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With autism, on horseback

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Hippotherapy module 1 EN
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With autism, on horseback

  1. 1. Presented in “Autism Voices”, December, 2011 University Fernando Pessoa Oporto, Portugal With Autism, on Horseback Pedro Melo Pestana melopestana@gmail.com Speech Pathology, BSc – University Fernando Pessoa, Oporto, Portugal American Hippotherapy Association – Professional Member
  2. 2. With Autism, on Horse The Autism Spectrum Disorder (ASD) Organics Speech Pathology on Horseback Communication Efficacy in Children with ASD Transactional Support Example of Practical Activities
  3. 3. The Autism Spectrum Disorder Basic Ideas Social Lorna Wing’s Impairment Triad Commuincation Imagination(em otional)
  4. 4. The Autism Spectrum Disorder Every behaviors serve a function/purpose why not to communicate? (ex: disruptive behaviors that WE don’t know how to interpret) The impairment doesn’t belong only to the child: it also belongs to society!
  5. 5. The Autism Spectrum Disorder Equine Tradicional Assisted Intervention Therapy
  6. 6. Organics A New Proposal Animal Assisted Interventions Animal Assisted Therapy Animal Assisted Activities (AAT) (AAA) • Recreational • Goal directed benefits, and intervention; some • Animal as a co- therapeutical; therapist; Hippotherapy Adaptive Riding • Quality of life • Human Health improvement; professionals; • Trained • Intervention Plan professionals; sustained; volunteers; • Measurable Psychoeducational • Spontaneous outcomes Others Riding contents, with no pre defined goals
  7. 7. Organics The State of Art Adaptive Riding (therapeutic riding): activities are implemented by therapists or therapeutic riding instructors who use the horse's movement as a strategy to improve neuromuscular function or cognitive or developmental delay, or even with a more recreational benift significant to strengthen the development of life skills (Borton and Ogburn, 2009) Adapted riding: conventional riding with recreational or sporting purposes; directed to disabled people.
  8. 8. Orgânica Theoretical Rational/Basis “ Hippotherapy uses the horse's movement as a tool to achieve the patient goals of speech therapy, physiotherapy and occupational therapy (Bazaar, 2001) Hippotherapy = Intervention Strategy We should use the same goals as in traditional intervention. We just change the procedures and activities! MOST IMPORTANT KEYWORD: SENSORY INTEGRATION
  9. 9. Speech Pathology on Horseback Research - Past and Present 2011 Ana Melo Beth Neves Macauley Meredith Bazaar Ruth 30 Dismuke- years Blakely 1981
  10. 10. Communication Efficacy in Children with ASD Research based results (Leitão, 2004; Borton and Ogburn, 2009; Bazaar, 2001) -Language comprehension improvement; -Decrease of different types of echolalia and jargon; -Oral intelligibility increasing; -Increase of language diversity and spontaneity; -Increase of eye contact (frequency and quality); -Best-response to requests, follow directions and cooperate; -Increase of quality and frequency of communicative functions; -Increased attention; -Improvement of verbal imitation; -Increase of gesture skills.
  11. 11. Suporte às Transições Unknown environment Unexpected events Excessive external stimuli (sounds, dogs, etc) Great challenge to emotional regulation (increased anxiety, agressive behaviors, etc) Using visual support for smooth transitions and facilitate involvement in tasks • Subitling materials and activities procedures (photos, PCS, PCS use scheme, etc): • Take horse out, groom, ride, etc
  12. 12. Example of Practical Activities ACTIVITY 1 Description: stop the horse if child likes the movement Goal: promote communicative intention - the horse will not move until child looks to therapist, until vocalize, until say “go”, etc – depending on child skills and needs)
  13. 13. Example of Practical Activities Description: child must be positioned to the back of the horse. His hands must be on horses rump (we can help with our hands, modeling the horse gait movement). We ask the horse to star move and we can model the task. Each step should be one linguistic level/unit (depending the awarenesse level we are working – sintatic, phonological, diadochokinesia, speech debit) The horse’s gait rythm is a great tool to achieve our goals
  14. 14. Pedro Melo Pestana melopestana@gmail.com Oporto, Portugal

Editor's Notes

  • As intervenção assistida por animais é uma área de práticas complementares promissoras que continuam a lutar por para demonstrar a sua eficácia e validadeNem todas as actividades que envolvem cavalos e pessoas com perturbação são consideradas terapia.
  • Para além daquilo que toda a gente já sabe (naturalmente pelo publico que é), vale a pena acrescentar isto sobre a PEA
  • Para além daquilo que toda a gente já sabe (naturalmente pelo publico que é), vale a pena acrescentar isto sobre a PEA
  • Proposta de organizaçãoA pouca importância da classificação (é importante no meio académico e na prática os limites são menos claros)Psico-educacional... – actividades de maneio (limpeza, caminhar com o cavalo, outras actividades); montar, volteio, atrelagem.
  • Conceitos-chave / nomenclaturaFalar na transição!!
  • CATALIZADORA DO PROCESSO DE INTERVENÇÃOOs pontos de vista e definições são muito variáveis de acordo com as regiões.É comum ouvir outras coisas.Esta estratégia é acrescentada à existente
  • PioneirasA maioria que interliga directamente as duas áreas são pseudo cientificosSempre muito virado para a PC e autismo!!
  • Maior desafioDeve-se sempre apresentar previamente as actividades, principalmente quando há mudança
  • Objectivos 1: simples!Objectivos 2: consciência fonémica a sintática
  • Objectivos 1: simples!Objectivos 2: consciência fonémica a sintática

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