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Topic:Equine-Assisted Therapies
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.
Human-horse interactions as complementary strategies for mental health promotion. Animal-assisted interventions (AAI) represent complementary rehabilitative approaches designed to address a range of physical and mental health conditions. Among these, Equine-assisted interventions (EAI) offer structured opportunities for engagement through diverse activities conducted within naturalistic settings, thereby integrating therapeutic processes with ecological contexts. Methods: Over the past years, our group has developed and implemented standardized AAI methodologies that are now embedded within comprehensive intervention planning. This overview summarizes the application of dif...
Equine-based community service offered through horse breed association youth programs: Parent and community partner perceptions of participation, benefits, and program growth. Equine-based community service activities offered through horse breed association youth programs provide opportunities for youth to engage in volunteerism while interacting with horses. Although these programs are widely available, research examining stakeholder perceptions remains limited. Objective: To examine parent and community partner perceptions of equine-based community service activities offered through horse breed association youth programs, including perceived benefits, participation patterns, recruitment, implementation challenges, and opportunities for program development. Methods...
Cryopreserved umbilical allograft (equicenta® CTM) improves clinical outcomes compared with clinician-selected standard of care in performance horses: a pragmatic prospective controlled trial. This multicenter, prospective, controlled clinical study and client survey evaluated the safety and effectiveness of an equine umbilical tissue suspension (equicenta® CTM; eCTM, 2:1) compared with clinician-selected standard of care (SOC) for treating lame performance horses. Unassigned: This pragmatic, real-world, open-label study enrolled horses diagnosed with appendicular musculoskeletal conditions affecting the joints, tendons, or ligaments under owner consent and an intention-to-treat design with an optional crossover after no improvement at 12 weeks and per-protocol analyses at 26 ...
A Global Structural Variation Map Reveals Novel Variants for Body Conformation and Racing Ability in Horses. The selection of horses has been instrumental in shaping long-range mobility, advancing warfare strategies, and diversifying equine phenotypes. However, the structural variants (SVs) favored by this process remain largely unexplored. Utilizing high-fidelity Pacific Biosciences sequencing, we assembled three high-quality horse genomes, incorporating 237 Mb (9.48%) of novel sequences relative to the existing reference genome. These assemblies achieved an average Benchmarking Universal Single-Copy Orthologs completeness of 95.1%. By employing a graph-based approach, we genotyped 23,163 high-con...
Sperm Energy-restriction and Recovery (SER) enhances equine sperm function and embryo development after ICSI. Assisted reproductive technologies (ART) are extensively used in domestic animal reproduction; however, improving their efficiency and consistency remains a major challenge for achieving reliable reproductive outcomes. The equine industry faces unique challenges related to sperm capacitation, which limited the success of conventional in vitro fertilization (IVF) for many years. Consequently, intracytoplasmic sperm injection (ICSI) became the most widely used technique for commercial in vitro embryo production. Even though a successful IVF protocol was recently developed, substantial opportunit...
Parents’ perspectives on equine-assisted occupational therapy intervention for their children with attention deficit hyperactivity disorder (ADHD). This study examined how parents experienced the ASTride Equine-Assisted Occupational Therapy intervention for their children with ADHD, and the meanings they ascribed to changes observed in their children and themselves. Unassigned: Thirteen parents of children aged 7-12 who completed the ASTride intervention participated in in-depth, semi-structured interviews. A grounded theory approach guided the analysis, which included open coding, category mapping, and thematic modeling to identify central processes across narratives. Unassigned: (1) Parents' perceived benefits for children including emo...
Spatiotemporal dynamics of equine group formation reveal the gradual emergence of social cohesion. Stable social relationships are essential for horse welfare, yet domestic management often involves regrouping unfamiliar individuals, potentially causing social stress. Fine-scale dynamics of social integration remain poorly quantified due to limitations of observational sampling. Using ultra-wideband real-time positioning, we tracked the development of spatial and social relationships in two newly formed equine groups (n = 19) over 2-12 months. Inter-individual distances decreased significantly, with time spent within 3 m of conspecifics increasing from 1.2 to 27.3% within two months, d...
Orchiectomy in horses: closed technique and primary closure of the incision. To provide a video tutorial on how to perform equine castrations using the closed technique and primary closure of the skin. Unassigned: Intact male horses presented to equine veterinary hospitals for castration. Unassigned: The closed castration technique was performed with incisions over the inguinal rings and primary closure. Unassigned: This technique is associated with minimal complications, decreased edema, less pain, lower infection rates, and faster healing. Unassigned: The technique presented in this video tutorial provides a quick and safe method for removing descended as well as non...
Physiological Evaluation of Quarter Horses Undergoing Five-Month Taming Focused on Hippotherapy. Preparing horses for hippotherapy programs requires management approaches that prioritize animal welfare and facilitate adaptation to novel stimuli. This study monitored physiological responses during the implementation of a progressive taming protocol for Quarter Horses intended for hippotherapy. Seven animals were monitored over a five-month period, including an acclimation phase and three taming stages. Continuous heart rate, plasma cortisol concentration, and ocular infrared thermography were assessed before and after exercise. Baseline ( = 0.0466) and minimum ( = 0.0095) heart rate values...
Mastication characterization of horses fed bermudagrass hay in a two-part field study. Bermudagrass (Cynodon dactylon L.) is a common forage in the southeastern United States but remains controversial in equine diets due to reported associations with impaction colic. Reduced fiber digestibility has been proposed as a contributing factor, however differences in mastication of fine-stemmed bermudagrass hay have not been studied and may play a role in digestive disturbances. Objective: To compare chewing characteristics, including chews per unit weight and chews per minute, in horses consuming bermudagrass hay compared to other common hay types. Methods: Two studies were conducted....
Machine learning-based gait classification and genome-wide association identify a QTL for gait type in Colombian paso horses. Coordinated mammalian locomotion relies on spinal circuits where regulates strides and alternative gaits. However, does not explain differences between the Colombian paso horse breed's specialized gaits, Colombian trocha and Colombian trot. We used inertial sensors and machine learning to develop accurate phenotyping ( = 225 horses), before performing genome-wide association analysis ( = 85 horses, 670K array). We identified a 2.43 Mb quantitative trait locus (QTL) on ECA16, where haplotypes featuring lead variants (rs1147402472, = 1.95 × 10; rs1136628503, = 8.52 × 10) explained 48.6% of...
A multimodal approach to equine thoracolumbar myofascial pain: integrating clinical examination, AI-based gait analysis, and the ridden horse pain ethogram. 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...
Horsepower: equine-assisted interventions are associated with reduced PTSD symptoms, improved sleep quality, and quality of life in military veterans with treatment-resistant PTSD. Military veterans are at an elevated risk of developing posttraumatic stress disorder (PTSD), while first-line trauma-focused treatments are less effective in this population. This highlights the need for novel, evidence-based complementary interventions for military veterans with treatment-resistant PTSD. Although equine-assisted interventions (EAIs) are increasingly popular and appear promising, many studies suffer from methodological issues. Therefore, further research incorporating both psychometric and physiological parameters is warranted. Unassigned: Nine consecutive groups of eight vet...
Evidence of Physiological Comodulation During Human-Animal Interaction: A Systematic Review. 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...
Psycho-Spiritual Reflections on the Horse/Human Relationship. 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...
A non-trauma-focused equine-assisted intervention was associated with reductions in all four PTSD symptom clusters in treatment-resistant military veterans. Veterans are at greater risk of developing post-traumatic stress disorder (PTSD) and show a poorer response to first-line treatments than civilians. Although equine-assisted interventions (EAIs) represent a promising alternative for military veterans,the underlying mechanisms remain uncertain, and their effectiveness across different PTSD symptom clusters has yet to be established. This study examined the effects of a non-trauma-focused EAI on specific PTSD symptoms in treatment-resistant military veterans. Unassigned: Participants in the intervention were military veterans diagnosed with PTSD...
Equine-assisted coaching in formerly incarcerated men with histories of substance abuse: a 12-week exploratory study of anger regulation, quality of life, human-horse synchrony, and equine behavior. 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...
Positive Reinforcement (R+) Horse Training in Practice: Evaluation of Online Trailer-Training Demonstrations. 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...
Electromyographic activity of equine abdominal muscles during single and double riding in hippotherapy. Background: 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.Methods: Nine cli...
Effects of an Equine-Assisted Riding Program on Motor Performance, Movement Quality, and Well-Being Among Young Inmates. 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...
Welfare Assessment in Equine-Assisted Service (EAS) Horses. 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...
Application of 3D scanning for modeling and morphometric assessment of Mangalarga Marchador Horses. 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)...
Effectiveness of Equine-assisted Learning on Psychosocial Well-being Among Nurses. 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...
Learning in the arena: healthcare students’ lived experience of interprofessional education in equine-assisted services. 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...
Multi-Modal Feature Fusion and Hierarchical Classification for Automated Equine-Human Interaction Behavior Recognition. 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...
Effect of a single session of Equine Assisted Physical Therapy on postural stability in children with Down syndrome. Equine Assisted Physiotherapy (EAPT; formerly known as hippotherapy) is known to improve functional mobility, gross motor skills, and postural stability in individuals with Down syndrome (DS). However, it may be challenging to implement as a long-term intervention. The aim of the current study was to assess whether even a single session of EAPT can have effect on postural stability in children with DS. Methods: Nine children with DS underwent a single session of EAPT. Postural stability before and immediately after the EAPT session was assessed with the bipedal stance (variability of lower tru...
Horses Prefer Their Rider: A Strange Situation Test Adaptation Shows Behavioural Evidence for Partner-Specific Bonding. 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...
Leading With HEART©: Equine-Assisted Leadership Training Fosters Emotional Intelligence, Resilience, and Identity Formation in First-Year Osteopathic Medical Students. Burnout, emotional dysregulation, and lack of resilience are prevalent among medical students and professionals contributing to stress and burnout. Despite recognition that emotional regulation, leadership capacity, and PIF are essential competencies, medical education provides limited structured training in these domains. The Holistic Equine-Assisted Resilience Training (HEART©) curriculum was developed to address these gaps through integration of HeartMath biofeedback, equine-assisted learning and experiential leadership development. This study evaluated the effects of HEART© on physiologi...
Comparative Evaluation of Sperm Quality Assessment Methods in Purebred Spanish Horses. 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...
Do active stables affect the response to novelty and attitude towards humans in horses? A pilot study. 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....
