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Related Experiment Video

Updated: Jan 8, 2026

Haptic/Graphic Rehabilitation: Integrating a Robot into a Virtual Environment Library and Applying it to Stroke Therapy
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Rehabilitation Environments: New Insights to Guide Stroke Inpatient Service Redesign.

Juan Pablo Saa1,2, Ruby Lipson-Smith3, Marcus White4

  • 1La Trobe University, School of Allied Health, Human Services & Sport, Melbourne, VIC, Australia (J.P.S.).

Stroke
|December 22, 2025
PubMed
Summary
This summary is machine-generated.

Optimizing inpatient stroke rehabilitation services requires integrating stakeholder feedback with clinical and design guidelines. This codesigned approach enhances patient recovery by improving care processes and the environment.

Keywords:
architectural accessibilityenviroment designhealth facility environmentpatient-centered carerecovery of functionrehabilitation centersstroke rehabilitation

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Area of Science:

  • Neurorehabilitation
  • Health Services Research
  • Healthcare Design

Background:

  • Inpatient rehabilitation is crucial for stroke recovery.
  • Existing clinical and healthcare design guidelines often misalign, hindering optimal patient recovery.
  • This study builds upon prior work characterizing current stroke inpatient rehabilitation services.

Purpose of the Study:

  • To propose recommendations for an optimal inpatient stroke rehabilitation service.
  • To integrate stakeholder feedback, clinical guidelines, and healthcare design principles.
  • To enhance the alignment between clinical processes and environmental factors in stroke rehabilitation.

Main Methods:

  • Employed value-focused thinking, living-lab, and codesign principles.
  • Evaluated a re-imagined stroke rehabilitation service with 26 stakeholders (survivors, caregivers, clinicians, designers).
  • Utilized an agreement scale to rate proposed changes in care activities against objectives like safety, efficiency, and autonomy.

Main Results:

  • Achieved a 76% overall agreement rate across 19 rated activity blocks, yielding 15 recommendations.
  • Highest agreement for evening (100%) and admission (81%) blocks, with strong support for information delivery and environmental flexibility.
  • Lower agreement for discharge (61%) highlights complexities in transition planning; validation confirmed feasibility of personalized, autonomous, and early engagement interventions.

Conclusions:

  • Stakeholder-informed redesign improves alignment between clinical processes and environmental enablers in stroke rehabilitation.
  • Findings provide a foundation for codesigned care models that are evidence-based and experientially grounded.
  • Optimizing inpatient stroke rehabilitation through codesign enhances patient recovery and service delivery.