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ATHLETE REHABILITATION CENTER
                               LOCATION: UAE
FEASABILITY STUDY




                    SHAFIYA RIZWAN 200710923
DEFINITION
  Rehabilitation is a treatment or treatments designed to facilitate the process of recovery
             from injury, illness, or disease to as normal a condition as possible.

                                        An athlete rehabilitation center provides the
                                       necessary facilities for athletes and the general
                                      population to facilitate their recovery from sports-
                                                        related injuries.


                                      Rehabilitation includes various modalities; physical and
                                                           psychological.


                                  LOCATION                                  United Arab Emirates
                                  THE USERS          Primary: Athletes Secondary: P.T. Patients
                                  CLIENTS
                                   UAE Athletic Federation
                                   Land developer / Owner
                                   Sports Council (Emirate
                                  wise)
KEY LOCATIONAL ADVANTAGES
The United Arab Emirates has developed a keen interest in various kinds of sports. There
are of course innumerable reasons for such a diverse range of interests;

-The UAE is an ethnically diverse country and thus sports are popular due to nationality
interests, eg. Cricket is extremely popular due to a huge Indian expat base.

-Various traditional sports are still promoted keeping the national spirit alive

-Some sports are those that have a generally wide fan base, eg. Football

-Growing target population: The UAE has the second highest rate of diabetes worldwide
and more than 68 per cent of the population are classified as either overweight or obese.
In an effort to tackle these problems the UAE recently made physical activity and exercise
programs compulsory in schools. [1]

-There are more potential professional athletes who are choosing to remain in the UAE
rather than leave and gain training overseas. [1]

-The recent economic downturn has countries like the UAE (which were deeply affected
by the financial crisis) looking forward to the investment in the fast growing and
extremely profitable sports sector.

                                             Source: [1] http://www.austrade.gov.au/Sports-to-the-United-Arab-Emirates/default.aspx
-The UAE is at an 8 hour flight for more than half the world's population and coupled with
it’s sunny weather makes it an attractive prospect for rehabilitation.
                                                          Source: Interview, Maurice Flanagan's Emirates Airline
Below is statistical data listing the top ten most   All these factors add up to support that the
popular sports in the country;                       project is feasible for the UAE and it’s
                  Sports       Following (%)         present and future development strategy
      Football                     45.20
                                                        The REHAB Market
      Cricket                      35.23

      Swimming                     24.04                 With over 10 million severely disabled
                                                        people among the Arab population, the
      Basketball                   20.15
                                                        market for Arab rehabilitation products -
      Car racing                   19.28                spurred by a series of rehabilitation
      Boxing                       18.52                projects undertaken by the governments -
                                                        is today estimated to be around $7 billion
      Aerobics / Keep Fit          18.06
                                                        annually.
      Athletics                    17.63

      Yoga                         17.44
                                                         The deals value generated during REHAB
                                                        2010 was over 500 million dhs.
      Tennis                       15.73

   An example of the popularity of sports and an         REHAB emphasizes the integration of
   existing athlete population;                         various elements of success, in terms of
    There are 12 football clubs in the UAE, this is    economic, trade, health, tourism which will
   quite high when compared to the population           motivate the country’s economy because of
   and the size of the country. Australia has the       its great economic returns.
   same no. of football clubs.                                                 Source; The REHAB Forum, Dubai
FUNCTIONAL STUDY
TERMINOLOGY
A.   EMG: An acronym for Electromyogram. This is a test to evaluate nerve and muscle function.

B.   NCS: An acronym for Nerve Conduction Studies. A test commonly used to evaluate the function, especially the
     ability of electrical conduction, of the motor and sensory nerves of the human body.

C.   Functional Area: The grouping of rooms and spaces based on their function within a clinical service. Typical
     Functional Areas are Reception Areas, Patient Areas, Support Areas, Staff and Administrative Areas, and
     Residency Program.




 PLANNING AND DESIGN CONSIDERATIONS
     A. Consideration should be given to combining areas of common use in order to maximize efficiency of space.

     B. Physical Medicine and Rehabilitation Services should be located near the main entrance to the facility in
     order to decrease the travel distance for patients with mobility limitations.
Athlete
                                                  Rehabilitation
                                                     Center



                                           Physical            Outdoor                 Inpatient
                  Administration
                                           Therapy           Rehabilitation            Facilities




                                                  Rehabilitative         Counselor
Imaging                                                                                             Nutritionist
                                                    Facilities          (Psychiatry)




            Physical        Conditioning/
EMG/NCS                                           Hydrotherapy         Swimming Pool                  Sauna
          Therapy Gym        Fitness Gym




                            Hydrotherapy                                  Hubbard
                                                      Whirlpool          Immersion
                                   Pool                                    Tank
Fig: Diagrammatic explanation of facilities
                                          OUTDOOR
                                           REHAB.                INPATIENT
                                                                 FACILITIES



                                      FITNESS
                                      CENTER                         SWIMMING
                                                                       POOL
                                GYM
                                                             Hydro
                                                             Ther.
                                SPORT
                                 HALL
                                                               P.T.
           EMG/
            NCS      IMAGING SUITE


                                 Admin.
                                                             Nutr.
                                                Rec.
                                                                                PATIENT ACCESS
                                                                                COMMUNITY ACCESS

                                                  ENTRANCE
REHAB GYMNASIUM
EQUIPMENTS
o Exercise bicycle (Bike: Upright and Reclining)
o Exercise Stairs (Steps: with rail and without rail)
o Parallel Bars
o Treadmill
o Rower
o Table with armgrinders
o Plinth
o Weight racks: wall space
o Pulley weights (wall mounted)
o Steel Mesh (wall and ceiling mounted)
DESCRIPTION AND FUNCTION
A room for patient evaluation, rehabilitation exercise activities, ambulation
training and group exercises and classes.
Natural light and an external outlook are highly desirable.
LOCATION AND RELATIONSHIPS
The Gymnasium shall be located close to other patient therapy areas with ready
access to a disabled access toilet, cold water dispenser, the circulation corridor,
Unit entry and waiting areas. And to Rehabilitation Ward where provided.
CONSIDERATIONS
Body protected electrical areas.
Empty areas for other rehab procedure (eg. Medicinal ball treatment)
TYPICAL ARRANGEMENT OF FACILITY
         TYPICAL ARRANGEMENT OF FACILITY
TYPICAL ARRANGEMENT OF EQUIPMENTS (FITNESS/CONDITIONING GYM)




 KEY:
 General Fitness   Weight Training   Exercise Stations   Aerobic Machines
ATHLETIC FACILITIES (PITCHES, SPORT HALLS, ETC.)

• SOCCER FIELD

• RUNNING TRACK

• CRICKET PITCH

• TENNIS

• SWIMMING

• SPORTS HALLS

• LIBRARY, A/V ROOMS AND CENTRAL AMENITIES
SOCCER FIELD AND RUNNING
TRACK DIMENSIONS
    Lane width for single track:
             1.25m

Depending on what’s required a
straight 100m track could also be
constructed instead of a 400m
semicircular one.
SITE SELECTION
                                LOCATION: UAE




PROSPECTIVE SITES (Emirates):
       ABU DHABI
          DUBAI
ABU DHABI
 INTRODUCTION
 Dubai, Abu Dhabi and Sharjah which are three of the seven emirates of United Arab Emirates are the
 most crowded emirates. These three emirates account for about 84% of the total population. The
 population at United Arab Emirates is mostly urban in nature.

 KEY ADVANTAGES OF CHOOSING A LOCATION IN ABU DHABI

  Keen interest in developing it’s sports infrastructure, i.e., promoting internal sports activities
 and attracting sports tourism
                                        Rank            City Name            Emirate               Pop.
  A sizeable population                  1          Dubai              Dubai              1,770,533
                                           2         Abu Dhabi          Abu Dhabi          896,751
  No such existing facility
                                           3         Sharjah            Sharjah            845,617

  Injury statistics indicate an           4         Al Ain             Abu Dhabi          374,000
 existing patient database                 5         Ajman              Ajman              372,923
 (REFER TO HEALTH STATISTICS               6         Ras Al Khaimah     Ras al Khaimah     171,903
 REPORT, NEXT SLIDE)                       7         Fujairah           Fujairah           107,940
                                           8         Um Al Quwain       Um Al Quwain       69,936
                                           9         Khor Fakkan        Sharjah            49,635
                                          10         Dibba              Fujairah           30,000

                                                                       Source; www.wikipedia.org, 2008 estimate
Abu Dhabi has a fragmented sports distribution approach with facilities being distributed over a vast area (refer to maps
below). This makes it hard to choose an optimum
location if one considers proximity to facilities.




                                   The other problem is that the city itself is completely congested with no open
                                   undeveloped site available that would be would enough for an athlete
                                   rehabilitation center. This leaves us with little choice except to choose a site that
                                   is located on the outskirts of the city.
SITE I: ZOOMED IN




                                            Suggested Area




After keeping into account the aforementioned factors I
have chosen the marked site (highlighted in red), as the
most plausible one in Abu Dhabi. It’s location serves as
a compromise between all the fragmented facilities
(refer to map on bottom right) and accessibility from
other Emirates.
DUBAI
 KEY ADVANTAGES OF CHOOSING A LOCATION IN DUBAI
  Keen interest in developing it’s sports infrastructure, i.e., promoting internal sports activities and
 attracting sports tourism

 By population Dubai is the largest emirate in the UAE.

  A high influx of injury patients in hospitals indicate an
 existing patient database.

  Most ethnically diverse city. This gives it an advantage over any other emirate, as diversity accounts for a
 wide variety of sports interest.

  Dubai has the advantage of being centrally located from Abu Dhabi and Sharjah which are the most
 populated cities in the UAE after Dubai itself.

  Dubai’s concept of building cities within a city, has created a more organised rather than fragmented
 infrastructure.

  Dubai Healthcare city also houses specialised medical
 research and treatment facilities making it a feasible
 option.

  The government is also interested in attracting
 professional athletes, clubs, international councils
 for a permanent set-up in Dubai. This further calls for a
 permanent and advanced rehabilitation center to cater
 to the needs of the incoming athlete population.
SITE II
  This site is chosen based on its proximity to all areas in the city in general. It is adjacent to the Nad Al
 Sheba racecourse and is at a distance of around 20 to 25 km from Dubai Sports City and Dubai Motor City.




                                           Suggested Area
SITE III
  Acts as an annex between Dubai sports city, Dubailand, Dubai motor city and the Emirates golf course.
 This would not only save expenditure (avoidance of multiple rehab centers investments) but also channel
 more effort and facilities into one project.




                                                      Motor city

                           Sports city


                                                                            Dubailand
                                  Suggested Zone
          Emirates Golf
             Course
FACTORS
 DESCRIPTION   PRIORITY       1ST SITE   2ND SITE 3RD SITE
  ATHLETIC / TARGET
    POPULATION
                        10       7          8        10
PROXIMITY TO AND NO.
    OF HOSPITALS
                        3        1          2        2
 MUNICIPALITY ZONING
     STANDARDS
                        10       3          7        10
     LEGIBILITY         9       6          7          9
    ACCESSIBILITY       8       6          6          7
ROOM FOR EXPANSION      10      10         9          9
    NOISE LEVELS        7       6          5          5
VISUAL ENVIRONMENT      8       3          8          7
      TOTAL             65      42         52        59
  PERCENTAGE           100%    65%        80%       91%
SELECTED SITE: SITE III
Considering all factors Site III is the most plausible location because of the following reasons:

1. It is located in proximity to the E311 (Emirates Road) highway which connects all emirates together.
   This makes it extremely accessible especially when one considers the central location of Dubai in the
   UAE (Site I and II do not have this advantage).
2. The development would be in line with the development plans of the area, cities within a city
   concept.

3. The area is the most concentrated in terms of
   sports facilities available and thus it only makes
   sense to have a rehabilitation center in
   proximity.

4. A large population and ethnically diverse
   population gives Dubai an edge over Abu Dhabi
   in terms of potential users available and the
   variety of sports played.

5. Dubai not only has a keen interest in developing
   it’s sports tourism but is also attracting
   international sports councils and sports
   academies, this definitely means that the patient
   database is likely to be greater than in any other
   emirate.
 Dubai sports city is one of the most inclusive sports city projects in the world and one of it’s
kind. It will also house sports academies, thus it will also be a hub for non professional sports
or upcoming athletes. This will add to the target population of the proposed rehab center.

 Dubai Motor City and Emirates Golf Estates also lie adjacent to Dubai Sports City and the
proposed site. This further indicates that the site around is an active sporting hub making it all
the more feasible for a rehabilitation center.

 The intention is to also attract international teams to use the facilities for training purposes.
This furthers the cause of building a rehabilitation center.

 Currently plans exist for multiple rehabilitation facilities. Having one integrated facility
would not only save expenditure but also channel more effort into one project.
SITE SURROUNDINGS
SPORTS CITY LANDMARKS
  State of the art medical facilities have been
planned but are incorporated within the sports
 city without incident (refer to map on right).
CASE STUDIES
CASE STUDY I

PROJECT: Beit-Halochem Rehabilitation
Center

LOCATION: Be’er Sheva, Israel

ARCHITECTS: Kimmel-Eshkolot Architects

PROJECT AREA: 6,000 sqm

PROJECT YEAR: 2008 – 2011

AWARDS AND RECOGNITIONS: RECHTER
ARCHITECTURE Prize Winner 2011
AREA OF SITE: 18,000 sqm
BUILT AREA: 6,000 sqm

MAIN FUNCTIONS

 Society and Community -
auditorium, classrooms, workshops, club

 Rehabilitation - physiotherapy, pool
therapy, massage, clinic

 Sports - basketball court, swimming
pool, gym, billiards, table tennis, gymnastics

 Support and services - cafeteria, changing
rooms, management and maintenance
CONCEPTUAL DESIGN




 “Desert sun and arid scenery served us as a source of inspiration to design composition of rock-like volumes
                                          that are grouped together.”
 The building divides the site into new topographies, creating two ground floors on two different levels
that are integrated to each other by the architecture of the building. This creates a highly permeable and
active environment even for those with special needs.
 These ‘rocks’ accommodate the quiet and intimate functions of the rehabilitation center, whereas the
negative spaces between them serve as gathering spaces and the circulation of the building itself.




                                                   The functional spaces seem to be thrown around the
                                                  lobby creating a light permeable environment in contrast
                                                  with the thick walled exterior rock-like forms of the
                                                  building. The main considerations to planning like the
                                                  proximity of the Physiotherapy area to the main lobby
                                                  have been considered.
 The only double volume buildings are the one
containing the sports hall and the swimming pool.
 The yellow path shows the clear bridged connection
between all the buildings. This allows for the creation of
an ever-changing external-internal and permeable
environment.
The use of the horizontal roof
is not only aesthetic but also
functional. The project lies in
the hot Negev desert which
makes two things absolutely
compulsory;
 Thick walls to provide
shelter against the climate
 Light- material roof and
overhangs, solid / louvred to
protect interior areas and
create shaded exterior

                                  Between the rock like forms stretches a thin horizontal roof, and a
                                  courtyard is formed.




                                  Ramps are used throughout the project for easier accessibility and have
                                  a defining character. They are loud gestures and are not pushed into
                                  one corner as a compromise.
 In major areas where stairs are used they are broken down into steps of three, is used by recuperating this
would serve as an outdoor exercise alternative.

                                                 B




                                             A
 The use of heavy
concrete with
lightweight wood
creates a balanced
architectural and
aesthetic feel to
the whole project
 Light- material bridges, span over public spaces connected to
project parts
 There is a seamless integration with the external desert
environment (refer to image on top and bottom left). The idea is
to use the soothing effect of the natural external environment
during the rehab process.
CASE STUDY II

PROJECT: National Intrepid Center of
Excellence


LOCATION: Bethesda, Maryland


ARCHITECTS: SmithGroup

PROJECT AREA: 6,689 sqm

PROJECT YEAR: 2010
 PT area closely connected to
                                           entrance

                                            The architects concentrated
                                           the diagnostic, treatment, and
                                           support spaces in an L-shaped
                                           wing whose legs bracket the
                                           main lobby and circulation
                                           area




 Use of internal voids and double
volume gives a sense of
transparency to the whole building


 The center's imaging suite
anticipates changes in technology and
equipment with ten-foot knockout
panels. In addition, the architects
allotted extra space—currently used
for research—to the suite so that it can
add an upgraded MRI or hyperbaric
chamber in the future.
 Avoids the institutional look. Use of natural
                                              materials like wood gives a homely feeling.

                                               At the lobby, the curtain wall takes on a
                                              serpentine shape, its curves echoed on the
                                              interior by a freestanding wood-clad enclosure
                                              that houses physical therapy, the
                                              auditorium, and the chapel.




 A highly penetrable exterior volume
with a closed interior. This gives patients
the feeling of privacy without suffocation.
CASE STUDY III
PROJECT: Rehabilitation Centre Groot Klimmendaal

LOCATION: Forest (outside Arnhem), The Netherlands

ARCHITECTS: Architectenbureau Koen van Velsen BV

PROJECT AREA: 14,000 sqm

PROJECT YEAR: 2011

AWARDS AND RECOGNITIONS:
   I. Finalist, 2011 Mies van der Rohe Award
   II. Building of the Year 2010 by the Dutch
       Association of Architects
   III.Winner, first Hedy d’Ancona Award 2010 for
       excellent healthcare architecture
   IV.Winner, Arnhem Heuvelink Award 2010 and
       Dutch Design Award 2010 public award and
       category commercial interior
“Rehabilitation Medical Center (RMC)
Big Klimmendaal provides specialist
rehabilitation care
for children, adolescents and adults wi
th a (potential) limitations in order
optimally to participate in society..”




  The building starts of with a small
 footprint and evolves into a multiple
 cantilevered masses at the top. These
 masses cut out into the surrounding
 terrain.
                                             “‘Groot Klimmendaal’ can be found standing as a quiet deer in between
                                          trees… Despite its size, the brown-golden anodized aluminum facade allows
                                            the nearly 14,000sqm building to blend in with its natural surroundings.”

                                                   The building program is stacked up vertically. The distribution is
                                                  extremely clear; below are the offices, above the clinical areas and
                                                  on the roof a Ronald Mcdonald house.

                                                     Storey (inpatient)
                                                   Therapy Layer
                                                 Special Functions
                                                Management layer
 PT and other therapeutic areas are placed at level 0 for easy access (community + internal)
 Ramps are placed throughout the project for patient access. Small number of steps placed
around also for exercise.
 The services (3, 4, 5) are also meant to be used by the community, hence they are placed on
level 0 with external access. This allows the rehab patients to be in touch with the community
and vice versa.
The theatre is also meant to be used for therapeutic treatment.
 Two separate gymnasiums are also placed more conspicuously on
level 2.

      “Revalidation centre “Groot Klimmendaal’ is a coming
   together of both complexity and simplicity with attention for
        physical, practical and social details. Transparency,
    continuity, layering, diversity, the play of light and shadow
      and the experience of nature are all ingredients of this
                     stimulating environment.”
Gymnasium




                          Theatre Swimming Pool Fitness   Gymnasium
                                                Centre
FIG: LONGITUDINAL SECTION THROUGH THE BUILDING
CASE STUDY IV

PROJECT: REHAB, Center for Spinal Cord and
Brain Injuries

LOCATION: Basel, Switzerland

ARCHITECTS: Herzog & de Meuron

PROJECT AREA: 22,890 sqm

PROJECT YEAR: 1999 - 2002
There are 5 courtyards within the orthogonal plan that correspond to various therapy areas, bring daylight to all parts of
the building, and contribute to wayfinding with identifiable plantings and water features.




The connection between the outdoor and the indoor was the primary concern of the architects. Courtyards are used to
orient the whole structure, each leading to different destinations. The entrance is through a large courtyard (a huge
cultivated field), in other words ‘you enter the complex through an outdoor space.’
 From the main lobby, various inner courtyards provide orientation:
one is filled with water, another is clad entirely in wood, the
bathhouse is placed in the third, etc.
                                                  Rooms like the
                                                 bathhouse are
                                                 entirely inwards in
                                                 orientation; placed
                                                 in one of the central
                                                 courtyards like an
                                                 erratic block
                                                 wrapped in black
                                                 rubber.



                                                  The patient rooms
                                                 are arranged around
                                                 the building
                                                 perimeter, with
                                                 ancillary and staff
                                                 functions clustered
                                                 around the plan-
                                                 enclosed courtyards
                                                 that penetrate the
                                                 large floor plate.
Numerous small round holes in the low-slung roof make what looks spectacular
from the outside very intimate from within. The painting workshop and library are
both on the roof to provide views into the distance.




                  Places like the gym or the workshops, as well as the patients'
                  rooms are defined by large windowpanes and views of the
                  landscape, with a seamless transition between inside and
                  outside.
SPATIAL PROGRAM
BENCHMARKS AND CAPACITY
 THERAPIST WORKLOAD
                     No. of visits (8 hour day) = 11 visits
                   Avg. time per patient = 1.375 patients/hr

 PATIENT LOAD (using Dubai as benchmark);
               No. of patients per year = 107,185 patients (2010, DHA statistic)
                        No. of patients per day = 294 patients
               No. of inpatients per year = 5367 patients (2010, DHA statistic)
                  No. of inpatient admissions per day = 15 patients

                Percentage increase in no. of patients from 2009-2010;
                      (103231+3736) / (103449+5367) = 1.73%

 CENTER CAPACITY
                       Max. Handling Capacity = 1500 patients
                         Accommodation capacity = 30 rooms
                       Estimated no. of clinic stops = 70 per day

                                   Note: Area will be left for future expansion depending on the increase in the no. of patients
BUILT-UP AREA
          AREA DESCRIP.                  TOTAL AREA (m2)
          General                                152

          Staff and Admin.                     675.64
          Areas
          Patient Areas                        3869.4

          Services                              1381

          Facilities                           4767.4

          Support Areas                         887.5

          MEP                                   416.5

          TOTAL                              12,149.44



 BUILT-UP AREA = TOTAL AREA + (CIRCULATION + STRUCTURE = 35%)
                          12,149.44 + (12,149.44 x 0.35) =
                                16,401.7 m²
PARKING
 AREA DESCRIP.    NO. OF     AREA PER       NO. OF SPACES   TOTAL AREA (m2)
                  USERS     PERSON (m2)

 Parking (Staff    70           25               ---            1750
 + General)



OPEN FIELDS AND COURTS
 DESCRIP.          NO. OF        LENGTH          WIDTH      TOTAL AREA (m2)
                   SPACES
 Football               1            91.4         54.9          5017.9
 Running Track          1            100          1.25           125
 Cricket Pitch          2            11            3.6           79.2
 Tennis Court           2            37           18.5           1369
 TOTAL                                                         6591.1

                                                                LANDSCAPE
                                                 DEPENDS ON DESIGN DECISIONS
CONCEPT
INTRODUCTION
Considering the most basic principle of rehabilitative
treatment, I came with my concept. That is;

           NERVE / MUSCLE CONDUCTION

Studying the structure of a nerve-muscle connection
diagram (refer to image on right), form of the building
is inspired from the organic movement of the nerves
engulfing the muscles.
DESIGN                                      ENTRANCE
                                                                     The entrance narrows
                                                                     and then widens creating
                                                                     an enclosure which is
                                                                     welcoming for both sides
The form hugging slit like                                           of the center.
openings are inspired from the
cylindrical structure of nerve
branches which envelope the
muscles (aka form).


The environment is dynamic
and so is the form. Openings
have harmonious but unique                           Following the pathway would lead to the
styles and form itself morphs                        outdoor rehabilitative facilities. The
into different shapes and                            widening of the pathway at this point
segments.                                            creates a sense of purpose as the user
                                                     would feel that they are being led to an
                                                     important place.
  The organic, cocoon shaped
  form is inspired from the shape
  of muscles.                           OUTDOOR REHABILITATION




A tight core is created             The branching out of nerves is used to create a symbiotic
between the sides of                transition between the two project parts. The left side
the facilities to create a          focused on; REHABILITATIVE TREATMENT and the right side
social plug in between.             on; ATHLETIC FACILITIES which facilitate the rehabilitative
                                    process.
The concentric shape of the building form has a psychological advantage. It applies the
principle of the closed shape of the circle in a vertical format. This kind of closed yet not
suffocative (due to lack of sharp corners) environment establishes a sense of security and
orientation in the user.
Movement throughout the center is fluid due to the
organic shape of the form. This makes it more
comfortable for the users to physically navigate
around the center.
THANK YOU

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Graduation I Presentation

  • 1. ATHLETE REHABILITATION CENTER LOCATION: UAE FEASABILITY STUDY SHAFIYA RIZWAN 200710923
  • 2. DEFINITION Rehabilitation is a treatment or treatments designed to facilitate the process of recovery from injury, illness, or disease to as normal a condition as possible. An athlete rehabilitation center provides the necessary facilities for athletes and the general population to facilitate their recovery from sports- related injuries. Rehabilitation includes various modalities; physical and psychological. LOCATION United Arab Emirates THE USERS Primary: Athletes Secondary: P.T. Patients CLIENTS  UAE Athletic Federation  Land developer / Owner  Sports Council (Emirate wise)
  • 3. KEY LOCATIONAL ADVANTAGES The United Arab Emirates has developed a keen interest in various kinds of sports. There are of course innumerable reasons for such a diverse range of interests; -The UAE is an ethnically diverse country and thus sports are popular due to nationality interests, eg. Cricket is extremely popular due to a huge Indian expat base. -Various traditional sports are still promoted keeping the national spirit alive -Some sports are those that have a generally wide fan base, eg. Football -Growing target population: The UAE has the second highest rate of diabetes worldwide and more than 68 per cent of the population are classified as either overweight or obese. In an effort to tackle these problems the UAE recently made physical activity and exercise programs compulsory in schools. [1] -There are more potential professional athletes who are choosing to remain in the UAE rather than leave and gain training overseas. [1] -The recent economic downturn has countries like the UAE (which were deeply affected by the financial crisis) looking forward to the investment in the fast growing and extremely profitable sports sector. Source: [1] http://www.austrade.gov.au/Sports-to-the-United-Arab-Emirates/default.aspx
  • 4. -The UAE is at an 8 hour flight for more than half the world's population and coupled with it’s sunny weather makes it an attractive prospect for rehabilitation. Source: Interview, Maurice Flanagan's Emirates Airline
  • 5. Below is statistical data listing the top ten most All these factors add up to support that the popular sports in the country; project is feasible for the UAE and it’s Sports Following (%) present and future development strategy Football 45.20 The REHAB Market Cricket 35.23 Swimming 24.04  With over 10 million severely disabled people among the Arab population, the Basketball 20.15 market for Arab rehabilitation products - Car racing 19.28 spurred by a series of rehabilitation Boxing 18.52 projects undertaken by the governments - is today estimated to be around $7 billion Aerobics / Keep Fit 18.06 annually. Athletics 17.63 Yoga 17.44  The deals value generated during REHAB 2010 was over 500 million dhs. Tennis 15.73 An example of the popularity of sports and an  REHAB emphasizes the integration of existing athlete population; various elements of success, in terms of  There are 12 football clubs in the UAE, this is economic, trade, health, tourism which will quite high when compared to the population motivate the country’s economy because of and the size of the country. Australia has the its great economic returns. same no. of football clubs. Source; The REHAB Forum, Dubai
  • 7. TERMINOLOGY A. EMG: An acronym for Electromyogram. This is a test to evaluate nerve and muscle function. B. NCS: An acronym for Nerve Conduction Studies. A test commonly used to evaluate the function, especially the ability of electrical conduction, of the motor and sensory nerves of the human body. C. Functional Area: The grouping of rooms and spaces based on their function within a clinical service. Typical Functional Areas are Reception Areas, Patient Areas, Support Areas, Staff and Administrative Areas, and Residency Program. PLANNING AND DESIGN CONSIDERATIONS A. Consideration should be given to combining areas of common use in order to maximize efficiency of space. B. Physical Medicine and Rehabilitation Services should be located near the main entrance to the facility in order to decrease the travel distance for patients with mobility limitations.
  • 8. Athlete Rehabilitation Center Physical Outdoor Inpatient Administration Therapy Rehabilitation Facilities Rehabilitative Counselor Imaging Nutritionist Facilities (Psychiatry) Physical Conditioning/ EMG/NCS Hydrotherapy Swimming Pool Sauna Therapy Gym Fitness Gym Hydrotherapy Hubbard Whirlpool Immersion Pool Tank
  • 9. Fig: Diagrammatic explanation of facilities OUTDOOR REHAB. INPATIENT FACILITIES FITNESS CENTER SWIMMING POOL GYM Hydro Ther. SPORT HALL P.T. EMG/ NCS IMAGING SUITE Admin. Nutr. Rec. PATIENT ACCESS COMMUNITY ACCESS ENTRANCE
  • 10. REHAB GYMNASIUM EQUIPMENTS o Exercise bicycle (Bike: Upright and Reclining) o Exercise Stairs (Steps: with rail and without rail) o Parallel Bars o Treadmill o Rower o Table with armgrinders o Plinth o Weight racks: wall space o Pulley weights (wall mounted) o Steel Mesh (wall and ceiling mounted) DESCRIPTION AND FUNCTION A room for patient evaluation, rehabilitation exercise activities, ambulation training and group exercises and classes. Natural light and an external outlook are highly desirable. LOCATION AND RELATIONSHIPS The Gymnasium shall be located close to other patient therapy areas with ready access to a disabled access toilet, cold water dispenser, the circulation corridor, Unit entry and waiting areas. And to Rehabilitation Ward where provided. CONSIDERATIONS Body protected electrical areas. Empty areas for other rehab procedure (eg. Medicinal ball treatment)
  • 11. TYPICAL ARRANGEMENT OF FACILITY TYPICAL ARRANGEMENT OF FACILITY
  • 12. TYPICAL ARRANGEMENT OF EQUIPMENTS (FITNESS/CONDITIONING GYM) KEY: General Fitness Weight Training Exercise Stations Aerobic Machines
  • 13. ATHLETIC FACILITIES (PITCHES, SPORT HALLS, ETC.) • SOCCER FIELD • RUNNING TRACK • CRICKET PITCH • TENNIS • SWIMMING • SPORTS HALLS • LIBRARY, A/V ROOMS AND CENTRAL AMENITIES
  • 14. SOCCER FIELD AND RUNNING TRACK DIMENSIONS Lane width for single track: 1.25m Depending on what’s required a straight 100m track could also be constructed instead of a 400m semicircular one.
  • 15. SITE SELECTION LOCATION: UAE PROSPECTIVE SITES (Emirates): ABU DHABI DUBAI
  • 16. ABU DHABI INTRODUCTION Dubai, Abu Dhabi and Sharjah which are three of the seven emirates of United Arab Emirates are the most crowded emirates. These three emirates account for about 84% of the total population. The population at United Arab Emirates is mostly urban in nature. KEY ADVANTAGES OF CHOOSING A LOCATION IN ABU DHABI  Keen interest in developing it’s sports infrastructure, i.e., promoting internal sports activities and attracting sports tourism Rank City Name Emirate Pop.  A sizeable population 1 Dubai Dubai 1,770,533 2 Abu Dhabi Abu Dhabi 896,751  No such existing facility 3 Sharjah Sharjah 845,617  Injury statistics indicate an 4 Al Ain Abu Dhabi 374,000 existing patient database 5 Ajman Ajman 372,923 (REFER TO HEALTH STATISTICS 6 Ras Al Khaimah Ras al Khaimah 171,903 REPORT, NEXT SLIDE) 7 Fujairah Fujairah 107,940 8 Um Al Quwain Um Al Quwain 69,936 9 Khor Fakkan Sharjah 49,635 10 Dibba Fujairah 30,000 Source; www.wikipedia.org, 2008 estimate
  • 17. Abu Dhabi has a fragmented sports distribution approach with facilities being distributed over a vast area (refer to maps below). This makes it hard to choose an optimum location if one considers proximity to facilities. The other problem is that the city itself is completely congested with no open undeveloped site available that would be would enough for an athlete rehabilitation center. This leaves us with little choice except to choose a site that is located on the outskirts of the city.
  • 18. SITE I: ZOOMED IN Suggested Area After keeping into account the aforementioned factors I have chosen the marked site (highlighted in red), as the most plausible one in Abu Dhabi. It’s location serves as a compromise between all the fragmented facilities (refer to map on bottom right) and accessibility from other Emirates.
  • 19. DUBAI KEY ADVANTAGES OF CHOOSING A LOCATION IN DUBAI  Keen interest in developing it’s sports infrastructure, i.e., promoting internal sports activities and attracting sports tourism By population Dubai is the largest emirate in the UAE.  A high influx of injury patients in hospitals indicate an existing patient database.  Most ethnically diverse city. This gives it an advantage over any other emirate, as diversity accounts for a wide variety of sports interest.  Dubai has the advantage of being centrally located from Abu Dhabi and Sharjah which are the most populated cities in the UAE after Dubai itself.  Dubai’s concept of building cities within a city, has created a more organised rather than fragmented infrastructure.  Dubai Healthcare city also houses specialised medical research and treatment facilities making it a feasible option.  The government is also interested in attracting professional athletes, clubs, international councils for a permanent set-up in Dubai. This further calls for a permanent and advanced rehabilitation center to cater to the needs of the incoming athlete population.
  • 20.
  • 21. SITE II  This site is chosen based on its proximity to all areas in the city in general. It is adjacent to the Nad Al Sheba racecourse and is at a distance of around 20 to 25 km from Dubai Sports City and Dubai Motor City. Suggested Area
  • 22. SITE III  Acts as an annex between Dubai sports city, Dubailand, Dubai motor city and the Emirates golf course. This would not only save expenditure (avoidance of multiple rehab centers investments) but also channel more effort and facilities into one project. Motor city Sports city Dubailand Suggested Zone Emirates Golf Course
  • 23. FACTORS DESCRIPTION PRIORITY 1ST SITE 2ND SITE 3RD SITE ATHLETIC / TARGET POPULATION 10 7 8 10 PROXIMITY TO AND NO. OF HOSPITALS 3 1 2 2 MUNICIPALITY ZONING STANDARDS 10 3 7 10 LEGIBILITY 9 6 7 9 ACCESSIBILITY 8 6 6 7 ROOM FOR EXPANSION 10 10 9 9 NOISE LEVELS 7 6 5 5 VISUAL ENVIRONMENT 8 3 8 7 TOTAL 65 42 52 59 PERCENTAGE 100% 65% 80% 91%
  • 24. SELECTED SITE: SITE III Considering all factors Site III is the most plausible location because of the following reasons: 1. It is located in proximity to the E311 (Emirates Road) highway which connects all emirates together. This makes it extremely accessible especially when one considers the central location of Dubai in the UAE (Site I and II do not have this advantage). 2. The development would be in line with the development plans of the area, cities within a city concept. 3. The area is the most concentrated in terms of sports facilities available and thus it only makes sense to have a rehabilitation center in proximity. 4. A large population and ethnically diverse population gives Dubai an edge over Abu Dhabi in terms of potential users available and the variety of sports played. 5. Dubai not only has a keen interest in developing it’s sports tourism but is also attracting international sports councils and sports academies, this definitely means that the patient database is likely to be greater than in any other emirate.
  • 25.  Dubai sports city is one of the most inclusive sports city projects in the world and one of it’s kind. It will also house sports academies, thus it will also be a hub for non professional sports or upcoming athletes. This will add to the target population of the proposed rehab center.  Dubai Motor City and Emirates Golf Estates also lie adjacent to Dubai Sports City and the proposed site. This further indicates that the site around is an active sporting hub making it all the more feasible for a rehabilitation center.  The intention is to also attract international teams to use the facilities for training purposes. This furthers the cause of building a rehabilitation center.  Currently plans exist for multiple rehabilitation facilities. Having one integrated facility would not only save expenditure but also channel more effort into one project.
  • 27. SPORTS CITY LANDMARKS State of the art medical facilities have been planned but are incorporated within the sports city without incident (refer to map on right).
  • 29. CASE STUDY I PROJECT: Beit-Halochem Rehabilitation Center LOCATION: Be’er Sheva, Israel ARCHITECTS: Kimmel-Eshkolot Architects PROJECT AREA: 6,000 sqm PROJECT YEAR: 2008 – 2011 AWARDS AND RECOGNITIONS: RECHTER ARCHITECTURE Prize Winner 2011
  • 30. AREA OF SITE: 18,000 sqm BUILT AREA: 6,000 sqm MAIN FUNCTIONS  Society and Community - auditorium, classrooms, workshops, club  Rehabilitation - physiotherapy, pool therapy, massage, clinic  Sports - basketball court, swimming pool, gym, billiards, table tennis, gymnastics  Support and services - cafeteria, changing rooms, management and maintenance
  • 31. CONCEPTUAL DESIGN “Desert sun and arid scenery served us as a source of inspiration to design composition of rock-like volumes that are grouped together.”  The building divides the site into new topographies, creating two ground floors on two different levels that are integrated to each other by the architecture of the building. This creates a highly permeable and active environment even for those with special needs.
  • 32.  These ‘rocks’ accommodate the quiet and intimate functions of the rehabilitation center, whereas the negative spaces between them serve as gathering spaces and the circulation of the building itself.  The functional spaces seem to be thrown around the lobby creating a light permeable environment in contrast with the thick walled exterior rock-like forms of the building. The main considerations to planning like the proximity of the Physiotherapy area to the main lobby have been considered.
  • 33.  The only double volume buildings are the one containing the sports hall and the swimming pool.  The yellow path shows the clear bridged connection between all the buildings. This allows for the creation of an ever-changing external-internal and permeable environment.
  • 34. The use of the horizontal roof is not only aesthetic but also functional. The project lies in the hot Negev desert which makes two things absolutely compulsory;  Thick walls to provide shelter against the climate  Light- material roof and overhangs, solid / louvred to protect interior areas and create shaded exterior Between the rock like forms stretches a thin horizontal roof, and a courtyard is formed. Ramps are used throughout the project for easier accessibility and have a defining character. They are loud gestures and are not pushed into one corner as a compromise.
  • 35.  In major areas where stairs are used they are broken down into steps of three, is used by recuperating this would serve as an outdoor exercise alternative. B A
  • 36.  The use of heavy concrete with lightweight wood creates a balanced architectural and aesthetic feel to the whole project  Light- material bridges, span over public spaces connected to project parts  There is a seamless integration with the external desert environment (refer to image on top and bottom left). The idea is to use the soothing effect of the natural external environment during the rehab process.
  • 37. CASE STUDY II PROJECT: National Intrepid Center of Excellence LOCATION: Bethesda, Maryland ARCHITECTS: SmithGroup PROJECT AREA: 6,689 sqm PROJECT YEAR: 2010
  • 38.  PT area closely connected to entrance  The architects concentrated the diagnostic, treatment, and support spaces in an L-shaped wing whose legs bracket the main lobby and circulation area  Use of internal voids and double volume gives a sense of transparency to the whole building  The center's imaging suite anticipates changes in technology and equipment with ten-foot knockout panels. In addition, the architects allotted extra space—currently used for research—to the suite so that it can add an upgraded MRI or hyperbaric chamber in the future.
  • 39.  Avoids the institutional look. Use of natural materials like wood gives a homely feeling.  At the lobby, the curtain wall takes on a serpentine shape, its curves echoed on the interior by a freestanding wood-clad enclosure that houses physical therapy, the auditorium, and the chapel.  A highly penetrable exterior volume with a closed interior. This gives patients the feeling of privacy without suffocation.
  • 40. CASE STUDY III PROJECT: Rehabilitation Centre Groot Klimmendaal LOCATION: Forest (outside Arnhem), The Netherlands ARCHITECTS: Architectenbureau Koen van Velsen BV PROJECT AREA: 14,000 sqm PROJECT YEAR: 2011 AWARDS AND RECOGNITIONS: I. Finalist, 2011 Mies van der Rohe Award II. Building of the Year 2010 by the Dutch Association of Architects III.Winner, first Hedy d’Ancona Award 2010 for excellent healthcare architecture IV.Winner, Arnhem Heuvelink Award 2010 and Dutch Design Award 2010 public award and category commercial interior
  • 41. “Rehabilitation Medical Center (RMC) Big Klimmendaal provides specialist rehabilitation care for children, adolescents and adults wi th a (potential) limitations in order optimally to participate in society..”  The building starts of with a small footprint and evolves into a multiple cantilevered masses at the top. These masses cut out into the surrounding terrain. “‘Groot Klimmendaal’ can be found standing as a quiet deer in between trees… Despite its size, the brown-golden anodized aluminum facade allows the nearly 14,000sqm building to blend in with its natural surroundings.”  The building program is stacked up vertically. The distribution is extremely clear; below are the offices, above the clinical areas and on the roof a Ronald Mcdonald house. Storey (inpatient) Therapy Layer Special Functions Management layer
  • 42.  PT and other therapeutic areas are placed at level 0 for easy access (community + internal)  Ramps are placed throughout the project for patient access. Small number of steps placed around also for exercise.  The services (3, 4, 5) are also meant to be used by the community, hence they are placed on level 0 with external access. This allows the rehab patients to be in touch with the community and vice versa. The theatre is also meant to be used for therapeutic treatment.
  • 43.
  • 44.  Two separate gymnasiums are also placed more conspicuously on level 2. “Revalidation centre “Groot Klimmendaal’ is a coming together of both complexity and simplicity with attention for physical, practical and social details. Transparency, continuity, layering, diversity, the play of light and shadow and the experience of nature are all ingredients of this stimulating environment.”
  • 45. Gymnasium Theatre Swimming Pool Fitness Gymnasium Centre FIG: LONGITUDINAL SECTION THROUGH THE BUILDING
  • 46.
  • 47. CASE STUDY IV PROJECT: REHAB, Center for Spinal Cord and Brain Injuries LOCATION: Basel, Switzerland ARCHITECTS: Herzog & de Meuron PROJECT AREA: 22,890 sqm PROJECT YEAR: 1999 - 2002
  • 48. There are 5 courtyards within the orthogonal plan that correspond to various therapy areas, bring daylight to all parts of the building, and contribute to wayfinding with identifiable plantings and water features. The connection between the outdoor and the indoor was the primary concern of the architects. Courtyards are used to orient the whole structure, each leading to different destinations. The entrance is through a large courtyard (a huge cultivated field), in other words ‘you enter the complex through an outdoor space.’
  • 49.
  • 50.  From the main lobby, various inner courtyards provide orientation: one is filled with water, another is clad entirely in wood, the bathhouse is placed in the third, etc.  Rooms like the bathhouse are entirely inwards in orientation; placed in one of the central courtyards like an erratic block wrapped in black rubber.  The patient rooms are arranged around the building perimeter, with ancillary and staff functions clustered around the plan- enclosed courtyards that penetrate the large floor plate.
  • 51. Numerous small round holes in the low-slung roof make what looks spectacular from the outside very intimate from within. The painting workshop and library are both on the roof to provide views into the distance. Places like the gym or the workshops, as well as the patients' rooms are defined by large windowpanes and views of the landscape, with a seamless transition between inside and outside.
  • 53. BENCHMARKS AND CAPACITY THERAPIST WORKLOAD No. of visits (8 hour day) = 11 visits Avg. time per patient = 1.375 patients/hr PATIENT LOAD (using Dubai as benchmark); No. of patients per year = 107,185 patients (2010, DHA statistic) No. of patients per day = 294 patients No. of inpatients per year = 5367 patients (2010, DHA statistic) No. of inpatient admissions per day = 15 patients Percentage increase in no. of patients from 2009-2010; (103231+3736) / (103449+5367) = 1.73% CENTER CAPACITY Max. Handling Capacity = 1500 patients Accommodation capacity = 30 rooms Estimated no. of clinic stops = 70 per day Note: Area will be left for future expansion depending on the increase in the no. of patients
  • 54. BUILT-UP AREA AREA DESCRIP. TOTAL AREA (m2) General 152 Staff and Admin. 675.64 Areas Patient Areas 3869.4 Services 1381 Facilities 4767.4 Support Areas 887.5 MEP 416.5 TOTAL 12,149.44 BUILT-UP AREA = TOTAL AREA + (CIRCULATION + STRUCTURE = 35%) 12,149.44 + (12,149.44 x 0.35) = 16,401.7 m²
  • 55. PARKING AREA DESCRIP. NO. OF AREA PER NO. OF SPACES TOTAL AREA (m2) USERS PERSON (m2) Parking (Staff 70 25 --- 1750 + General) OPEN FIELDS AND COURTS DESCRIP. NO. OF LENGTH WIDTH TOTAL AREA (m2) SPACES Football 1 91.4 54.9 5017.9 Running Track 1 100 1.25 125 Cricket Pitch 2 11 3.6 79.2 Tennis Court 2 37 18.5 1369 TOTAL 6591.1 LANDSCAPE DEPENDS ON DESIGN DECISIONS
  • 57. INTRODUCTION Considering the most basic principle of rehabilitative treatment, I came with my concept. That is; NERVE / MUSCLE CONDUCTION Studying the structure of a nerve-muscle connection diagram (refer to image on right), form of the building is inspired from the organic movement of the nerves engulfing the muscles.
  • 58. DESIGN ENTRANCE The entrance narrows and then widens creating an enclosure which is welcoming for both sides The form hugging slit like of the center. openings are inspired from the cylindrical structure of nerve branches which envelope the muscles (aka form). The environment is dynamic and so is the form. Openings have harmonious but unique Following the pathway would lead to the styles and form itself morphs outdoor rehabilitative facilities. The into different shapes and widening of the pathway at this point segments. creates a sense of purpose as the user would feel that they are being led to an important place. The organic, cocoon shaped form is inspired from the shape of muscles. OUTDOOR REHABILITATION A tight core is created The branching out of nerves is used to create a symbiotic between the sides of transition between the two project parts. The left side the facilities to create a focused on; REHABILITATIVE TREATMENT and the right side social plug in between. on; ATHLETIC FACILITIES which facilitate the rehabilitative process.
  • 59. The concentric shape of the building form has a psychological advantage. It applies the principle of the closed shape of the circle in a vertical format. This kind of closed yet not suffocative (due to lack of sharp corners) environment establishes a sense of security and orientation in the user.
  • 60. Movement throughout the center is fluid due to the organic shape of the form. This makes it more comfortable for the users to physically navigate around the center.