Li Khim Kwah
Profile
Biography
A/Prof Kwah Li Khim is a physiotherapist trained in Sydney, Australia. Khim has been a physiotherapist since 2004 and completed her undergraduate and postgraduate studies at the University of Sydney. She has held senior academic and senior clinical positions at universities and hospitals in Sydney before returning home to Singapore in 2018. At present, Khim is the Director of Programmes, Health and Social Sciences Cluster at SIT. She holds a part-time appointment with the Chief Allied Health Officer’s Office at MOH, and leads the Clinical Practice Guidelines sub-team, as part of work for the Community Rehabilitation Transformation Workgroup. She is one of two Singaporeans selected by World Stroke Organisation to be part of the first cohort of Future Stroke Leaders (2020-2022). Khim’s teaching areas include neurological physiotherapy, evidence-based practice and clinical reasoning. Her current MOH and research work focus on bridging the gap between research evidence and clinical practice in rehabilitation, and improving physical activity levels after stroke.
SIT Appointments
- Director of Programmes, Health & Social Sciences– Present
- Associate Professor– Present
- Deputy Cluster Director, Health & Social Sciences–
- Chief Interviewer of Allied Health Admissions Interview 2020–
- Year 3 Co-ordinator of Physiotherapy program–
- Chair of HSS Cluster Curriculum Committee–
- Deputy Chief Interviewer of Allied Health Admissions Interview 2019–
Education
- PhD/Doctor of PhilosophyUniversity of Sydney , Australia
- Bachelor of Applied Science (Physiotherapy)University of Sydney , Australia
Achievements
- Grant: MOE Academic Research Fund Tier 2 (AcRF Tier 2) Grant "Non-invasive online-self-correcting closed-loop brain computer interface for decoding and control of motor imagery hand movement kinematics" - $764,000 (Role: Co-Investigator)–
- Award: SIT Applied Research Excellence Team Award, for the project "MOTIVATE: Multi-mOdal Training program to promote physical activity After sTrokE."–
- Award: Outstanding Research Award (Allied Health), for the paper "Barriers and facilitators to physical activity after stroke in Singapore: A qualitative study informed by the Theoretical Domains Framework.", at the SGH 25th Annual Scientific Meeting–
- Grant: WSO Future Stroke Leaders Programme Project "Improving life after stroke for young people: analysis of unmet needs and development of resources across countries" - USD$20,000 (Role: Co-Investigator)
- Award: Best oral presentation in neurology scientific track, for the paper “Barriers to physical activity of stroke survivors in Singapore: a face-to-face cross-sectional survey”, presented at the Singapore International Physiotherapy Congress, Singapore–
- Successful candidate for World Stroke Organisation Future Stroke Leaders Program https://www.world-stroke.org/news-and-blog/news/wso-future-stroke-leaders-program | http://wso.optimastaging.co.uk/world-stroke-future-leaders/community-members/P12–
- Grant: SIT Ignition Grant "MOTIVATE: Multi-mOdal Training program to promote physical actIVity After sTrokE." - $124,800 (Role: Principal Investigator)
- Grant: SIT Advancement of Learning and Teaching (SALT) Grant “iPrac - Interactive videos to enhance learning of practical skills in Neurological Physiotherapy" - $15,000 (Role: Principal Investigator)
- Award: Best research presentation by a researcher in Neurology, for the paper “Incidence and prediction of contractures after stroke: a prospective cohort study”, presented at the Australian Physiotherapy Association Biennial conference, Brisbane–
- Grant: Physiotherapy Research Foundation Seeding Research Grant (S09-009) “Contractures in the stroke population: Incidence and prognostic factors.” - $4640 (Role: Principal Investigator)–
- Scholarship: PhD scholarship. University of Sydney - $67 866–
Professional Certification
- Behaviour change interventions: introductory principles and practiceFutureLearn, University College London–
- Lower limb prosthetics courseAustralasian Faculty of Rehabilitation Medicine–
- Principles and practice of University Teaching and LearningUniversity of Sydney–
Professional Memberships
- Singapore National Stroke Association– Present
- Singapore Physiotherapy Association– Present
- International Society for Evidence-Based Health Care– Present
- World Stroke Organization– Present
- Stroke Society of Australasia– Present
- Australian Physiotherapy Association–
Corporate Experience
- President: part of Executive Committee for Singapore Physiotherapy Association. https://www.physiotherapy.org.sg/OrganisationPresent
- Senior Principal project administrator: part-time appointment with the Chief Allied Health Officer’s Office, Ministry of Health. Co-Lead for Sub-Team 1 Clinical Practice Guidelines, Community Rehabilitation Transformation Workgroup.Present
- Exco member: part of executive committee of Singapore National Stroke Association. https://www.snsasg.org/ourteamPresent
- Co-Lead for Physiotherapy Evidence Database (PEDro) Singapore satellite centre, a collaboration between PEDro and Singapore Physiotherapy Association: https://pedro.org.au/english/about/satellite-centres/Present
- Member: part of the National One Rehab Steering CommitteePresent
- Member: part of World Stroke Organisation Early Career Stroke Professionals Committee. https://www.world-stroke.org/about-wso/committeesPresent
- Teaching faculty: part of teaching team for SGH PGAHI Training Programme “Clinical Reasoning for Physiotherapy Management in Stroke”.Present
- Lead curriculum developer and teaching staff: led curriculum development and team of teaching staff for the One Rehab training workshop(s). https://www.singaporetech.edu.sg/news/moh-national-one-rehab-framework-practice-workshopPresent
- Academic chair: part of SingHealth-Singapore Institute of Technology Stroke Community of Practice.Present
- Abstract mentor and reviewer: provided mentorship to abstract authors, and reviewed abstracts for World Confederation for Physical Therapy. https://congress.physio/2021/programme/thanksPresent
- Peer reviewer: part of International Review Board at Journal of Physiotherapy. https://www.journals.elsevier.com/journal-of-physiotherapy/editorial-boardPresent
- Peer reviewer: reviewed manuscripts for journals including International Journal of Stroke, Neurorehabilitation and Neural Repair, Journal of Physiotherapy (see more at Publons: https://publons.com/author/1508766/li-khim-kwah#profile).Present
- Vice-chair: part of organising committee for 13th Singapore International Physiotherapy Congress 2024. https://www.physiotherapy.org.sg/SIPC2024–
- Teaching faculty: part of teaching team for SGH PGAHI Training Programme “Stroke Guidelines Translation”.–
- Principal project administrator: part-time appointment with the Chief Allied Health Officer’s Office, Ministry of Health. Lead principle project administrator and member of Community Rehabilitation Transformation Workgroup.–
- Judge and Abstract reviewer: part of abstract review committee for the SingHealth Duke-NUS Scientific Congress 2021.–
- Honorary secretary: part of Executive Committee for Singapore Physiotherapy Association and mentor to Education committee. https://www.physiotherapy.org.sg/Organisation–
- Abstract reviewer: part of abstract review committee for the SingHealth Duke-NUS Scientific Congress 2020.–
- Grant reviewer: reviewed Project Grant application for Stroke Association (UK).–
- Vice-chair: part of organising committee for 12th Singapore International Physiotherapy Congress 2021. https://www.physiotherapy.org.sg/SIPC2021-Integrate–
- Judge: part of abstract and judging panel sub-committee for CAREhab 6th Singapore Rehabilitation Conference 2020. https://www.carehab-singapore.com/src-conference-2020/scientific-committee–
- Grant reviewer: reviewed Physiotherapy Research Foundation seeding grant applications for Australian Physiotherapy Association.–
- APC assessor: worked with Australian Physiotherapy Council to assess neurological physiotherapy skills of overseas trained physiotherapists.–
- Learning.Futures peer reviewer: reviewed subject outlines from various University of Technology Sydney faculties to ensure compliance with Learning.Futures.–
- Guidelines committee member: worked with National Stroke Foundation to update clinical guidelines. Co-wrote section on falls.–
- Amputee Care Standards committee member: worked with Agency for Clinical Innovation to update New South Wales Amputee Care Standards. Co-wrote section on pain and document on rigid dressings.–
- Abstract reviewer: reviewed abstracts for World Confederation for Physical Therapy.–
Research
Research Interests
-
Stroke care
-
Physical activity
-
Evidence-based practice
-
Guideline-based care
-
Implementation science
Current Projects
- Improving life after stroke for young people: analysis of unmet needs and development of resources across countries– Present
- Use of Experience-Based Co-Design (EBCD) to evaluate and improve rehabilitation care in the community– Present
- Development of MOTIVATE: Multi-mOdal Training program to promote physical actIVity After sTrokE– Present
- Prediction models of arm recovery after stroke: a systematic review– Present
Past Projects
- Perspectives on pre-participation screening in people with disabilities in Singapore–
- Development of an instrument to evaluate the accessibility and usability of outdoors fitness zones for people with mobility limitations–
- Implementing a novel intervention to increase task-specific practice for stroke survivors in inpatient rehabilitation–
- Assessing barriers to physical activity, and the accessibility and usability of outdoors fitness zones for stroke survivors–
- Evaluation of current Physiotherapy practice on physical activity promotion for stroke survivors–
Publication
Journal Papers
Scully A, Thilarajah S, Lee M, Sreeram A, Tang P, Tan B, Tan C, Tan YL and Kwah LK (2024) What do we need for a successful model of care to promote physical activity after stroke? Results from two web-based surveys on physiotherapists and exercise professionals in Singapore. Physiotherapy. Paper: https://www.sciencedirect.com/science/article/pii/S0031940624004656
Kwah LK, Doshi K, Wai E, Hollis J, Bird M-L, Pua YH, Thumboo J, Low LL, He H-G, De Silva DA, Niam S, Toh I, Lui YC, Choo S, Wang J and Thilarajah S (2024) Development of a behaviour change intervention for improving physical activity amongst stroke survivors with physical disabilities: A co-design approach. BMC Public Health 24(1): 2918. Paper: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-20403-1
Demers M, Charalambous M, Kwah LK, Thilarajah S, Bazadona D, Chapman S, Nasreldein A, Yperzeele L, Amoah D, Winstein C, Bernhardt J and Gopaul U (2024) The unique needs and challenges experienced by young people with stroke: An international qualitative analysis. Neurology: Clinical Practice. Paper: https://www.neurology.org/doi/10.1212/CPJ.0000000000200406
Kwah LK, Doshi K, De Silva DA, Ng WM and Thilarajah S (2024) What influences stroke survivors with physical disabilities to be physically active? A qualitative study informed by the Theoretical Domains Framework. PLOS One 19(3): e0292442. Paper: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0292442
Thilarajah S, Low A, Lee A, Ng S, Seow HC, Choo S, Bok CW, De Silva D, Chew ES, Chua TL, Kwah LK and Pua YH (2024) Modifying the Mobility Scale for Acute Stroke (MSAS) for All Stroke Phases (MSAllS): Measurement properties and clinical application. Archives of Physical Medicine and Rehabilitation. Paper: https://www.archives-pmr.org/article/S0003-9993(24)00832-3/fulltext
Teo R, Thilarajah S, Liu J, Lim F and Kwah LK (2023) Barriers to physical activity of stroke survivors in Singapore: a face-to-face cross-sectional survey. Proceedings of Singapore Healthcare 32: 1-9. Paper: https://journals.sagepub.com/doi/10.1177/20101058231184953
Sebastian IA, Demers M, Yeghiazaryan N, Wan Asyraf WZ, Nasreldein A, Gopaul U, Charalambous M, Thilarajah S, Kwah LK and Vishnu VY (2023) Establishing organized stroke care in low- and middle-income countries: From training of non-specialist to implementation. Journal of Stroke Medicine. Paper: https://journals.sagepub.com/doi/10.1177/25166085231158425
Gopaul U, Charalambous M, Thilarajah S, Kwah LK, Chapman S, Bayley M and Demers M (2022) Age-specific information resources to address the needs of young people with stroke: a scoping review protocol. Systematic Reviews 275 (2022). Paper: https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-022-02147-4
Hoang PD, Psarakis M, Kwah LK, Clarke JL, Gandevia SC and Diong J (2021) Brief report: Passive mechanical properties of gastrocnemius in multiple sclerosis and ankle contracture. Clinical Biomechanics 84(2021): 105338. Paper: https://www.sciencedirect.com/science/article/pii/S0268003321000681?via%3Dihub
Armitage L, Kark L, Czerniec S and Kwah LK (2019) Reliability and validity of measurement tools for residual limb volume in people with limb amputations: a systematic review. Physical Therapy 99(5): 612-626. Paper: https://academic.oup.com/ptj/advance-article-abstract/doi/10.1093/ptj/pzz010/5306468
Kwah LK, Webb MT, Goh L and Harvey LA (2019) Rigid dressings versus soft dressings for transtibial amputations. Cochrane Database of Systematic Reviews Issue 6. Art. No.: CD012427. DOI: 10.1002/14651858.CD012427.pub2. Paper: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012427.pub2/full
Armitage L, Kwah LK and Kark L (2019) Reliability and validity of the iSense optical scanner for measuring volume of transtibial residual limb models. Prosthetics and Orthotics International 43(2): 213-220. Paper: http://journals.sagepub.com/doi/10.1177/0309364618806038
Kwah LK, Green J, Butler J and Lam L (2019) Quality of clinical practice guidelines for management of limb amputations: a systematic review. Physical Therapy 99(5): 577-590. Paper: https://academic.oup.com/ptj/advance-article-abstract/doi/10.1093/ptj/pzz006/5305875
Kwah LK and Herbert RD (2016) Prediction of walking and arm recovery after stroke: A critical review. Brain Sciences 6(4): E53. Paper: http://www.mdpi.com/2076-3425/6/4/53
Kwah LK and Diong JHL (2014) National Institutes of Health Stroke Scale (NIHSS). Journal of Physiotherapy 60(1): 61. Paper: http://www.journalofphysiotherapy.com/article/S1836-9553(14)00013-7/fulltext
Diong JHL, Herbert RD, Harvey LA, Kwah LK, Clarke JL, Bilston LE and Gandevia SC (2013) Gastrocnemius muscle contracture after spinal cord injury: a longitudinal study. American Journal of Physical Medicine and Rehabilitation 92(7): 565-574. Paper: https://insights.ovid.com/pubmed?pmid=23117273
Kwah LK, Harvey LA, Diong JHL and Herbert RD (2013) Models containing age and NIHSS predict recovery of ambulation and upper limb function six months after stroke: an observational study. Journal of Physiotherapy 59(3): 189-197. Paper: http://www.journalofphysiotherapy.com/article/S1836-9553(13)70183-8/fulltext
Kwah LK, Pinto RZ, Diong JHL and Herbert RD (2013) Reliability and validity of ultrasound measurements of muscle fascicle length and pennation in humans: a systematic review. Journal of Applied Physiology 114(6): 761-769. Paper: http://jap.physiology.org/content/114/6/761.long
Kwah LK, Herbert RD, Harvey LA, Diong JHL, Clarke JL, Martin JH, Clarke EC, Hoang PD, Bilston LE and Gandevia SC (2012) Passive mechanical properties of gastrocnemius muscles of people with ankle contracture after stroke. Archives of Physical Medicine and Rehabilitation 93(7): 1185-1190. Paper: http://www.archives-pmr.org/article/S0003-9993(12)00102-5/fulltext
Diong JHL, Herbert RD, Harvey LA, Kwah LK, Clarke JL, Hoang PD, Martin JH, Clarke EC, Bilston LE and Gandevia SC (2012) Passive mechanical properties of gastrocnemius after spinal cord injury. Muscle & Nerve 46(2): 237-245. Paper: http://onlinelibrary.wiley.com/doi/10.1002/mus.23356/abstract
Diong JHL, Herbert RD, Kwah LK, Clarke JL and Harvey LA (2012) Mechanisms of increased passive compliance of hamstring muscle-tendon units after spinal cord injury. Clinical Biomechanics 27(9): 893-898. Paper: http://www.clinbiomech.com/article/S0268-0033(12)00151-9/fulltext
Kwah LK, Harvey LA, Diong JHL and Herbert RD (2012) Half of the adults who present to hospital with stroke develop at least one contracture within six months: an observational study. Journal of Physiotherapy 58(1): 41-47. Paper: http://www.journalofphysiotherapy.com/article/S1836-9553(12)70071-1/fulltext
Diong JHL, Harvey LA, Kwah LK, Eyles J, Ling MJ, Ben M and Herbert RD (2012) Incidence and predictors of contracture after spinal cord injury – A prospective cohort study. Spinal Cord 50(8): 579-584. Paper: http://www.nature.com/sc/journal/v50/n8/full/sc201225a.html?foxtrotcallback=true
Herbert RD, Clarke J, Kwah LK, Diong J, Martin J, Clarke EC, Bilston LE and Gandevia SC (2011) In vivo passive mechanical behavior of muscle fascicles and tendons in human gastrocnemius muscle-tendon units. Journal of Applied Physiology 589 (Pt 21): 5257-5267. Paper: http://onlinelibrary.wiley.com/doi/10.1113/jphysiol.2011.212175/full
Conferences
Thilarajah S, Doshi K, De Silva DA, Ng WM and Kwah LK (2024) Barriers and facilitators to physical activity after stroke in Singapore: A qualitative study informed by the Theoretical Domains Framework. Oral presentation at the Singapore General Hospital 25th Annual Scientific Meeting, Singapore. *Won Outstanding Research Award (Allied Health)
Kwah LK (2023) Predicting recovery and improving physical activity after stroke. Invited speaker as part of session "Innovation in Stroke Rehabilitation" including Tong R and Li L at the Asia Pacific Stroke Conference, Hong Kong.
Thilarajah S, Doshi K, De Silva DA, Wai E and Kwah LK (2023) Development of a complex theory-informed intervention for improving physical activity after stroke in Singapore: A co-design approach. Oral platform presentation at the World Physiotherapy Congress, Dubai.
Kwah LK, Doshi K, De Silva DA, Ng WM and Thilarajah S (2023) Barriers and facilitators to physical activity after stroke in Singapore: A qualitative study informed by the Theoretical Domains Framework. Oral platform presentation at the World Physiotherapy Congress, Dubai.
Kwah LK (2023) Resources to improve skills for evidence-based practice. Invited speaker as part of focused symposium "Overcoming barriers to evidence-based clinical practice" including Elkins M, Yamato TP and Paramanandam VS at the World Physiotherapy Congress, Dubai.
Gopaul U, Bazadona D, Chapman S, Charalambous M, Kwah LK, Oguntade A, Thilarajah S, Yperzeele L, Bayley M and Demers M (2023) Information resources about self-management addressing the needs of young people with stroke: a scoping review. Poster presentation at the Advances in Stroke Recovery Scientific Conference, Australia.
Demers M, Kwah LK, Thilarajah S, Charalambous M, Bazadona D, Chapman S, Nasreldein A, Yperzeele L, Winstein C, Bernhardt J and Gopaul U (2023) Identification of knowledge and information needs of young people with stroke from eight different countries. Oral presentation at the Advances in Stroke Recovery Scientific Conference, Australia.
Teo R, Thilarajah S, Liu J, Lim F and Kwah LK (2021) Barriers to physical activity of stroke survivors in Singapore: a face-to-face cross-sectional survey. Oral presentation at the CPISRA International Conference on Physical Activity & Health, Australia.
Kwah LK, Teo R, Jiale L, Lim F and Thilarajah S (2021) Barriers to physical activity of stroke survivors in Singapore: a face-to-face cross-sectional survey. Oral presentation at the Singapore International Physiotherapy Congress, Singapore. *Won best oral presentation award in neurology scientific track.
Kwah LK, Green J, Butler J and Lam L (2019) Critical appraisal of clinical practice guidelines for the management of limb amputations: a systematic review. Oral presentation at the World Confederation for Physical Therapy, Geneva, Switzerland.
Kwah LK, Webb M, Goh L and Harvey LA (2019) Efficacy of rigid dressings in people with transtibial amputations: a Cochrane systematic review. Oral presentation at the World Confederation for Physical Therapy, Geneva, Switzerland.
Kwah LK, Harvey LA, Diong JHL and Herbert RD (2011) Incidence and prediction of ambulation and upper limb recovery after stroke: a prospective cohort study. Oral presentation at the Australian Physiotherapy Association Biennial conference, Brisbane, Australia.
Kwah LK, Harvey LA, Diong JHL and Herbert RD (2011) Incidence and prediction of contractures after stroke: a prospective cohort study. Oral presentation at the World Confederation for Physical Therapy, Amsterdam, Netherlands.
Kwah LK, Harvey LA, Diong JHL and Herbert RD (2011) Incidence and prediction of contractures after stroke: a prospective cohort study. Oral presentation at the Australian Physiotherapy Association Biennial conference, Brisbane, Australia. *Won best oral presentation award in neurology scientific track.
Kwah LK, Herbert RD, Harvey LA, Diong JHL, Clarke J, Hoang P, Martin J, Clarke EC, Bilston LE and Gandevia SC (2011) Passive mechanical properties of gastrocnemius of people with ankle contracture after stroke. Oral presentation at the World Confederation for Physical Therapy, Amsterdam, Netherlands.
Kwah LK, Harvey LA, Diong JHL and Herbert RD (2010) Contractures after stroke- Incidence and prognostic factors. Oral presentation at the Stroke Society of Australasia 21st annual scientific meeting, Melbourne, Australia.
Kwah LK, Herbert RD, Harvey LA, Diong JHL, Clarke J, Hoang P, Martin J, Clarke EC, Bilston LE and Gandevia SC (2010) Passive mechanical properties of gastrocnemius muscle and tendon in stroke patients with contracture. Oral presentation at the 6th World Congress on Biomechanics, Singapore.
Kwah LK, Herbert RD, Harvey LA, Diong JHL, Clarke J, Hoang P, Martin J, Clarke EC, Bilston LE and Gandevia SC (2009) Passive mechanical properties of gastrocnemius muscle and tendon in stroke patients with contracture. Oral presentation at the Australian Physiotherapy Association Biennial Conference, Sydney, Australia.
Kwah LK, Harvey LA, Diong JHL and Herbert RD (2008) Incidence of contractures after stroke. Poster presentation at the University of Sydney 6th Biennial Health Research Conference “From cell to society 6” at Leura, Australia.
Books
Book chapter: Kwah LK, Kwakkel G and Veerbeek JM (2018) Prediction of motor recovery and outcomes after stroke. In: Wilson R and Raghavan P, eds. Stroke rehabilitation. Philadelphia, USA: Elsevier. Chapter: https://www.elsevier.com/books/stroke-rehabilitation/wilson/978-0-323-55381-0
Teaching
Teaching Modules
Physiotherapy, BSc (Hons)
- PTY3009 - Clinical Decision Making in Patients with Complex Health Issues
- PTY2013 - Neurological Physiotherapy 1
- PTY3801 - Honours Thesis Proposal
- PTY4801 - Honours Thesis
Past
- PTY3010 - Neurological Physiotherapy 2 (17701)
- HSC6002 Evidence Based Practice and Ethics (SIT)
- HSC6008 Neurological Rehabilitation (SIT)
- Clinical Assessment and Treatment Planning (UTS)
- Professional Practice (UTS)
- Movement Science and Practice 1 (ACU)
- Neurological Science and Practice 1 (ACU)
- Neurological Science and Practice 2 (ACU)
- Physiotherapy Practice 1 (ACU)
- Neurological Physiotherapy A/1 (USyd)
- Neurological Physiotherapy B/2 (USyd)
- Neurological Physiotherapy C (USyd)
- Cardiopulmonary and Neurological Physiotherapy (USyd)
- Professional and Scientific Practice (USyd)
- Physiotherapy for Older Persons (USyd)
- DTN3801 - Honours Thesis Preparation (16126)
- DTN4801 - Honours Thesis (16141)