CREATIVE
Nature-Based Rehab: Taking Therapy Outdoors
Project Type:
Post-Occupancy Evaluation and Concept Design
This project tackled a challenge faced by Cornell University's physical therapy facility, which, like many other rehabilitation facilities, had been allocated a cramped basement space to conduct patient treatments. After capturing the perspectives of patients and staff through surveys and interviews, we discovered significant disconnects: environmental elements that were valued most (privacy, daylight, noise control) were precisely what the current space lacked. Instead of just suggesting interior improvements, this design concept proposed a bolder shift: bringing therapy outdoors to overcome these environmental constraints and maximize therapeutic benefits, while creating multi-functional spaces that could benefit the broader campus community.
Staff and patient survey data incorporated in larger study: "Staff, Patient, and Designer Perspectives on Outpatient Rehabilitation Therapy Environments: A Pilot Study," Health Environments Research & Design Journal.
Balancing active and passive healing
The design concept focused around two complementary healing environments. Active therapy zones featured adaptable equipment, varied terrain challenges (like gentle slopes and different ground surfaces), and flexible treatment spaces that expanded therapists' toolkits beyond standard indoor limitations. These energetic areas were balanced with calm, restorative spaces accessed via a rooftop healing garden with secluded seating nooks, sensory-rich plantings, and water features to reduce stress and promote emotional wellbeing.
Rather than an all-or-nothing approach, the design emphasized a phased implementation plan prioritizing elements that offered the biggest benefits to multiple user groups. The outdoor PT area and rooftop garden weren't just for patients, but would also be a larger campus wellness assets serving everyone from students seeking quiet study spots to staff needing restorative breaks. This practical approach increased the project's feasibility while maximizing its impact on the entire campus community.
Schematic design for rooftop healing garden.
Conceptual site plan for outdoor rehabilitation area.
