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A Case Study Determining the Effects of Hippotherapy on Developmental Dysarthria

The full case study can be downloaded here: Hippotherapy-Case-Stdy.pdf

Title: A Case Study Determining the Effects of Hippotherapy on Developmental Dysarthria
Creators: Shover, Carrie
Advisor: McCauley, Rebecca
Issue Date: 2010-06
Abstract: Hippotherapy is an approach to equine assisted therapy (EAT) that uses equine movement along with physical, occupational, or speech therapy treatment strategies (Håkanson, Möller, Lindström, & Mattsson, 2009). In speech-language pathology, the few existing studies focusing on hippotherapy have primarily used subjective measurements such as questionnaires (e.g., Borton & Ogburn 2009). These studies suggested that children who participated in hippotherapy were believed (by their parents and others) to experience improved speech and language skills, increased motivation to attend therapy sessions, and improved self-concepts (Macauley & Gutierrez, 2004). Increases in vocalizations have also been noted in non-verbal participants (Lehrman & Ross, 2001). This study is a single participant case study designed to examine the immediate effects of four hippotherapy sessions on objective measures [i.e., respiratory strength, vocal intensity (loudness) and the mean length of utterance (MLU)] of a person with developmental dysarthria, where developmental dysarthria refers to speech abnormalities due to chronic weakness of the speech musculature. Because no appropriate participant was found in time for data collection to be completed, the study goals were changed to piloting of procedures.
Embargo: No embargo
Series/Report no.: The Ohio State University. Department of Speech and Hearing Science Honors Theses; 2010
Keywords: hippotherapy
developmental dysarthria
Sponsors: Department of Social and Behavioral Sciences at The Ohio State University
Department of the Arts and Sciences at The Ohio State University
Girl with Cerebral Palsy reading.

Picture Exchange Communication System (PECS)

Picture Exchange Communication System (PECS) was created in 1985 for young children with Autism. Over the years it is now being introduced to most children who are non verbal.

This is quite interesting how it is taught.

Phase I teaches the physical exchange of a picture; no discrimination is required.

Phase II teaches distance and persistence.

Phase III: Picture discrimination skills are introduced: first through pairings of preferred and non-preferred pictures.

Phase IV: Sentence structure is introduced: the simple request will now consist of the sentence starter “I want” + a picture of the desired item/activity placed on a Sentence Strip.

In Phase V, the PECS user is taught to expand on basic skills with the addition of attributes.

In Phase VI, individuals learn to make comments on interesting stimuli in the environment.

Here are a few videos of how PECS is used. Andy has completed all 6 phrases.

Andys PECS video part 1

Andy’s PECS video part 2

For more information regarding PECS…

http://www.autism-society.org/living-with-autism/treatment-options/pecs.pdf

Andy, Born Feb 4 2000 (Agpar Score 0,0,0,4 at 15 min, heartbeat @ 17 mins) 12 years old. HIE (Came home with G-Tube, Removed @ 14 mos.) Hypotonic, later dx’ed Mixed CP. Hydrocephalus has VP Shunt (revised 2000 & 2012) GMFM II almost Level I. Walks Independently but not well enough to play sports. Non-verbal. Uses ASL.

photo credit: thejbird via photopin cc