HETI Journal repository

2023 onwards: Print ISSN: 2811-6119, Online ISSN:2811-6127
Pre 2023: Online ISSN: 2811-6135

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Aliza R. Hirsch
2014
Therapeutic Riding
Breast cancer is one of the most common malignancies that affect women. Greater awareness, early detection, and swift intervention have…
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Breast cancer is one of the most common malignancies that affect women. Greater awareness, early detection, and swift intervention have reduced mortality rates. Up to 80% of breast cancer survivors attain a full life expectancy (Fisher & Howell, 2010). Breast cancer treatments, however, often negatively impact upper extremity function and the overall perceived quality of an individual's daily life. Furthermore, cancer survivors may suffer diminished self-efficacy and functional deficits, along with stress-related symptoms such as post traumatic stress disorder. It is globally recognized that post-intervention physical and functional rehabilitation has been inadequate. The benefits of equine-assisted therapy (EAT) for people who cope with physical and neurological impairments have been well documented. However, most medical professionals are unaware of the potential benefits of EAT for breast cancer survivors. This paper introduces a three-phase EAT programme for breast cancer survivors and reports on its application with three clients between 2009 and 2014. Finally, a research proposal is introduced with the following research question: how does EAT impact the range of motion (ROM) and self-efficacy of breast cancer survivors.
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Rowena Naidoo, Zingisa Z Nqwena, Lauren Reimers, Kate Peters,Takshita Sookan and Andrew J McKune
2014
Therapeutic Riding
Aim: The aim of this study was to determine the acute effects of a therapeutic horseback riding session (THR) on…
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Aim: The aim of this study was to determine the acute effects of a therapeutic horseback riding session (THR) on heart rate variability in children with autism spectrum disorders (ASD). Methods: Heart rate variability time and frequency domain parameters were measured in five participants (6-17 years) with ASD. The heart rate variability parameters calculated were time domain: mean heart rate, inter-beat intervals and root mean squared differences of the standard deviation (RMSSD) and frequency domain: high frequency, low frequency and low frequency to high frequency ratio. Heart rate variability was recorded pre, during and post a 15-25 min THR session. These time point measurements were then compared using one way ANOVA with Tukey post hoc testing. Significance was set at p < 0.05. Results: Despite no significant changes observed in heart rate or inter-beat intervals, an increase in RMSSD was observed post-THR (p = 0.02). Low frequency (p = 0.0006) and high frequency (p = 0.0001) parameters were significantly increased post versus pre and during THR, which suggested an increased activation of the autonomic nervous system. The post-THR low frequency to high frequency ratio was significantly reduced (p = 0.04) indicating elevated parasympathetic activity after THR compared to pre-THR values. Conclusion: There is no conclusive evidence showing that participants with ASD demonstrate increased parasympathetic activity acutely after a session of THR. However, positively, the study suggests that it is possible to measure HRV in children with ASD in relation to THR.
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Andrea Carey, Sarah Murray, Anne Barnfield,
2012/2013
Mental Health
In this paper we present two studies which investigated the psychological benefits of therapeutic riding (TR) for children, primarily those…
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In this paper we present two studies which investigated the psychological benefits of therapeutic riding (TR) for children, primarily those with disabilities. The studies were run during two TR programs: Study 1, TR delivered in a summer camp; and Study 2, once- weekly TR sessions across two 10-week courses. All participants were tested at SARI Therapeutic Riding (SARI), London, Ontario, Canada. Survey methodology was employed, using standardized, validated questionnaires developed by the American Camp Association to make within-subjects comparisons. Data was collected at pre-camp/TR course, post-camp/TR course and follow-up time points; obtained from parent and child questionnaires, from researcher observation checklists, and through semi-structured interviews with the parents of children who attended summer camp. On all measures the participants of the camp demonstrated statistically significant gains between pre- and post-camp with respect to the domains of positive identity, social skills, physical skills, and positive values (all at p<.01 level). For weekly riding sessions, results from parent surveys were not statistically significant. Observation checklists completed by the researcher did show positive change in behaviours; one-way analysis of variance (ANOVA) comparisons of the domains measured in pre-, mid-, and post-course observations were significant, p<.01.Therefore it appears that TR, delivered in a summer camp or in a 10-week course, can be beneficial to children of all ability levels.
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Jerzy Krężel,
2012/2013
Hippotherapy
Hippotherapy, according to the definition used by the Polish Hippotherapy Association, is a form of medical treatment that might improve…
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Hippotherapy, according to the definition used by the Polish Hippotherapy Association, is a form of medical treatment that might improve a patient’s condition in physical, mental and social domains. It is obvious that if hippotherapists want to develop and promote this treatment strategy, some effort should be made to have it accepted and approved by the medical community as a complementary treatment option. For countries like Poland, this effort could help us promote the emergence of the official profession of hippotherapist. Undoubtedly, a reasonable and professional development of this treatment strategy needs to be conducted in accordance with the philosophy of science. Unfortunately, somepapers and proceedings on the topic of hippotherapy give the impression that not all therapists share that opinion. While some papers present objective results of studies aswell as discussion based on scientific knowledge, others feed us with fairytalespeculations decorated with modern physics terminology. This leads to an erroneousincrease in the significance of pseudoscientific publications. The goal of this text is to emphasize the difference between a scientific and a pseudo-scientific approach. Several hippotherapy articles are presented as an example of science. As a counter-example,some pseudo-scientific revelations are also introduced. By means of analysis andcomparison, the author attempts to show the benefits of an objective, evidence-based evaluation and promotion of hippotherapy, as well as the losses resulting from pseudoscientific or even fictitious digressions. After clear demarcation of the two opposingapproaches, the author discusses guidelines pertaining to planning and conducting evidence-based study. It is the results of these studies that may, after statistical analysis, scientifically show whether hippotherapy as a treatment approach is 1) harmless (that is, bringing no danger to the patient/client), and 2) improves the patient’s functioning.
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Patrycja Czarnoleska
2012/2013
Hippotherapy
Postural problems are prevalent due to lifestyle factors. Horseback riding might have the potential to improve the postural configuration of…
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Postural problems are prevalent due to lifestyle factors. Horseback riding might have the potential to improve the postural configuration of individuals, but evidence is sparse. The aim of this study was to investigate the postural differences between horseback riders and sedentary non-riding individuals. In this small-scale study, quantitative and qualitative measurements were used to assess sagital plane, seated posture of a group of 43 individuals (25 females, 18 males) including 23 horseback riders and 20 non-riders. There were no statistical anthropometrical, age, gender or personality differences between riders and non-riders and the confounding factors of psychosocial and socio-economic profile were eliminated. Riders showed significantly better posture in some variables, namely cranio-cervical angle, neck flexion angle, position of shoulder and pelvic tilt. Thus, there is preliminary evidence that horse riding may aid human posture.
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Corey Souza
2011
Equine Studies
Research in hippology lacks a fixed location within North American academia. Crossing the boundaries of science and art, hippology has…
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Research in hippology lacks a fixed location within North American academia. Crossing the boundaries of science and art, hippology has entered the discourses of archeologists, classical historians, art historians, cognition scientists, physical and psychotherapists. This paper locates the intersections of hippology and anthropology by analyzing studies ranging from early domestication to hippotherapy and proposes horse-human ecology as a dynamic field of inquiry for anthropological research.
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Sven Forsling,
2011
Mental Health
In the 1980s a Swedish study, “444 Stockholm Youth in Crisis,” identified the special institutional needs and challenges of young…
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In the 1980s a Swedish study, “444 Stockholm Youth in Crisis,” identified the special institutional needs and challenges of young females aged 16 – 21 years. It pointed to the need for change in the prevailing high cost, staff intensive closed unit system with its poor therapeutic outcomes. In response the Frossarbo Therapeutic Model (FTM), based on a psychodynamic therapeutic approach and Milieu Therapy, was carried out and evaluated between 1987 and 1997. This model went against existing practice and focused on the strength of the juveniles instead of on their distress diagnoses. Over the 10 year period 47 girls (6 at a time) came to Frossarbo Stables for an alternative therapy which involved learning about, caring for and training trotting horses in preparation for racing. FTM was evaluated against standard variables established by The General Board of Compulsory Treatment, Stockholm Metropolitan Council. It received top ratings in all variables.
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Anita Shkedi
2011
Risk and Safety
This is an educational article about the fundamental response to fear, the “flight or fight” mechanism that is inherent in…
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This is an educational article about the fundamental response to fear, the “flight or fight” mechanism that is inherent in most animal species, and its relevance to therapeutic activities involving horses. By critically examining the hypothesis that the human amygdala’s response to fear blocks a person’s ability to think, focus, and learn, it is then possible to consider how to prevent it from becoming a powerful detractor in an EAA/T session. Using literature to support this argument, suggestions are made as to how to improve the structure of the EAA/T session so that the challenged rider can feel safe both externally and internally. Challenged riders with various disabilities, including traumatic brain injury (TBI), post traumatic stress disorder (PTSD), and neuro-developmental dysfunctions, phobias and anxiety, are discussed.
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M Leif Hallberg,
2011
Mental Health
The work of a PATH Intl. task force offers a unique view on the practice of equine-facilitated psychotherapy. The context…
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The work of a PATH Intl. task force offers a unique view on the practice of equine-facilitated psychotherapy. The context for this orientation lies embedded within the broader and long-standing approach of PATH Intl. to equine-assisted activities and therapies and to the organization’s general approach to therapeutic work with horses and other equines. This paper outlines the evolution of PATH Intl.’s approach to equine facilitated psychotherapy and summarizes the key elements and requirements of that approach, namely use of practice guidelines, standards, certification and accreditation.
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Rebecca Cook
2011
Risk and Safety
Introduction: It is becoming increasingly popular for therapists to provide treatment incorporating hippotherapy. However equine activities involve inherent risk. The…
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Introduction: It is becoming increasingly popular for therapists to provide treatment incorporating hippotherapy. However equine activities involve inherent risk. The aim of this study was to discover incident and injury occurrences within the hippotherapy milieu. Method: Annual data on risks and injury was collected from hippotherapy providers in each of the years 2007 to 2010 via an internet survey. Results: A total of 425 responses, representing 143,855 hippotherapy sessions, revealed a rate of one injury for every 14,386 hippotherapy sessions (0.007%) with no injury being permanent or disabling. This compares favorably with injury rates for recreational and sporting activities with horses. Identified risk factors included horse behavior, weather conditions, and absence of assistants. Conclusions: Because there are inherent risks associated with hippotherapy, a sound risk management program and skilled expertise beyond traditional academic courses is essential for a safe treatment environment.
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