for allied health professionals

For Allied Health Professionals

Paediatric Integrated Neuro-rehabilitationService (PINS) AHP Training Programme

COMMENCINGFEBRUARY

2021

Registration opens on 1 December 2020 (Tuesday).Pre-registration is required.

For more details, please email [email protected] or log on to www.kkh.com.sg/events

This training programme will be delivered in the form of web-based lectures.

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.

AHP Training ProgrammeThe 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).

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.

Paediatric Integrated Neuro-rehabilitationService (PINS) AHP Training Programme

MODULE A - ALL DISCIPLINES

MODULE A: Introduction to Neuro-rehabilitation February 2021

Instructors:Dr Ng Zhi MinSenior 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-rehabilitation2. Apply knowledge of neuro-anatomy and neuro-physiology in the management of children and

adolescents with neurological conditions3. 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-rehabilitation3. Common medical conditions in neuro-rehabilitation

* Topics 1 to 3 of the PINS Education Series in November 2020 form the common introductory module forthe PINS AHP Training Programme. Participants who attended these sessions will be exempted from thisModule.

MODULE B - PHYSIOTHERAPYTRAINING PROGRAMME

Common neurological disabilities

Clinical assessment

Medical management of neurological disorders

Therapeutic interventions and rehabilitation

Orthopaedic impairments in Neurological disorders

Surgical management of Orthopaedic impairments

Physiotherapy management pre and post-surgical and medical interventions

Application of theory and knowledge into practice

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MODULE B : Medical and Therapeutic Management in Paediatric NeurologicalConditions (PT)18 - 19 Feb 2021 and 25 March 2021

Instructors: Assoc Prof Kevin LimChairman, Division of Surgery and Senior Consultant, Department of Orthopaedic Surgery

Assoc Prof Arjandas S/O MahadevHead and Senior Consultant, Department of Orthopaedic Surgery

Dr Ng Zhi MinSenior Consultant, Neurology Service

Dr Satyaki SenguptaDeputy Director, Division of Allied Health Specialties

Ms Vellaichamy MaheswariPrincipal 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 disorders2. Understand medical and surgical management of common paediatric neurological conditions3. Understand and assess gait and posture, muscle weakness, spasticity, contractures, skeletal deformity,

sensory problems and autonomic function disorder4. 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 autonomicfunction

5. Demonstrate understanding of conservative management and therapeutic interventions of neurologicaland orthopaedic issues

6. Understand the importance of hip surveillance in children with neurological disorders7. Demonstrate understanding of physiotherapy management pre/post orthopaedic and neurological

surgical interventions8. Understand and utilize Evidence-based Practice (EBP) approach in assessments and physiotherapy

interventions for children with neurological impairments


MODULE C: Postural Management in Children with Neurological Conditions (PT/OT) 25 - 26 Feb 2021

MODULE C - PHYSIOTHERAPY ANDOCCUPATIONAL THERAPY TRAINING PROGRAMME

Overview of 24-hour postural management and causes of impaired posture and other complicationsin children with neurological impairments

Types of equipment for postural management

Overview of seating prescription

Implementing standing programmes and selecting suitable mobility aids

Role of exercise in postural management

Role of multidisciplinary team in postural management (including case studies)

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Instructors:Ms Asila Alia D/O K O NoordinSenior Physiotherapist, Physiotherapy Department

Ms Melissa YeongSenior 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 impairments2. Understand “good posture” in supine, sitting and standing3. Understand the principles of good manual handling and positioning in both sitting and lying4. Demonstrate understanding of types of equipment that can be used for children to support theirposture and activity requirements5. Select appropriate equipment and treatment options to customize an individualised posturalmanagement plan6. Educate caregivers on the importance of implementing proper postural management techniques7. Understand the role of the multidisciplinary team in the successful implementation of 24-hourpostural management for children with neurological impairments


MODULE D - PHYSIOTHERAPYTRAINING PROGRAMME

Anatomical and physiological differences between adults and children

Common acute respiratory conditions in children with neurological impairment

Medical management of cardiorespiratory issues in children with neurological impairment

Physiotherapy Management in Children with Neurological impairments(Airway clearance devices, theory and practice)

Long-term ventilation for children with neurological impairment

Physiotherapy management of children on long-term ventilation

Community paediatric respiratory physiotherapy for the non-respiratory physiotherapist

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MODULE D: Respiratory Management of Children with Neurological Impairment (PT)18 - 19 Mar 2021

Instructors:Ms Parveen KaurSenior Principal Physiotherapist, Physiotherapy Department

Ms Asila Alia D/O K O NoordinSenior 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 impairments2. Have a basic understanding of medical management of common cardiorespiratory conditions in children

with neurological impairments3. Understand the effect of neuromuscular scoliosis on respiratory function4. Understand respiratory management of children with neuromuscular disease5. Conduct relevant cardiorespiratory subjective and objective assessments to manage common respiratory

conditions in children with neurological impairments in the community6. Identify physiotherapy management strategies for common cardiorespiratory conditions in patients with

neurological impairments in the community7. Understand and identify appropriate interventions to improve oxygenation and clear secretions in children

with neurological impairments8. Understand the utility of appropriate outcome measures to evaluate effectiveness of treatment9. Understand the role of the multidisciplinary team in the management of cardiorespiratory conditions in

children with neurological impairments


MODULE E - PHYSIOTHERAPYTRAINING PROGRAMME

Introduction to paediatric orthotics; Principles of orthotics and basic biomechanics

Material science; Assessment in orthotics; Classification of orthotics; Fabrication of orthotics

Indication and types of orthotics available

Orthotic problems, Different orthotics commonly used in Singapore

Use of orthotics in physiotherapy management of children with neurological impairments

Case presentation and discussion

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MODULE E: Lower limb Orthotic Management in Paediatric Neurological Rehabilitation (PT) 11- 12 Mar 2021 and 22 Apr 2021

Instructors:Ms Vellaichamy MaheswariPrincipal Physiotherapist, Physiotherapy Department

Mr Nigel WongProsthetist and Orthotist, Orthotics and Podiatry Service

Ms Liu ChangProsthetist 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 impairments2. Understand the principles of orthotics3. Demonstrate understanding of the kinematic and kinetics of pathological standing and gait deviations4. Understand and describe relevant clinical observations and assessment of posture, joint range,

muscle strength, spasticity and contractures for the purpose of prescribing lower limb orthotics5. Describe the use of orthotics in physiotherapy management of children with neurological impairments6. Understand the role of the multi-disciplinary team in orthotic management of children with

neurological impairments.


MODULE F - OCCUPATIONALTHERAPY PROGRAMME

Assistive technology (AT)

Seating and positioning system assessment

Fundamental principles and biomechanics of seating in relation to function


Wheelchair training

Considerations for assistive technology provision in the local landscape

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MODULE F: Seating and Positioning (OT)4 - 5 Mar 2021

Instructors:Ms Melissa YeongSenior 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 conditions2. Describe the factors impacting on the prescription of seating and positioning systems for

children/adolescents with neurological conditions3. Describe knowledge of relevant clinical observations and assessment process in seating and positioning4. Describe knowledge of clinical and functional considerations in the prescription of seating and

positioning equipment5. Apply knowledge of assessments and best practices in prescription of seating and positioning systems

of children and adolescents with neurological conditions


MODULE G - OCCUPATIONAL THERAPYTRAINING PROGRAMME

Normal movement patterns of the upper limb

The neurological upper limb in the paediatric population

Assessment of the neurological upper limb

Intervention approaches in paediatric upper limb rehabilitation

Application of theory and knowledge into practice- Group-based case study- Group-based case presentation and discussion

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MODULE G: Neurological Upper Limb Rehabilitation in the Paediatric Population (OT)15 - 16 Mar 2021

Instructors:Ms Jo Chen Xiu ZhenPrincipal Occupational Therapist, Occupational Therapy Service

Ms Nur Fadilah binte Shaik Mohamed Shafi’eeSenior 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 population2. Understand types of neurological conditions in the paediatric population and its implication on upper limb

movement and control3. Recognise the components contributing to abnormal upper limb movement patterns in the paediatric

population with neurological conditions4. Demonstrate knowledge of clinical assessments and interpretation of clinical observations in the

assessment of abnormal upper limb function in a child/adolescent with neurological condition5. Understand and describe best practices in paediatric neuro-rehabilitation intervention approaches in

management of the upper extremity6. Apply knowledge of assessments and interventions in the treatment of children and adolescents with

neurological upper limb conditions, based on evidence-based guidelines


MODULE H - OCCUPATIONAL THERAPYTRAINING PROGRAMME

Acquired brain injuries (ABI) in the paediatric population

Areas of cognitive function/skills

Cognitive rehabilitation


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MODULE H: Cognitive Rehabilitation in Paediatric Acquired Brain Injuries (OT) 22 - 23 Mar 2021

Instructors:Ms Foo Ce YuPrincipal Occupational Therapist, Occupational Therapy Service

Ms Nur Fadilah binte Shaik Mohamed Shafi’eeSenior 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 population2. Describe the cognitive, behavioural and emotional consequences associated with acquired brain injuriesin the paediatric population3. Describe knowledge of relevant clinical observations and available assessment tools to assessperformance components and/or performance areas for a child/adolescent with cognitive deficits, secondaryto an acquired brain injury4. Demonstrate knowledge of remediative and compensatory approaches in cognitive rehabilitation5. Apply knowledge of assessments and interventions in the treatment of children and adolescents with anacquired brain injury, based on evidence-based guidelines


MODULE I - SPEECH THERAPYTRAINING PROGRAMME

MODULE I: Paediatric Feeding in the Neurologically Compromised Child (ST) 16 - 18 March and 1 April 2021

Instructors:Ms Leo Wei ZhiSenior Speech Therapist, Speech Therapy Service

Ms Lydea GnSenior Speech Therapist, Speech Therapy Service

Ms Stacy Tan Man LingPrincipal Speech Therapist, Speech Therapy Service

Ms Li AoyuanSpeech Therapist, Speech Therapy Service

Ms Chu Xiao HuiSpeech Therapist, Speech Therapy Service


Paediatric feeding progressionThis 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

Paediatric dysphagia management This module aims to provide an introduction to paediatric dysphagia management witha 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

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 feeding

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Organised byKKH Paediatric Integrated Neuro-rehabiliation Service (PINS)

Event secretariatMarketing Communications, KKH

Sponsored byMOH Health Services Development Programme

MODULE I - SPEECH THERAPYTRAINING PROGRAMME

MODULE I: Paediatric Feeding in the Neurologically Compromised Child (ST) 16 - 18 March and 1 April 2021

Instructors:Ms Leo Wei ZhiSenior Speech Therapist, Speech Therapy Service

Ms Lydea GnSenior Speech Therapist, Speech Therapy Service

Ms Stacy Tan Man LingPrincipal Speech Therapist, Speech Therapy Service

Ms Li AoyuanSpeech Therapist, Speech Therapy Service

Ms Chu Xiao HuiSpeech Therapist, Speech Therapy Service


Paediatric feeding and swallowing case presentation and discussion This module aims to provide an overview of the clinical application of the knowledgeacquired 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

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