Equine Assisted Therapy as Strategy in Speech Language Pathology

THEEQUINEASSISTEDTHERAPYASSTRATEGYINSPEECHLANGUAGEPATHOLOGYINTERVENTION

PedroMeloPestana1;SusanaVazFreitas1,21Universidade FernandoPessoa– FaculdadedeCiênciasdaSaúde2CentroHospitalardoPorto– HospitaldeSantoAntónio

Introduction

SpeechLanguagePathology(SLP)

EquineAssistedTherapy(EAT)

Mainservice Strategy

TheSLPapproachmustbethesameastraditional(e.g.,assessment,intervention,etc.)

Thephysicianmusttellusthattheperson isavailabletobeonthehorseback.

UsingEATstrategywemustdeterminetraditionalgoalsofourprofessionalarea.

Wejustchangetheprocedures andactivities!

FP134– MeloPestana andVazFreitas– IALP2013

Traditionaltherapy

EquineAssistedTherapy

THEORETICALFOUNDATIONS

• SENSORYINTEGRATION

• HUMAN-ANIMALBOND

• VOLITION/MOTIVATION

• SOCIALINTERACTION

• NEURODEVELOPMENT

IntroductionFP134– MeloPestana andVazFreitas– IALP2013

Ruth%Dismuke,Blakely%

Meredith%Bazaar%

Beth%Macauley%

Ana%Melo%Neves%

1981

2013

32 years


TERMSCOMMONLYUSEDWHENANIMALSENGAGEINHEALTHANDEDUCATION

Introduction

equinotherapy

hippotherapy

animal assisted therapy

animal assisted activities

adaptive ridingtherapeutic

riding

nature based therapy

pet therapy


AnimalAssistedTherapy(AAT)as:

• Intentionalandtherapeuticact,wherebytheanimal’sroleisintegralinassistingwithmentalhealth,speech,occupational therapyorphysicaltherapygoals

• CriteriainAAT:– Animalsmustmeetspecificcriteriathatfitthetherapeuticgoals(e.g.,behavior);– Animalsconsideredanecessarypartofthetreatment;– Therapyisconductedbyaqualifiedprofessionalorpractitioner;– Therapeuticintentions includephysical,social,emotional, orcognitivegains;– Therapycanoccuringrouporindividual sessions;and,alltreatmentmustbe

assessedanddocumented.

Introduction

Let’sdothiswithEquines!

(Cole,.2009,Kruger&Serpell,2009)


Thelackofscientificevidenceinthisparticularfieldandtheinherentdifficultytoprovetheefficacy ofthispowerfulstrategywasthemotivation fortheauthors.

…inhealth76

...toattaingoalsofSLPscope

15

EvidencelevelsI-III25%

Evidencelevels– IV-VI75%

Scientificpublicationsaboutusinghorses…


SomeofourworkoutthereFP134– MeloPestana andVazFreitas– IALP2013

Withthisstudyweintendtojustify thepresence ofaspeechtherapistinanequineassistedtherapyfacility.

• Thisstudyaimsto:a) UnderstandthecontributionofEATingoalachievingofspeechtherapyb) Analyzetherelationshipbetweenthenecessityandpriorityofspeechlanguage

pathologyfieldsanditsfulfillmentsinanEATprogramc) Analyzetherelationshipbetweenthepriorityofspeechlanguagepathologyfields

amongdifferentdiagnosisanddistinctiveageclasses.

Ifthesehypothesisareproven,thentheinclusionofaSLPinanEquestrianCenteriswelljustified.

ObjectivesFP134– MeloPestana andVazFreitas– IALP2013

• Datacollection:twoEquestrianCentersfromthenorthofPortugal,wherethetherapeutic roleispresent.

• Transversalstudy,withretrospectiveanalysisofdata.

• Population:allthecasesinprivatepracticeofthatEquestrianCenters.

• Thespeechpathologisthasacquiredadvancedequestrianskillwhichenableshimtoapplywithconfidenceandsafetythisstrategy– heispresentineverysessions

• 13yearsshowjumpingriding;• LevelIAmericanHippotherapyAssociation

MethodsFP134– MeloPestana andVazFreitas– IALP2013

• Variableswerecollectedandanalyzedforthe24subjects.• Descriptivestatisticmeasuresarepointedfor:

• Inferentialstatistic:PearsonChi-square.

Ageclass Functionaldiagnosis

NeedforSpeechTherapy

PresenceofSLPgoals

MethodsFP134– MeloPestana andVazFreitas– IALP2013

• Itwasfoundaprevalenceofcasesundertheageof7yearsold(41,7%)

<742%

7-1337%

>1321%

Distribution

Results- AgeClassFP134– MeloPestana andVazFreitas– IALP2013

• Themostcommonfunctionaldiagnosiswasthecommunicationdisordersduetoautismspectrumdisorder(37,5%)

Results– FunctionalDiagnosis

0 2 4 6 8 10

Whatisthefunctionaldiagnosis?

Frequency Percent

CommunicationDisorder/Autism 9 37,5

MotorSpeechDisorder 6 25

Comorbidity 4 16,7

SpeechSoundDisorder 3 12,5

SpeechDelay 1 4,2

ChildhoodApraxiaofSpeech 1 4,2

Total 24 100


• Whencommunication,languageandspeechgoalsareapriority,theymustprobablybeincludedintheEATprogram(x2=11,679,p=0,001).

02468

1012141618

Yes No

DoesthechildbenfitsofSpeechTherapygoalsatEATfacility?

13

0

4

7

IsCommunication,LanguageandSpeechgoalsapriority?No

IsCommunication,LanguageandSpeechgoalsapriority?Yes

ResultsFP134– MeloPestana andVazFreitas– IALP2013

• Itwasalsonoticedthattheidentificationofthispriorityisdifferentamongageclasses(x2=7,487,p=0,024);theoldestsubjectshaveotherconcernareas.

012345678910

<7 7-13 >13

AgeClass

7 6

0

33

5

IsCommunication,LanguageandSpeechgoalsapriority?NoIsCommunication,LanguageandSpeechgoalsapriority?Yes


• Correlationbetweenthecommunication,languageandspeechgoalsandtypesofdiagnosesissignificant(x2=18,294,p=0,003):allthecommunicationdisordersduetoASDhavetheseareasaspriority,inoppositiontomotorspeechdisorders.

0 1 2 3 4 5 6 7 8 9

SpeechSound DisorderCommunicationDisorder/Autism

MotorSpeechDisorderSpeechDelayComorbidity

ChildhoodApraxiaofSpeech

Whatisthe

funtionaldiagnosis?

1

9

1

1

1

2

6

3

IsCommunication,LanguageandSpeechgoalsapriority?Yes

IsCommunication,LanguageandSpeechgoalsapriority?No


• Withasignificantresult,weconcludedthatthecaseswithnecessityofspeech-languagepathologyinterventionbenefitsofinclusioninaEATprogramthatcoversthesefields(x2=8,372,p=0,04).

Results

DoesthechildbenefitsofSpeechTherapygoalsatEATfacility? Total

Yes NoDoesthepatientneedsconventionalspeechtherapy?

Yes 17 4 21

No 0 3 3

Total 17 7 24


• Thisresearchunderscorestheimportanceofintegratingaspeechtherapist intheteamofanEquineAssistedTherapyprogram,withgreaterrelevanceinpreschoolandschoolages.

• MorerequestedbypatientswithcommunicationdisordersduetoASD,– althoughtheyhavearoleinallestablisheddiagnosesinvolvingcommunication,languageandspeechimpairments.

ConclusionsFP134– MeloPestana andVazFreitas– IALP2013

Finalconsiderations

• Knowledgefields:SpeechPathology;Classicalriding;EquineAssistedTherapy

• Althoughitisdifficult,weneedtoresearchmore,duetotheresultsattaineduntilthisrightmoment.

[email protected](English)

http://slhippotherapy.blogspot.com


IALP2019inPortugal!!FP134– MeloPestana andVazFreitas– IALP2013

Equine Assisted Therapy as Strategy in Speech Language Pathology

Health & Medicine

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