The State of Stroke Rehabilitation Design in Australia: A Multi-Scalar Systematic Architecture Precedent Review

Objectives: This study explores stroke rehabilitation facility design in Australia, identifying the key design typologies at multiple scales and assessing them against the critical design criteria for stroke rehabilitation. Background: The physical environment plays a crucial role in stroke rehabili...

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Main Authors: Tianyi Yang, Marcus White, Ruby Lipson-Smith, Mehrnoush Latifi
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Buildings
Subjects:
Online Access:https://www.mdpi.com/2075-5309/14/12/3968
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author Tianyi Yang
Marcus White
Ruby Lipson-Smith
Mehrnoush Latifi
author_facet Tianyi Yang
Marcus White
Ruby Lipson-Smith
Mehrnoush Latifi
author_sort Tianyi Yang
collection DOAJ
description Objectives: This study explores stroke rehabilitation facility design in Australia, identifying the key design typologies at multiple scales and assessing them against the critical design criteria for stroke rehabilitation. Background: The physical environment plays a crucial role in stroke rehabilitation, affecting patient recovery and well-being. However, limited research examines how design can support therapeutic outcomes in these facilities. Method: From a systematic review of 257 Australian stroke rehabilitation facilities, 30 were selected for detailed design review, with an in-depth room-level analysis conducted for 10. Using the modified PRISMA framework and a typology analysis approach, this study integrates architectural precedent with clinical research methods. Results: Typologies were identified at the site, building, ward, and room levels. Acute hospital wards (53%) and ‘blocks’ (73%) were the most common site and building arrangements, respectively. At the ward level, ‘racetrack with courtyard’ layouts enhanced natural light, views, and access to landscaped areas. A room-level analysis revealed limited innovation, with most rooms adhering to standard designs, though some adaptations improved visual connectivity and personal control. Hybrid nurse stations and courtyards supported efficiency, social interaction, and therapeutic stimulation. Conclusions: This study highlights the user-centred design strategies tailored to stroke patients’ needs and the importance of evidence-based approaches prioritising well-being. Future research should incorporate 3D spatial analysis for actionable design recommendations.
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spelling doaj-art-fa06ed968642423aa27113dbed2a2f792025-08-20T02:00:18ZengMDPI AGBuildings2075-53092024-12-011412396810.3390/buildings14123968The State of Stroke Rehabilitation Design in Australia: A Multi-Scalar Systematic Architecture Precedent ReviewTianyi Yang0Marcus White1Ruby Lipson-Smith2Mehrnoush Latifi3School of Design and Architecture, Swinburne University of Technology, Hawthorn, VIC 3122, AustraliaSchool of Design and Architecture, Swinburne University of Technology, Hawthorn, VIC 3122, AustraliaThe MARCS Institute of Brain, Behaviour and Development, Western Sydney University, Penrith, NSW 2750, AustraliaSchool of Design and Architecture, Swinburne University of Technology, Hawthorn, VIC 3122, AustraliaObjectives: This study explores stroke rehabilitation facility design in Australia, identifying the key design typologies at multiple scales and assessing them against the critical design criteria for stroke rehabilitation. Background: The physical environment plays a crucial role in stroke rehabilitation, affecting patient recovery and well-being. However, limited research examines how design can support therapeutic outcomes in these facilities. Method: From a systematic review of 257 Australian stroke rehabilitation facilities, 30 were selected for detailed design review, with an in-depth room-level analysis conducted for 10. Using the modified PRISMA framework and a typology analysis approach, this study integrates architectural precedent with clinical research methods. Results: Typologies were identified at the site, building, ward, and room levels. Acute hospital wards (53%) and ‘blocks’ (73%) were the most common site and building arrangements, respectively. At the ward level, ‘racetrack with courtyard’ layouts enhanced natural light, views, and access to landscaped areas. A room-level analysis revealed limited innovation, with most rooms adhering to standard designs, though some adaptations improved visual connectivity and personal control. Hybrid nurse stations and courtyards supported efficiency, social interaction, and therapeutic stimulation. Conclusions: This study highlights the user-centred design strategies tailored to stroke patients’ needs and the importance of evidence-based approaches prioritising well-being. Future research should incorporate 3D spatial analysis for actionable design recommendations.https://www.mdpi.com/2075-5309/14/12/3968stroke rehabilitationtypology analysisevidence-based designtherapeutic architecturebuilt environmenthealthcare facility design
spellingShingle Tianyi Yang
Marcus White
Ruby Lipson-Smith
Mehrnoush Latifi
The State of Stroke Rehabilitation Design in Australia: A Multi-Scalar Systematic Architecture Precedent Review
Buildings
stroke rehabilitation
typology analysis
evidence-based design
therapeutic architecture
built environment
healthcare facility design
title The State of Stroke Rehabilitation Design in Australia: A Multi-Scalar Systematic Architecture Precedent Review
title_full The State of Stroke Rehabilitation Design in Australia: A Multi-Scalar Systematic Architecture Precedent Review
title_fullStr The State of Stroke Rehabilitation Design in Australia: A Multi-Scalar Systematic Architecture Precedent Review
title_full_unstemmed The State of Stroke Rehabilitation Design in Australia: A Multi-Scalar Systematic Architecture Precedent Review
title_short The State of Stroke Rehabilitation Design in Australia: A Multi-Scalar Systematic Architecture Precedent Review
title_sort state of stroke rehabilitation design in australia a multi scalar systematic architecture precedent review
topic stroke rehabilitation
typology analysis
evidence-based design
therapeutic architecture
built environment
healthcare facility design
url https://www.mdpi.com/2075-5309/14/12/3968
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