The tertiary stage of stroke deals with the movement of the lower limbs through exercise on the device without any assistance from the physiotherapist or caretaker. The most common form of thrombotic stroke (the major blood vessel thrombosis) occurs in the main arteries of the brain.
Stroke causes/Risk factors
The motivation behind drinking with some restraint - so men don't have two drinks a day and one drink a day for ladies.
Identifying stroke
Reducing risk factors and preventing complications
Overall, patients and their families/parental figures are initially seen as part of the interdisciplinary collaboration. A dietitian should be a part of a stroke patient's multidisciplinary collection from the most punctual beginning phase of the recovery procedure.
Process of rehabilitation
Stroke recovery is a continuous procedure that can take a significant amount of time or years, for the most part beyond the time of formal recovery administration. For some, this is the first time they have experienced in the key seven-day period of extraordinary consideration that they will pose a danger to the entire interdisciplinary group, and it is significant that from now on recovery needs will be assessed broadly, and recovery mediation will explicitly identify shortages will start at the most punctual time. There is solid evidence that task-specific preparation of practical assignments improves an individual's ability to execute that message after a stroke.
Cardiorespiratory degrees of people with stroke are deficient, despite being assessed within a month and a half after stroke. As such, beginning express high-sway planning as ahead of the calendar as possible after stroke is approved. Considering that insufficient physical development is one of the main risk factors for stroke, people with stroke.
Process of Ideation and concepts generation
Why lower limb?
- poverty and stroke
- Products available in the market
- Prescribed exercises for rehabilitation by the physiotherapist
- Need for exercise in immobility
Based on the aforementioned problems, the decision was made to work on the lower limb and create a device that will help in the rehabilitation process for patients who cannot afford therapy and expensive devices. They are important in the rehabilitation process; however, during further research on stroke and the rehabilitation process, it was found that there are still many gaps and there is a lot of room to work. The risk factors for stroke in the urban Indian population are similar to those in developed countries and are likely to be quite different among people living in poverty.
Most stroke centers are currently in the private sector, and building such concentrations in the public segment will require enormous capital speculation. The research on the products available in the market revealed that there are very few products available for lower limb rehabilitation, and all of them are so expensive that people from middle and lower income groups cannot afford these therapy products if we say for the Indian population. As another aid in performing the exercises, due to the patient's condition, the device is also designed in such a way that the patient can initially even move into a supine and prone position.
Chairish Concepts
Chairish Concept 1
- Design and functionality of the device
The original concept and idea was to make a bed chair for apoplexy patients for their motor recovery of the lower limbs. In the first concept, the focus was basically on the bilateral training of the lower limbs, and the device was given with different modifications according to the body positions of the patients. The device works on different dimensions and orientation; the basic requirement for the device was to get the patient to rest properly on it (sitting position).
The secondary function was to keep the patient's body stable through belts at different levels of the device, since the body of patients tends to fall and hang, who suffer from a stroke. The lower part of the device is equipped with the training tool, which is a swinging paddle/board that the patient can put his legs on and it tends to. The purpose of holding the swing is to make the affected part of the body move through gravity and, using the unaffected limb, to make the brain learn the movement of the leg.
Chairish Concept 2
- Design and functionality of Chairish concept 2
The physiotherapist suggested that there are different stages in stroke recovery and not all stages are addressed by the device designers. They only focus on the good exercise part, but because the primary problems are not addressed, the secondary phase becomes more difficult for the patients to face. In the first stage of the stroke, due to the stroke, the body starts falling/hanging on the affected side as they have no sensation, and this results in the deformation of the body. And to address this problem of body deformation, new things have been implemented in the design in such a way that in the first stage, the patient first tries to adopt a neutral body position.
The project addressed the patient's primary problems, where the patient's posture was attempted to be kept in a neutral position by adding additional gear to the footrest. neutral positions is when a healthy person sits on the chair without sagging or displacing the bone sockets). Either he lifts his entire affected leg without bending the knee joint, or he pushes himself by pulling the affected leg. The armrest is designed in such a way that the joint hole of the shoulder comes to its actual position without sticking together.
Chairish Concept 3
- design and functionality of Chairish concept 3
As they have to sit for a very long time and take into account their condition, as there are many other problems such as pressure sores (a condition where the body remains immobile for a long time and due to the weight of the body the area where the skin is on the surface touch, cells of the skin have started to die), for such a condition it was suggested to move the body every 2 hours. The design of the chair after many changes and discussions came to the conclusion that we need a chair where the patient can easily lie for hours without any problem. In the second phase of therapy, the body of the patient becomes stiff and stiff at the joints and for this different stretching exercises have been suggested by the physiotherapists which include extension/flexion, dorsiflexion/plantarflexion, abduction/adduction of leg joints.
The chair paddle/board is designed so that the patient can perform such exercises in it. Mirror therapy was added as an extension of the chair, as the physiotherapist suggested that the patient learns things with the senses that are active, and in this case vision works more effectively, as the human brain learns things in a better way. , I look at it. In stroke patients, mirror therapy involves performing movements of an indeterminate body, with its mirror looking at the (invisible) damaged organ, thereby creating a visible illusion of increased movement capacity of the damaged organ.
Chairish concept 4
- design and functionality of Chairish concept 4
To get rid of such a situation, we must change the position of the body every 2 hours.
Material selection for chair
Still, research is ongoing for the selection of the perfect material for the chair.
Tools used
Concepts were explained on paper and presented at reviews, and as suggestions came in, many changes and additions were made to the papers themselves. According to the developed concepts, digital drawings for printing and presentations were made in Adobe Illustrator and Photoshop. CAD models were developed on Rhino, various 3D software and SketchUp. This was my first attempt with any 3D software and I learned the basics of the software through video tutorials from YouTube and other channels.
We must assume that with the inclination of the backrest, one part of the body weight is shifted to the backrest, whereby a reduction of the load on the discs as well as of muscle load is achieved. To reduce plate weight, a seat planner can try to re-establish the lumbar flexion using the lumbar, or by raising the back point can open the hip joint edge to 110 - 120 degrees. Therefore, with support from the lower back and the adjustable backrest angle, it has become common to design chairs that will rise to 110 - 120 degrees.
There should be a high backrest in the chair, and it is possible that the entire seat shell should be tilted further between 2 ° and 14 ° in the middle of the slope. The size of the back should be slightly concave at the top and should be convex in the lumbar area. We have good reason to believe that this type of chair supports the user in the lumbar region and provides a rebound on recoil.
Prototype
The device is equipped with a table that can be used for eating, studying, writing or using a laptop. The device can be dismantled and therefore easy to store anywhere, because it does not take up much space. The device has various parts such as two side walls, 1 seat base, one backrest, one support under the seat base, 1 table shelf on armrest, 1 swing with footrest and a mirror, all of which are removable and can be used accordingly.
Is health-related quality of life for stroke patients affected by neurological impairments one year after stroke. Role overlap between occupational therapy and physical therapy during patient stroke rehabilitation: An exploratory study. Mirror therapy improves motor recovery and motor function after stroke: A randomized controlled trial Serap Sütbeyaz, MD, Gunes Yavuzer, MD, PhD, Nebahat Sezer, MD, B.
