HETI Journal Repository

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

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Michal Kaczor,
2009
Hippotherapy
INTRODUCTION Many times in our therapeutic practice, we deal with some problematic behaviour of our patients, which may not be...
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INTRODUCTION Many times in our therapeutic practice, we deal with some problematic behaviour of our patients, which may not be related to the main (health) problems of our patients and are not resulting from patient’s disease entity. These burdensome behaviours can disturb the process of our therapy, so dealing with these behaviours is crucial for the whole therapy that we carry on. Therapeutic influence is closely related with having a good contact with our patients. Thus there is a place for behavioural therapies. METHOD Often we cannot diagnose and all the more change environmental factors which influence our patient in his daily life, and which can be a reason of his negative behaviour. However, we can stipulate on the patient desirable reactions in certain situations that may take place during hippotherapy sessions. To cope with negative behaviours of my patients, as well as to achieve intended therapeutic effect, I have included in my hippotherapy sessions some elements taken from therapies based on behaviourism. In my article I will introduce some of the basics of behavioural psychotherapies and I will present how we can use it in therapeutic riding. RESULTS Behavioural techniques which I applied in my hippotherapy sessions proved to be an effective method to correct patient’s problematic behaviours. It also positively affected the quality of the relationship between the therapist and the patient.
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Gisa Koller
2009
Vaulting
Many people who are affected by severe physical disabilities due to cerebral palsy and spasticity are using the opportunity of...
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Many people who are affected by severe physical disabilities due to cerebral palsy and spasticity are using the opportunity of psycho‐educational vaulting and riding therapy. After riding, those affected, as well as their caregivers, reported positive effects both on their mood and on improvements in mobility. Even during the promotion, improvement in mobility and tonicity can be observed. Therefore, I was faced with the question of how the change in mobility through riding could be measured, and direct effect represented. In addition to the development of a scientific method for measuring mobility, a measurement is needed for the individual which is suitable for daily use but which does not detract from therapy time. The following article, which is an overview of my thesis‐led single case study, describes the impact of remedial support with horses on the mobility and spasticity of adults with cerebral palsy.
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Irma Merabishvili,
2009
Hippotherapy
The goal of this work was to determine the disturbance of bearing and first degree idiopathic scoliosis in relation to...
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The goal of this work was to determine the disturbance of bearing and first degree idiopathic scoliosis in relation to age. The children were divided into two age groups (three groups of children aged 8 to 11 years and three groups of children aged 11 to 15 years). There were 8‐10 children in each group. Riding Therapy was performed as monotherapy until the completion of puberty. The whole period of the treatment was divided into 4 stages. The goal of the first stage was the psychological and physical preparation of the children for riding. The goal of the second stage was the reconstruction of an antigravitational system from standing to the state of horse‐riding. The goal of the third stage was the stabilisation of the nucleus pulposus of intervertebral disc and its correction in the case of deviation from the centre. Against a background of self‐stretching through riding to achieve the strengthening of plastic tonus of muscles maintaining the spine, exercises were performed in an isometric regimen, creating a stronger muscular corset around the spine. Investigations carried out at this stage established that treatment starting for children at the age of 8‐9 years was more effective than the treatment started in the second (older) age group. Thus, the Riding Therapy should begin ahead of the pubertal period. The goal of the fourth stage was to retain a medical effect, to improve general physical development, to increase a psycho‐neurological tonus, to prevent the state of attention deficit/hyperactivity in children and to consolidate a sound mode of life.
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Elina Aula
2009
Hippotherapy
Hippotherapy (HT) is a rehabilitation method for neurological clients. There isn’t much experience of hippotherapy with SCI clients in...
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Hippotherapy (HT) is a rehabilitation method for neurological clients. There isn’t much experience of hippotherapy with SCI clients in Finland. Finnish Riding therapy includes hippotherapy, groundwork, carriage driving, educational riding and vaulting. Methods: The purpose of the case report was to clarify the possibilities of HT for SCI (tetraplegia) client, and find out what HT can give to the rehabilitation process. Client: 24‐year old female, ASIA B, motor level left C6, right C7. Before a car accident 2003 she was a competition rider. The data includes 4 weeks of hippotherapy; 3 therapy sessions per week, ground work with horse and carriage driving. Documentation with video camera, camera and the follow up of the client’s functions in daily living.
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Lorenzo Lucarelli, Montse Cuesta, Maria Barajas,
2009
Learning and Psychoeducation
Nowadays in Catalonia many riding clubs offer a hippotherapy or equestrian rehabilitation service; ‘though none, offer psychological assessment, and very...
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Nowadays in Catalonia many riding clubs offer a hippotherapy or equestrian rehabilitation service; ‘though none, offer psychological assessment, and very little educational therapy is provided in the hippotherapy centres. Therefore we decided to organise educational and leisure group events for psychic disabled as an introduction to the further organisation of therapeutic activities, which we hope to have recognised by our Government in a reasonably short time (few years), since in other European Countries they are already integrated in to the Public Health System. Our interdisciplinary team was composed of a psychologist, a nurse and a therapeutic riding instructor. We also wanted to integrate into the team a social educator and a physiotherapist, but we couldn’t afford so many professionals, so we received the voluntary help of some physiotherapy students, and the role of the social educator was played by the therapeutic riding instructor who is ending his specialisation in ethics, together with the psychologist who has several years experience working in the integration and social education field. We organised two group experiences of an example therapy session for psychic disabled with 16 people affected by different mental disabilities: Downs syndrome, cerebral palsy, brain damage and others, making the disabled clean and dress the horses, lead them by the rope, and then ride them moving straight, to the sides, upwards and downwards for a few hundred meters. Following the first two experiences we started a cycle of 6 sessions of psychological treatment assisted by horses for 4 of the 16 participants, who expressed the will to follow our therapy. They do one session per month, so the final outcome is not yet known, since the programme is not yet ended. What we mean to report here is that in the leisure sessions we noticed a great effect on the behavior of all participants: they all increased their level of activity and communication, they all reacted positively to the experience and tended to be better and more cooperative within the group activities not just during the experience in the riding club, but also the following few days back at the institution where they meet daily. Furthermore, 25% of the participants have felt and understood the positive effect of the riding session so much that they have asked to do it regularly and in depth. We have reached the conclusion then that the leisure experience is to be considered a good way to involve psychical disabled people into a horse assisted therapy programme.
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Carine Debandt, Stefi Lejeune,
2009
Therapeutic Riding
As a final project and part of the postgraduate training “Equine Assisted Therapy” (EAT) at the Arteveldehogeschool in Gent, we...
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As a final project and part of the postgraduate training “Equine Assisted Therapy” (EAT) at the Arteveldehogeschool in Gent, we organised a graduation project of 3 EAT camps for children with Attention Deficit Hyperactivity Disorder (ADHD) or with Attention Deficit Disorder (ADD) without diagnosed mental restriction. The purpose of these camps was the stimulation of the general wellbeing, both mental and physical, of the children. The camps offered a motivating opportunity where they could discover and develop themselves and learn to function in a group. The camps took place in Riding Centre Dennenhof at Landegem (Belgium), where over a period of 5 days the children were given a combination of psycho‐education, behavioural therapy, psychomotor therapy, creative therapy and relaxation exercise. During these days and therapies the children learned to know themselves in a context of different activities with the horses.
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Margreet Ludewig, Jean Fourie
2009
Therapeutic Riding
This study explored therapeutic riding in the development of ‘core skills’ in a physically disabled preschool child, known pseudonymously as ‘...
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This study explored therapeutic riding in the development of ‘core skills’ in a physically disabled preschool child, known pseudonymously as ‘Amy’. Amy became a paraplegic while still in her mother’s womb. When Amy’s mother was seven months pregnant, she was shot through her stomach by hijackers. An emergency caesarean was performed and Amy was born two months prematurely. As the baby began moving, it was noticed that her legs remained immobile. After further tests it was discovered that the spinal nerves close to where the bullet had entered, were damaged. Consequently, Amy was left with no mobility in her legs and she was unable to crawl and has never been able to walk. Owing to the limitations in Amy’s movement ability, certain developmental areas required for school readiness were delayed. Her perceptual‐motor, socio‐emotional and language skills were poorly developed and these weaknesses could be enhanced through the movement modality of the horse. A programme of therapeutic riding was implemented over a year, with the specific goal of stimulating both physical and psychological core skills. The horse, with its distinctive three‐dimensional movement, facilitated this unique form of intervention. The research question thus focused on how therapeutic riding enhanced Amy’s ‘core developmental skills.’
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Stanislava TÍLEŠOVÁ
2009
Therapeutic Riding
The alternative emotional experience (AEE) offers a unique chance as a healing element in therapy with children and adults alike...
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The alternative emotional experience (AEE) offers a unique chance as a healing element in therapy with children and adults alike. It often brings a sudden change in the development of the individuals in therapy. Based on the factors of the alternative emotional experience which manifest themselves in the interaction between humans and horses ‐ observed and classified by Kupper‐Heilmann ‐ we can set a theoretical model of the work with the clients in therapeutic riding, synthesizing several psychological theories. This model is essentially eclectic, bringing together the outcomes and practical experiences from years of hippotherapy, teaching and my work as a school psychologist. These experiences confirm the validity of the theory of deprivation and its impact on the psychological development.
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Petra Nowak
2009
Education and Training
The purpose of this thesis is to clarify values of Finnish riding therapists in their practical work. Results may be...
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The purpose of this thesis is to clarify values of Finnish riding therapists in their practical work. Results may be used in aid to establish the code of ethics of Finnish riding therapy by the Finnish Riding Therapy Association. Thesis is also directed to the Finnish riding therapy students and professionals to give depth to the implementation of clinical work and to awaken to the consideration of ethics in therapy.
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Jyrki Nikanne
2008
Mental Health
Paloniemi Hospital belongs to the Hospital district of Helsinki and Uusimaa and is the psychiatric in-patient unit in Lohja...
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Paloniemi Hospital belongs to the Hospital district of Helsinki and Uusimaa and is the psychiatric in-patient unit in Lohja area. The hospital has run its own riding therapy unit since year 1997. Even before that riding therapy was carried out in a smaller scale from the year 1993 on. At the moment there are three trained riding therapists and four horses working in the therapy unit. The unit serves both psychiatric out and in-patients.
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