric feeding progression
This module aims to provide an introduction to paediatric feeding and oromotor development.
Learning Outcomes:
(1) Understand the oromotor development from birth to 3 years old
(2) Understand the feeding texture progression from birth to 1 year old
(3) Understand common issues experienced by patients with neurological conditions during
oromotor development and feeding progression
2. Paediatric dysphagia management
This module aims to provide an introduction to paediatric dysphagia management with
a focus on neurologically compromised child.
Learning Outcomes:
(1) Identify key elements of a swallowing assessment
(2) Understand the impacts of neurological conditions on swallowing
(3) Identify paediatric dysphagia intervention strategies
(4) Recognise and understand issues related to paediatric dysphagia management
(5) Develop an assessment and intervention plan to manage paediatric dysphagia
3. Problem feeding and management
This module aims to provide an introduction to fussy feeding and management.
Learning Outcomes:
(1) Identify common problem feeding behaviours impacting on oral feeding
(2) Understand the impacts of neurological conditions on feeding
(3) Identify key factors impacting on acceptance to oral feeding
(4) Recognise factors impacting on intervention
(5) Develop an intervention plan to manage problem feeding
(6) Develop a home program for parents to manage problem feedingMODULE I - SPEECH THERAPY
TRAINING PROGRAMME
MODULE I: Paediatric Feeding in the Neurologically Compromised Child (ST)
16 - 18 March and 1 April 2021
Instructors:
Ms Leo Wei Zhi
Senior Speech Therapist, Speech Therapy Service
Ms Lydea Gn
Senior Speech Therapist, Speech Therapy Service
Ms Stacy Tan Man Ling
Principal Speech Therapist, Speech Therapy Service
Ms Li Aoyuan
Speech Therapist, Speech Therapy Service
Ms Chu Xiao Hui
Speech Therapist, Speech Therapy Service
Training Duration: 28 hours
Topics
4. Paediatric feeding and swallowing case presentation and discussion
This module aims to provide an overview of the clinical application of the knowledge
acquired from Topics 1 to 3.
Learning Outcomes:
(1) Apply knowledge on paediatric feeding and dysphagia to develop an assessment plan
(2) Apply knowledge on paediatric feeding and dysphagia to develop an intervention plan
(3) Recognise key factors impacting on achieving functional feeding and/or swallow status
Organised by Sponsored by
KKH Paediatric Integrated Neuro-rehabiliation Service (PINS) MOH Health Services Development Programme
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