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Research


Ongoing Research

Research Focus Areas

  • Cross cultural adaptation and validation of assessment tools and quality of life scales
  • Functional outcomes and quality of life of patients with head and neck cancer
  • Assessment and rehabilitation of swallowing impairment
  • Incorporating technology into dysphagia practice
  • Perspectives of parents towards speech and language development of children in Singapore
  • Oral hygiene assessment and intervention in collaboration with other SingHealth Institutions
  • Interdisciplinary patient care in collaboration with other SingHealth Institutions


Project Highlights

  • The Effects of Expiratory Muscle Strength Training (EMST) on Airway Protection and Swallowing in Chronic Dysphagia after Radiation Therapy
  • Exploring the knowledge, attitudes and practices of local parents with respect to speech and language development.
  • Validation of the Chinese Singing Voice Handicap Index-10 in Singapore
  • Swallowing-related quality of life of head and neck cancer patients in Singapore
  • Functional outcomes of patients with nasopharyngeal carcinoma after radiotherapy
  • Functional outcomes of patients with laryngeal carcinoma
  • Predictors of clinical outcome after tracheostomy post implementation of multidisciplinary tracheostomy review team
  • Thickening oral supplements accurately in dysphagia management
  • The Singapore Aphasia Test for assessing language impairment in English or Mandarin speakers
  • Validation of a citric acid cough reflex test to identify patients at risk of silent aspiration
  • Training elevation of the larynx to facilitate airway protection during swallowing
  • Validity and reliability of the Oral Health Assessment Tool (OHAT) as used by Speech Therapists


Ongoing Studies

Chinese Singing Voice Handicap Index-10

Project Title:

Validation of the Singing Voice Handicap index-10 in Chinese in Singapore

Overview

Singers, both amateur and professional, may be susceptible to vocal impairment. As they are often more sensitive to their perceived voice problem, their quality of life might be more impacted compared to non-singers.

The Singing Voice Handicap Index-10 (SVHI-10) is a 10-item questionnaire to evaluate the impact of the singing voice on an individual's life (Cohen et al., 2009). It has to date not yet been validated in any other languages including Chinese which is one of the main languages used in Singapore. This study aims to validate the translated Chinese version of SVHI-10 in singers with and without voice disorders.

Project Information

Data collection: Ongoing

Department of Speech Therapy, Singapore General Hospital

Ms Jaymie Chai (Principal Investigator)

Dr Wong Seng Mun

Department of Otolaryngology, Singapore General Hospital

Dr Shalini D/O Arulanandam



Expiratory Muscle  Strength Training for Chronic Dysphagia

Project Title:

The effects of expiratory muscle strength training (EMST) on airway protection and swallowing in chronic dysphagia after radiation therapy

Overview

Radiation therapy for head and neck cancer (HNC) is associated with the development of swallowing difficulties, or dysphagia. Radiation-associated dysphagia can be intractable and not responsive to conventional dysphagia therapy. HNC survivors with chronic severe dysphagia may be dependent on long-term tube feeding.

Expiratory Muscle Strength Training (EMST) is a low-cost, device-driven therapy. It has been studied as an approach to simultaneously improve cough and swallowing functions. During EMST, patients forcefully expire into a one-way spring-loaded valve to strengthen expiratory and submental musculature. The EMST-150TM device is available for clinical use in Singapore. In research studies overseas, it has been shown to improve cough and swallowing in several populations of people with chronic dysphagia, most recently in people with chronic radiation-associated dysphagia.

This research examines the effect of EMST using the EMST-150TM device on cough, airway protection, and swallowing functions of HNC survivors with radiation-associated dysphagia. With the results of this study, we aim to develop better evidence-based rehabilitation programmes for HNC survivors, and those living with chronic dysphagia.

Project Information

Data collection: Ongoing

Department of Speech Therapy, Singapore General Hospital

Ms Lee Yan Shan (Principal Investigator)

Ms Yee Kaisin

Dr Wong Seng Mun

Division of Research (Health Services Research), Singapore General Hospital

Dr Hao Ying


Thickening Oral Supplements

Project Title:

Thickening Supplements Accurately for Dysphagia Management

Overview

People with dysphagia (swallowing difficulty) may require their drinks, including liquid nutritional supplements, to be thickened up to reduce the risk of choking or aspiration. Liquid supplements are more difficult to thicken than plain water as they may become lumpy and too thick or watery over time. Healthcare staff and caregivers thus face the challenge of thickening supplements accurately and efficiently to ensure these are consumed safely.

This project aims to:

  • Classify fluid consistencies used in Singapore into standard consistencies recommended by the International Dysphagia Diet Standardisation Initiative (IDDSI) using the Syringe Test.
  • Derive recipes for barium sulphate mixtures used videofluoroscopic assessment of swallowing that follow IDDSI's standard consistencies.
  • Derive recipes to thicken liquid supplements accurately that follow IDDSI's standard consistencies.

Project Information

Data collection: Ongoing

Department of Speech Therapy, Singapore General Hospital

Ms Winnie Chong

Ms Lee Yan Shan

Ms Jaymie Chai

Dr Wong Seng Mun

Conference presentation

Lim, H.Z., Chong, H.J.W., Lee, Y.S., Chai, M.X.J., & Wong, S.M. (2017). Validating the use of the syringe flow test to classify thickened fluids for dysphagia management. Oral presentation at the 5th Singapore Rehabilitation Conference, Singapore, September. Best oral presentation award.



Swallowing-Related Quality of Life in Head and Neck Cancer Survivors

Project Title:

Swallowing-related quality of life of head and neck cancer patients in Singapore: Validation of the MD Anderson Dysphagia Inventory

Overview

Swallowing difficulties, or dysphagia, is a common side effect of head and neck cancer (HNC) and related surgery and/or radiotherapy. It has a major impact on global quality of life (QOL). With advancements in organ preservation treatment and cancer surgery, head and neck cancer patients now live for longer, albeit with functional swallowing difficulties that can impact their lives significantly.

This study aims to validate the MD Anderson Dysphagia Inventory (MDADI) in English and translated Mandarin-Chinese versions in the Singapore HNC population. The MDADI is a 20-item self-administered questionnaire designed for HNC patients, and is validated across many languages. It is not yet validated in the Singapore population, or available in Mandarin-Chinese.

The resulting validated English and Mandarin-Chinese versions of the MDADI can then be an additional clinical tool from which to understand the implications of dysphagia on QOL in HNC patients in Singapore.

Project Information

Data collection: Ongoing

Department of Speech Therapy, Singapore General Hospital

Ms Yee Kaisin (Principal Investigator)

Ms Elizabeth Roche

Dr Wong Seng Mun

Department of Psychosocial Oncology, National Cancer Centre

Dr Irene Teo

Ms Tan Yee Pin

Conference presentation

Yee, K., Roche, E., Zheng J., Loy, J., Tan Y.P., Teo, I., & Wong S.M. (2017). Measuring swallowing-related quality of life of head and neck cancer patients in Singapore. Poster presented at the 6th World Congress of the International Association of Oral Oncology, Bangalore, India, May.

Yee K., Wong S.M., Roche E, Loy J, Tan H.K., Tan N.C., Iyer N.G. (Mar 2019). Factors associated with swallowing-related quality of life in head and neck cancer patients in Singapore. Oral presentation at the 6th Asian Society of Head and Neck Oncology, Seoul, Korea.


Perspective of Parents towards Speech and Langauge Development of Children in Singapore

Project Title:

Exploring the knowledge, attitudes and practices of local parents with respect to speech and language development.

Overview

In Singapore, more young children are diagnosed with developmental problems including speech and language delays.  Earlier detection and intervention improve outcomes of these children.  Parents' involvement has also been shown to result in better speech and language outcomes in children.  Parents' knowledge, attitudes and practices will therefore contribute to the extent and quality of support children will receive.

The aim of this study is to explore the knowledge, attitudes and practices of local parents with children between ages 1 to 5, with regards to the speech and language development of children.

The study is conducted through focus groups and interviews.  Parents of young children (between ages 1 to 5) are recruited.

A better understanding of parents' knowledge, attitudes and practices can potentially help service providers and policy makers to improve service delivery, to remove barriers hindering parents' involvement in and support of their child's speech and language development.   This is also in line with national efforts to identify these children earlier, and to provide earlier and better support to them.

Project Information

Data collection: Ongoing

Department of Speech Therapy, Singapore General Hospital

Ms Denise Fam (Principal Investigator)

Ms Chue Wei Leng

Ms Or Hui Fang

Ms Peh Hui Peng

Dr Wong Seng Mun

Department of Occupational Therapy, Singapore General Hospital

Dr Therma Cheung

Department of Medical Social Services, Singapore General Hospital

Ms Koh Poh Lin

Department of Neonatal & Developmental Medicine, Singapore General Hospital

Dr Selina Ho



Functional Outcomes in Nasopharyngeal Cancer Survivors

Project Title:

A prospective pilot study of functional outcomes of patients with nasopharyngeal carcinoma after radiotherapy

Overview

This is a prospective, cohort study collecting epidemiology data, treatment data, longitudinal side effects, saliva samples and quality of life data (before and to 1 year after radiotherapy) in patients with nasopharyngeal cancer. Standardised data collection incorporates objective measurements of functional outcomes (eg. swallowing, hearing and salivary function). The aim of this pilot study is to develop, validate, and improve prediction models for survival and also reduce acute and late radiation induced side effects relevant to patients with nasopharyngeal cancer.

Project Information

This study is supported by an SGH Research Grant FY2017 awarded to Ms Jamie Loy.

Data collection: Ongoing

Department of Speech Therapy, Singapore General Hospital

Dr Wong Seng Mun (Site principal Investigator)

Ms Elizabeth Roche

Ms Brenda Boh

Ms Winnie Chong

Ms Yee Kaisin

Division of Radiation Oncology, National Cancer Centre

Dr Kiattisa A/P Sommat

Dr Abdul Razak Ashik Hussain

Dr Fong Kam Weng

Dr Soong Yoke Lim

Dr Tan Wee Kiat Terence

Dr Wang Fu Qiang

Dr Wee Tien Seng Joseph

Ms Sin Sze Yarn

Department of Restorative Dentistry, National Dental Centre

Dr Christina Sim (Site principal investigator)

 


Clinical Outcomes of a Multidisciplinary Tracheostomy Review Team

Project Title:

Predictors of clinical outcome after tracheostomy post implementation of multidisciplinary tracheostomy review team

Overview

The creation of tracheostomies allows earlier discharge of patients from the Intensive Care Unit (ICU), shifting the management of tracheostomy patients from the ICU team to the primary managing team. The continued care of patients with tracheostomies requires a degree of specialist knowledge, for example, on tube care, wound care, secretion management, and planning for decannulation.

The primary goal of this study is to describe the demographics of patients requiring tracheostomy tube placement in SGH, as well as to identify factors associated with outcomes in these patients. Secondary goals include: The evaluation of outcomes for patients who are managed by the tracheostomy team versus other tracheostomy patients of similar etiologies, comparing local outcomes with internationally published data, and evaluating the effectiveness of a physician-led team in comparison with the team comprising only allied health professionals.

Project Information

Data collection: Ongoing

Department of Speech Therapy, Singapore General Hospital

Ms Lee Yan Shan

Department of Respiratory and Critical Care Medicine, Singapore General Hospital

Dr Sewa Duu Wen (Principal Investigator)

Mr Ivan Gerald Lee

Ms Constance Teo

Department of Physiotherapy, Singapore General Hospital

Ms Tan Chun Ju



Completed Studies

Oral Health Assessment Tool used by Speech Therapists

Project Title:  Validity and reliability of the Oral Health Assessment Tool (OHAT) as used by

speech therapists

Overview

Patients with swallowing impairment (dysphagia) may be susceptible to aspiration pneumonia due to chronic aspiration of food and fluids. Aspiration pneumonia risk increases when dysphagia occurs in combination with poor oral hygiene, poor functional status, and multiple comorbidities. To minimize complications associated with sub-optimal oral health, oral health screening is necessary to identify patients who require further intervention.

The Oral Health Assessment Tool (OHAT) has been developed for use by non-dental professionals such as nurses, caregivers, allied health and medical professionals. Preliminary research suggest that speech therapists (STs) can administer the OHAT with satisfactory inter-rater, intra-rater and test-retest reliability after a 3-hour training session (Simpelaere et al., 2016). However, agreement of OHAT scores among STs does not imply accuracy in using the tool. The accuracy of STs' ratings on the OHAT compared to administration of the same tool by a qualified dental professional has not been established.

This study will investigate the effect of training on the accuracy and reliability of STs in administering the OHAT compared to the dental hygienist.

Project Information

Data collection: Completed

Department of Speech Therapy, Singapore General Hospital

Ms Lee Yan Shan (Principal investigator)

Dr Wong Seng Mun

Department of Speech Therapy, Sengkang General Hospital

Ms Chia An An

Department of Oral Health Therapy, National Dental Centre Singapore

Ms Yap Xin Ying

Conference presentations

Lee, Y.S., Yap, X.Y., Chia, A.A., & Wong, S.M. (2017). Oral health screening by speech and language pathologists (SLPs) using the Oral Health Assessment Tool (OHAT). Oral presentation at the 25th Dysphagia Research Society Meeting, Portland, Oregon, USA, March.



Publications

Dysphagia

Quek H.C. & Lee Y.S. (2019). Dentistry considerations for the dysphagic patient: Recognition of condition and management. Proceedings of Singapore Healthcare, 28(4): 288-292.

Wong S.M., Kamarunas E, Ludlow CL (Accepted Sept 2019) Impaired movement scaling and reduced synchrony with vestibule closure characterize swallowing in severe dysphagia. Dysphagia

Kamarunas E, Wong S.M., & Ludlow CL (2019). Laryngeal vibration increases spontaneous swallowing rates in chronic oropharyngeal dysphagia: A proof of principle pilot study. Dysphagia, 34(5): 640-653.

Wong, S.M., Domangue, R.J., Fels, S., & Ludlow, C.L. (2017). Evidence that an internal schema adapts swallowing to upper airway requirements. Journal of Physiology, 595(5), 1795-1814.

Language

O'Halloran, R., Lee, Y. S., Rose, M., & Liamputtong, P. (2014). Creating communicatively accessible healthcare environments: Perceptions of speech-language pathologists. International Journal of Speech-Language Pathology, 16(6), 603-614.

Chue, W. L., Rose, M. L. & Swinburn, K. (2010). The reliability of the Communication Disability Profile: A patient-reported outcome measure for aphasia. Aphasiology, 24(6-8), 940-956.

Lim, V., Lincoln, M., Chan, Y. H., Rickard Liow, S. J., & Onslow, M. (2008). Determining language dominance in English-Mandarin bilinguals: A self-report classification tool for clinical use. Applied Psycholinguistics, 29(3), 389-412.

Lim, V. (2001). FCTP: Functional Communication Therapy Planner (Book Review). Advances in Speech-Language Pathology, 3 (2), 175-176.

Lim, V., & Douglas, J. (2000). Impairment of Lexical Tone Production in Stroke Patients with Bilingual Aphasia. Brain and Language, 74 (3), 327-329.

Lim, V., Douglas, J., & Lambier, J. (1999). Impairment of Lexical Tone Production in Stroke Patients with Bilingual Aphasia. Brain Impairment, 1 (1), 46-47.


Voice

Ong, A.M.L., Chua, L.T.T., Khor, C.J.L., Asokkumar, R., Namasivayam, V., & Wang, Y.T. (2018). Diaphragmatic breathing reduces belching and proton pump inhibitor refractory gastroesophageal reflux symptoms. Clinical Gastroenterology and Hepatology. 16: 407-416.

Lau, D., Lee, G. A., Wong, S. M., Lim, V. P., Chan, Y.H., Tan, N. G., Rammage, L. A., & Morrison, M. (2010). Efficacy of percutaneous hyaluronic-acid (HA) injection to improve voice and swallowing in patients with unilateral vocal fold paralysis (UVFP). A prospective randomised controlled blinded trial comparing HA of two different molecular weights, Journal of Voice, 24 (1), 113-118.

Zhang, E. Z. Y., Lau, D., Wong, S. M., & Lee, G. A. (2009) Correlating voice handicap index and videostroboscopy. Otolaryngology-Head and Neck Surgery, 141(63), 63.

Lim, V., Oates, J., Phyland, D., & Campbell, M. (1998). Effects of Laryngeal Endoscopy on the Vocal Performance of Young Adult Females. Journal of Voice, 12(1), 68-77.


Fluency

Lim, V.P.C, Lincoln, M., Chan, Y. H., & Onslow, M. (2015). English-only treatment of bilingual speakers who stutter: Generalization of treatment effects from English to Mandarin. International Journal of Speech-Language Pathology, 17(5): 431-440. DOI:10.3109/17549507.2014.979874.

Hoffman, L., Wilson, L., Copley, A., Hewat, S., & Lim, V. (2014). The reliability of a severity rating scale to measure stuttering in an unfamiliar language. International Journal of Speech-Language Pathology, 16(3), 317–326.

Lim, V. P. C. & Lincoln, M. (2011). Stuttering in English-Mandarin Bilinguals in Singapore. In P. Howell,& J. Van Borsel (eds.), Multilingual Aspects of Fluency Disorders, Müller & Ball, Bristol, England, Chapter 13.

Tsai, P. T., Lim, V. P. C., Brundage, S. B. and Bernstein Ratner, N. (2011). Linguistic analysis of stuttering in bilinguals: Methodological challenges and solutions. In P. Howell, & J. Van Borsel (eds.), Multilingual Aspects of Fluency Disorders, Müller & Ball, Bristol, England, Chapter 14.

Lim, V., Lincoln, M., Chan, Y. H., & Onslow, M. (2008). Stuttering in English–Mandarin Bilingual Speakers: The Influence of Language Dominance on Stuttering Severity, Journal of Speech, Language and Hearing Research, 51, 1522-1537.


Head and Neck

Kiong, K. L., Tan, N. C., Skanthakumar, T., Teo, C. E., Soo, K. C., Tan, H. K., Roche, E., Yee, K. and Iyer, N. G. (2017), Salivary fistula: Blue dye testing as part of an algorithm for early diagnosis. Laryngoscope Investigative Otolaryngology. 2(6): 363-368. doi:10.1002/lio2.112


Paediatric Communication and Feeding

Low, A., Koh, G., Young, S.E., & Chandler-Yeo, H. (2019). Effect of dialect on phonological analysis. Clinical Linguistics & Phonetics. 33(5): 457-478.

Young, S.E., Chan, S.H.M., Goh, K.Y.C. (2002). Feeding Challenges and Nutritional Management in a Pair of Conjoined Twins. Singapore General Hospital Annual Scientific Proceedings journal, 11, 2, 11-14.

Young, S.E. & Goh, K.Y.C. (2001). Feeding Challenges in a Pair of Conjoined Twins. Evidence and Innovation: Proceedings of the 2001 Speech Pathology Australia National Conference. Melbourne: Speech Pathology Australia.



Conference and Meeting Papers

Dysphagia

Wong S.M. & Tay D.D.Y. (Sept 2018). Effect of swallowing training in head tilt back position on airway protection. Poster presentation at the 8th European Society for Swallowing Disorders Congress, Dublin, Ireland.

Chong W, Chai J, Lim HZ, Wong S.M. & Lee Y.S. (Sept 2018). Exploring recipes to thicken liquid supplements and comparing visual judgement of fluid thickness with IDDSI syringe flow test. E-poster presentation at the 2018 Duke-NUS Scientific Congress, Singapore.

Wong S.M. & Kamarunas E. (March 2018). Cortical adaptation to changing need for airway protection during swallowing. Poster presentation at the 26th Dysphagia Research Society Annual Meeting, Baltimore, Maryland, USA.

Kamarunas E, Wong S.M., Griffin L, & Ludlow CL. (Nov 2017). Home Use of Vibratory Stimulation for Retraining in Patients with Chronic Dysphagia. Oral presentation at the 2017 American Speech-Language Hearing Association (ASHA) Convention, Los Angeles, California.

Boh, B.F.M., Lim, V.P.C., Goh, H.Z., Boo, M., Huckabee, ML., Lee, W.Z., & Yap, X.Y. (2017). Cough Reflex Testing in healthy and dysphagic Asians. Oral presentation at the 10th Asia Pacific Conference of Speech, Language and Hearing, Narita, Japan, September.

Lim, H.Z., Chong, H.J.W., Lee, Y.S., Chai, M.X.J., & Wong, S.M. (2017). Validating the use of the syringe flow test to classify thickened fluids for dysphagia management. Oral presentation at the 5th Singapore Rehabilitation Conference, Singapore, September.

Lee, Y.S., Yap, X.Y., Chia, A.A., & Wong, S.M. (2017). Oral health screening by speech and language pathologists (SLPs) using the Oral Health Assessment Tool (OHAT). Oral presentation at the 25th Dysphagia Research Society Meeting, Portland, Oregon, USA, March.

Wong, S.M. & Ludlow, C.L. (2017). Feedforward effects of bolus size on laryngeal Positioning before and during swallowing. Oral presentation at the 25th Dysphagia Research Society Meeting, Portland, Oregon, USA, March.

Goh, H.Z., Boo, M., Lim, V.P.C., Boh, B.F.M, Lee, W.Z., & Yap, X.Y. (2016). Evaluation of a Cough Refex Testing Protocol in an Asian Population. Oral presentation at the 2016 Hong Kong Speech and Hearing Symposium, Hong Kong, China, October.

Lee, Y.S., Lim, H.Z., Wong, S.M., Yang, X.P., Lee, H.M.J., Malhotra, C., Wee, S.L., & Seow, C.C.D. (2016). Factors affecting end-of-life care decisions on artificial nutrition and hydration amongst caregivers of persons with moderate to severe dementia. Poster presented at the 2016 SingHealth Duke-NUS Scientific Congress, Singapore, September.

Wong, S.M. & Ludlow, C.L. (2016). Dysphagia is characterized by inadequate laryngeal elevation to close the vestibule during swallowing. Poster presented at the 24th Dysphagia Research Society Meeting, Tucson, USA, March.

Boh, B.F.M. (2015). The great cough divide between east and west: Effects of age, gender and time on cough responsiveness. Oral presentation at the 21st SGH Annual Scientific Meeting, Singapore, April.

Boh, B.F.M. (2015). Cough Reflex Test: Age and Gender Influence in the Asian Population. Poster presented at the 23rd Dysphagia Research Society Meeting, Chicago, USA, March.

Wong S.M. & Ludlow C.L. (March 2014). Predicting hyoid and laryngeal movement during normal swallowing. Poster presentation at the 22nd Dysphagia Research Society Annual Meeting, Nashville, Tennessee, USA.

Lim, V, Liew, L., Koh, A., & Togher, L. (2003). Early Identification of Dysphagia for Patients with Acute Stroke: Use of the Singapore General Hospital-Dysphagia Screener (SGH-DS). SGH 14th Annual Scientific Meeting, Singapore, September.

Vasudeva, R. (2003) Speech and Swallowing Management following Head and Neck Burns, Annual Scientific Meeting, Singapore, September.

Lim, V, Koh, A., Liew, L., & Togher, L. (2002). Validation of the Singapore General Hospital-Dysphagia Screener (SGH-DS) for Patients with Acute Stroke. 3rd Asia Pacific Conference on Speech, Language and Hearing, Taiwan, November.

Language

Chia, R.S (Sept 2019). Implications on evaluating mental capacity in persons with aphasia. Invited speaker at the SingHealth Duke-NUS Education Conference 2019, Singapore.

Gan, H.H. (March 2018). Communication disorders post stroke: An evidence-based update in management. Invited speaker at the Symposium: Advances in Stroke Care and Rehabilitation, Singapore.

Chia, R.S (March 2018). Aphasia Intervention. Invited speaker at the CaRehab Conference, Singapore.

Tay, D.D.Y. (2017). Neurorehabilitation Assessments Review: Singapore Aphasia Test. Invited speaker at the 5th Singapore Rehabilitation Conference, Singapore, September.

Gan, H.H. (2017). Sensory stimulation for severe disorders of consciousness - the evidence and our experience. Invited speaker at the 5th Singapore Rehabilitation Conference, Singapore, September.

Tay, D.D.Y. (2017). Language Testing in the Singapore Population. Invited speaker at the 5th Singapore International neurocognitive Symposium, Singapore, March.

Lim, V.P.C., Tay, D. D. Y., Douglas, J. (2016).Validity of a new aphasia test for English and Mandarin speakers in Asia. Oral presentation at the 2016 ASSBI Annual Brain Impairment Conference, Macau, China, September.

Tay, D. D. Y., Lim, V.P.C., Douglas, J.  (2016). Psychometric properties of the Singapore General Aphasia Test (Mandarin). Oral presentation at the 2016 Hong Kong Speech and Hearing Symposium, Hong Kong, China, October.

Gan, H.H., Lim, V.P.C., Tay, D. D. Y., Douglas, J. (2016). Reliability of a Picture Description Rating Scale for Mandarin Speaking Adults with Aphasia. Oral presentation at the 2016 Hong Kong Speech and Hearing Symposium, Hong Kong, China, October.

Lim, V.P.C., Tay, D. D. Y., Douglas, J. (2016).Validity of a new aphasia test for English speakers in Asia. Oral presentation at the 2016 ASSBI Annual Brain Impairment Conference, Macau, China, September.

Gan, H.H., Lim, V.P.C., Tay, D. D. Y., Douglas, J. (2016). Reliability of a picture description rating scale for English speaking adults with aphasia. Oral presentation at the 2016 ASSBI Annual Brain Impairment Conference, Macau, China, September.

Tay, D. D. Y., Lim, V.P.C., Douglas, J. (2016). Psychometric properties of the Singapore General Aphasia Test (English). Oral presentation at the 2016 ASSBI Annual Brain Impairment Conference, Macau, China, September.

Lim, V. P. C., Tay, D. D. Y. (2015). Difference in performance across languages in Singaporean English-Mandarin bilingual adults with aphasia. Oral presentation at the 9th Asia Pacific Conference of Speech, Language and Hearing, Guangzhou, China, October.

Tay, D. D. Y., Lim, V. P. C. (2015). Comparison of performance on the Singapore Aphasia Test between adults with and without aphasia. Oral presentation at the 9th Asia Pacific Conference of Speech, Language and Hearing, Guangzhou, China, October.

Lim, V. (2002). Profiling the Language Background of a Group of Singaporean Stroke Patients: A Descriptive Study. Singapore General Hospital Thirteenth Annual Scientific Meeting, Singapore, April.

Lim, V., & Douglas, J. (2000). Impairment of Lexical Tone Production in Stroke Patients with Bilingual Aphasia. 38th Annual Academy of Aphasiology Conference, Montreal, Canada, October.


Voice

Wong, S.M., Lau, D.P., & Lee, G. (2010). Quantifying Supraglottic Compression In Muscle Tension Dysphonia. Paper presented at the 4th World Voice Congress, Seoul, South Korea, September.

Zhang, E. Z. Y., Lau, D., Wong, S. M., & Lee, G. A. (2009) Correlating voice handicap index and videostroboscopy. Paper presented at the Annual Meeting of the American Academy of Otolaryngology, Head and Neck Surgery Foundation.

Lim, V. (2000). Potential Instrumental Effects on Vocal Performance. Otorhinolarynglogical Society Annual Scientific Meeting, Singapore, August.


Fluency

Zheng, J., Lim, V.P.C., Brebner, C., & Tan, R.Y. (2017). Comparison of disfluency patterns in conversation and narratives in typically-developing English-Mandarin bilingual children. Poster presentation at the 11th Oxford Dysfluency Conference, Oxford, UK, September.

Zheng, J., Lim, V.P.C., Brebner, C., & Tan, R.Y. (2017). A preliminary comparison of normal disfluencies in typically-developing bilingual children during a conversational task. Oral presentation at the 10th Asia Pacific Conference of Speech, Language and Hearing, Narita, Japan, September.

Zheng, J., Lim, V.P.C., Brebner, C., & Dickman, S. (2016). Normal Disfluencies in Typically Developing English-Mandarin Bilingual Children. Oral presentation at the 2016 Hong Kong Speech and Hearing Symposium, Hong Kong, China, October.

Yang H. L., Lim, V. P. C., & Lincoln, M. (2010). Post Treatment Speech Naturalness in English-Mandarin Bilinguals Who Stutter. Paper presented at the Asia Pacific Speech, Language, & Hearing Conference, Kuala Lumpur, Malaysia, May.

Alphonso, K. & Lim, V. P. C. (2010). Working with Bilinguals Who Stutter: Is a Monolingual or Bilingual Treatment Approach Better? Paper presented at the Speech Pathology Australia National Conference, Melbourne, Australia, June.

Tsai, P., Lim, V. P. C., & Bernstein Ratner, N. (2009). Stuttering in bilingual speakers: Patterns in English and Mandarin. Poster presentation at the Annual Convention of the American Speech-Language-Hearing Association. New Orleans, LA, November.

Lim, V. P. C., Lincoln, M., Onslow, M., & Chan, Y. H. (2005). Generalisation Effects to the Non-Treated Language in English-Mandarin Bilinguals who Stutter. 7th Oxford Fluency Conference, Oxford, June.

Lim, V. P. C., Lincoln, M., Onslow, M., & Chan, Y. H. (2005). A Comparison of Stuttering Behaviour in English and Mandarin Bilingual Speakers. 5th International Symposium on Bilingualism, Barcelona, March.


Head and Neck

Yee K., Tay G.C., Wong S.M., Tan H.K., Tan, N.C. & Iyer N.G. (Aug 2019). Predicting long term feeding tube dependence after glossectomy. Oral presentation at the 7th World Congress of the International Academy of Oral Oncology, Rome, Italy.

Yee K., Wong S.M., Roche E, Loy J, Tan H.K., Tan N.C., Iyer N.G. (Mar 2019). Factors associated with swallowing-related quality of life in head and neck cancer patients in Singapore. Oral presentation at the 6th Asian Society of Head and Neck Oncology, Seoul, Korea.

Loy J, Yee K., Roche E, Sommat K, Teo, C, Iyer N.G. & Wong S.M. (Mar 2019). Factors associated with functional swallow status before and after treatment for laryngeal carcinoma. Poster presentation at the 27th Dysphagia Research Society Annual Meeting, San Diego, California, USA.

Yee K., Wong S.M., Shetty M.R., Skanthakumar T & Iyer N.G. (Sept 2018). Impact of partial glossectomy closure methods on early post-operative swallowing outcomes. Oral presentation at the 6th World Congress of the International Federation of Head and Neck Oncologic Societies, Buenos Aires, Argentina.

Low A, Yee K. & Wong S.M. (Sept 2018). Tracheoesophageal Voice Prosthesis Device Life in Singapore and Factors Associated With Device Failure. Oral presentation at the 2018 Duke-NUS Scientific Congress, Singapore.

Loy J., Zheng J.W., Tan H.K., Iyer N.G. & Teo C.E.H. (2017). Swallowing outcomes after transoral robotic surgery for oropharyngeal cancers in Singapore: A case series. Poster presentation at the 10th Asia Pacific Conference of Speech, Language and Hearing, Narita, Japan, September.

Yee, K., Peh, H.Y. (2017). Eating Well through Head and Neck Cancer: It takes a team. Invited speakers at the 5th Singapore Rehabilitation Conference, Singapore, September.

Yee, K. (2017). Swallowing-related Quality of Life in Head & Neck Cancer Patients. Invited speaker at the SingHealth Duke-NUS Surgical & Anaesthesia Congress, Singapore, August.

Yee, K., Roche, E., Zheng J., Loy, J., Tan Y.P., Teo, I., Wong S.M. (2017). Measuring swallowing-related quality of life of head and neck cancer patients in Singapore. Poster presented at the 6th World Congress of the International Association of Oral Oncology, Bangalore, India, May.

Roche, E., Lau, D., Teo, C., Goh, C. (2016). Successful alaryngeal communication following transnasal esophagoscopy (TNE) guided tracheosophageal puncture (TEP) in Singapore. Poster presented at the Australian and New Zealand Head & Neck Cancer Society, Annual Scientific Meeting and the International Federation of Head and Neck Oncologic Societies 2016 World Tour, New Zealand, October.

Yee, K.S. (2016). Restoring Speech and Swallowing Function after Head and Neck Surgery. Invited speaker at the 2016 SingHealth Duke-NUS Scientific Congress, Singapore, September.


Paediatric Communication and Feeding

Young, S.E. (2001), Feeding Challenges in a Pair of Conjoined Twins, Speech pathology Australia National Conference, Melbourne, Australia, May.


Clinical Education

Lee, Y.S. (2017). Using in-situ simulation and inter-professional education to teach infection control during resuscitation. Workshop co-presenter at the 2017 S3 Conference, Singapore, November.

Foo, R. (2017). Interprofessional education using simulation. Invited co-speaker at the 2017 S3 Conference, Singapore, November.

Foo, R. (2016). Enhancing the Supervisor-Supervisee Alliance: The Key to Success? Oral presentation at the Asia Pacific Education Collaboration in Speech language pathology (APEC SLP) 8th Annual Forum, Perth, Australia, May.

Ng, C. (2015). When 10 minutes is all you have: Tools for solution-focused conversations. Oral presentation at the 21st SGH Annual Scientific Meeting, Singapore, April.



Grants Awarded

SGH Med Board Patient Safety Grant, Singapore. Grant Awarded in 2018: SGD $14,100.

  • Lee, C.J. & Lee, J.L. Empowering and facilitating patients, caregivers and healthcare staff in the neurology ward in the information-counselling and decision making process for feeding, over 6 months.

 

AMEI Education Grant 2018, Singapore. Grant Awarded in 2018: SGD $14,300.

  • Foo, R. An exploratory study of the role of feedback in informal learning amongst healthcare professionals in the healthcare setting.

 

Mitsui Sumitomo Insurance Welfare Foundation, Singapore. Grant Awarded in 2018: SGD $10,000.

  • Wong, S.M., Lee, Y.S., Yee, K., Lim, S.H. & Fan, E. Developing an automatic beverage thickening device for elderly with swallowing impairment.

 

SingHealth Foundation Start-Up Grant, Singapore. Grant Awarded in 2018: SGD $50,000.

  • Lee, Y.S., Yee, K., Wong, S.M. & Hao, Y. The effects of expiratory muscle strength training (EMST) on airway protection and swallowing in chronic dysphagia after radiation therapy.

 

SGH Research Grant, Singapore. Grant Awarded in 2017: SGD $ 10,000.

  • Loy, J., Wong, S.M., Sommat, K., Zheng, J., & Boh, B.F.M. Functional outcomes of patients with Nasopharyngeal carcinoma after radiotherapy: A 1-year follow-up study.

 

SGH Research Grant, Singapore. Grant Awarded in 2016: SGD $ 10,000.

  • Wong, S.M., Tay, D. D. Y. Training elevation of the larynx to facilitate airway protection during swallowing.

 

SGH Research Grant, Singapore. Grant Awarded in 2016: SGD $ 9,600

  • Zheng, J., Lim, V. P. C., Brebner, C., & Dickman, S. Normal dysfluencies in typically developing English-Mandarin bilingual children.

SingHealth Foundation Grant, Singapore. Grant Awarded in 2014: SGD $ 49,993.60.

  • Goh, H. Z., Boo, M., Lim, V. P. C., Huckabee, ML. Validation of Cough Reflex Testing in Dysphagic Individuals in Singapore. SingHealth Foundation Grant, Singapore. Grant Awarded: SGD $ 49,993.60.


MOH Health Services Research Competitive Research Grant, Singapore. Grant Awarded in 2012: SGD $ 260,153.

  • Lim, V. P. C., Tay, D. D. Y., Douglas, J. M., Jalil, S., de Silva, D., Chan, E., Pryseley A.N., Siddiqi, F. Assessing Language Impairment and Recovery of Aphasia in English-Mandarin Bilingual Singaporeans following Stroke.

 

Healthcare Quality Innovation Fund, Singapore. Grant Awarded in 2010: SGD $ 36,720.

  • So, B. J. W., Lim, V. P. C., Chua, M. H. L., Chue, W. L., & Yu, P. P. Y. Modification of food thickener and development of local pre-thickened drinks.

SGH Research Fund, Singapore. Grant Awarded in 2009: SGD $20,910.

  • Lim, V. P. C., Tay, D. D. Y., Douglas, J. M. Language Impairment and Recovery of Aphasia in Singaporean speakers of English and Mandarin following Stroke: Cultural Adaptation and Validation of a Standardised Aphasia Assessment Tool for Singaporeans.

National Medical Research Committee, NMRC/0983/2005, Singapore. Grant Awarded in 2009: SGD $24,300.

  • Lim, V. P. C., Lincoln, M., Onslow, M., Chan, Y. H. Stuttering in English and Mandarin Bilingual Speakers

Clinical Affiliate Grant, University of Sydney, Australia. Grant Awarded in 2002: AUD$ 2500.

  • Lim, V, Koh, A., Liew, L., & Togher, L. Validation of the Singapore General Hospital-Dysphagia Screener (SGH-DS) for Patients with Acute Stroke.

National Medical Research Grant, NMRC/0103/1995, Singapore. Grant Awarded in 1995.

  • Yong, M. A. H., Huang, M. H. S., Fook-Chong, S. M. C., & Lee, S. T. Relationships between Nasalance Scores and Perceptual Ratings of Hypernasality in an Asian Population..