Equine-Assisted Therapies (EAT) involve the use of horses in therapeutic settings to support physical, emotional, and psychological well-being. These therapies are implemented in various forms, including therapeutic riding, equine-assisted psychotherapy, and hippotherapy. Horses are integrated into the therapeutic process to facilitate interactions that may promote improvements in motor skills, emotional regulation, and social functioning. The unique characteristics of horses, such as their responsiveness to human behavior and non-verbal communication, are leveraged in these interventions. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, outcomes, and applications of equine-assisted therapies in diverse populations.
Resano-Zuazu M, Carmona JU, Argüelles D.Myofascial pain syndrome (MPS) is considered highly prevalent in horses, yet it is frequently underdiagnosed due to limited understanding of its clinical presentation and functional consequences, as well as the inherent challenges associated with its clinical assessment and objective measurement. In equines, the relationship between palpation-based MPS indicators, gait asymmetries, and pain-related behaviours during ridden work remains unclear. The primary aim of this study was to evaluate the association between thoracolumbar palpation pain scores and gait asymmetries measured in-hand and dur...
Bargigli G, Frassineti L, Baragli P, Scopa C, Vignoli A, Lanata A.This review examines the evidence in the literature for physiological co-modulation during human-animal interaction, identifying studies that assessed comodulation via simultaneous measurement of physiological signals in both species, performing quantitative comparisons. We searched (last search: August 5, 2025) PubMed, EMBASE, Scopus, Google Scholar, Animal Studies Repository, Cochrane, and the Consensus App academic search engine. Risk of bias was assessed using an adapted version of the ROBINS-I V2 tool. The results, grouped by data analysis method, interaction context, and physiological pa...
Hamm PJ.This essay offers a psycho-spiritual and psychoanalytic meditation on the horse-human relationship as a nonverbal site of attunement, regulation, and meaning-making. Drawing on autobiographical clinical narrative, it explores how horseback riding became a medium for experiencing and reflecting upon embodied connection, mutual responsiveness, and contemplative presence. Encounters with horses illuminate forms of reciprocity that preceded and exceed speech, while also opening reflection on maternal attachment, separation, loss, and the emergence of selfhood. In dialogue with Freud, Winnicott, Pi...
Griffioen RE, Haven-Pross SC, Verkuil H.Equine-assisted interventions are increasingly used as complementary approaches to support psychosocial functioning, yet empirical evidence in justice-involved populations with histories of substance abuse remains limited. The present exploratory quantitative study examined the effects of a 12-week equine-assisted coaching program on anger regulation, quality of life, and human-horse synchrony in formerly incarcerated men, while also monitoring equine behavioral responses from a One Health perspective. Eleven male participants residing in a residential reintegration facility in the Netherlands...
Harris HG, McDonnell SM.Operant conditioning that includes primarily positive reinforcement (R+) has been shown to be an effective and welfare-friendly method of training horses. Despite this, operant conditioning and R+ are not fully understood by many horse trainers who claim to advocate for its use. Anecdotal observations suggest that some professional trainers who claim to use R+ do not use R+ primarily, even in publicly offered educational demonstrations. To better understand readily available training materials regarding the use of R+ with horses, we reviewed a sample of 20 online trailer-training demonstration...
de Lima LRS, Amorim CF, Vieira MF, Arnhold E, Scoz RD, Brandstetter LRG, Costa LCS, Barcelos KMC.Hippotherapy is a therapeutic intervention that uses the horse as a biomechanical and sensorimotor agent to promote rehabilitation in individuals with physical and neurological disabilities. Depending on patient needs, riding may be performed with a single rider or with double riding, in which a therapist accompanies the practitioner on the horse. However, the effects of these riding configurations on equine trunk muscle activity remain poorly understood, despite their relevance for both horse welfare and the quality of therapeutic stimuli delivered to the patient. Unassigned: Nine clinically ...
Dransmann M, Koddebusch M, Wicker P, Gröben D, Gröben B.Equine-assisted programs have been shown to promote psychosocial outcomes, but quantitative evidence of motor benefits in correctional settings is scarce. Objective: The present study examined the effects of a one-week equine-assisted riding program on riding performance, movement quality, and well-being among young inmates in an open German prison. Methods: Ten male participants (24.5 ± 0.71 years) completed a five-day program combining practical riding exercises, cooperative activities, and guided reflection. Riding performance was assessed using standardized expert video ratings based on t...
Carvalho Seabra J, Hess T, Finnestead T, Grandin T.Equine-Assisted Service (EAS) horses can be exposed to stressors that affect their behavior and welfare. Previous studies investigated behavioral and physiological indicators (PI) only during therapy sessions. This study evaluated the frequency of stress and pain behaviors (FSPB) in horses with different riders, while assessing welfare through housing, management, and PI. Ten horses were observed during EAS sessions with three rider groups: able-bodied, clients with significant physical impairment, and clients with no significant physical impairment, totaling twenty-six riders. Behavioral data...
E Alves TTB, Teixeira CS, de Lana DS, Sancler-Silva YFR, Dallago GM, de Godoi FN, Schultz EB.Morphometric traits are essential for assessing conformation, locomotion, and selection in equine breeding programs. However, manual measurements are laborious, require physical contact, and may cause stress to animals, highlighting the need for alternative technologies. Objective: This study evaluated the use of a portable 3D scanner for three-dimensional modeling and morphometric assessment of Mangalarga Marchador horses. Methods: Fifty-two adult horses were measured using manual and 3D scanning methods to assess ten morphometric traits: withers height (WH), hip height (HH), head length (HL)...
Shani P, Espinosa L, Banerjee A, Butt SA, Hernandez H.Nurse burnout poses a significant risk to workforce stability. This study investigated the impact of equine-assisted learning (EAL) on secondary traumatic stress, job burnout, subjective distress, and resiliency among nurses. Background: Effective interventions for early detection and management of stress and burnout are essential for workforce stability. Methods: Using a pre-post-interventional design, this study evaluated the impact of EAL on psychosocial well-being. Outcomes were measured using self-reported questionnaires at baseline, postintervention, and 1-month follow-up. Linear mixed m...
Lungren L, Mazzarella J, Mumbauer-Pisano J.This qualitative study explored healthcare students' lived experiences during an interprofessional education (IPE) event incorporating equine-assisted services (EAS). Traditional IPE events often rely on classroom settings that may limit interprofessional engagement, collaboration, and application. Utilizing interpretive phenomenological analysis, researchers examined how the equine environment influenced interprofessional learning among fourteen graduate students from diverse healthcare disciplines at a western United States public university. Participants engaged in experiential demonstratio...
Arora S, Kieson E, Rudd C, Gloor PA.Automated recognition of equine-human interaction behaviors from video represents a significant challenge in computational ethology, with critical applications spanning animal welfare assessment, equine-assisted services evaluation, and safety monitoring in equestrian environments. Existing approaches to animal behavior recognition typically focus on single species in isolation, rely solely on facial expression analysis while ignoring full-body posture, or employ flat classification architectures that fail under the severe class imbalances characteristic of naturalistic behavioral datasets. Fu...
Kovács BA, Topál J, Gergely A.The relationship between horses and humans is often described as cooperative and affective, yet empirical studies on horse-rider bond remain scarce. Previous findings on horse-human relationships yielded conflicting results on whether and how horses show bonding like behaviour toward their owners. Objective: We tested whether horses show partner-specific approach and proximity toward their primary rider compared with an unfamiliar experimenter in an adapted Strange Situation Test, and whether the rider's presence was associated with behavioural patterns indicative of safe haven and secure base...
Latorre N, Gómez-Cuétara C, Cañizares E, Crespo F, Pérez-Aguilera V, Cuerda MI, Laborda-Gomariz JA, Soler AJ, Roldan ERS, Sanchez-Rodriguez A.Evaluating semen quality in Purebred Spanish Horses is essential to determine reproductive potential and optimize assisted reproductive techniques. Objective: This study compared several sperm analysis methods in Purebred Spanish Horses to standardize protocols suitable for both laboratory and field conditions. Methods: Fifteen stallions were evaluated through three ejaculates, analyzing sperm parameters using different techniques. Sperm kinematics was assessed by Sperm Computer Analyzer (SCA-CASA) or iSperm mCASA. Viability was analyzed by eosin-nigrosin-Giemsa (ENG) staining or Hoechst 33258...
Jastrzębska E, Pawłowska A, Čoudková V, Baštýřová Brutovská A, Lansade L, Górecka-Bruzda A.The demand for horse housing that allows social contact, free movement, and continuous access to forage is increasing. Active stables, equipped with automatic feeders, aim to meet these needs by offering conditions closer to natural living. It is not known whether 'active stable' influences horse fear and human-oriented behaviour. This study compared the behaviour of horses housed in active stable (N = 24) and traditional stable (N = 22) to assess responses to novelty, sudden stimuli, and interactions with humans. We also examined the effects of breed type, age, and weekly riding workload....
Gulcelik GE, Sever E, Atalay B, Dursun E, Memisoglu I.PurposeThis study aimed to assess the acute effects of hippotherapy performed on different seating surfaces on sitting balance and walking speed in children with special needs.Materials and MethodsChildren aged 3-18 years with special needs were included. Participants were assigned to three groups: Group 1 (Saddle), Group 2 (No saddle, direct horse contact), and Group 3 (Saddle with additional texture material). Each group received a 30-min hippotherapy session in a riding arena. Sitting balance was measured with the BeCure balance system, and walking speed was assessed using the 10-meter walk...
Schmidt J, Wartenberg-Demand A, Forstmeier S.Preventive approaches for depression in adults aged 50 years and older have received little attention, despite increasing needs arising from demographic changes. In particular, subclinical depression is often underdiagnosed and associated with anxiety, a poorer quality of life, and greater need for assistance from the healthcare system. This multicentre, randomised, controlled phase III trial investigated if Equine-Assisted Biographical Work (EABW) is effective to improve subclinical depression. Qualified sites in Germany enrolled 52 participants ≥ 50 years (Full Analysis Set (FAS),...
Nyberg L, Blokhuis MZ, McLean A, Hartmann E.Previous research has highlighted a gap between scientific evidence and its application in equestrian practice, leading to concerns about horse welfare and human safety. Riding schools present an important platform for promoting science-based practices, as they bring together riders of all ages and levels and serve as sites for equestrian education and for shaping attitudes toward horse welfare. Yet, the teaching in riding schools is often rooted in traditional practices. Therefore, mapping current educational methods and exploring how teaching and learning are perceived by both riding school ...
Telhede EH, Bräutigam Ewe M, Jormfeldt H.Mental health, encompassing self-esteem, confidence, physical activity, and social interaction, is essential for the well-being of children and adolescents and supports executive functions crucial for school performance. Mental ill health among young people is increasing in Sweden, with rising rates of self-reported problems, psychiatric diagnoses, and prescriptions of psychotropic medication. The aim of this study was to explore the experiences of equine-assisted interventions (EAI) among children and adolescents with anxiety-related mental ill health in southern Sweden. A qualitative design ...
Santonastaso A, Burns T, Claffey E.The objective of this video is to demonstrate a reliable technique for obtaining diagnostic venogram images of the equine foot. Venogram studies are indicated to assess vascular contrast filling of the equine digit, primarily in cases of laminitis. Unassigned: A healthy university-owned horse was used for demonstration purposes. The protocol was approved by the Virginia Polytechnic Institute and State University IACUC. Unassigned: The horse's shoes are removed, and the foot is cleaned of debris. The horse is sedated and a medial and lateral abaxial nerve block performed. The pastern is clipped...
Brumpton HL, Kargas N.Therapeutic horse riding (THR) is a non-traditional intervention that may support mental well-being in individuals with autism spectrum conditions. Despite growing interest, most research has focused on children and has tended to privilege practitioner or caregiver perspectives, leaving autistic adults underrepresented. This qualitative study explores the psychological benefits and systemic barriers associated with THR among Autistic adults, drawing on perspectives from both clients and practitioners. Semi-structured interviews were conducted with six Autistic clients and four practitioners, a...
Gmel AI, Haraldsdóttir EH, Rosa TV, Lamas LP, Neuditschko M, Weishaupt MA.Europe has many horse breeds differing in conformation, gaits and genetics due to diverging breeding goals. Research studies comparing objective gait parameters between different horse breeds are limited and date back a decade. Objective: In this study, objective gait parameters were measured in three European breeds, namely Lusitanos (LUS; n = 52), Franches-Montagnes (FM; n = 311) and Swiss Warmblood (WB; n = 40) using an inertial measurement system (sensors at poll, withers, pelvis and all four canon bones) at walk and trot. Results: At walk and trot, LUS moved significantly slower than WB a...
Corrigan RH, Pierard M, Davies E, Marlin D, Evans S, Williams JM.Human-horse relationships encompass diverse roles, from companion to competition partner. The impact of such bonds informs owner decision-making regarding horse management and veterinary care, yet standardised instruments to measure these unique bonds are limited. Objective: To develop the Human-Equine Attachment Scale (HEAS), a novel instrument to measure the multi-faceted dimensions of human-horse attachment. Methods: Cross-sectional design using a self-administered psychometric instrument. Methods: Initial items were developed through a systematic review of human and animal attachment resea...
Rönnow E, Roth LSV.Compared to other companion animals, our understanding of the human-horse relationship is limited, particularly from the horse's perspective. This pilot study examined whether horses (N = 30) show a bias towards their owner in a reunion in the presence of both the owner and a stranger. Afterwards, the horses were also presented with the odor of the owner and a stranger. Both tests were video recorded for behavioral analyzation. No significant owner-directed bias was observed at the group level in either the reunion test or the odor test. Nonetheless, in the reunion test, owner bias in physical...
Tripon MA, Manolăchescu D, Papuc I, Daradics Z, Crecan CM.Emotional contagion between horses and humans is a key aspect of their interaction, influencing welfare, training, and therapy, yet current methods for measuring this phenomenon lack standardization and consistency. Objective: The aim of this study was to verify what methods are used to assess emotional contagion in horse-human interactions, and what outcomes have been reported. Methods: A systematic search of Google Scholar, Web of Science, Scopus, PubMed, and Science Direct was conducted up to March 2024. Peer-reviewed studies assessing emotional transfer through behavioral and/or physiologi...
Manolăchescu D, Tripon M, Crecan C, Tătaru M, Papuc I.Emotional contagion in human-horse interactions has been widely studied; however, the role of body language in stress transfer remains insufficiently explored. Unassigned: This study examines whether human emotional states, particularly stress and anxiety, influence horses and whether the transmission occurs primarily through body language. Unassigned: A repeated-measures within-subjects design was used. The order of interaction styles was randomized across subjects during 33 HCIs. Participants were categorized as high-anxiety (HA) or low-anxiety (LA) based on State Anxiety Scale scores and he...
Held A, Hubbard K, Nazarenko E, Marchand W.: Equine-assisted services are being increasingly utilized as complementary interventions for military veterans who have experienced trauma. However, rigorous research is lacking, and randomized controlled trials are needed. The H.O.O.V.E.S. Intensive intervention was developed for this population. This intensive program is an equine-assisted learning approach developed for veteran and active-duty military trauma survivors. The program integrates equine-assisted learning, peer mentorship and experiential learning in a residential retreat format. The primary aim of this pilot study was to deter...
Kogstad N, Christiansen SE, Ulberg R, Fiskum C.The integration of horses into psychotherapy has gained popularity over recent decades, offering unique therapeutic opportunities that may enhance emotional healing, empathy, and relational trust. This study investigates the perspectives of experienced psychotherapists on why they incorporate horses into their therapeutic practices. In-depth interviews were conducted with ten clinicians (eight female, two male) from diverse theoretical orientations. The data, which were analyzed using reflexive thematic analysis, revealed four key themes: "Supporting presence and getting to the heart of things...
Equine cognition is relevant to the many roles that horses serve in society, such as leisure riding, competitions, or even animal-assisted therapy. Equine cognitive abilities have been explored in recent years. However, gaining an overview of horse cognition is challenging due to the broad range of abilities studied and the diverse methodologies employed. In addition, the subjects of existing equine cognition studies vary greatly in contextual factors such as their breed, age, sex, and management conditions - each of which may influence test performance in the following cognitive categories: D...
Helmer A, Hacohen A, Bart O.Equine-Assisted Services (EAS) encompass a range of therapeutic interventions utilizing equine interactions to achieve therapeutic goals. This study explores heart rate synchronization between horses and riders during mounted and unmounted interactions, focusing on its potential implications for emotional regulation. A total of 25 participants aged 6-12 took part in the study, which included two groups: novice riders diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) (n = 15) and experienced neurotypical riders (n = 10). Heart rate measurements were obtained using Polar Equ...
Gaastra W, Lipman LJ, De Cock AW, Exel TK, Pegge RB, Scheurwater J, Vilela R, Mendoza L.Pythium insidiosum is an oomycete pathogenic in mammals. The infection occurs mainly in tropical and subtropical areas, particularly in horses, dogs and humans. Infection is acquired through small wounds via contact with water that contains motile zoospores or other propagules (zoospores or hyphae). The disease, though described as emerging has in fact already been described since 1884. Depending on the site of entry, infection can lead to different forms of pythiosis i.e. a cutaneous, vascular, ocular, gastrointestinal and a systemic form, which is rarely seen. The infection is not contagious...
Frisbie DD, Ghivizzani SC, Robbins PD, Evans CH, McIlwraith CW.Osteoarthritis in horses and in humans is a significant social and economic problem and continued research and improvements in therapy are needed. Because horses have naturally occurring osteoarthritis, which is similar to that of humans, the horse was chosen as a species with which to investigate gene transfer as a potential therapeutic modality for the clinical treatment of osteoarthritis. Using an established model of equine osteoarthritis that mimics clinical osteoarthritis, the therapeutic effects resulting from intra-articular overexpression of the equine interleukin-1 receptor antagonis...
Bass MM, Duchowny CA, Llabre MM.This study evaluated the effects of therapeutic horseback riding on social functioning in children with autism. We hypothesized that participants in the experimental condition (n = 19), compared to those on the wait-list control (n = 15), would demonstrate significant improvement in social functioning following a 12-weeks horseback riding intervention. Autistic children exposed to therapeutic horseback riding exhibited greater sensory seeking, sensory sensitivity, social motivation, and less inattention, distractibility, and sedentary behaviors. The results provide evidence that therapeutic ho...
Gabriels RL, Pan Z, Dechant B, Agnew JA, Brim N, Mesibov G.This study expands previous equine-assisted intervention research by evaluating the effectiveness of therapeutic horseback riding (THR) on self-regulation, socialization, communication, adaptive, and motor behaviors in children with autism spectrum disorder (ASD). Methods: Participants with ASD (aged 6-16 years; N = 127) were stratified by nonverbal IQ standard scores (≤85 or >85) and randomized to 1 of 2 groups for 10 weeks: THR intervention or a barn activity (BA) control group without horses that used similar methods. The fidelity of the THR intervention was monitored. Participants ...
Borgi M, Loliva D, Cerino S, Chiarotti F, Venerosi A, Bramini M, Nonnis E, Marcelli M, Vinti C, De Santis C, Bisacco F, Fagerlie M, Frascarelli M....In this study the effectiveness of an equine-assisted therapy (EAT) in improving adaptive and executive functioning in children with autism spectrum disorder (ASD) was examined (children attending EAT, n = 15, control group n = 13; inclusion criteria: IQ > 70). Therapeutic sessions consisted in structured activities involving horses and included both work on the ground and riding. Results indicate an improvement in social functioning in the group attending EAT (compared to the control group) and a milder effect on motor abilities. Improved executive functioning was also observed (i.e. reduc...
To evaluate the effect of hippotherapy (physical therapy utilizing the movement of a horse) on muscle activity in children with spastic cerebral palsy. Methods: Pretest/post-test control group. Methods: Therapeutic Riding of Tucson (TROT), Tucson, AZ. Methods: Fifteen (15) children ranging from 4 to 12 years of age diagnosed with spastic cerebral palsy. Methods: Children meeting inclusion criteria were randomized to either 8 minutes of hippotherapy or 8 minutes astride a stationary barrel. Methods: Remote surface electromyography (EMG) was used to measure muscle activity of the trunk and upper...
Wood W, Alm K, Benjamin J, Thomas L, Anderson D, Pohl L, Kane M. To recommend (1) the adoption of optimal terminology for referring to services in the United States that incorporate horses and other equines to benefit people, and (2) the discontinuation of especially problematic terminology. A diverse multidisciplinary consortium of individuals, including representatives of relevant national organizations, participated in an inclusive, systematic, and comprehensive 2-year consensus-building process. Twelve specific types of services were identified that relate to one of three broad areas of professional work: therapy, learning, or horsemanship. Related t...
Hoagwood KE, Acri M, Morrissey M, Peth-Pierce R.To systematically review experimental evidence about animal-assisted therapies (AAT) for children or adolescents with or at risk for mental health conditions, we reviewed all experimental AAT studies published between 2000-2015, and compared studies by animal type, intervention, and outcomes. Methods: Studies were included if used therapeutically for children and adolescents (≤21 years) with or at risk for a mental health problem; used random assignment or a waitlist comparison/control group; and included child-specific outcome data. Of 1,535 studies, 24 met inclusion criteria. Results: Of 2...
McDaniel Peters BC, Wood W.This systematic mapping review mapped current knowledge of equine-assisted interventions for people with autism to help guide future practice and research. Thirty-three studies including children and adolescents with autism, 3 of which confirmed diagnoses, were reviewed. Five types of equine-assisted activities were identified across 25 studies, with reported improvements in behavior, social interaction, and communication. Four types of equine-assisted therapies were identified across 8 studies, with reported improvements in motor control and self-care. Different approaches to therapeutic ridi...
Tseng SH, Chen HC, Tam KW.To evaluate the literature on the efficacy of equine assisted activities and therapies (EAAT) on gross motor outcomes representing the ICF component of body functions and activity in children with cerebral palsy (CP). Methods: We conducted a systematic review and meta-analysis of randomized controlled trials and observational studies of hippotherapy (HPOT) and therapeutic horseback riding (TR) for children with spastic CP. Gross motor outcomes, assessed via muscle activity and muscle tone, gait, posture and Gross Motor Function Measures (GMFM) were evaluated. Results: Five TR studies and nine ...
Garbin LC, Olver CS.Autologous platelet-rich plasma (PRP) is a biological preparation made from the patient's own plasma that contains a platelet concentration above the whole blood baseline. Owing to the release of growth factors and other cytokines after degranulation, platelets have a central role in inflammation and in different stages of the healing process. For this reason, PRP-derived products have been used to enhance healing of musculoskeletal injuries and modulate progression of inflammatory processes, including osteoarthritis (OA). Osteoarthritis is one of the main causes of musculoskeletal disabilitie...
Sterba JA.Quantitative (not qualitative) studies were sought investigating whether horseback riding used as therapy improves gross motor function in children with cerebral palsy (CP). Eleven published studies on instructor-directed, recreational horseback riding therapy (HBRT) and licensed-therapist-directed hippotherapy were identified, reviewed, and summarized for research design, methodological quality, therapy regimen, internal/external validity, results, and authors'conclusions. Methodological quality was moderate to good for all studies; some studies were limited by small sample size or lack of no...
Kern JK, Fletcher CL, Garver CR, Mehta JA, Grannemann BD, Knox KR, Richardson TA, Trivedi MH.Anecdotal reports and some studies suggest that equine-assisted activities may be beneficial in autism spectrum disorders (ASD). Objective: To examine the effects ofequine-assisted activities on overall severity of autism symptoms using the Childhood Autism Rating Scale (CARS) and the quality ofparent-child interactions using the Timberlawn Parent-Child Interaction Scale. In addition, this study examined changes in sensory processing, quality of life, and parental treatment satisfaction. Methods: Children with ASD were evaluated at four time points: (1) before beginning a 3-to-6 month waiting ...
Sterba JA, Rogers BT, France AP, Vokes DA.The effects of recreational horseback riding therapy (HBRT) on gross motor function in children with cerebral palsy (CP: spastic diplegia, spastic quadriplegia, and spastic hemiplegia) were determined in a blinded study using the Gross Motor Function Measure (GMFM). Seventeen participants (nine females, eight males; mean age 9 years 10 months, SE 10 months) served as their own control. Their mean Gross Motor Function Classification System score was 2.7 (SD 0.4; range 1 to 5). HBRT was 1 hour per week for three riding sessions of 6 weeks per session (18 weeks). GMFM was determined every 6 weeks...
Shurtleff TL, Standeven JW, Engsberg JR.To determine if hippotherapy (therapy using a horse) improves head/trunk stability and upper extremity (UE) reaching/targeting in children with spastic diplegia cerebral palsy (SDCP). Methods: Pre-postoperative follow-up with a 12-week intervention and 12-week washout period after intervention. Methods: A human performance laboratory with 6 camera video motion capture systems for testing. Methods: Eleven children (age 5-13y, average 8y) with SDCP, 8 children (age 5-13y, average 8y) without disabilities. Methods: Hippotherapy intervention performed at 3 therapeutic horseback riding centers. Met...
Bachi K, Terkel J, Teichman M.This article describes the theoretical-conceptual frame of equine-facilitated psychotherapy (EFP) for adolescents at-risk, the unique components of this intervention, and its implementation in an evaluation study. The study was conducted at a residential treatment facility for adolescents at-risk. We examined the outcomes of EFP on self-image, self-control, trust and general life satisfaction. Fourteen resident adolescents comprised the treatment group, and were compared with a matched group of 15 residents who did not receive EFP (control). The treatment comprised a weekly individual EFP sess...
Snider L, Korner-Bitensky N, Kammann C, Warner S, Saleh M.A systematic review of the literature on horseback riding therapy as an intervention for children with cerebral palsy (CP) was carried out. The terms horse, riding, hippotherapy, horseback riding therapy, equine movement therapy, and cerebral palsy were searched in electronic databases and hand searched. Retrieved articles were rated for methodological quality using PEDro scoring to assess the internal validity of randomized trials and the Newcastle Ottawa Quality Assessment Scale to assess cohort studies. PICO questioning (Population, Intervention, Comparison, and Outcomes) was used to identi...
Johnson RA, Albright DL, Marzolf JR, Bibbo JL, Yaglom HD, Crowder SM, Carlisle GK, Willard A, Russell CL, Grindler K, Osterlind S, Wassman M, Harms N.Large numbers of post-deployment U.S. veterans are diagnosed with post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI), leading to an urgent need for effective interventions to reduce symptoms and increase veterans' coping. PTSD includes anxiety, flashbacks, and emotional numbing. The symptoms increase health care costs for stress-related illnesses and can make veterans' civilian life difficult. We used a randomized wait-list controlled design with repeated measures of U.S. military veterans to address our specific aim to test the efficacy of a 6-week therapeutic horseback...
Lanning BA, Baier ME, Ivey-Hatz J, Krenek N, Tubbs JD.Quality of life assessments were used in this study to determine the behavioral changes of children diagnosed with autism spectrum disorder (ASD) who participated in equine assisted activities. Behavioral changes of children with ASD participating in 9 weeks of equines assisted activities (EAA) (N = 10) were compared to behavioral changes of children who participated in a non-equine intervention (N = 8). Parents noted significant improvements in their child's physical, emotional and social functioning following the first 6 weeks of EAA. The children participating in the non-equine program also...
Nurenberg JR, Schleifer SJ, Shaffer TM, Yellin M, Desai PJ, Amin R, Bouchard A, Montalvo C.Animal-assisted therapy (AAT), most frequently used with dogs, is being used increasingly as an adjunctive alternative treatment for psychiatric patients. AAT with larger animals, such as horses, may have unique benefits. In this randomized controlled study, equine and canine forms of AAT were compared with standard treatments for hospitalized psychiatric patients to determine AAT effects on violent behavior and related measures. Methods: The study included 90 patients with recent in-hospital violent behavior or highly regressed behavior. Hospitalization at the 500-bed state psychiatric hospit...
Malinowski K, Yee C, Tevlin JM, Birks EK, Durando MM, Pournajafi-Nazarloo H, Cavaiola AA, McKeever KH.With the increase in the number of horses being used in Equine-Assisted Activities and Therapies (EAAT) programs and with the increasing concern for animal welfare, it is important to understand the impact of such interventions on the stress level and quality of life for the horses involved. The purpose of the present pilot study was to test the hypothesis that participation in EAAT would acutely alter physiological markers of stress and well-being, including plasma cortisol, plasma oxytocin, and heart rate variability (HRV), in horses and that symptoms of posttraumatic stress disorder (PTSD) ...
Srinivasan SM, Cavagnino DT, Bhat AN.Literature on effects of equine therapy in individuals with autism spectrum disorder (ASD) has grown in recent times. Equine therapy is an alternative multimodal intervention that involves utilizing a horse to enhance core impairments in ASD. Recent systematic reviews in this area have several limitations including inclusion of populations other than ASD, assessment of a variety of animal-assisted interventions other than equine therapy, and a failure to conduct quantitative analyses to provide accurate effect size estimates. We conducted a focused systematic review to address these limitation...
Romaniuk M, Evans J, Kidd C.The aim of this study was to evaluate outcomes of an equine-assisted therapy program for Defence Force veterans and their partners across the psychological domains of depression, anxiety, stress, posttraumatic stress, happiness, and quality of life, as well as compare the outcomes of an Individual and Couples program. A non-controlled, within-subjects longitudinal design was utilized with assessment at three time points (pre-intervention, post-intervention, and three months follow-up). Between-subjects analysis with two groups was also conducted to compare the outcomes of the Individual and Co...
Bertoti DB.The purpose of this study was to measure postural changes in children with spastic cerebral palsy after participation in a therapeutic horseback riding program. Eleven children with moderate to severe spastic cerebral palsy, aged 2 years 4 months to 9 years 6 months, were selected for this study and underwent postural assessments according to a repeated-measures design. Assessment of posture was performed by a panel of three pediatric physical therapists, using a postural assessment scale designed by the author. A composite score for each test interval was calculated for each child, and a medi...
Silva e Borges MB, Werneck MJ, da Silva Mde L, Gandolfi L, Pratesi R.To evaluate the efficacy of horse ridding simulator on the sitting postural control of children with spastic diplegia. Methods: Forty children were randomly divided in a group using the simulator (RS) and a group performing conventional physical therapy (CT). FScan/Fmat equipment was used to register maximal displacement in antero-posterior (AP) and medio-lateral (ML) directions with children in sitting position. At the pre and post intervention stage both groups were classified according to the Gross Motor Function Classification System (GMFCS) and, after intervention, by the AUQEI questionna...
Kaiser L, Heleski CR, Siegford J, Smith KA.To determine whether therapeutic riding resulted in higher levels of stress or frustration for horses than did recreational riding and whether therapeutic riding with at-risk individuals was more stressful for the horses than was therapeutic riding with individuals with physical or emotional handicaps. Methods: Observational study. Methods: 14 horses in a therapeutic riding program. Methods: An ethogram of equine behaviors was created, and horses were observed while ridden by 5 groups of riders (recreational riders, physically handicapped riders, psychologically handicapped riders, at risk chi...
Harris A, Williams JM.This paper reports a case-control study of a horse riding intervention for children with autism spectrum disorder (ASD). A sample of 26 children, aged 6 to 9 years, were assigned to either the intervention ( = 12) or control group conditions ( = 14). Pre- and post-tests were carried out using the Childhood Autism Rating Scale, Second Edition (CARS2) and the Aberrant Behaviour Checklist-Community Edition (ABC-C). An observational measure of compliance and behaviour during the horse riding sessions was completed for the intervention group. There was a significant reduction in the severity of ASD...
Anestis MD, Anestis JC, Zawilinski LL, Hopkins TA, Lilienfeld SO.Equine-related treatments (ERT) for mental disorders are becoming increasingly popular for a variety of diagnoses; however, they have been subjected only to limited systematic investigation. Objective: To examine the quality of and results from peer-reviewed research on ERT for mental disorders and related outcomes. Methods: Peer-reviewed studies (k = 14) examining treatments for mental disorders or closely related outcomes were identified from databases and article reference sections. Results: All studies were compromised by a substantial number of threats to validity, calling into question t...
Schultz PN, Remick-Barlow GA, Robbins L.Equine-assisted psychotherapy (EAP) is a specialized form of psychotherapy using the horse as a therapeutic tool. This modality is designed to address self-esteem and personal confidence, communication and interpersonal effectiveness, trust, boundaries and limit-setting, and group cohesion. Substantial numbers of children witness family violence. There is evidence that violence between parents has adverse effects on the children in the family. These children are at greater risk of behavioural problems and mental health disorders, including anxiety, anger, depression and suicidal ideations, wit...
