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Transitions: Letting Logic Lead the Way…….

Transitions: Letting Logic Lead the Way……. Susie Rehr, PT. Executive Director of Special Strides Therapeutic Riding Center Physical Therapist Physical Therapy Clinical Instructor Treasurer, American Hippotherapy Association President, HRH of NJ. Special Strides.

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Transitions: Letting Logic Lead the Way…….

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  1. Transitions:Letting Logic Lead the Way…….

  2. Susie Rehr, PT • Executive Director of Special Strides Therapeutic Riding Center • Physical Therapist • Physical Therapy Clinical Instructor • Treasurer, American Hippotherapy Association • President, HRH of NJ

  3. Special Strides

  4. Special Strides Therapeutic Riding Center • 130 clients-70 % receive therapy services/30% riding instruction • 6 Therapists (PT and OT) • 4 Therapeutic/Adaptive Riding Instructors • 1 Therapeutic Driving Instructor • 2 holding certification in EFL • 2 holding certification as Equine Specialists

  5. Equine Assisted Activities & Therapy

  6. Start at the beginning: Define Recreational Program Riding, Driving, Vaulting Therapy Program Equine movement & related activities

  7. How do we know ? • When we look at the definitions and goals the decision is very clear. • Definitions-who is moving whom? • Goals of the horse and human relationship

  8. Therapeutic/Adaptive Riding • Recreational and educational model where the goals are on the horse or ground but always directly related to equine skills and horsemanship.

  9. Physical and Occupational Therapy • Addresses clinical impairments that lead to a specific evidence based plan of care • Movement of the horse facilitates the achievement of very specific goals meaningful to each client to change function.

  10. Transitions-Both Directions • TherapyRiding • RidingTherapy

  11. How do we know ? • What are the goals--- Let the goals of the client, parent or prescribing MD lead the way. • Therapy goals- • Change in the neurophysiologic status of the nervous system • Change in the musculoskeletal system function • Overall change in the functional status for activities of daily living

  12. How do we know ? • Therapeutic/Adaptive Riding: A program based on equine skill acquisition as well as social/emotional gains of a recreational activity individually or in large/small groups.

  13. How do we know ? • Recreational Goals- • Provide a recreational or sport activity for an individual with special needs that requires adaptation in either equipment or instruction.

  14. Who is moving whom?

  15. When Therapy Riding • When the therapy goals of the individual have been met and they desire to continue to ride a horse to further their recreational goals • When they are ready to direct the movement of the horse and develop horsemanship skills

  16. When Riding Therapy • When the functional status of a current recreational rider has changed and they no longer meet the precautions/contraindications of a riding program. • Decline in medical status • Incidence of seizures • Change in skeletal configuration—progression of scoliosis

  17. Smooth Transition • Both types of programming at the same center-integrated model • Develop a relationship with other disciplines to support this transition • Use your state organization to locate riding instructors or therapists if you cannot find them on your own

  18. Overall goal • Provide a safe environment where individuals of all abilities can perform to their greatest potential.

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