AQUATIC THERAPY

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AQUATIC THERAPY
CHARRETTE 2
University of Illinois U/C School of
Architecture Architecture 372 February 17, 2003

• By
• Michelle Rook
• Daniel Vela
• Stacy Williams

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Rook, Vela, Williams Associates

• Project
• DENVER CHILDRENS REHABILITATION CENTER

• Project Team
• Michelle Rook Architectural Planning
• Daniel Vela Aquatic Therapy
• Stacy Williams Environment Research

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Architectural Philosophy
Rook, Vela, Williams Associates

• Architecture should be utilized as a vehicle to
  enhance lives and contribute to the betterment of
  society. With the aid of the most current
  research, each new work of architecture brings
  forth intelligent responses to an ever-evolving
  world.

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Denver Childrens Rehabilitation Center

• Mission

To be the best rehabilitation facility for
infants, children and adolescents in our
community. Provide a safe, trusting and
supportive environment that will enhance their
overall quality of life.
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Denver Childrens Rehabilitation Center

• Goals

- Create the desire in patients to continue
swimming activity. - To provide safe and
enjoyable therapy, with less impact
and discomfort than traditional methods. - To
more quickly improve health!
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KEY ISSUES

• Aquatics
• Pediatrics
• Rehabilitation
• Environment

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KEY ISSUES

• Aquatics
• Rehabilitation
• Pediatrics
• Environment

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• Facility includes
• Deep Water pool Enables faster recovery and
  physical exercising.
• Warm Water pool Relaxes muscles and creates an
  inviting environment for therapist/patient
  contact
• Static Therapy Tanks

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THERAPY POOLS
Assisted Therapy
Unassisted Therapy
Equipment
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High Velocity Pool Warm Pool
Static Tanks
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Scaling the hurdles!
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• Safety and accessibility
• Handrails
• Ramps
• Signs
• Hydraulic Lift

• Wet vs. Dry areas
• Anti - slip tiles

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KEY ISSUES

• Aquatics
• Rehabilitation
• Pediatrics
• Environment

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• Aquatic Therapy offers mobility and freedom
• It uses the warmth and buoyancy of water to
  enhance a patients ability to function.
• No swimming skills required

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• Facility and therapy is determined by patient
  disability
• Slow Motion Sessions
• High Velocity Sessions

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• Slow Motion Sessions
• Brain and Spinal Injuries
• Arthritis
• Low back and neck pain
• Total knee and hip replacement
• Amputation and prosthetics
• Spina Bifida
• Orthopedic Injuries
• Post surgical Debilitation
• Muscular Distrophy
• Sports related injuries

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• High Velocity Sessions
• Multiple Trauma
• Muscle Weakness
• Cardiac Related Problems
• Cerebral Palsy
• Neurological Injuries
• Pulmonary Dysfunction
• other long term illnesses

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• 3 to 5 sessions of assisted therapy in water and
  then the patient continues unassisted either in
  water or practicing in-land exercises.

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KEY ISSUES

• Aquatics
• Rehabilitation
• Pediatrics
• Environment

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• Designed for the child

• Family and Community Approach to Healing and
  Wellness

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• Way finding
• Symbolic and tactile signage
• Wet footprints create visual path

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KEY ISSUES

• Aquatics
• Rehabilitation
• Pediatrics
• Environment

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• COLORS and SPACES
• Lobby Patient Reception
• Warm Colors
• Pediatric Units
• Clear light colors use friendly
• Therapy spaces
• Aqua reduces muscle tension
• Yellow energetic
• Corridors
• Simple color scheme

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• LIGHT
• SAFETY and VISUAL COMFORT are important at ALL
  TIMES.
• Utilize a variety of lighting levels.
• Utilize a variety of lighting types.
• Daylight emphasizes cool colors.
• Incandescent lamps emphasize warm colors.
• Acceptable lighting improves workflow and
  decreases errors.

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• DIVERSIONS or POSITIVE DISTRACTIONS reduce
  stress.
• Including
• Artwork
• Gardens
• Daylight
• Waterfalls

• Aquariums
• Music
• Water sounds

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• Roger Ulrich found that patients with vibrant
  surroundings recovered three-quarters of a day
  faster and needed fewer painkillers than those
  with dull surroundings.
• Patients should spend their energy fighting the
  disease, not the environment.
• Dore Shephard
• Ann Karmanos Cancer Institute
• It cant be easy to be healed in a soulless
  concrete box with characterless windows,
  inhospitable corridors, and purely functional
  wards. The spirit needs healing as well as the
  body.
• Prince Charles

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• GARDEN BENEFITS
• Reduce stress
• Restore hope and energy
• Improve satisfaction with healthcare quality

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• Theme Site related

Rocks, Waterfalls and Nature provide a pleasant
environment for therapy.
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• Leichtag Family Healing Garden Survey
• (at Childrens Hospital and Health Center in
  San Diego)
• Found that 90 of those surveyed believed they
  had a positive change in mood after visiting the
  garden.
• This is a better place to wait than the waiting
  room

• More refreshed
• Rejuvenated
• More positive
• More able to think and cope

• Including feeling
• More relaxed
• Less stressed
• More content

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• CHILDREN FAMILY COMFORT
• Avoid separation of child and parent/guardian
  children need love and security
• Involve Family
• Generate Community

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• STAFF INVOLVEMENT IN DESIGN
• Provide ideas on space usage.
• Consult on planning for shorter travel
  distancestime saving.
• Provide input for services (heating, cleaning,
  laundry, etc.)
• Better spaces for STAFF, PATIENTS and FAMILIES

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PROPOSAL
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boundary
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boundary
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Concept sketches
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Specifications, Structures and Equipment

• General specifications
• Depth 3 to 4 feet
• Temperature of water 92o 94o F
• Anti slip tiles
• Lanes width 7 8 feet

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Specifications, Structures and Equipment

• Children Specifications
• Grab bars on the side and rear wall at toilets.
• Mounting height 18 to 27 inches
• Faucets located within 14 inches from the leading
  edge of lavatories.

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Specifications, Structures and Equipment

• Children Specifications
• Maximum slope 112 (children)
• 116 to 120 (Adults)
• Handrails 20 to 28 inches from ramp surface
• Maximum rim or counter height 30 inches

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Specifications, Structures and Equipment

• American Disabilities Act
• Hydraulic Lift requirements

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Specifications, Structures and Equipment

• Formed monolithic reinforced concrete version
• pool walls are 10" of concrete
• 1/2" rebar at 12" OC each direction
• the floor is 6" thick
• walls have a 6" band of frost proof porcelain
  tile at the water line
• finished with multiple coats of Tnemec Epoxy
  Enamel (also white)
• over the long haul (ten years or more) will cost
  less to keep up because of the interior finish

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Specifications, Structures and Equipment

• Equipment systems

• Bronze pumps (last 20 or more years)
• Stainless steel high rate sand or diatomaceous
  earth filters for the pools (15 year warranty)

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Specifications, Structures and Equipment

• Equipment systems
• Stainless steel cartridge filters for the spas
• An ozone generator for each system
• Automatic oxidizer and pH control for both pool
  and spa sanitizer bromine pH control for both
  sodium bisulfate, i.e. dry acid

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