Cerebral Infarction and Senior Car Conditions
- "Conditions," "Rationale," and "Necessity" for recommending senior cars to those with cerebral infarction and hemiplegia
1️⃣ Premise: We do not recommend them to all individuals with cerebral infarction and hemiplegia
Hemiplegia after a cerebral infarction (cerebral infarction) varies greatly from person to person, including symptoms such as:
・Motor paralysis
・Sensory impairment
・Higher brain dysfunction
・Visual field impairment
and so on.
That is precisely why
"proposing them only to those who meet the 'conditions for safe use'"
is the fundamental philosophy of Dare-Mobi.
2️⃣ Conditions for recommending a senior car
✅ ① Consciousness and judgment ability are maintained
Dementia is not severe
Capable of predicting danger
Capable of understanding traffic rules
▶ Rationale
Although senior cars are "treated as pedestrians,"
they have a maximum speed of 6 km/h and weigh nearly 100 kg.
Impaired judgment can lead to serious accidents.
✅ ② Minimum operational ability of the upper limbs
Accelerator lever operation possible with one hand
Stable steering handle grip
Capable of operating the brake
▶ Rationale
Lever-type models are the mainstream for current senior cars.
Operation with the unaffected side (the side without paralysis) is a prerequisite.
✅ ③ Stable sitting posture
Able to maintain trunk control
Riding posture does not collapse
Capable of sitting for long periods
▶ Rationale
Trunk balance is easily lost with hemiplegia.
A fall equals a fracture, which equals a high risk of re-hospitalization.
✅ ④ Permission from doctor/rehabilitation professional
Permission to go out from the attending physician
Movement verification by a physical therapist
Stable blood pressure
▶ Rationale
The recurrence rate of cerebral infarction is by no means low.
Forcing outings can be a risk.
✅ ⑤ Family or local monitoring system
Accompanying at first
Fixed routes
Emergency contact system
▶ Rationale
Solo use without initial training is dangerous.
3️⃣ Why is it "necessary"?
🧍♂️ ① Hemiplegia = Difficulty going out
Many people with hemiplegia find that
walking distance is limited to 100-300m
slopes are frightening
the risk of falling is high
As a result,
they become housebound
🧓 ② Being housebound → Accelerated frailty
Reduced outings leads to
muscle weakness
Cognitive decline
Depressive tendencies
Social isolation
leads to these issues.
This also directly leads to an increase in medical expenses.
🚶♂️ ③ "Not being able to walk" does not mean "the end"
The Dare-Mobi philosophy is
not all or nothing
Walk on days you can walk
Ride when you are tired
Being able to go to a park 500m away
This is
"+1 Health".
4️⃣ Medical Evidence
● Moderate outings contribute to recurrence prevention
Light to moderate aerobic activity is considered effective for
stabilizing blood pressure
improving blood sugar
preventing depression
as well.
※However, overloading is strictly prohibited.
● Social participation is effective for maintaining cognitive function
In research on the elderly,
"The more frequently people go out, the lower their risk of cognitive decline."
This has been suggested by global research.
5️⃣ Dare-Mobi Conclusion
Senior cars are
❌ Not a "last resort for those who cannot walk"
⭕ "A tool to extend independence"
6️⃣ However, absolute NG conditions
We do not recommend them in the following cases:
Severe hemispatial neglect
Severe visual field defect
Strong impulsivity
Poorly controlled epileptic seizures
Frequent orthostatic hypotension
7️⃣ Social necessity
Japan is a super-aging society.
The number of people with aftereffects of cerebral infarction is increasing.
If we do not provide means for going out:
Increased care level
Increased medical costs
Increased family burden
Shrinking local economy
Senior cars are
an intermediate device between medical care and the economy
.
8️⃣ DareMobi Proposal
Medical x Mobility Collaboration
Test rides at clinics
Introduction with PT check
Gradual training program
GPS monitoring
DAO-style community support (DareSupport)
🔥 In conclusion
If you have a cerebral infarction,
is your life over?
No, it is not.
If you can no longer walk,
do you have no right to go outside?
No, you do not.
DareMobi does not
assume that you 'cannot'.
Implementing devices in society that expand the range of what you can do.
That is the essence of utilizing senior cars.
Partnership: We are looking for partners
DareMobi Project
Kitenretsu Kikaku
Representative: Kaoru Shirakawa
Certified Care Worker, Consultant, E-book Planner
1-18 101 908 Kaminoi, Meito-ku, Nagoya
Contact
070-9045-7603
daremobility@gmail.com
www.daremobi.net
https://note.com/dare_mobility
For consultations regarding Dare-Mobi purchases
Dare-Mobi No. 1 JOY Cart 398,000 yen
Dare-Mobi No. 2 J+VISON 250,000 yen
*Care worker who knows about mobility
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