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TTSH Physiotherapy Specialty Clinics / Services
Overview

List of Specialty Services

  • Amputee Rehabilitation
  • Cardiac Rehabilitation
  • Diabetes Exercise Program
  • Ergonomics Service
  • Fall Prevention and Management
  • Lymphoedema Clinic
  • Musculoskeletal Physiotherapy Services
  • Geriatric Physiotherapy
  • Neuroscience Physiotherapy
  • Pulmonary Rehabilitation
  • Vascular Rehabilitation
  • Vestibular Rehabilitation
  • Weight Management Program
  • Osteoporosis Program
  • Oncology Rehabilitation
  • Pre- and Post-Surgical Rehabilitation

Amputee Rehabilitation

Individuals with lower limb amputations often experience challenges with mobility, balance, and daily functioning. Physiotherapy plays a key role in supporting their recovery and enabling the use of a prosthesis (artificial limb) for walking and daily activities.

Through a structured rehabilitation process, physiotherapists help patients regain strength, mobility, and independence, with the ultimate goal of returning to work, leisure, and community life. When needed, caregiver training is provided to support safe mobility and prosthesis management.

Rehabilitation is delivered in close collaboration with a multidisciplinary team that includes prosthetists, orthotists, podiatrists, occupational therapists, medical social workers, psychologists, and rehabilitation physicians.

Our Rehabilitation Program

The Amputee Rehabilitation Program is structured into three progressive phases:

PHASE 1: PRE-PROSTHETIC REHABILITATION

This phase is to get the patient ready for the fitting of the prosthetic leg.

PHASE 2: PROSTHETIC REHABILITATION

The patient is re-orientated with everyday activities such as walking, climbing stairs, and overcoming obstacles.

PHASE 3: ADVANCED BALANCE AND COMMUNITY INTEGRATION

When the patient is ready to progress, he / she will be trained in activities such as jogging or running etc.

Who Can Benefit

This program is suitable for individuals who have undergone:

  • Lower limb amputation (e.g., transtibial, transfemoral)
  • Amputation with intent to use a prosthesis
  • Those with goals to return to mobility, independence, or sport

Cardiac Rehabilitation 

Individuals recovering from a cardiac event or living with chronic heart conditions may experience fatigue, reduced physical endurance, and emotional stress. Without proper support, they remain at risk of further cardiac complications.

Cardiac rehabilitation is a specially designed multi-disciplinary program to help you improve your cardiovascular fitness and reduce your risks of future heart events. Through a combination of exercise, education and lifestyle modifications, this program empowers you to return to daily life with confidence.

Our rehabilitation staff will show you how to exercise safely and effectively based on your ability and needs. We will help you improve your cardiovascular fitness as you move through the program and achieve positive lifestyle changes. Throughout your rehabilitation, we will monitor your progress and provide feedback to your medical physician.

This program will help you learn about your condition, develop a heart-healthy exercise routine, adjust to a healthier lifestyle, and cope with future health concerns.

Our Rehabilitation Program

The Cardiac Rehabilitation Program consists of ten exercise sessions, with two pre- and post- assessment sessions, including:

  • Individual exercise testing and exercise prescription
  • Supervised exercise sessions tailored to your abilities and needs
  • Education on diet and fluid intake to achieve self-care

Physiotherapists will monitor your vital signs, symptoms, and exercise responses during the exercise sessions. Cardiac nurses will be monitoring your blood pressure and blood sugar trends during the course of rehabilitation as well. 

Who Can Benefit

This program is recommended for individuals who:

  • Are recovering from:
    • Heart attack
    • Cardiac surgery (e.g., valve repair, pacemaker insertions, AICD placements)
    • Angioplasty (PTCA)
    • Rotational atherectomy
    • Stent placement
  • Have been diagnosed with:
    • Congestive heart failure
    • Valvular heart disease

Diabetes Exercise Program 

Diabetes Mellitus is a chronic metabolic condition that affects the body’s ability to regulate blood sugar levels. If left unmanaged, it can lead to serious complications affecting the heart, kidneys, nerves, and eyes. Regular physical activity plays a critical role in improving blood glucose control, enhancing insulin sensitivity, and supporting overall health in individuals with diabetes or pre-diabetes.

The Diabetes Exercise Program is a supervised, therapeutic program that combines structured exercise with education for individuals who have Type I, Type II or pre-Diabetes Mellitus. It aims to equip individuals with the knowledge and skills to manage their condition and adopt an active, healthier lifestyle.

Our Exercise Program

The Diabetes Exercise Program is a supervised, therapeutic program that combines tailored exercises with education. It is designed to help individuals exercise safely and confidently while learning how to manage their condition.

Program components include:

  • Individualised exercise prescriptions that consider each individual’s cardiovascular status, mobility, and co-existing medical conditions
  • Assessment sessions (before and after the program) to evaluate physical capacity and monitor progress
  • Supervised exercise sessions customised to the individual’s age, physical condition, and comorbidities
  • Education on safe exercise practices, glucose monitoring during activity, and integrating exercise into daily routines

Individuals will leave the program confident in their ability to exercise safely at home and empowered with knowledge of the disease management.

Who Can Benefit

This program is suitable for individuals who have been diagnosed with:

  • Type I Diabetes Mellitus
  • Type II Diabetes Mellitus
  • Impaired fasting glucose or pre-diabetes

Ergonomics Service 

Ergonomics is the science of designing work environments and tasks to fit the people performing them. When workstations, tools, and job demands are properly matched to the individual, it helps reduce the risk of musculoskeletal disorders and supports long-term occupational health.

Good ergonomics practices can lead to:

  • Reduction in injury or illness rates
  • Reduction in costs associated with injury and illness
  • Improvement in workplace productivity

In contrast, poor ergonomics practices that result in a job that is poorly fitted to the staff can result in strains and injuries, which in return can result in:

  • Increased absenteeism
  • Reduced workplace productivity
  • Increased costs associated with injury and illness

Our Ergonomics Program

Our Ergonomics Service provides customised assessments and practical solutions to enhance workplace safety and efficiency.

Program Components May Include:

  • Workplace and Job Task Assessment
    • On-site or virtual evaluation of workstations, tools, and job demands
    • Identification of ergonomic risk factors and posture-related stressors
  • Educational Talks and Workshops
    • Topics include ergonomic principles, posture correction, and injury prevention
    • Simple workplace exercises to reduce strain and improve musculoskeletal health
  • Recommendations and Reporting
    • A comprehensive report detailing assessment findings and evidence-based recommendations
    • Guidance on environmental modifications, equipment adjustments, or work practice changes

Who Can Benefit

This service is suitable for:

  • Individuals with symptoms such as neck, back, shoulder, or wrist pain related to prolonged sitting, desk work, or repetitive tasks
  • Organisations looking to prevent workplace injuries and enhance productivity through better ergonomic practices

Fall Prevention and Management

With an ageing population in Singapore, falls have become a significant public health concern. As individuals age, they may experience a natural decline in strength, flexibility, balance, and mobility. These changes increase the risk of falling and may compromise an individual’s ability to live independently.

Statistics show that:

  • 1 in 3 adults aged 65 years and above
  • 1 in 2 adults aged 80 years and above

living in the community will experience at least one fall each year.

Falls can lead to serious injuries such as fractures or head trauma. Many older adults also face psychological challenges after a fall, including fear of falling again, loss of confidence, and depression. These effects can contribute to a decline in physical activity, social isolation, and reduced quality of life.

Falls not only impact individuals but also place emotional and physical burdens on families and caregivers, along with increased healthcare and societal costs.

Our Rehabilitation Program

The Falls Prevention Program focuses on reducing the risk of falls through early assessment and targeted interventions.

Key components of the program include:

  • Individualised assessment to identify personal risk factors such as poor balance, reduced strength, or limited flexibility
  • Personalised exercise programs to improve muscle strength, joint mobility, and functional movement
  • Gait and balance training to enhance stability and walking confidence
  • Fall prevention education to build awareness and equip participants with practical strategies

Who Can Benefit

This program is suitable for:

  • Older adults with balance problems, muscle weakness, or mobility limitations
  • Individuals at risk of falls due to age-related decline or chronic conditions

Lymphoedema Clinic

Lymphoedema is a chronic condition caused by a disruption in the lymphatic system. This results in the accumulation of lymph fluid in body tissues, leading to persistent swelling. It can affect various parts of the body, including the limbs, head, neck, and trunk. If left untreated, lymphoedema may cause skin changes, tissue hardening, and recurrent infections such as cellulitis.

Lymphoedema can be classified broadly into two types:

  1. Primary Lymphoedema: Caused by an impaired lymphatic system or an insufficient number of lymph vessels.
  2. Secondary Lymphoedema: Caused by factors such as surgery, radiotherapy, trauma, cancer, inflammation, or filariasis (a parasitic infection transmitted by mosquitoes). Surgeries involving the removal of lymph nodes in the breast, head, neck, and groin increase the risk of developing secondary lymphoedema.

Signs and Symptoms of Affected Areas:

  • Tightness with rings, watches, or bracelets
  • Feeling of tightness and fullness
  • Persistent swelling
  • Difficulty fitting clothing in the affected area

Although lymphoedema cannot be cured, early intervention can prevent complications and improve quality of life.

Our Rehabilitation Program

The Lymphoedema Management Program is delivered by certified lymphoedema therapists trained in specialized techniques. Treatment is guided by a thorough assessment and tailored to each individual’s condition.

The core of our treatment approach is Complete Decongestive Therapy (CDT), which includes:

  • Manual Lymphatic Drainage (MLD): A gentle massage technique to encourage lymph fluid movement
  • Compression Therapy: Using bandages and garments to reduce swelling and maintain results
  • Exercise: Therapeutic exercises to support lymphatic flow and improve mobility
  • Skin Care: Prevention of skin infections and maintenance of skin integrity
  • Education: Patient education on self-management techniques and lifestyle adjustments.

Who Can Benefit

This program is suitable for individuals who:

  • Have been diagnosed with primary or secondary lymphoedema
  • Are recovering from cancer treatment involving lymph node removal or radiation

Musculoskeletal Physiotherapy Services 

Musculoskeletal conditions refer to problems affecting muscles, joints, ligaments, tendons, and bones. These issues can lead to pain, stiffness, and reduced mobility, which in turn affect daily functioning and quality of life. Such conditions may result from injury, overuse, degenerative changes, or underlying diseases such as osteoarthritis or rheumatoid arthritis.

In Musculoskeletal Physiotherapy, our physiotherapists seek to determine the underlying problem and apply various strategies to harmonize the structures and systems at fault. These can only be achieved with an in-depth knowledge of the anatomy, body physiology and movement science. 

Our Rehabilitation Program

At the first visit, your physiotherapist will take a detailed history of your condition and perform a thorough physical assessment. Based on this, a treatment plan will be developed to meet your needs and goals. 

The goals of treatment are to:

  • Manage Pain
  • Improve strength and mobility
  • Prevent future injuries or recurrences
  • Improve your ability to perform daily activities

We also offer group exercise classes for patients who have stable conditions and can benefit from supervised conditioning in a group setting. Each class is targeted at specific musculoskeletal conditions and designed to address:

  • Flexibility
  • Strength
  • Agility and coordination
  • Balance
  • Cardiovascular fitness

Who Can Benefit

This service is suitable for individuals who:

  • Experience musculoskeletal pain or dysfunction
  • Are recovering from musculoskeletal injuries or surgery
  • Have conditions such as arthritis, tendonitis, or spinal pain
  • Have sports, work-related, or posture-related issues

Geriatric Physiotherapy

As individuals age, they may face challenges related to physical decline, reduced mobility, and the presence of multiple medical conditions. Common geriatric syndromes such as falls, sarcopenia, frailty, and cognitive impairment can lead to loss of independence and decreased quality of life. Early intervention and targeted rehabilitation are essential in addressing these issues and supporting healthy ageing.

Our Rehabilitation Program

Geriatric rehabilitation focuses on maintaining and restoring functional independence in older adults. It aims to prevent further decline, reduce fall risk, and optimise the ability to perform daily activities safely and confidently.

Program components include:

  • Comprehensive geriatric assessment to identify physical impairments, risk factors, and rehabilitation goals
  • Individualised exercise programs to improve strength, balance, flexibility, and endurance
  • Gait and mobility training to support safe ambulation
  • Functional training for activities of daily living
  • Fall prevention strategies and caregiver education where appropriate

We deliver high quality and meaningful rehabilitation to older adults to improve strength, balance, flexibility and mobility, in line with the latest evidence and best practices in geriatric care.

Who Can Benefit

This service is suitable for individuals who:

  • Older adults experiencing functional decline due to ageing or chronic disease
  • Individuals with frailty, reduced strength, or recurrent falls
  • Patients with cognitive impairment requiring physical support for safe mobility

Neuroscience Physiotherapy

Neurological conditions include conditions such as Stroke, Parkinson's disease, Spinal cord injury, Multiple Sclerosis, and Motor Neuron Disease can significantly impact daily function and quality of life. Rehabilitation focuses on improving function, maintaining gains, and preventing long-term complications.

Our Rehabilitation Program

Our Physiotherapists work closely with medical specialists and allied health professionals to ensure our patient's rehabilitative needs are addressed. 

Program components may include:

  • Physical conditioning to improve endurance and fitness
  • Strengthening exercises to address muscle weakness
  • Gait and balance training to improve walking ability and reduce fall risk
  • Movement re-education to retrain motor patterns and functional tasks
  • Pain management strategies to reduce discomfort and enhance participation
  • Fall prevention and safety planning in both home and community environments

Who Can Benefit

This program is suitable for individuals diagnosed with:

  • Stroke
  • Parkinson’s disease
  • Spinal cord injury
  • Multiple sclerosis
  • Motor neuron disease
  • Other neuromuscular and neurodegenerative conditions

Pulmonary Rehabilitation

Chronic lung diseases such as asthma, bronchiectasis, chronic obstructive pulmonary disease (COPD), and interstitial lung disease can significantly affect a person’s ability to breathe and engage in daily activities. These conditions often lead to reduced exercise capacity, breathlessness, fatigue, and overall decline in physical function.

Without proper intervention, individuals may experience a diminished quality of life and greater difficulty managing symptoms. 

Without proper intervention, individuals may experience a diminished quality of life and greater difficulty managing symptoms.

Our Rehabilitation Program

The Pulmonary Rehabilitation Program consists of eight exercise sessions, with two pre- and post- assessment sessions, including:

  • Individualized assessments and supervised exercise sessions designed to improve breathing efficiency, strength, and endurance.
  • Breathing techniques and endurance training to reduce breathlessness and build stamina
  • Lifestyle guidance to support long-term health and independence

Who Can Benefit

This program is suitable for individuals diagnosed with:

  • Asthma
  • Bronchiectasis
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Interstitial Lung Disease

It also recommended for patients who are:

  • Receiving treatment for lung cancer
  • Undergoing surgical procedures related to the lungs

Vascular Rehabilitation

Peripheral artery disease (PAD) and other circulatory conditions can limit blood flow to the limbs, leading to pain, cramping, and fatigue during walking. This is known as intermittent claudication. These symptoms often reduce mobility, affect independence, and increase the risk of future cardiovascular complications.

Vascular rehabilitation is a structured program designed to help manage claudication symptoms, improve walking ability, and support overall cardiovascular health. Through supervised exercise and education, patients are guided to improve their physical function and reduce risk of cardiovascular events.

Our Rehabilitation Program

Each program is tailored to the individual's age, physical ability, medical conditions, and prognosis. Physiotherapists work closely with patients to provide safe, personalised care that promotes long-term health improvements.

Program components include:

  • Supervised exercise sessions, including walking and strength training, to improve circulation and walking endurance
  • Monitoring of symptoms and exercise response to ensure safety and progress
  • Education on vascular health, risk factor control, and lifestyle changes

Who Can Benefit

This program is suitable for individuals who:

  • Have peripheral artery disease (PAD)
  • Experience intermittent claudication or leg discomfort due to poor circulation

Vestibular Rehabilitation 

Vestibular disorders affect the inner ear and can result in dizziness, vertigo, unsteadiness, and visual disturbances. These symptoms often impact an individual’s ability to perform daily activities, affecting confidence, balance, and mobility.

Vestibular rehabilitation is an exercise-based program that helps individuals with inner ear dysfunction reduce their symptoms and improve function. The goal is to promote recovery, restore balance, and support safe movement through targeted exercises and specialised treatment.

Our Rehabilitation Program

Each program begins with a detailed assessment by a physiotherapist trained in vestibular rehabilitation. Based on the individual’s symptoms and functional challenges, a customised treatment plan is developed.

Program components may include:

  • Multi-modal exercises to address vertigo, dizziness, gaze instability, and imbalance
  • Gaze stability exercises for individuals experiencing visual blurring with head movement
  • Balance retraining exercises to improve postural control and prevent falls
  • Specific strengthening and conditioning
  • Repositioning manoeuvres for individuals diagnosed with Benign Paroxysmal Positional Vertigo (BPPV)

Patients with BPPV often experience short episodes of spinning sensations triggered by head movements such as getting in and out of bed or bending forward. This condition is especially common in older adults and individuals who have had head trauma or falls. BPPV is typically treated effectively within one to two sessions using repositioning manoeuvres.

For patients with age-related vestibular hypofunction, rehabilitation can improve their balance, reduce the risk of falls, and support functional independence.

Average number of treatment sessions ranges from 4 to 8 depending on individual's problems. Individuals with BPPV may be seen between 2 to 3 treatment sessions.

Who Can Benefit

This program is suitable for individuals who:

  • Have been diagnosed with a peripheral vestibular disorder
  • Experience dizziness during movement
  • Feel unsteadiness in complex visual or low-light environments
  • Have visual blurring with head movements (gaze instability or oscillopsia)
  • Have been diagnosed with BPPV or vestibular hypofunction

Weight Management Program

Being overweight or obese increases the risk of chronic conditions such as diabetes, hypertension, heart disease, and joint problems. Individuals with higher body weight may experience reduced physical activity levels, leading to a cycle of deconditioning and further weight gain.

The Weight Management Program is a structured, supervised program that combines exercise and education to promote safe physical activity, improve functional capacity, and support long-term lifestyle changes.

Our Exercise Program

This program is individually tailored based on the participant’s age, medical conditions, and current physical fitness level.

Program components include:

  • Assessment sessions (pre- and post-program) to evaluate progress and guide treatment
  • Supervised exercise sessions designed to improve strength, endurance, and mobility
  • Education on safe exercise practices and self-monitoring techniques
  • Guidance on integrating physical activity into daily routines

By the end of the program, participants will be equipped with the knowledge and skills to continue exercising safely at home and manage their weight more effectively.

Who Can Benefit

This program is suitable for individuals who:

  • Have a Body Mass Index (BMI) above 27.5 with or without comorbid conditions such as hypertension, diabetes, or joint pain

Osteoporosis Program

Osteoporosis and osteopenia are conditions characterised by low bone mass and reduced bone strength, increasing the risk of fractures. These conditions are more common with ageing and can be worsened by inactivity, poor posture, and underlying health conditions.

Exercise plays a vital role in supporting bone health, improving muscle strength, enhancing balance, and reducing the risk of falls. A structured physiotherapy program can help individuals with osteoporosis maintain independence and reduce fracture risk.

Our Exercise Program

The Physiotherapy for Osteoporosis Program is a supervised, therapeutic program that combines tailored exercises with education. It is designed to help individuals exercise safely and confidently while learning how to manage their condition.

Program components include:

  • Assessment sessions (before and after the program) to evaluate physical capacity and monitor progress
  • Supervised exercise sessions customised to the participant’s age, physical condition, and comorbidities
  • Exercises focused on weight-bearing, posture correction, strength training, and balance improvement
  • Education on self-management, safe movement strategies, and falls prevention

The program aims to empower individuals to continue exercising independently after completing the sessions and to adopt healthy lifestyle habits that support bone health.

Who Can Benefit

This program is suitable for individuals who:

  • Have been diagnosed with osteopenia or osteoporosis, with or without comorbid conditions

Oncology Rehabilitation

Cancer and its treatments can have a significant impact on a person’s physical, emotional, and social well-being. Side effects such as pain, fatigue, muscle weakness, reduced mobility, and lymphoedema may persist during or after treatment, affecting daily functioning and quality of life.

Oncology rehabilitation is a specialised field focused on helping individuals with cancer manage these challenges and regain independence. Physiotherapy plays a key role in this process, working alongside other healthcare professionals to deliver person-centred care throughout the cancer journey.

Our Rehabilitation Program

Physiotherapists in oncology rehabilitation provide individualised assessments and treatment plans tailored to each patient’s condition, treatment stage, and functional goals.

Program components include:

  1. Pain Management
    • Use of manual therapy, exercise, and modalities such as heat or cold therapy to relieve pain from cancer or related treatments
  2. Improving Mobility and Function
    • Personalised exercise programs to address muscle weakness, joint stiffness, and deconditioning
    • Interventions to restore mobility, flexibility, and strength
  3. Lymphoedema Management
    • Specialised care including manual lymphatic drainage, compression therapy, and education for patients with lymphoedema
  4. Fatigue Reduction
    • Aerobic and resistance training to combat cancer-related fatigue and improve energy levels
  5. Enhancing Quality of Life
    • Supporting independence in daily tasks, improving confidence, and facilitating return to meaningful activities or work

Physiotherapy goals are set in collaboration with the patient to ensure that treatment is both relevant and achievable, with adjustments made as recovery progresses.

Who Can Benefit

This program is suitable for individuals who:

  • Are currently undergoing cancer treatment (e.g. chemotherapy, radiotherapy, surgery)
  • Are recovering from cancer-related procedures
  • Are living with cancer as a chronic condition
  • Experience pain, fatigue, reduced mobility, or lymphoedema as a result of cancer or its treatment

 Pre- and Post-Surgical Rehabilitation

Surgery and certain medical treatments can place physical stress on the body, especially for individuals who are frail or have chronic health conditions. Prehabilitation is a proactive approach that helps patients optimise their physical condition before undergoing surgery.

This multi-disciplinary program is designed to enhance strength, endurance, and overall readiness through targeted physiotherapy and education. The aim is to improve post-operative outcomes, reduce the risk of complications, and support a quicker return to daily activities after surgery.

Our Rehabilitation Program

Physiotherapists work closely with patients to design a customised prehabilitation plan that addresses individual health status and surgical requirements.

Program components include:

  • Pre-operative assessment to determine baseline fitness and tailor interventions
  • Supervised exercise sessions focused on strength and endurance training
  • Breathing retraining to enhance lung function and reduce respiratory risks after surgery
  • Education on early mobilisation and recovery strategies
  • Post-operative assessment to monitor progress and functional recovery

The program is structured to build physical resilience before surgery and to support recovery through guided, progressive activity.

Who Can Benefit

This program is suitable for individuals who:

  • Are preparing for major surgery and have chronic health conditions such as diabetes, heart disease, or respiratory illness
  • Are considered frail or at higher risk of surgical complications