Over the summer we had the opportunity to meet with Lilit Mnatsakanyan, director of the Republican Pedagogical-Psychological Center of Armenia or the ՀՄԿ – Հանրապետական մանկավարժահոգեբանական կենտրոն. These centers are the implementing body of all inclusive education programs in the country. There is one center in each region providing evaluations, assessments, and individualized educational plans to leaners with unique needs and or in need of additional support. During our meeting, we discussed ways to support their efforts through sustainable approaches by strengthening capacity in regions with low resources and providing guidance related to assistive technology and classroom modifications. As we are already working with the center in the Lori Region, we are looking forward to expanding this collaboration further to support participation of all learners in Armenia!

Last month we had the opportunity to visit We Can NGO/ «Մենք Կարող ենք» ՀԿ , one of our partner organizations in Yerevan. We Can or Մենք Կարող Ենք ՀԿ is a non-governmental Organization based in Yerevan focusing on the protection of rights of youth and children with intellectual disabilities and their family members. We joined their inclusive summer sessions which consist of creative activities that bring together youth with and without disabilities, siblings, and caregivers. Watch a video of their music activity here.

For the past year we have had the pleasure of learning from them to support disability advocacy in Armenia. We are also helping to put together resources related to sexual education and rights.

Together We Can have a more inclusive society! Thank you, We Can, for your important contributions!

We are so excited to visit Gyumri’s first inclusive playground at the Էմիլի Արեգակ կենտրոն! We played a small role in helping to get sensory equipment for this space and it is finally becoming a reality! This playground will have wheelchair accessible swings, elevated sand boxes, a trampoline, sensory stations, and more. It will be a safe space for all children to explore and play together!

Watch our reel!

Our first cohort of IRF Fellows graduated and received certificates from the National Institute of Health (NIH) of Armenia! Congratulatory speeches were given by IRF Co-founders, Armineh Babikian and Nicholas Tavoukjian, Armen Nazaryan, Deputy Minister of Health of Armenia, Dr. Samson Khachatryan, Deputy Director of Science of NIH Armenia, Arman Voskerchyan, Co-Founder and Chairman of the Board of Trustees of HENAR, Vardan Tadevosyan, Minister of Healthcare of Artsakh, and Zhanna Harutunyan, WHO Armenia National Consultant of Rehabilitation and Assistive Technology. IRF Founding team was also surprised with certificates from the NIH. It was a beautiful event with smiles from all!

We are so incredibly proud of the fellows and their accomplishments. We are confident they will continue to be leaders in the field and change-makers of the region!

As a final step before graduation, our 28 fellows presented their capstone projects at the National Institute of Health (NIH) of Armenia! What a journey these fellows have undergone these past 10 months, culminating in 7 capstone projects targeting sustainable development of rehabilitation in Armenia and Artsakh.

Projects included:

• Home Health Rehabilitation
• Experiences with the ICF model
• Prevalence of Pressure Ulcers in Artsakh
• Telerehabilitation
• Professional Development of Speech Therapists
• Rehabilitation in Emergencies

Fellows presented their work to invited stakeholders, rehabilitation colleagues, peers, and IRF partners. The event concluded with congratulatory remarks by IRF co-founders, Armineh Babikian and Nicholas Tavoukjian, Dean of Medical Faculty at NIH Armenia, Gohar Yerimyan, CEO of Polaris EduCorp and President of WorldPhysio, Dr. Michel Landry, and IRF Medical Director, Dr. Laura Movsisyan. So proud of you all and we will continue to support you as you lead the changes within the Armenian rehabilitation and healthcare systems. Շատ ապրեք բոլորդ

Watch a short video here.

The final IRF in-person week was graciously hosted by the Armenian State Institute for Physical Culture and Sport. As a thank you for their dedication to rehabilitation, IRF co-founders donated therapeutic equipment for the physiotherapy students as well as copies of the Occupational Therapy Guidebook to Inclusion. Donations included:

• 6 gait belts
• 6 pulse oximeters
• 6 blood pressure cuffs
• 6 wheelchair cushions
• 6 sliding boards
• 2 large rolls of theraband

TFA member and physical therapist, Adrineh Mehdikhani, hosted a Tai Chi workshop for our Interdisciplinary Rehabilitation Fellowship for Armenia and Artsakh. She discussed on the evidence-based health benefits on fall reduction joint health and overall well-being, and ways to incorporate Tai Chi into rehabilitation. Fellows greatly enjoyed the session and were eager to begin including these strategies into their practices. Thank you, Adrineh, for your time and dedication! 

We are so proud to have been able to sponsor the conference attendance and provide guidance for the abstract submission of our IRF (Interdisciplinary Rehabilitation Fellowship for Armenia & Artsakh) fellow and PT colleague Anna Martirosyan. She presented her group’s IRF capstone proposal on telerehabilitation in Armenia. She did an amazing job presenting to the international audience at the 6th International Medical Congress of Armenia (6IMCA).

Abris Anna, Asped, and Anahit and congratulations on your abstract publication!

TFA had a scientific poster about the Interdisciplinary Rehabilitation Fellowship (IRF) at the 6IMCA HENAR Primary Care Satellite Symposium to advocate for the role of rehabilitation within primary care, emergency medicine, and post-conflict contexts.

Since December 12, over 120,000 Armenians, including 9,000 with disabilities, have been cut off from the rest of the world. We sent letters to the international governing agencies of our professions and international humanitarian aid organizations requesting that they:

• Call on their connection in Azerbaijan to unblock the Lachin Corridor in order to enable the transfer of patients and medicine to and from Artsakh
• Protect the people of Artsakh who found themselves in a health emergency through humanitarian aid, medical supplies, and support for healthcare service provision
• Ensure the wellbeing of the people of Artsakh.

We stand with the people of Artsakh and advocate for the protection of their human rights to have access to health, education, and food.

A special thank you to the Armenian Medical Canadian Association of Ontario for inviting us to celebrate their 35th anniversary. It was so wonderful to learn about all the important work they have contributed to over the past 3 decades from mobile clinics to medical supplies to educational programs. Their dedication to projects in Artsakh is truly aspiring. A portion of the proceeds from their gala will be donated to Therapists for Armenia and we are so incredibly grateful for their support and generosity! Thank you to the organizers and donors!

Watch our presentation here.

In honor of Better Speech and Hearing Month, we invited Speech Language Pathologist and co-founder of Harmony Speech and Diagnostics, Taline Ashekian M.S. CCC-SLP/ASDCS, to present to TFA members about her role in developing the ARMAV App. The ARMAV App is the first Armenian language Augmentative and Alternative Communication (AAC) software. AAC supports those who are non-verbal communicate with a voice. In her presentation Ms. Ashekian outlined what AAC is, the development of the Western Armenian vocabulary in the ARMAV app, creation of the icons, voice recordings, and who can benefit from the use of the app. The ARMAV App provides 4 voices, because each individual can require different voice options. It also provides the opportunity to enlarge the vocabulary of the App, providing each individual the opportunity of having specific words for his/her communication. The App can be used for both face to face and distance communication. It is available in Eastern and Western Armenian for free in your app store. We were so grateful to have Ms. Ashekian present to the TFA team!

Lori Pogarian, MS, CCC-SLP, and Kelsey Lanman, MS, OTR/L (Spaulding Rehabilitation Hospital), led the clinical instruction this month on independent living and assistive technology in our Interdisciplinary Rehabilitation Fellowship. Topics covered includes cognitive-linguistic testing, guidelines for referring patients to the speech-language pathologist, the Montreal Cognitive Assessment (MOCA), and methods of evaluation for transitioning patients home and back into their community. Cognition, speech, and communication are vital to facilitating independence and functioning in patients recovering from traumatic brain injury, stroke, brain tumors, Alzheimer’s disease, and more.

Fun fact – the MOCA has been translated and validated in the Armenian language, and is commonly used by rehabilitation professionals in Armenia and Artsakh!

On April 30th Therapists for Armenia launched a new initiative entitled Collaborative Learning and Brainstorming (CoLAB). During this virtual, cross-disciplinary case discussion event, TFA partnered with the Stepanavan Regional Pedagogical Psychological Support Center (Ստեփանավանի տարածքային մանկավարժահոգեբանական աջակցության կենտրոն) in the Lori Region to discuss the case of a 12-year-old child with Cerebral Palsy in a school setting, along with ways to promote inclusive education. TFA members, the child, his family, and over 60 members from education and rehabilitation sectors across the United States and Armenia consulted on ways to improve participation in school, functional mobility, posture, breath control, and play for the child.

IRF fellow and a speech therapist Anyush Babayan believes that the advancement of rehabilitation services holds immense significance for our region. Watch this video of Anyush discussing her appreciation for the program, how she learned about it, and her most cherished professional experiences.

IRF Interdisciplinary Rehabilitation Fellowship for Armenia & Artsakh is the first Armenian post-graduate education program targeting post-conflict and adult rehabilitation services. The program is carried out by Therapists for Armenia and Armenian American Sports Medicine Coalition with support from HENAR – Health Network for Armenia, National Institute of Health (NIH) Armenia (Առողջապահության Ազգային Ինստիտուտ) and Polaris EduCorp.

In support of Autism Acceptance Month, TFA member and Speech Language Pathologist Kristine Movsisian M.S. CCC-SLP/GC-ASD, presented a webinar on the topic of Communication & Behavior Management with My Way Rehabilitation and Educational Centre located in Yerevan, Armenia. Kristine works full-time in the elementary school setting in Los Angeles with moderate to severely challenged students. In her presentation, she discussed the strategies and techniques used to manage challenging behaviors through teaching effective functional communication skills. Kristine reflected, “I was honored to present to the group of esteemed individuals at My Way.”

Great work, Kristine!

Therapists for Armenia director Armineh Babikian visited EREO NGO in Vanadzor, Armenia and got a tour of the first independent living center in Armenia. With EREO founder, Anush Aslanyan, they discussed the importance of disability advocacy for and with people with disabilities, the distinction between independent living centers and rehabilitation centers, and exchanged resources. Babikian donated two copies of the Occupational Therapy Guidebook to Inclusion to their resource library.

On March 16th, our founder and executive director, Armineh Babikian, joined Lori region’s inclusive education team consisting of 31 special educators, psychologists, speech therapists, and social workers. The Lori region has the second highest prevalence of childhood disability in Armenia. 

“It was such a pleasure to be welcomed to the Secondary School Number 2 and the regional psychopedagogical support center, which services 44 schools. Through my volunteer work over the past 6 years and Therapists for Armenia, I have crossed paths with several of these specialists already. Every regional center in Armenia has received copies of my Occupational Therapy Guidebook to Inclusion thanks to Worldvision Armenia. Now we are collaborating to help the team implement occupational therapy strategies into their inclusive education efforts, as there is no occupational therapist in the whole region. We will continue to partner with them, provide multidisciplinary support and exchange experiences.”

Thank you to all who donated to the school supply donation drive. Because of your support we were able to donate:

• 33 chair bands 
• 160 readers 
• 210 colored pencils 
• 190 regular pencils 
• 216 pencil grips 
• 96 mini adaptive scissors
• 51 large adaptive scissors 
• 50 spring scissors 
• 4 bumpy cushions 

Together we will make this a more inclusive world! For now we are starting with the beautiful Lori Region.

IRF co-founders Armineh Babikian and Nicholas Tavoukjian gave an overview of the IRG development, goals, structure, and accomplishments at the 6IMCA Medical Education Pre-Conference Roundtable. Watch the presentation here at the 30 minute mark!

IRF fellow & occupational therapist Laura Iskandaryan stumbled upon her field by accident, but fell in love with the profession. In this video Laura shares her thoughts about the fellowship, her profession and her most favorite aspects of it. Watch the video here on our YouTube channel.

In March of 2023, fellows from the Interdisciplinary Rehabilitation Fellowship (IRF) met for their second in-person segment after 5 months of virtual learning. A total of 26 fellows from Armenia and 4 fellows from Artsakh (who joined virtually due to the ongoing blockade), reviewed topics related to orthopedics, neurorehabilitation, wound care & burns, and acute care. 

Fellows visited rehab centers and hospitals to observe and analyze transitions of care and interdisciplinary coordination of care. They demonstrated clinical interventions for orthopedic, neurological and burn cases. In addition, the fellows selected their capstone projects for rehab development in Armenia & Artsakh- some examples include research studies of current rehab processes, development of professional associations, creating rehab in emergencies plan, and more. 

We can’t wait to see the impact our fellows will continue to have in strengthening the rehabilitation and health system in Armenia and Artsakh. 

While in Armenia in March, TFA executive director Armineh Babikian, was invited to the Armenian State Institute of Physical Culture and Sport Physical Therapy Department roundtable discussion about how to modify and improve the physical therapy curriculum. Many great ideas and suggestions were exchanged. Things are moving in the right direction and it was wonderful to see changes led by our own IRF Fellow & PT Department Chairman Gevorg Nalbandyan.

We had a smooth start to our fellowship week! IRF fellows are now in month 6 of the fellowship, with our second in person intensive learning week in Armenia. 30 leaders in rehabilitation from Armenia and Artsakh spent the first day engaging with material in and discussing: transitions of Care in Post-Conflict Rehabilitation, cognitive evaluations, & complex orthopedic case studies.

We will continue the theme of care through the continuum throughout the week. We are very excited about the progress our fellows are making in demonstrating their ability to work in multidisciplinary teams, concisely and accurately communicating clinical cases, evaluating Armenia’s rehabilitation system, and brainstorming solutions to drive change!

IRF fellow & physiotherapist Asbed Kelkhacherian tells about the most valuable aspects of the fellowship, his job and what he enjoys most about it. The Interdisciplinary Rehabilitation Fellowship (IRF) for Armenia & Artsakh is the first Armenian post-graduate education program targeting post-conflict and adult rehabilitation services. Watch the video here on our YouTube channel.

In February TFA proudly hosted a webinar for Equal Rights, Equal Opportunity (EREO) NGO based in Vanadzor, Armenia. The webinar took was on the following topic: “The Role of Rehabilitation in Independent Living.” Three of our very own members, Lusine Karapetyan (PT), Maral Firkatian Wozniak (SLP), և Արմինե Բաբիկյան (OT), presented on the cross-disciplinary role of rehabilitation as it relates to independence, and how occupational, physical, and speech therapy can be a resource for people with disabilities. We thank each of you for your contribution to a wonderful and invigorating event!

Our Interdisciplinary Rehabilitation Fellowship (IRF) is a 10 month post-professional program for rehabilitation clinicians in Armenia and Artsakh. This month two of our very own TFA members, Jen Thompson և Լուսինե Կարապետյան, led the module on Orthopedics, Amputation, Prosthetics & Orthotics. 

Jen Thompson is an occupational therapist at the Spaulding Rehabilitation Hospital Cape Cod who specializes in limb loss rehabilitation. Jen led a riveting discussion on prosthetic training and provided explanations on parts of a prosthetic, safety and well-being, and interdisciplinary collaboration. Jen is also the Advocacy and Marketing Coordinator at Therapists for Armenia and is very passionate about supporting Armenian rehab development! 

Our TFA board member and Fundraising Coordinator, Lusine Karapetyan, introduced the IRF’s Orthopedic module. Lusine is a physical therapist and professor at Concorde Career College.  She presented on topics including arthritis, fractures, and World Health Organization (WHO) guidelines for physical activity. 

Thank you, Jen and Lusine, for your educational support and contribution to the fellowship program! 

On October 10, 2022, Therapists for Armenia welcomed the first cohort of the IRF Interdisciplinary Rehabilitation Fellowship for Armenia & Artsakh, co-developed by Therapists for Armenia and Armenian American Sports Medicine Coalition (AASMC), with support from partners National Institute of Health Armenia, Polaris EduCorp, and Health Network for Armenia (HENAR). Our fellows come from various regions of Armenia and Artsakh, representing medicine, physical therapy, occupational therapy, and speech language pathology. Of the 92 applicants, 30 were selected as representatives of Armenian rehabilitation leadership to participate in the first ever post-professional interdisciplinary rehab program for post-conflict needs. This is a 10-month hybrid program that focuses on rehab from emergencies through the continuum of care to community reintegration.

After two years of planning, developing, and collaborating we finally reached the launch in Yerevan! At the Opening Ceremony, co-founders Armineh Babikian and Nick Tavoukjian discussed their vision of the sustainable program that can:

• Build workforce capacity
• Address post-conflict and adult care needs
• Improve research, leadership and teaching skills, and
• Enhance interdisciplinary coordination of care.

Special thank you to the partners and fellows. We are so excited to learn together and embark on this journey to improve the quality and access of rehabilitation services, ultimately improving quality of life for Armenians. Congratulations to everyone involved!

Another special thank you to our sponsors Armenian American Medical Society, Glendale Memorial Health Foundation, Dignity Health – Glendale Memorial Hospital (Glendale, CA).

On Tuesday, August 30th, TFA founder and executive director, Armineh Babikian, and TFA Advocacy and Marketing Coordinator, Jennifer Thompson, presented at the World Federation of Occupational Therapists 2022 Congress in Paris, France. Over 2,500 participants from more than 100 countries joined the Congress, either virtually or in-person. The Congress provided a range of content spanning the occupational therapy profession. 

Babikian and Thompson’s presentation was titled “Innovation from America to Armenia: Providing Remote Education for Rehabilitation Clinicians in Armenia Treating Acquired Amputation During Post-Armed Conflict.” They described their post-conflict webinar series, outcomes, challenges, and future plans to support development of rehabilitation services in Armenia and Artsakh. The presentation was well received, and they have since been approached by colleagues from Ukraine interested in utilizing TFA resources. We congratulate Armineh and Jennifer on their success, and thank them for representing TFA and Armenian rehab at this large platform.

Watch their presentation here.

2021 թվականի տոնական սեզոնի համար Թերապևտները Հայաստանի համար համագործակցել է Վարդան Հարությունյան (Երևանաբնակ լուսանկարիչ և 2020 թվականի Արցախյան պատերազմի զինվոր) և Առաջնագծի թերապևտներ (ոչ առևտրային կազմակերպություն, որը տրամադրում է հոգեկան առողջության անվճար ծառայություններ հայ զինվորներին և նրանց ընտանիքներին): Միասին մենք ստեղծում ենք հայկական բնապատկերների պատկերներով եզակի օրացույցներ, որոնք վաճառվել են որպես դրամահավաք՝ աջակցելու 2020 թվականի Արցախյան պատերազմից տուժած հայերի վերականգնմանը։ Մենք կարողացանք $700 նվիրաբերել Frontline թերապևտներին՝ աջակցելու նրանց ջանքերին հոգեկան առողջության համար խիստ անհրաժեշտ ծառայություններ մատուցելու համար: Շնորհակալություն բոլորին, ովքեր գնել են օրացույց և նվիրաբերել այս գործին:

Therapists for Armenia hosted a virtual Journal Club on Saturday, February 26th. The small-group Journal Club setting is geared towards exercising our ability to dive into interesting research articles and pull apart pertinent information for clinical application. This event was a big success!  We had participants from multiple specialties based in North America and Armenia. The session reviewed a research article that explored the medical aspects of COVID-19 that relate to rehabilitation. As a group, we discussed the main points of the article and collaborated on a case study about a patient suffering from long-haul COVID symptoms. The perspectives from all clinicians made for great discussions on how we all used evidence-based practice and individual practice patterns.

2021 թվականի հուլիսի 17-ին և 18-ին «Թերապևտները Հայաստանի համար» համագործակցել են Հայ-ամերիկյան սպորտային բժշկության կոալիցիա եւ Մասնագիտական զարգացման միջազգային կենտրոն հյուրընկալել առաջին հետկոնֆլիկտային վերականգնողական վիրտուալ սիմպոզիումը՝ Հայաստանում վերականգնողական ոլորտն ավելի առաջ մղելու և միջազգային համագործակցությունը խթանելու նպատակով: Երկօրյա միջոցառումը ներառում էր միջազգային բանախոսներ հայտնի հաստատություններից, ինչպիսիք են Առողջապահության համաշխարհային կազմակերպությունը, Կոլումբայի համալսարանը, Դյուկի համալսարանը, Տորոնտոյի համալսարանը և Ֆիզիկական թերապիայի ամերիկյան ասոցիացիան: Սա երբևէ առաջին բազմամասնագիտական վերականգնողական համաժողովն էր, որն ուղղված էր հետպատերազմյան վնասվածքներին: Մենք ողջունեցինք ավելի քան 430 մասնակիցների ութ երկրներից: Հայերեն CME-ն տրամադրվել է, և շնորհանդեսները հասանելի են եղել ինչպես անգլերեն, այնպես էլ հայերեն: Սիմպոզիումը շատ լավ ընդունվեց, և մենք ակնկալում ենք հետագա համագործակցություն և ջանքեր՝ աջակցելու Հայաստանի համակարգի և ենթակառուցվածքների կարողությունների զարգացմանը: Ներկայացումների ձայնագրությունը կարող եք գտնել մեր Վեբինար Բաժին. Մուտք գործեք կամ ստեղծեք անվճար հաշիվ մուտք գործելու համար:

Այս իրադարձության մասին մանրամասն կարդացեք հետևյալ հրապարակումներում. The Armenian Mirror-Spectator; Նոյյան տապան; Օրեր; Ararat News; Արդարություն; InfoPort; Երկիր; NewInfo; Առավոտ

Հայաստանի թերապևտները դիտեցին Դաունի համախտանիշի համաշխարհային օրը (մարտի 21) և աուտիզմի իրազեկության համաշխարհային օրը (ապրիլի 2) `նախագծելով և վաճառելով մի տեսակի հայկական ներառման գուլպաներ: Երեք սլաքները ներկայացնում են Դաունի համախտանիշի երեք քրոմոսոմները, իսկ ծիածանի անսահմանության խորհրդանիշը ՝ աուտիզմի սպեկտրի խանգարման նեյրոդազմազանությունը: Այս պատկերները հարմարեցված էին ներառման և հայկական հպարտության մեր սեփական խորհրդանիշները ստեղծելու համար: Գուլպաներն ու ուղեկցող բրոշյուրները պատրաստվել են Հայաստանում: Այս արշավի արդյունքում $750 նվիրաբերվեց Էմիլի Արեգակ կենտրոն Գյումրիում `հաշմանդամություն ունեցող երեխաների զարգացման կենտրոն, և 10 զույգ գուլպաներ նվիրաբերվեցին վաճառելու Արեգակ հացաբուլկեղենում` Հայաստանում առաջին ներառական հացաբուլկեղենը, որտեղ աշխատում են հաշմանդամություն ունեցող մարդիկ: Գուլպաները դեռ վաճառվում են Ապրանքներ բաժին, եթե ձեզ հետաքրքրում են մեր եզակի տաքացուցիչները:

Արցախյան պատերազմի տարիներին «Հայաստանի համար թերապևտները» ստեղծեցին և նվիրաբերեցին 8000 գործունեության գիրք տեղահանված երեխաների համար: Գունավորումը շատ հանգստացնող գործողություն է և նպաստում է զարգացմանը: Այն կարող է բարելավել համակարգումը, տեսողական հմտությունները և կենտրոնացումը: Աշխարհի ավելի քան 30 հայ նկարիչներ ներկայացրին իրենց ստեղծագործությունները, իսկ օկուպացիոն թերապևտները պատկերները վերածեցին կրթական գործունեության: Սա հանգեցրեց ավելի քան 40 եզակի հաշվարկի, կտրման և ուսուցման էջերի: Երևանում տպելուց հետո գրքեր նվիրաբերվեցին մարդասիրական օգնություն ցուցաբերող կազմակերպություններին, այդ թվում ` Կոյրիգս, «Հայաստանի մանուկներ» հիմնադրամ, Բոլորը ՝ Հայաստանի համար, և Հայ օգնության միություն, ովքեր գրքերը հասցրել են կարիքավոր ընտանիքներին ամբողջ Հայաստանում և Արցախում:

Ներառումը և մատչելիությունը շատ կարևոր են մեզ համար: Մենք թարգմանեցինք սոցիալական պատմությունները Աուտիզմ Փոքր սովորողներ բոլոր կարիքների հայերին օգնելու համար հասկանալու բարդ թեմաներ, ինչպիսիք են սոցիալական հեռացումը, հեռավար ուսուցումը, վիշտը և հաղթահարելու հմտությունները: Դուք կարող եք գնալ մեր Համայնքային ռեսուրսներ բաժինը ՝ դրանք ներբեռնելու համար:

Հայկական բուժքույրական և վերականգնողական կենտրոն Նյու Jերսիում ծանր հարված է հասցրել COVID 19 – ին: Ավելի քան 50% նրանց բնակիչներ կյանքից հեռացել են մի քանի ամիսների ընթացքում: Մենք սկսեցինք մի նախագիծ, որով խնդրում էինք արվեստի գործեր, որոնք կօգնեն զարդարել պատերը և ուրախացնել բնակիչներին: Տասնյակ հայ արվեստագետներ արձագանքեցին: Արվեստի գործերը ամսական կտրվածքով պտտվում էին ՝ բնակիչներին գերակշռելուց խուսափելու համար: Դա ժպիտներ բերեց շատ դեմքերի: