Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, July 18, 2024

Re-Imagining Hospital Patient Room Design for People After stroke: A Randomized Controlled Study Using Virtual Reality

This was known earlier; 

Stroke survivors denied best chance of recovery by rehab design December 2023

 My ideas:

  1. Single rooms because then you don't have the blood vampires waking everybody up in the quad at 7 am every morning.

  2. Green spaces easily available ;  

    Can living near parks and lakes boost your mental health? A 10-year study says yes October 2023 

    Green space linked to reduced risk of heart disease and stroke January 2019 

  3. Blue space visibility: blue space (5 posts to May 2016); blue water (2 posts to October 2019)

  4. Proper lighting: blue light (8 posts to February 2017); 

     flickering light (3 posts to July 2020); 

     bright light therapy (2 posts to February 2017);  

    bright light stimulation (2 posts to April 2017); 

     60 Hertz flickering light (3 posts to July 2021);  

    40 Hertz flickering light (4 posts to July 2021);  

    intermittent light exposure (1 post to March 2021); 

     light exposure (1 post to August 2022); 

     low-level laser/light therapy (3 posts to ecember 2014);  

    naturalistic light (2 posts to August 2019); 

     near infrared light (6 posts to August 2015);

     near-infrared light (5 posts to December 2014);  

    neurofilament light (7 posts to April 2018);  

    red light (1 post to May 2023); 

     ultraviolet light (2 posts to May 2018)

    5. Large screen TV to display the hundreds of hours of action observation videos your competent hospital has on hand. Oh, you don't have a functioning stroke hospital, do you?


Re-Imagining Hospital Patient Room Design for People After stroke: A Randomized Controlled Study Using Virtual Reality

Abstract

BACKGROUND:

The hospital’s physical environment can impact health and well-being. Patients spend most of their time in their hospital rooms. However, little experimental evidence supports specific physical design variables in these rooms, particularly for people poststroke. The study aimed to explore the influence of patient room design variables modeled in virtual reality using a controlled experimental design.

METHODS:

Adults within 3 years of stroke who had spent >2 nights in hospital for stroke and were able to consent were included (Melbourne, Australia). Using a factorial design, we immersed participants in 16 different virtual hospital patient rooms in both daytime and nighttime conditions, systematically varying design attributes: patient room occupancy, social connectivity, room size (spaciousness), noise (nighttime), greenery outlook (daytime). While immersed, participants rated their affect (Pick-A-Mood Scale) and preference. Mixed-effect regression analyses were used to explore participant responses to design variables in both daytime and nighttime conditions. Feasibility and safety were monitored throughout. Australian New Zealand Clinical Trials Registry, Trial ID: ACTRN12620000375954.

RESULTS:

Forty-four adults (median age, 67 [interquartile range, 57.3–73.8] years, 61.4% male, and a third with stroke in the prior 3–6 months) completed the study in 2019–2020. We recorded and analyzed 701 observations of affective responses (Pick-A-Mood Scale) in the daytime (686 at night) and 698 observations of preference responses in the daytime (685 nighttime) while continuously immersed in the virtual reality scenarios. Although single rooms were most preferred overall (daytime and nighttime), the relationship between affective responses differed in response to different combinations of nighttime noise, social connectivity, and greenery outlook (daytime). The virtual reality scenario intervention was feasible and safe for stroke participants.

CONCLUSIONS:

Immediate affective responses can be influenced by exposure to physical design variables other than room occupancy alone. Virtual reality testing of how the physical environment influences patient responses and, ultimately, outcomes could inform how we design new interventions for people recovering after stroke.

REGISTRATION:

URL: https://anzctr.org.au; Unique identifier: ACTRN12620000375954.

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