Conclusion

Here I will give a brief overview of the sections found in this blog. Also, I will link the information together and form a conclusion based on my hypothesis that will underline the need for such a rehabilitation centre, and finally define my design brief.

Research

Scoliosis is a condition that causes abnormal spine curvature in adolescents and is encountered in 3% of the world’s population. The curvature is either ‘C’ or ‘S’ shaped and causes asymmetrical body posture. The main treatment/preventative methods are: observation, early detection, posture correction using physical exercises and swimming, back brace, and in severe cases where curvature exceeds 45 degrees – spinal fusion surgery. Some additional methods include body massages, acupuncture, osteopathy, crystal therapy, quantum touch. Precedent studies explore various design aspect concerning spaces, materials (including cast making), lighting and the reuse of historical buildings. The cast plays an integral part in scoliosis treatment and can be a source of inspiration for the ergonomics aspect of the design of the rehabilitation centre. The research section is capped off with a look into what constitutes a ‘healing’ architectural environment. It explores in more depth such factors like the effect of lighting, acoustics, ergonomics, the use of flora, as well as provides visual examples illustrating the discussed areas.

Primary research

I have interviewed a scoliosis expert, three young adults with the condition, as well as conducted two questionnaires on the topic of scoliosis. First questionnaire was targeted at the general public and was focused on the awareness level. The second questionnaire was specifically aimed at those with scoliosis and focused mainly on their physical and emotional experiences. The interviews and questionnaires helped me draw a better picture of the aspects that must be included in the design of a scoliosis rehabilitation centre.

Case studies

One of the first case studies that I have decided to investigate is Alvar Aalto Paimio Sanatorium for tuberculosis, which is famous for its functionality and ergonomics of the space. This sanatorium is well thought through, designed to specifically provide for the need of tuberculosis patients. It creates specific atmospheres for different parts of the complex using colour patterns and natural lighting. The second example is the Herzog & de Meuron REHAB Centre for Spinal Cord and Brain Injuries. The main features of this rehabilitation centre are: use of wood for most of the construction, introduction of gardens into the building, use of open and easily accessible spaces. One of the main goals is to create a welcoming environment for the patients so they could feel like at home. The third case study I analysed is a pair of Maggie’s Cancer Centres, one in Fife, another in Glasgow, Scotland. With the quirky use of natural light and shapes, the cancer centre in Fife creates a warm and comfortable space inside. The centre in Glasgow is completely different-looking single-storey building that blends in with the surroundings, as well as brings the nature into the inner courtyard. Yet it is also very warm and welcoming and has great accessibility inside.

Proposed sites

In total four sites were proposed to be remade into a scoliosis rehabilitation centre: 55-59 Castle Boulevard, Nottingham; J. B. Spray & Co., Nottingham; Victorian Mill, Russell St., Nottingham; Canal Warehouse, Nottingham. Out of them, the former Canal Warehouse, and now a bar/restaurant, was chosen as the most suitable site. The decision was influenced by a number of factors: convenient central location, quick access to bus and train stations, next to an actively used canal; interesting architectural features, such as a canal basin going inside the building, large open spaces inside, unconventional style; available car park; large outside area next to the canal; main windows facing south.

Conclusion

The question that I have set out to answer in this project is: how can we design a space purely responding to the specific needs of scoliosis rehabilitation? I have gained a broad understanding of the struggles and desires that scoliosis patients have from the interviews and questionnaires, as well as from my own experience. From the case studies I have learned that a rehabilitation centre must have a warm and welcoming atmosphere, where patients would feel positive, secure and cared for in all aspects of their daily lives. This can be achieved with the use of forms, open spaces that gather natural light, are interesting and can create a story. Taking into account that the patients in question are mostly kids and teenagers, the public spaces would have to be vibrant, exciting and interesting. There would also be a need for cosy solitary spaces for patients to relax and reflect upon their experiences.

Design brief

User: Children with scoliosis (ages 11-16)

Service provided:

Treatments (swimming, exercises, breathing therapy, cast making)
Rehabilitation after surgery 1-2 months, living aspect.
A place to talk and relax from the treatments.

Spaces: Meeting points, seminar room, treatment, private and relaxation areas.

Activities: Interaction with others, treatments, relaxation, visual aids, walking distances, etc.

Site: Four floors, outside area near the canal, car park.

Materials that will incorporate: Cast, concrete, plaster, timber and existing brickwork.

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