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Functional improvement after inpatient rehabilitation in community hospitals following acute hospital care

Early inpatient rehabilitation therapy has been known to have beneficial impact on physical function and mobility, psychological status and cognitive function of patients following...

Consensus statement on Singapore integrated 24-hour activity guide for children and adolescents

The World Health Organization’s Global action plan for the prevention and control of noncommunicable diseases 2013–2020 provided guiding principles for national efforts in controlling...

The Role of Occupational Therapy in Rheumatoid Arthritis Management

Rheumatoid arthritis is a systemic disease characterised by remissions and exacerbations that vary in severity and timing among people. Its chronic and degenerative course...

Bilateral Caudate Infarct—A Case Report

The head of caudate nucleus forms a prominent bulge in the lateral wall of the anterior horn of the lateral ventricle. Its blood supply...

Perioperative and Rehabilitative Outcomes after Amputation for Ischaemic Leg Gangrene

In the last century, Sir William Ferguson said: “amputation—one of the meanest and yet one of the greatest operations in surgery: mean, where resorted...

The Paget-Schroetter Syndrome: Work Accident and Occupational Disease

Concerning patients with thrombosis of the upper extremity, you can find only a small number of case studies regarding the question of assessment in...

The Growth and Development of Orthopaedic Sports Medicine in Singapore

Orthopaedic sports medicine in Singapore took form as a subspecialty of orthopaedic surgery over a number of years. Several individuals contributed to it being...

Outcomes of Acute Arthroscopic Repair and Conservative Treatment Following First Traumatic Dislocation of the Shoulder Joint in Young Patients

Traumatic dislocation of the shoulder is a serious problem especially in active and young patients. Shoulder instability and recurrent dislocation hinder patient activities. This article...

Characteristics and Acute Rehabilitation of Guillain-Barré Syndrome in Singapore

The Guillain-Barré syndrome (GBS) is an acute, frequently severe evolution of a demyelinating inflammatory polyradiculopathy with an autoimmune pathogenesis. In developed countries, GBS is...

Rising Trend of Anterior Cruciate Ligament Injuries in Females in a Regional Hospital

Female athletes are at a greater risk for injuries involving the anterior cruciate ligament (ACL) than their male counterparts in high schools and colleges...

Pitfalls in the Use of Allometry in Accounting for Differences in Body Mass in Relation to Maximal Oxygen Uptake in Trained Athletes

We thank the author of the letter to the editor for his interest in our study. This article is available only as a PDF. Please...

The Perils of Allometric Scaling

I read with interest the paper by Chia and Aziz. Using allometric scaling, the authors adjusted peak oxygen uptake (VO2max) for the confounding influence...

Important Considerations for Recommending Hydration Studies

We read with interest the study by Sun and colleagues published in the recent April Sports Medicine edition. The study investigated fluid balance associated...

Magnetic Resonance Imaging of Sports Injuries of the Knee

Sports-related knee injuries are common, with contact sports and sports involving twisting movements being the most frequent causes. Sports injuries may affect any of...

Human Thermoregulation and Measurement of Body Temperature in Exercise and Clinical Settings

The ability to sense and regulate body temperature is a key feature of human survival. A deviation of ± 3.5°C from the resting temperature...

Isokinetic Dynamometry in Anterior Cruciate Ligament Injury and Reconstruction

Of all the ligaments of the knee joint, the anterior cruciate ligament (ACL) is the most frequently injured despite its structural proficiency and its...

Knee and Ankle Ligaments: Magnetic Resonance Imaging Findings of Normal Anatomy and at Injury

Ligamentous injuries of the knee and ankle are a common entity among athletes. Knee sprains can account for up to 30% of injuries in...

Recurrent Patellar Dislocation: Reappraising our Approach to Surgery

Traumatic patellar dislocations affect mainly adolescents and young adults. Up to 44% of patients will develop recurrent dislocation. This article is available only as a...

Common Lower Limb Sports-related Overuse Injuries in Young Athletes

Treating sports injuries in children and adolescent presents a unique challenge to the physician. They are different anatomically and physiologically from adults. This article is...

Plasma Endotoxin and Immune Responses During a 21-km Road Race Under a Warm and Humid Environment

During intense exercise, immune disturbances can occur through an increase in plasma pro- and anti-inflammatory cytokines and lipopolysaccharide (LPS) concentrations, and post-exercise leukocytosis and...

Modelling Maximal Oxygen Uptake in Athletes: Allometric Scaling Versus Ratio-Scaling in Relation to Body Mass

Aerobic fitness data of Singaporean athletes are relatively scarce. Yet these data are important as aerobic fitness forms the basis of all training programmes...

Triple Endobuttton Technique in Acromioclavicular Joint Reduction and Reconstruction

Acromioclavicular joint (ACJ) dislocation is a common injury often affecting young athletes. Cyclist, ice hockey players, weight lifters, rugby players and martial exponents are...

Effects of a 12-week Exercise Training Programme on Aerobic Fitness, Body Composition, Blood Lipids and C-Reactive Protein in Adolescents with Obesity

The prevalence of obesity in children and adolescents is increasing rapidly worldwide. A rising rate of obesity in epidemic proportions also brings about economic...

Concurrent Validity of Power Output Derived from the Non-motorised Treadmill Test in Sedentary Adults

The use of the Wingate Anaerobic Test (WAnT) for assessing all-out intensity short-duration sprint cycling lasting between 10 and 40 seconds is pervasive. Many...

Return to Sports After Anterior Cruciate Ligament Reconstruction – A Review of Patients with Minimum 5-year Follow-up

Complete anterior cruciate ligament (ACL) rupture results in a mechanically unstable knee. ACL reconstruction is recommended in athletes to help restore knee stability for...

Clinical Evaluation of Arthroscopic-assisted Allograft Meniscal Transplantation

The menisci of the knee are fibro-cartilaginous structures essential for the normal biomechanic of the knee joint. They play a critical role in shock...

Dehydration Rates and Rehydration Efficacy of Water and Sports Drink During One Hour of Moderate Intensity Exercise in Well-trained Flatwater Kayakers

Flatwater kayaking has been gaining popularity in the world and steep growth has been observed in the Asian region. Long distance paddling is often...

Sports Medicine

The National Survey on Sports Participation showed that the number of Singaporeans who exercised regularly at least once a week doubled from 24% in...

Osteochondral Lesions of the Talus

Osteochondral lesions of the talus are a known cause of chronic ankle pain. They are frequently found in the active population after ankle sprains. This...

Arthroscopic Management of Superior Labral Anterior and Posterior (SLAP) and Associated Lesions: Clinical Features and Functional Outcome

A superior labral lesion is a pathologic abnormality at the site of the long head of the biceps tendon insertion into the superior labrum...

Emerging Therapies in Stroke Rehabilitation

Stroke is the fourth leading cause of death in Singapore since 1998.1 While mortality due to stroke has steadily declined over the years with...

Recovery and Regeneration after Spinal Cord Injury: A Review and Summary of Recent Literature

Spinal cord injury (SCI), whether of traumatic or non-traumatic aetiology, often results in significant and catastrophic dysfunction and disability. It physically and psychologically affects...

Myofascial Pain – An Overview

The skeletal muscle is the single largest organ in our human body. It accounts for nearly 50% of our body weight. Any of these...

Employment Status Six Months after Discharge from Inpatient Rehabilitation for a Mild-to-moderate Physical Disability

A new physical disability presents unique challenges to the individual, family and community. One of these challenges is employment and productive reintegration of the...

Results From a Prospective Acute Inpatient Rehabilitation Database: Clinical Characteristics and Functional Outcomes using the Functional Independence Measure

Rehabilitation improves functional outcomes.1 Dedicated rehabilitation facilities employing a multidisciplinary model of care further improve outcome and quality of life compared to rehabilitation in...

An Eight Year Review of Exercise-related Cardiac Arrests

Exercise-related cardiac arrest is uncommon, however it is devastating when it occurs in otherwise healthy adults. In young adults, vigorous physical exercise trigger cardiac...

Socio-demographic and Clinical Profile of Admissions to Community Hospitals in Singapore from 1996 to 2005: A Descriptive Study

Intermediate care, a range of services facilitating step-down care from the hospital to home, has become an integral part of the healthcare system. Community...

A Subacute Model of Geriatric Care for Frail Older Persons: The Tan Tock Seng Hospital Experience

The number of persons aged over 65 will increase from 8.4% in 2005 to 18.7% in 2030, which translates to absolute numbers of 296,900...

Validation of the Paediatric Hearing Impairment Caregiver Experience (PHICE) Questionnaire

The stress experienced by parents of children with hearing impairment (HI) has been studied over the past 2 decades. Increased parenting stress is often...