Mayo Clinic proceedings · 2026
The Impact of Animal-Assisted Treatment on Inpatient Stroke Rehabilitation.
СтатьяНазвание и аннотация: Перевод в очереди
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Shih Hao-Yu, Martin François, Ness Debra, Romine Whitney M, Peck Taylor, Turpin Tricia, Horoschak Rachael, Steeby Cynthia C, Phillips Hannah N, Claypool Mary, Theuer Amanda, Herbeck Grace M, Sexton Jasmine, Pittman Erin, Bellamkonda Erica, Ligutam Mohabbat Nikita Maria, Lyn Sandra A, Bauer Brent A, Mohabbat Arya B
Аннотация
OBJECTIVE: To investigate the effects of animal-assisted treatment (AAT) on patients undergoing inpatient stroke rehabilitation.
PATIENTS AND METHODS: Fifty hospitalized patients with a recent stroke were randomly assigned into either the control or experimental group. Patients in the control group received standard hospital-based stroke rehabilitation, including occupational, physical, and speech therapy. Patients in the experimental group participated in AAT-embedded stroke rehabilitation which involved the standard hospital-based treatment along with treatment sessions augmented with AAT. Patients' emotions, motivation, activity level, and treatment outcomes were assessed using questionnaires, physiological parameters (cardiac activity, salivary cortisol, salivary oxytocin, and tympanic membrane temperature), functional performances, and physical activity level. This study was conducted from February 21, 2023, through February 7, 2024.
RESULTS: Results demonstrated that, compared with patients participating in the standard stroke rehabilitation protocol (control), experimental group patients scored significantly higher on the Pittsburgh Rehabilitation Participation Scale (P=.0038), had a significantly higher physical activity counts per minute (P=.023), and remained mobile for a significantly higher percentage of time (P=.006). These results indicated that experimental group patients were more engaged and physically more active during the AAT-embedded stroke rehabilitation. Also, compared with the control group, the experimental group had significantly increased differences of the root mean square of successive differences between consecutive normal heartbeats (P=.04) and the standard deviation of NN intervals between consecutive normal heartbeats (P=.032), indicating improvements in stress response in patients receiving the AAT-embedded sessions. Mood and other physiological responses were not statistically different between groups.
CONCLUSION: AAT-embedded stroke rehabilitation involving a therapy dog has a positive effect on patients' activity level, motivation, and their engagement during inpatient stroke rehabilitation.
PATIENTS AND METHODS: Fifty hospitalized patients with a recent stroke were randomly assigned into either the control or experimental group. Patients in the control group received standard hospital-based stroke rehabilitation, including occupational, physical, and speech therapy. Patients in the experimental group participated in AAT-embedded stroke rehabilitation which involved the standard hospital-based treatment along with treatment sessions augmented with AAT. Patients' emotions, motivation, activity level, and treatment outcomes were assessed using questionnaires, physiological parameters (cardiac activity, salivary cortisol, salivary oxytocin, and tympanic membrane temperature), functional performances, and physical activity level. This study was conducted from February 21, 2023, through February 7, 2024.
RESULTS: Results demonstrated that, compared with patients participating in the standard stroke rehabilitation protocol (control), experimental group patients scored significantly higher on the Pittsburgh Rehabilitation Participation Scale (P=.0038), had a significantly higher physical activity counts per minute (P=.023), and remained mobile for a significantly higher percentage of time (P=.006). These results indicated that experimental group patients were more engaged and physically more active during the AAT-embedded stroke rehabilitation. Also, compared with the control group, the experimental group had significantly increased differences of the root mean square of successive differences between consecutive normal heartbeats (P=.04) and the standard deviation of NN intervals between consecutive normal heartbeats (P=.032), indicating improvements in stress response in patients receiving the AAT-embedded sessions. Mood and other physiological responses were not statistically different between groups.
CONCLUSION: AAT-embedded stroke rehabilitation involving a therapy dog has a positive effect on patients' activity level, motivation, and their engagement during inpatient stroke rehabilitation.