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Topic:Occupational Health

The occupational health of horses involves the study and management of health risks associated with the various activities and environments in which horses work. This area of research focuses on identifying and mitigating factors that can lead to physical injuries, respiratory issues, or stress-related conditions in horses engaged in occupations such as racing, farming, law enforcement, and therapy. Key considerations include ergonomic assessments, exposure to environmental hazards, and the impact of work-related stress on equine well-being. This page compiles peer-reviewed research studies and scholarly articles that explore the assessment, prevention, and management of occupational health risks in horses across different industries.
Hippotherapy concepts: A scoping review to inform transdisciplinary practice guidelines.
Scandinavian journal of occupational therapy    July 26, 2023   1-17 doi: 10.1080/11038128.2023.2231562
du Plessis N, Uys K, Buys T.Hippotherapy, an equine-assisted service, uses the movement of the horse as a treatment tool. Hippotherapy is often used by occupational therapists, physiotherapists, and speech and language pathologists. To optimise hippotherapy and facilitate the development of transdisciplinary hippotherapy practise guidelines, this scoping review identified novel hippotherapy concepts used during hippotherapy interventions for clients with spastic cerebral palsy.
Equine-Assisted Therapy in Post-Traumatic-Stress Disorder: A Systematic Review and Meta-Analysis.
Journal of equine veterinary science    June 22, 2023   Volume 128 104871 doi: 10.1016/j.jevs.2023.104871
Palomar-Ciria N, Bello HJ.Alternative treatments for Post-traumatic-Stress Disorder (PTSD) have attracted attention, especially Equine-Assisted Services (EAS) including psychotherapy and occupational therapy involving horses. In this work, we measured the effectiveness of EAS in PTSD through a meta-analysis. An intensive bibliography search focusing in EAS and PTSD was conducted following the PRISMA recommendations. The search was not restricted by date. For the quantitative analyses, 5 works were selected. They were chosen based on the instrument utilized for the assessment of PTSD symptoms: the PTSD Checklist for DSM...
Characterization of Injuries Suffered by Mounted and Non-Mounted Police Officers.
International journal of environmental research and public health    January 9, 2023   Volume 20, Issue 2 1144 doi: 10.3390/ijerph20021144
Orr R, Canetti EFD, Pope R, Lockie RG, Dawes JJ, Schram B.Mounted police officers are subject to unique occupational tasks which may lead to unique injuries. This study's aim was to describe policing injuries suffered by mounted police officers contextualized through comparison to non-mounted officers. Injury data from 01 July 2014 to 30 June 2020 were provided from a state policing agency's incident reporting database. The data reported the numbers and rates of injuries and classified the injuries by gender, cause, mechanism, nature, and hours worked. Of the 35,406 reported injuries, 35,255 (99.6%) injuries were reported by non-mounted police office...
Community-Based Interventions for Childhood Trauma: A Scoping Review.
OTJR : occupation, participation and health    April 29, 2022   Volume 43, Issue 1 14-23 doi: 10.1177/15394492221091718
Mazzeo G, Bendixen R.Experiencing trauma has long-lasting effects on a child's well-being, which may affect their occupational performance. This scoping review synthesized research on community-based interventions for children who have experienced trauma to highlight occupational therapists' role in trauma-informed care. We searched PubMed and PTSDPubs, including community-based interventional trials that addressed childhood trauma and excluding studies specific to refugees, sex-trafficking, significant comorbid diagnoses, and reviews. Eleven articles met criteria. Psychotherapy-based interventions (e.g., trauma-i...
The Effectiveness of Equine Therapy Intervention on Activities of Daily Living, Quality of Life, Mood, Balance and Gait in Individuals with Parkinson’s Disease.
Healthcare (Basel, Switzerland)    March 17, 2022   Volume 10, Issue 3 561 doi: 10.3390/healthcare10030561
Berardi A, Di Napoli G, Ernesto M, Fabbrini G, Conte A, Ferrazzano G, Viselli F, Galeoto G.The objective of this study was to evaluate the efficacy of equine therapy (ET) to detect changes in the activities of daily living, quality of life, mood, balance, and gait in individuals with Parkinson's disease (PD). Methods: In the study, 17 participants with PD were recruited to participate in 10 sessions of ET. The inclusion criteria of the study were: second and third stages of the Hoehn and Yahr scale, Mini-Mental State Examination (MMSE) greater than or equal to 24 points, and age up to 85 years. The outcome measures administered at the beginning and the end of treatment relied on mea...
X-ray tube operators can be exposed to equal or higher scattered radiation doses to the hand as cassette holders during diagnostic radiographic procedures of the equine vertebral column and limbs.
American journal of veterinary research    March 3, 2022   Volume 83, Issue 5 412-418 doi: 10.2460/ajvr.21.08.0134
Belotta AF, Mayer MN, Waldner CL, Sidhu NP, Robinson KA, Carmalt JL, Freitas FP, Koehncke NK.The objectives of this study were to investigate scattered radiation doses to the hands of equine workers holding the cassette and the x-ray tube by hand, for both limb and vertebral column studies, and to compare the scattered radiation attenuation of lead with radiation protection lead-free gloves. Radiation doses to the hands of the cassette holder in the primary beam were also investigated. Methods: A whole-body horse cadaver. Methods: A portable x-ray unit was used to simulate 6 radiographic study types in the horse cadaver. Doses were measured with no shielding and, for cassette holders,...
Occupational Safety Climate in the Swedish Equine Sector.
Animals : an open access journal from MDPI    February 11, 2022   Volume 12, Issue 4 438 doi: 10.3390/ani12040438
Lindahl C, Bergman Bruhn Å, Andersson IM.The Swedish equine sector is considered a high-risk work environment, with relatively high injury rates and high severity of injuries. General safety research has identified a correlation between the safety performance and safety culture, but little is known about the intricacies of the safety culture in the Swedish equine sector, especially concerning managers' and employees' perceptions of their work environment. The safety climate assessment is recognised as an effective tool for identifying potential problems in the workplace, thus enhancing safety behaviour and decreasing the frequency an...
Impact of hippotherapy on the life habits of children with disabilities: a systematic review.
Disability and rehabilitation    January 19, 2022   Volume 44, Issue 26 8161-8175 doi: 10.1080/09638288.2021.2012847
Potvin-Bélanger A, Vincent C, Freeman A, Flamand VH.The aim was to document the effects of hippotherapy on the 12 life habits of children with various disabilities. A systematic review using PRISMA guidelines was conducted to identify relevant studies. Five databases were consulted. Inclusion criteria were: 2-to-18 years old; therapy provided by a PT, OT or SLP/SLT; variables relevant to life habits as defined by the Human Development Model - Disability Creation Process. Quality was analyzed using a quantitative studies critical review form developed by the McMaster University Occupational Therapy Evidence-Based Practice Research Group. Level...
Occupational vs. non-occupational equestrians: Differences in demographics and injury patterns.
Injury    November 1, 2021   Volume 53, Issue 1 171-175 doi: 10.1016/j.injury.2021.10.033
Samuels K, Bettis A, Davenport DL, Bernard AC.Nineteen million people participate in horseback riding activities in the US, and the horse industry employs more than 460,000 full-time workers. Emergency department data suggest young female amateurs and male professionals are most at risk of death from horse-related injuries. However, there has been no investigation into factors that may increase severe injury and mortality risk in these populations. This study investigates demographics and injury pattern differences between occupational and non-occupational horse-related injuries in the US. Methods: The 2017 American College of Surgeons Na...
Framing Future of Work Considerations through Climate and Built Environment Assessment of Volunteer Work Practices in the United States Equine Assisted Services.
International journal of environmental research and public health    October 2, 2021   Volume 18, Issue 19 10385 doi: 10.3390/ijerph181910385
Tumlin K, Liu S, Park JH.The foundation of healthy workplace design is an understanding of work practices. Volunteers comprise the majority of the workforce in care centers using horses to address human health issues. Documentation is lacking on protections for worker well-being in equestrian microenvironments which are known to have the potential for dust exposures. Climate acts as a master variable in equestrian facility design and ventilation usage to address dust and temperature concerns. Using climate as an independent variable, our objective was to characterize space usage, safety, environmental control, and org...
Preliminary Efficacy of Occupational Therapy in an Equine Environment for Youth with Autism Spectrum Disorder.
Journal of autism and developmental disorders    September 23, 2021   Volume 52, Issue 9 4114-4128 doi: 10.1007/s10803-021-05278-0
Peters BC, Wood W, Hepburn S, Moody EJ.The purpose of this study was to identify appropriate outcome measures and assess preliminary efficacy of occupational therapy in an equine environment (OT HORSPLAY) for youth with autism spectrum disorder (ASD). Twenty-four youth with ASD aged 6-13 were randomized to 10 weeks of OT HORSPLAY or to a waitlist control condition, occupational therapy in a garden. Youth demonstrated significantly improved goal attainment and social motivation, and decreased irritability after OT HORSPLAY. When compared to the subset of participants who completed the waitlist control condition, the OT HORSPLAY gro...
A Cross Sectional Survey of International Horse-Racing Authorities on Injury Data Collection and Reporting Practices For Professional Jockeys.
Journal of equine veterinary science    June 18, 2021   Volume 104 103686 doi: 10.1016/j.jevs.2021.103686
O'Connor S, Hitchens PL, Bolwell C, Annan R, McGoldrick A, Fortington LV.Jockey injuries are common in professional horse-racing and can result in life-threatening or career-ending outcomes. Robust injury data are essential to understand the circumstances of injury occurrence and ultimately identify prevention opportunities. This study aimed to identify jockey injury surveillance practices of international horse-racing authorities (HRAs) and the specific data items collected and reported by each HRA. A cross-sectional survey of representatives (e.g. Chief Medical Officer) from international HRAs was conducted. An online and paper questionnaire was designed comprise...
Quantitative and qualitative analysis of operator inhaled aerosols during routine motorised equine dental treatment.
Equine veterinary journal    November 30, 2020   Volume 53, Issue 5 1036-1046 doi: 10.1111/evj.13379
Bescoby SR, Davis SA, Sherriff M, Ireland AJ.Routine equine odontoplasty is performed by both Veterinary Surgeons and Equine Dental Technicians. The production of aerosolised particulates from motorised equipment has been well documented in human orthodontics but has yet to be investigated in the veterinary industry. Objective: To assess the size, quantity and composition of particulates produced during routine motorised odontoplasty and to model their deposition in the human respiratory tree. Methods: Analytic observational study. Methods: Fifteen-minute routine motorised odontoplasties were performed on cadaver heads with monitoring eq...
“Prevention is the biggest success”: Barriers and enablers to personal biosecurity in the thoroughbred breeding industry.
Preventive veterinary medicine    September 15, 2020   Volume 183 105135 doi: 10.1016/j.prevetmed.2020.105135
Taylor K, Thomas S, Mendez D, Chicken C, Carrick J, Heller J, Durrheim D.Employees in the equine industry are at occupational risk of zoonoses such as Hendra virus and equine chlamydiosis through exposure to infected materials. This study aimed to gain a deeper understanding of the views and experiences of employees, and the key drivers of infection control and personal biosecurity (PB) practices in the Thoroughbred breeding industry. Methods: An exploratory qualitative study was conducted in 2018 in New South Wales, Australia using interviews (9) and small group discussions (7). The 29 participants included veterinarians, veterinary nurses, foaling staff, stud man...
Analysis of Thoroughbred horse farm workers’ compensation insurance claims in Kentucky: Injury frequency, cost, lost time, and associated occupational factors.
American journal of industrial medicine    July 28, 2020   Volume 63, Issue 10 936-948 doi: 10.1002/ajim.23159
Flunker JC, Clouser JM, Swanberg JE.Thoroughbred horse farm workers self-report a high frequency of work-related injuries and pain. However, an analysis of Thoroughbred horse farm workers' compensation injury claims is absent from the literature, yet may benefit worker safety. We analyzed workers' compensation insurance firm data containing 2276 claims filed between 2008 and 2015. Injury frequency, cost, and lost time per cause, nature, and body part injured were examined qualitatively and via univariate tests. Factors associated with high cost and high duration lost time claims were modeled via multivariable logistic regression...
Horse allergen sensitivity and respiratory symptoms among horse farm workers.
Turkish journal of medical sciences    June 23, 2020   Volume 50, Issue 4 910-916 doi: 10.3906/sag-1912-39
Baran Ketencioğlu B, Yilmaz I, Tutar N, Gülmez I, Oymak FS.Sensitivity and symptoms related to animal proteins have been investigated in various occupational groups. However, data from horse farm workers are limited. We aimed to determine horse allergen sensitivity in the horse farm workers, and to evaluate its relationship with respiratory symptoms and functional parameters. A total of 110 subjects were enrolled in the study. The study group consisted of 80 horse farm workers. Face-to-face surveys, skin prick tests (SPT), and pulmonary function tests (PFT) were performed in the study group. Control group consisted of 30 healthy subjects. SPT and PFTs...
Hippotherapy Practice and Safety Patterns in the United States: A Descriptive Survey Study.
Journal of alternative and complementary medicine (New York, N.Y.)    June 17, 2020   Volume 26, Issue 8 743-749 doi: 10.1089/acm.2020.0039
Peters BC, Fields BE, Erdman EA.Objective: The use of equine movement as a therapy tool in a plan of care, or hippotherapy, has grown considerably over the past three decades. However, there is little evidence of safety rates and related practice patterns to guide key stakeholders such as clients, therapists, the health care team, and third-party payers. The purpose of this article is to describe the safety and practice patterns of contemporary use of hippotherapy. Design: A survey was distributed to occupational therapy (OT), physical therapy (PT), and speech-language pathology clinicians who incorporate hippotherapy into t...
Parental Perspectives of Occupational Therapy in an Equine Environment for Children with Autism Spectrum Disorder.
Occupational therapy in health care    April 17, 2020   Volume 34, Issue 3 230-252 doi: 10.1080/07380577.2020.1751903
Kalmbach D, Wood W, Peters BC.This paper reports on the qualitative phase of a mixed methods study of occupational therapy in an equine environment for children with autism spectrum disorder (ASD). The study's quantitative phase found that this intervention improved the occupational performance, social motivation, social communication, and self-regulation of some children with ASD. The study's qualitative phase, reported herein, subsequently aimed to describe parental perspectives on children's experiences of the intervention and its influences on everyday life. Using a qualitative descriptive research approach, five paren...
Equine-Assisted Intervention to Improve Perceived Value of Everyday Occupations and Quality of Life in People with Lifelong Neurological Disorders: A Prospective Controlled Study.
International journal of environmental research and public health    April 3, 2020   Volume 17, Issue 7 2431 doi: 10.3390/ijerph17072431
Pálsdóttir AM, Gudmundsson M, Grahn P.People with neurological disorders suffer from poor mobility, poor balance, fatigue, isolation and monotonous everyday activities. Studies show that equine-assisted interventions can improve their mobility and balance, but could these kinds of interventions also increase participants' activity repertoire and self-assessed health, and reduce their fatigue? The study was conducted as a prospective, controlled study with three cohorts followed for one year: intervention group ( = 14), control group Passive ( = 29), and control group Active ( = 147). Participants in the study were affected by neur...
Self-Management Intervention for Attention and Executive Functions Using Equine-Assisted Occupational Therapy Among Children Aged 6-14 Diagnosed with Attention Deficit/Hyperactivity Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    January 14, 2020   Volume 26, Issue 3 239-246 doi: 10.1089/acm.2019.0374
Gilboa Y, Helmer A. Attention deficit/hyperactivity disorder (ADHD), characterized by inattention, hyperactivity, and impulsivity, is currently one of the most common diagnoses given to children. Children with ADHD have a unique cognitive profile that involves difficulties in executive functions (EFs) and in the self-management system of the brain, and are at higher risk for educational failure, social and emotional difficulties, and high risk behavior. The purpose of this study was to examine the effectiveness of self-management intervention for attention and executive functions using equine-assisted occupatio...
Challenges in using serological methods to explore historical transmission risk of Chlamydia psittaci in a workforce with high exposure to equine chlamydiosis.
Communicable diseases intelligence (2018)    December 16, 2019   Volume 43 doi: 10.33321/cdi.2019.43.65
Jones B, Taylor K, Lucas RM, Merritt T, Chicken C, Heller J, Carrick J, Givney R, Durrheim DN.This report describes the challenges encountered in using serological methods to study the historical transmission risk of from horses to humans. In 2017, serology and risk factor questionnaire data from a group of individuals, whose occupations involved close contact with horses, were collected to assess the seroprevalence of antibodies to and identify risk factors associated with previous exposure. 147 participants were enrolled in the study, provided blood samples, and completed a questionnaire. On ELISA testing, antibodies to the Chlamydia genus were detected in samples from 17 participa...
Occupational Exposures in an Equestrian Centre to Respirable Dust and Respirable Crystalline Silica.
International journal of environmental research and public health    September 3, 2019   Volume 16, Issue 17 3226 doi: 10.3390/ijerph16173226
Bulfin K, Cowie H, Galea KS, Connolly A, Coggins MA.Sand-based products are regularly used as footing material on indoor equestrian arenas, creating a potential occupational exposure risk for respirable crystalline silica (RCS) for equestrian workers training and exercising horses in these environments. The objective of this study was to evaluate an equestrian worker's personal RCS and respirable dust (RD) exposure. Sixteen personal full-shift RD measurements were collected from an equestrian worker and analysed for RD, quartz and cristobalite. Geometric mean exposures of 0.12 mg m and 0.02 mg m were calculated for RD and RCS concentrations, re...
Inhalable and Respirable Particulate and Endotoxin Exposures in Kentucky Equine Farms.
Journal of agromedicine    August 20, 2019   Volume 25, Issue 2 179-189 doi: 10.1080/1059924X.2019.1656128
Hwang J, Golla V, Metwali N, Thorne PS.Adverse respiratory health effects in the agricultural industry have been linked to particulate endotoxin exposure. However, whether the endotoxin concentration is significantly correlated to the size of the particle remains an open question. To date, limited research has been conducted to assess particulate endotoxin exposures in the agricultural industry in general or the equine industry in particular. A task-based exposure assessment was conducted to characterize the endotoxin levels of inhalable and respirable particles on four Kentucky farms during the summer season. We conducted personal...
A cross-sectional study of methicillin-resistant Staphylococcus aureus at the equine-human interface.
Tropical animal health and production    April 10, 2019   Volume 51, Issue 7 1927-1933 doi: 10.1007/s11250-019-01888-0
Waqar N, Amin Q, Munir T, Ikram MS, Shahzad N, Mirza A, Ali A, Arshad MI.The present study aimed at investigating the percent prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in equines and associated personnel. A total of 150 swabs of equines and 50 nasal swab samples of associated personnel were collected. These samples were processed in mannitol salt broth for enrichment. A total of 175 nasal swab samples changed the broth color from pink to yellow which were detected as samples containing S. aureus. These samples were processed further on specific media, namely mannitol salt agar, Staph-110, and blood agar, for phenotypic and Gram's staining-bas...
Assessment of Musculoskeletal Injuries Associated with Palpation, Infection Control Practices, and Zoonotic Disease Risks among Utah Clinical Veterinarians.
Journal of agromedicine    October 26, 2018   Volume 24, Issue 1 35-45 doi: 10.1080/1059924X.2018.1536574
Rood KA, Pate ML.Practicing veterinarians are exposed to unique occupational hazards and zoonotic diseases. National studies have highlighted an increase risk to injuries and a lack of veterinary awareness for these hazards. In Utah (and likely other states), reports of acquired zoonoses are sporadic, and underlying risk factors poorly understood. To better clarify occupational risk factors, the knowledge, attitudes, and behaviors of Utah veterinarians were examined. A total sample of 809 Utah veterinarians were identified from the 2017 licensure listing provided by the Utah Division of Professional Licensing....
Missed Work Due to Occupational Illness among Hispanic Horse Workers.
Journal of agricultural safety and health    May 23, 2018   Volume 24, Issue 2 89-107 doi: 10.13031/jash.12735
Bush AM, Westneat S, Browning SR, Swanberg J.Occupational illnesses are inadequately reported for agriculture, an industry dominated by a vulnerable Hispanic population and high fatal and nonfatal injury rates. Work-related illnesses can contribute to missed work, caused by a combination of personal and work factors, with costs to the individual, employer, and society. To better understand agricultural occupational illnesses, 225 Hispanic horse workers were interviewed via community-based convenience sampling. Descriptive statistics, bivariate analyses, and log binomial regression modeling were used to: (1) describe the prevalence of mis...
All equine vets should wear helmets.
The Veterinary record    May 8, 2018   Volume 182, Issue 18 521 doi: 10.1136/vr.k1982
Shaw L. argues that, due to the equine profession having the highest injury rate of all civilian professions, senior veterinary surgeons should take the lead in wearing helmets as routine.
Farming and ranching related injuries in Southern Idaho.
American journal of surgery    March 31, 2017   Volume 213, Issue 5 881-884 doi: 10.1016/j.amjsurg.2017.03.009
Shaver J, McRoberts D, O'Byrne B, Morgan B, Krall K, Surjan C, Mayberry J.Agriculture is an inherently dangerous industry. We sought injury data for use with the Idaho Time Sensitive Emergency (TSE) system to formulate goals and track improvements. Methods: Registries in southern Idaho were queried for ICD-9-CM diagnoses related to agriculture in 2014. Injuries known or likely to have occurred on properties intended for farming, ranching, animal care, or milk production, and relating to those activities were included. Results: Among 72 patients, injuries were related to horses (31%), machinery (17%), ATVs (17%), and hay bales/haystacks (13%). Average age was 45 (3-8...
Translational Research for Occupational Therapy: Using SPRE in Hippotherapy for Children with Developmental Disabilities.
Occupational therapy international    February 19, 2017   Volume 2017 2305402 doi: 10.1155/2017/2305402
Weissman-Miller D, Miller RJ, Shotwell MP.Translational research is redefined in this paper using a combination of methods in statistics and data science to enhance the understanding of outcomes and practice in occupational therapy. These new methods are applied, using larger data and smaller single-subject data, to a study in hippotherapy for children with developmental disabilities (DD). The Centers for Disease Control and Prevention estimates DD affects nearly 10 million children, aged 2-19, where diagnoses may be comorbid. Hippotherapy is defined here as a treatment strategy in occupational therapy using equine movement to achieve...
Whole-body vibration exposure of occupational horseback riding in agriculture: A ranching example.
American journal of industrial medicine    January 13, 2017   Volume 60, Issue 2 215-220 doi: 10.1002/ajim.22683
Zeng X, Trask C, Kociolek AM.Horse riding is common in many occupations; however, there is currently no research evaluating exposure to whole-body vibration and mechanical shock on horseback. Methods: Whole-body vibration was measured on a cattle rancher during two 30 min horseback rides using a tri-axial accelerometer mounted on a western saddle. Vibration was summarized into standardized metrics, including the 8 hr equivalent root-mean-squared acceleration (A[8]) and the daily 4th power vibration dose value (VDV). The resulting exposures were compared to the exposure limit and action values provided by European Unio...
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