Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Thursday, February 22, 2018

Physical Barriers to Mobility of Stroke Patients in Rehabilitation Clinics

Do you really think your stroke hospital will follow these recommendations?  As far as I was concerned wheelchairs were the complete problem, Try operating one with one good hand and one good leg. The solution is out there, lever powered wheelchairs, or rowing wheelchairs, but I bet your hospital knows nothing about them. More stroke hospital incompetency in action.
https://link.springer.com/chapter/10.1007/978-3-319-75028-6_13
  1. 1.Technische Universität DresdenDresdenGermany
Conference paper
  • 8 Downloads

Abstract

Regaining independent mobility and general independence is the main goal of physical rehabilitation in stroke patients. The patients requiring rehabilitation stay as inpatients in rehabilitation clinics for a period of several weeks to several months. During this time, mobile patients are required to go to therapies and other scheduled appointments on their own. The aim of this study is to provide evidence that specific architectural design features of rehabilitation clinics hinder the independent mobility of stroke patients and to identify the main issues caused by the building design. Patients (n = 50) and staff members (n = 46) from five large German rehabilitation clinics participated in the study. Three methods were used to collect the data: patient questionnaire, staff questionnaire and patient shadowing (observation). Both staff and patients identified the major issues that stroke patients encounter in the built environment of rehabilitation clinics: wayfinding problems, insufficient dimensions of spaces (corridors), physical obstacles, uneven floor surfaces and large distances between patient rooms and therapy rooms. Shadowing data showed that the patients in the earlier stages of rehabilitation, mainly using a wheelchair, encounter the most barriers related to the built environment. Design recommendations for more mobility supportive rehabilitation clinics are made based on the study findings.

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