HETI Journal repository

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

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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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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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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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Manana Rukhadze
2010
Hippotherapy
Biomechanical research of the hip joint is a method for testing the integral function of the joint. To assess hip…
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Biomechanical research of the hip joint is a method for testing the integral function of the joint. To assess hip joint movement amplitude and character, we developed a biomechanical research method to assess healthy people and patients with I and II degree hip joint arthrosis while riding a horse at different paces. The study found that the curve obtained in patients at trot differed significantly from that of healthy people. A difference in the angle magnitude and amplitude range of hip joint movement and in biomechanical curve height and width was also found. Inclusion of biomechanical curve as a criterion for hip joint function assessment is therefore proposed.
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Chia‐Wei Fan, Caitlin Smith, Gary Kielhofner, Renee Taylor
2010
Hippotherapy
This article describes the findings from a research study looking at the motivational pathways of children with autism while participating…
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This article describes the findings from a research study looking at the motivational pathways of children with autism while participating in a 16‐week hippotherapy intervention. The Pediatric Volitional Questionnaire (PVQ) was used to document quantitative data for the changes in motivation that each child experienced, and videotaping was used for qualitative information. The study found that the motivation of children with autism will take highly individual pathways over time, and will be dependent on environmental factors.
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Beth Duff,
2010
Equine Studies
This paper describes a small scale preliminary study undertaken to collect structured data which would be used to determine the…
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This paper describes a small scale preliminary study undertaken to collect structured data which would be used to determine the next steps in researching the impact of horses on humans in terms of learning and wellbeing. The study did indeed show that horses had a positive impact on both learning and wellbeing across a range of age, gender, personality types and employment levels. As a result further, more detailed studies are planned.
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Harald Muller,
2010
Equine Studies
Since the Second World War, the leisure sector/recreational market has grown substantially as a result of the socio‐economic development in…
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Since the Second World War, the leisure sector/recreational market has grown substantially as a result of the socio‐economic development in Europe. Today, the size of the horse sector is significant, with an annual economic impact in Europe estimated at over 100 billion Euros. The social impact of horses on the health, education, leisure, environment and youth areas is described. Increasing the social impact requires close cross‐sectoral cooperation of all stakeholders within the equine field. Enhancing such cooperation is one of the purposes of the European Horse Network (EHN).
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Leigh Shambo, Susan K. Seely, Heather R. Vonderfecht,
2010
Mental Health
Equine Facilitated Psychotherapy (EFP) has gained increasing attention over the last decade and evidence of efficacy is needed to substantiate…
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Equine Facilitated Psychotherapy (EFP) has gained increasing attention over the last decade and evidence of efficacy is needed to substantiate this rapidly growing field of practice. The authors aimed to measure specific changes and durability of change for adult women with PTSD and Borderline Personality Disorder who were victims of traumatic interpersonal violence, when treated with EFP. Complex PTSD was used as an operation concept to allow for cross diagnosis similarities with possible relation to traumatic history. EFP was combined with psychoeducation in a group treatment. Six women participated in the brief (10 weekly sessions) therapy group. Selected participants were symptomatic and in distress, in spite of current treatment, and experienced symptoms severe enough to impair social and/or occupational functioning. Measures were chosen to capture major intractable symptoms including depression, anxiety and dissociation; an additional measure for treatment efficacy included functioning in major life domains. Measures were taken at four points: pre, mid, post, and 4 months post treatment. Measures showed significant positive changes in depression, dissociative symptoms, and treatment effectiveness overall. The change effect continued post treatment as participants’ scores showed even more improvement in a four month follow up.
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Mona I. Thelle
2010
Mental Health
Modum Bad Clinic and Resource Centre, Norway, has a 12 week intensive in patient program for severe and repeated childhood…
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Modum Bad Clinic and Resource Centre, Norway, has a 12 week intensive in patient program for severe and repeated childhood sexually abused victims (CSA), aged 20 years plus who are diagnosed to be currently suffering from Complex Post Traumatic Stress Disorder (CPTSD) and/or Complex Dissociative Disorders (CDDNOS/DID). The clinic has included in its exit formalities patients’ evaluations of the overall psychotherapy program undertaken, including the work with horses. A pilot study based on patients’ responses has been conducted.
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Hiromi Keino, Kenji Kawakita,
2010
Learning and Psychoeducation
We examined the validity of our 10‐item Human‐Equids‐Interaction on Mental activity (HEIM) scale for evaluating the effect of psycho‐educational horseback…
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We examined the validity of our 10‐item Human‐Equids‐Interaction on Mental activity (HEIM) scale for evaluating the effect of psycho‐educational horseback riding (PEHR) programs in children with pervasive developmental disorders (PDDs). A total of 18 children participated in this program for up to 103 months and significant improvements in behavioral problems were detected (as determined by total HEIM scores) after exposure to the PEHR program, but the degree of improvement varied among specific items within the HEIM scale. In general, the length of program participation corresponded with score improvements. Arising from difficulties identified, in accurately measuring imitation and verbal communication, a revision of two HEIM scale items is proposed to improve measurement sensitivity.
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