canine-assisted physical therapy · 2018-04-15 · canine-assisted physical therapy caitlin...
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Canine-Assisted Physical Therapy
Caitlin Buening, PT, DPT, ATP
Devin Buehler, PT, DPT
Mercy-Springfield
Topics • Services provided by dogs
• Training of assistance dogs
• Process for facility dog placement
• Use of assistance dogs in rehabilitation
• Evidence-based recommendations
Service Dogs A variety of services are provided by
specially trained canines including:
Skilled companion/assistance dogs
Hearing dogs
Guide dogs
Medical alert dogs
Rescue dogs
Drug detection dogs
Facility dogs
Therapy dogs
Assistance Dog Programs Canine Companions for Independence
C.H.A.M.P. Assistance Dogs, Inc.
Paws for a Cause
AND MANY MORE…
Assistance Dogs of America
Support Dogs
Breeding & Training
COSTS
TIME
FRAMES
CANINE
BREEDS
VOLUNTEER PUPPY RAISERS
PRISON BASED PROGRAMS
Application & Matching Application process
Canine and human companion matching
Placement Options Individual
placements
vs.
Facility placements
Assistance Dog Skills
Canine-Assisted Therapy Definition: a goal-directed
intervention in which an animal,
meeting specific criteria, is an integral
part of the treatment process (American
Veterinary Medical Association)
How can this apply to PT?
Pain Management
Mobility Training
Balance
Activity Tolerance
Motivation/Behavioral Modification
Improved Patient Satisfaction
Improved Outcomes
Is this evidence-based practice? Total Joint Arthroplasty (Harper, et al)
Pain Ratings – difference of 2.4 units on VAS
Higher HCAHPS scores – pain management, overall hospital rating,
Cardiac Rehabilitation
Improved willingness to walk
Greater distance walked
Physiological changes
Increased beta-endorphins, oxytocin, prolactin, dopamine in both dogs and humans
Decreased cortisol in humans
Decreased blood pressure in both dogs and humans
Chronic pain
Reduction in pain and emotional distress
Improve feelings of well-being
Not Just for PT… Occupational Therapy
Functional activities based on patient goals
• ADL training
• IADL training
• Speech Therapy • Word Finding
• Speech Confidence
Group activities
Social interaction
FUN!
Example Activities Hair brushing to work on grip strength/activity tolerance
Opening and closing fasteners to address fine motor
Gait training emphasizing distance/activity tolerance, maintaining gait pattern with distraction
Playing ball to work on UE ROM and grasp
Playing retrieve/tug to work on UE strength or balance
Simulating daily canine care by following schedule for tasks related to the dogs
Simply petting the dog for lower level patients working on initiation, reaching, and basic stimulation
Gait training with dog on hemiparetic/neglected side
AND MORE!
Logistics
Documentation
Billing
Infection Prevention
Employer policies
Handlers
…but are the dogs happy? 😃
Questions?
References Angela Phung - Colleen Joyce - Shirley Ambutas - Melissa Browning - Louis Fogg -
Beth-Anne Christopher - Suzanne Flood - Nursing – 2017
Carl M.Harper - Yan Dong - Thomas S.Thornhill - John Wright - John Ready - Gregory W.Brick - George Dyer - Clinical Orthopaedics and Related Research® - 2014
Dawn A.Marcus - Cheryl D.Bernstein - Janet M.Constantin - Frank A.Kunkel - Paula Breuer - Raymond B.Hanlon - Pain Medicine - 2012
J.s.j Odendaal - R.a Meintjes - The Veterinary Journal - 2003
Nancy L.Novotny - Jackie Deibner - Cheryl Herrmann - Journal of Nursing Education and Practice - 2015
Rondeau L; Corriveau H; Bier N; Camden C; Champagne N; Dion C; NeuroRehabilitation, 2010
Stephanie Burres - Nancy E.Edwards - Alan M.Beck - Elizabeth Richards - Rehabilitation Nursing - 2016