This is a Project that i presented to the 'Westminster Health Forum' as an example of community based services for stroke improvement. The British Geriatric Society also published the Project in it's Journal.
The Right hand column indicates what people affected by stroke in Thurrock want following consultation with them.
Living with Stroke
Thurrock Stroke ProjectWorking together Improving Life After Stroke
Background to Thurrock Stroke Services• 2010 approx 607 strokes • 95% stroke ‘focused’ (pop.149,000) exercise & activities• 2015 rise to approx 772 • 95% improve or maintain strokes mental health directly or• Nov 2009 service user indirectly consultation event • 85% support to get ‘out &• Jan 2010 – Thurrock about’ Stroke project Launch • 90% support to meet funded through Thurrock others affected by stroke Council • 35% help to return to• Consultation results work highlighted community • 85% information about needs stroke & prevention
Stroke ‘Focused’ Exercise & Activities Through Kinesis ‘Pilot’• Trial session• Cardio Vascular Trainer• 15 Participants• 10 week Programme• 1 to 1 targets negotiated and set• Transport to & from sessions arranged• Carers offered opportunity to attend
FredTarget: Interaction with others, generally to be able to do more in general life.Sessions attended: 7 / 10Target Achieved: Fred has made remarkable progress in a social context.Before the group met, Fred had indicatedthat he spent a lot of time at home and was not getting out and about anymore. He hasprogressed to some degree physically, but emotionally and socially he is a great dealmore enthusiastic about the future and his life quality.Trainers Observations: Fred is now able to carry out a wide variety of balance challengesand cognitive exercise rehearsals. The use of circuit based exercise has proved helpfuland he is able to perform a great deal more repetitions of both weight/resistance work. Byweek 3 Fred had improved from a poor start to a broader set of exercises. Hand eyeco-ordination exercises including catch and throw techniques have proved particularlygood for Fred and he likes this element of the sessions.Quote: “I enjoy thecompany of the group.”
David ETarget: Build strength, more flexibility.Sessions attended: 8 / 10Target Achieved: In weeks one to four David could carry out two sets of eight repetitionsusing 1 kg, which has improved to between 2-3 kg in repetitions of 10-12. Free weight’s:David has increased well using 3 kilos. He has alsoimproved markedly in trunk and core stability and all generalshoulder rehabilitation exercises including arm curl and weighted lateral raises.Trainers Observations: David has improved his strength through set circuit routines using theKinesis wall and free weights. David has a particular problem with his shoulder and neededto improve overall strength for daily living tasks.Quote: “I feel I have improved physically and find the group to beencouraging and very sociable.”
Patrick Target: To prevent arm shaking and to be able to wash independently. Sessions attended: 9 / 10 Target Achieved: Patrick achieved his objective of reducing his arm and hand tremor. Trainers Observations: By using resistance bands, Patrick undertook early resistance work to help develop locomotive control and muscular co-ordination. He progressed to weight/resistance exercise and external arm rotation in order to consolidate full function. He now enjoys his new found ability and has gained a great deal more understanding of what could be achieved. Always inquisitive of techniques he plays an active part in the group and his self help strategy.Quote: “I’m happy with the Kinesis Suite and am experiencing good results. I feel that the advice and helpgiven is beneficial and that the atmosphere was good as everybody encouraged each other. It is also a sociableevent.”
QuotesBrenda ‘I have improved & Leonard ‘I think its great I really look forward to the would just be at home session every week’ sitting watching t v’Joy (carer)‘ it’s the first time Jeane’ I have enjoyed the Shaun and I have been group and the able to do something encouragement it gives to together that we both everyone. Since enjoy since his stroke’ attending I have gained better movement. Our needs are dealt with understandingly.
Impact?• Group has raised • 1 carer has returned to work. £ 1,500 to be able to continue the • Other local organisations that Kinesis project. have visited the sessions are• 2 members have returned to now starting to use this method work, 3 members are of exercise including volunteering with other Alzheimers Society, MS Society organisations. • 2 members have joined the• Sessions are proving so main Gym facilities. popular that we are looking at • 3 members now attend weekly how we can increase capacity swimming sessions. to twice weekly sessions. • 1 member learning to drive• 100% increase in exercise again following his stroke. activity for all participants on • An example of how Health, the programme. Social, Private and voluntary• Meets not only National Stroke sector can work together in the Strategy Quality markers for interests of the community long term care but also National improving quality of life for Health & Well Being indicators local people.
Thank you – Reports, Advice & any further Information available fromPhil CollisTel:07852856498Email: firstname.lastname@example.orgComing soonWeb: www.philhadastroke.tv