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.

1. Living with Stroke

2. Thurrock Stroke Project
Working together Improving Life
After Stroke

3. 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

4. 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

5. Fred
Target: Interaction with others, generally to be able to do more in general life.
Sessions attended: 7 / 10
Target Achieved: Fred has made remarkable progress in a social context.
Before the group met, Fred had indicated
that he spent a lot of time at home and was not getting out and about anymore. He has
progressed to some degree physically, but emotionally and socially he is a great deal
more enthusiastic about the future and his life quality.
Trainers Observations: Fred is now able to carry out a wide variety of balance challenges
and cognitive exercise rehearsals. The use of circuit based exercise has proved helpful
and he is able to perform a great deal more repetitions of both weight/resistance work. By
week 3 Fred had improved from a poor start to a broader set of exercises. Hand eye
co-ordination exercises including catch and throw techniques have proved particularly
good for Fred and he likes this element of the sessions.
Quote: “I enjoy the
company of the group.”

6. David E
Target: Build strength, more flexibility.
Sessions attended: 8 / 10
Target Achieved: In weeks one to four David could carry out two sets of eight repetitions
using 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 also
improved markedly in trunk and core stability and all general
shoulder rehabilitation exercises including arm curl and weighted lateral raises.
Trainers Observations: David has improved his strength through set circuit routines using the
Kinesis wall and free weights. David has a particular problem with his shoulder and needed
to improve overall strength for daily living tasks.
Quote: “I feel I have improved physically and find the group to be
encouraging and very sociable.”

7. 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 help
given
is beneficial and that the atmosphere was good as everybody encouraged each other. It is also a sociable
event.”

9. Quotes
Brenda ‘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.

10. 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 Alzheimer's 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.

11. Thank you – Reports, Advice & any
further Information available from
Phil Collis
Tel:07852856498
Email: philcollis@gmail.com
Coming soon
Web: www.philhadastroke.tv