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Mittly V, Fáy V, Dankovics N, Pál V, Purebl G. The role of dog therapy in clinical recovery and improving quality of life: a randomized, controlled trial. BMC Complement Med Ther 2024; 24:229. [PMID: 38867254 PMCID: PMC11167866 DOI: 10.1186/s12906-024-04538-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 06/05/2024] [Indexed: 06/14/2024] Open
Abstract
BACKGROUND Any illness places a significant burden on patients, including deterioration in quality of life. Animal assisted therapy may be helpful in the rehabilitation process and in the treatment of patients to alleviate this phenomenon. METHODS A randomized, controlled research was conducted in 2019 and 2020 in a rehabilitation center in Budapest. In our study, the control and experimental groups received the same therapy, but the rehabilitation treatment of the intervention group was complemented by dog therapy. Patients were evaluated by means of the short form Beck Depression Inventory, State-Trait Anxiety Inventory, Illness Intrusiveness Ratings Scale, Visual Analog Scale for pain and the WHO-5 Well-being Index. For statistical analysis paired T-test and ANCOVA was performed. RESULTS 58 participants in both groups took part in the research. Results confirm that both groups showed statistically significant improvement in all outcome measures, except for depression symptoms in dog therapy group. Quality of life of the participants improved significantly, their pain and anxiety levels were significantly reduced, they felt significantly less burdened by the disease in their daily lives. Therapeutic-dog sessions had a large effect on patients' quality of life and anxiety. CONCLUSIONS There is a strong case for animal assisted therapy as a complementary therapy in the rehabilitation program, and it is proposed that consideration should be given to the application of this method on a larger scale within health care. The study was retrospectively registered at ISRCTN Registry (registration number: ISRCTN10208787) on 15/03/2022.
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Affiliation(s)
- Veronika Mittly
- Institute of Behavioral Sciences, Semmelweis University, Nagyvárad square 4, Budapest, 1089, Hungary.
- South-Pest Central Hospital National Institute of Haematology and Infectology, Center for Rehabilitation, Jahn Ferenc street 62-66, Budapest, 1195, Hungary.
| | - Veronika Fáy
- South-Pest Central Hospital National Institute of Haematology and Infectology, Center for Rehabilitation, Jahn Ferenc street 62-66, Budapest, 1195, Hungary
| | - Natália Dankovics
- South-Pest Central Hospital National Institute of Haematology and Infectology, Center for Rehabilitation, Jahn Ferenc street 62-66, Budapest, 1195, Hungary
| | - Vanda Pál
- Institute of Behavioral Sciences, Semmelweis University, Nagyvárad square 4, Budapest, 1089, Hungary
| | - György Purebl
- Institute of Behavioral Sciences, Semmelweis University, Nagyvárad square 4, Budapest, 1089, Hungary
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Cadel L, DeLuca C, Hitzig SL, Packer TL, Lofters AK, Patel T, Guilcher SJT. Self-management of pain and depression in adults with spinal cord injury: A scoping review. J Spinal Cord Med 2018; 43:280-297. [PMID: 30335601 PMCID: PMC7241513 DOI: 10.1080/10790268.2018.1523776] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Context: Pain and depression are two prevalent secondary complications associated with spinal cord injury (SCI) that negatively impact health and well-being. Self-management strategies are growing in popularity for helping people with SCI to cope with their pain and depression. However, there is still a lack of research on which approaches are best suited for this population.Objective: The aim of this scoping review was to determine what is known about the self-management of pain and depression through the use of pharmacological and non-pharmacological therapies in adults with SCI.Methods: Seven electronic databases were searched for articles published between January 1, 1990 and June 13, 2017. Grey literature was searched and additional articles were identified by manually searching the reference lists of included articles.Results: Overall, forty-two articles met the inclusion criteria; with the majority reporting on the self-management of pain, rather than on depression or on both complications. Non-pharmacological interventions were more likely to include self-management strategies than pharmacological interventions. A limited number of studies included all of the core self-management tasks and skills.Conclusions: There are significant knowledge gaps on effective self-management interventions for pain and depression post-SCI. There is a need to develop interventions that are multi-faceted, which include both pharmacological and non-pharmacological therapies to address multimorbidity.
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Affiliation(s)
- Lauren Cadel
- Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada
| | - Claudia DeLuca
- Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada
| | - Sander L. Hitzig
- St. John’s Rehab, Sunnybrook Research Institute, Toronto, Ontario, Canada,Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada,Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Tanya L. Packer
- School of Occupational Therapy, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Aisha K. Lofters
- Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada,Centre for Urban Health Solutions, St. Michael’s Hospital, Toronto, Ontario, Canada
| | - Tejal Patel
- School of Pharmacy, University of Waterloo, Kitchener, Ontario, Canada,Centre for Family Medicine Family Health Team, Kitchener, Ontario, Canada
| | - Sara J. T. Guilcher
- Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada,Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada,Centre for Urban Health Solutions, St. Michael’s Hospital, Toronto, Ontario, Canada,Correspondence to: Sara J. T. Guilcher, Leslie Dan Faculty of Pharmacy, 144 College Street, room 604, Toronto ON M5S 3M2.
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Unger J, Singh H, Mansfield A, Hitzig SL, Lenton E, Musselman KE. The experiences of physical rehabilitation in individuals with spinal cord injuries: a qualitative thematic synthesis. Disabil Rehabil 2018; 41:1367-1383. [PMID: 29334811 DOI: 10.1080/09638288.2018.1425745] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
PURPOSE The purpose of this thematic synthesis review was to identify and synthesise published qualitative research on the perspectives of individuals with spinal cord injuries with respect to physical rehabilitation interventions. MATERIALS AND METHODS The peer-reviewed literature was searched across seven databases and identified abstracts were independently screened by two reviewers. A thematic synthesis methodology was used to code and synthesise the results from the included studies. RESULTS In total, 7233 abstracts were identified; 31 articles were selected for inclusion, representing 26 physical rehabilitation interventions. The methodological quality of studies was moderate (Standards for Reporting Qualitative Research mean ± standard deviation = 14.39 ± 3.61). The four main themes developed were: (1) Benefits of physical rehabilitation, (2) Challenges of physical rehabilitation, (3) Need for support, and (4) Issue of control. CONCLUSIONS This qualitative thematic synthesis provides key insights into the experiences of individuals with spinal cord injuries who received physical rehabilitation. Recommendations for practice, based on the findings, include creating a diverse, encouraging, and educational physical rehabilitation experience with supportive staff who focus on communication and person-centred care. Implications for Rehabilitation Physical rehabilitation provides psychological as well as physical benefits to people with spinal cord injuries, including motivation, hope, improved self-confidence, and acceptance. Challenges identified during physical rehabilitation for people with spinal cord injuries, such as comparisons, negative emotions, recovery expectations, and slow progress, should be addressed by healthcare professionals to ensure person-centred care. People with spinal cord injuries identified a need for support from health care professionals, family, and friends, as well other people with spinal cord injuries. There is an issue of control in physical rehabilitation for people with spinal cord injuries, which can result in a fight with oneself or with healthcare professionals to regain the control that has been lost.
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Affiliation(s)
- Janelle Unger
- a Rehabilitation Sciences Institute , University of Toronto , Toronto , Canada.,b Toronto Rehabilitation Institute , University Health Network , Toronto , Canada
| | - Hardeep Singh
- a Rehabilitation Sciences Institute , University of Toronto , Toronto , Canada.,b Toronto Rehabilitation Institute , University Health Network , Toronto , Canada
| | - Avril Mansfield
- b Toronto Rehabilitation Institute , University Health Network , Toronto , Canada.,c Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute , Sunnybrook Health Sciences Centre , Toronto , Canada.,d Department of Physical Therapy, Faculty of Medicine , University of Toronto , Toronto , Canada
| | - Sander L Hitzig
- a Rehabilitation Sciences Institute , University of Toronto , Toronto , Canada.,b Toronto Rehabilitation Institute , University Health Network , Toronto , Canada.,c Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute , Sunnybrook Health Sciences Centre , Toronto , Canada.,e Department of Occupational Science & Occupational Therapy , University of Toronto , Toronto , Canada
| | - Erica Lenton
- f Gerstein Science Information Centre , University of Toronto , Toronto , Canada
| | - Kristin E Musselman
- a Rehabilitation Sciences Institute , University of Toronto , Toronto , Canada.,b Toronto Rehabilitation Institute , University Health Network , Toronto , Canada.,d Department of Physical Therapy, Faculty of Medicine , University of Toronto , Toronto , Canada
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