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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.
Equine-Assisted Learning and Social-Emotional Competence in Higher Education: An Exploratory Study of Emerging Adults’ Experiences. Equine-assisted learning (EAL) is an experiential educational approach that engages learners in structured human-horse activities to support character development, interpersonal growth, and life skills. Social-emotional learning (SEL) is increasingly recognized as an important aspect of student development, supporting both wellbeing and academic success. Although much studies have explored how horses may support human health and wellbeing, limited research has explored how undergraduate students experience EAL in relation to SEL within non-Western higher education contexts. An exploratory stud...
Effects of Incorporating Horses into Occupational Therapy on Adrenocortical and Sympathetic Nervous System Reactivity and Regulation in Autistic Children: A Randomized Controlled Trial. The study prospectively investigated adrenocortical and autonomic nervous system reactivity and regulation as autistic children participated in a randomized controlled trial of occupational therapy in an equine environment (OT-Equine). Methods: Autistic children (n = 72, ages 6-11 yrs) were randomly assigned for 10 weeks to OT-Equine or clinic-based occupational therapy (OT-Clinic). Saliva samples (later assayed for cortisol and alpha-amylase, [sAA]) were collected before (pre-session), during (within-session), immediately after (post-session), and 20-minutes after (post-session + 20) ...
Therapeutic Horseback Riding for Youth With Autism and Psychiatric Comorbidities: A Randomized Trial. Autism spectrum disorder care is often complicated by co-occurring psychiatric symptoms. Equine-assisted services show promise for improving behavioral outcomes in this population. We aimed to examine benefits of equine-assisted services for youth with autism at higher risk for mental health interventions. Methods: A total of 236 youth with autism and psychiatric comorbidity (aged 6-16 years.) were enrolled in a randomized controlled multisite clinical trial, stratified by nonverbal IQ, and assigned to 1 of 3 intervention arms: therapeutic horseback riding (THR), no horse contact barn activity...
Teaching Direction Control in Horse Riding: A Pre-Post Intervention Proof-of-Concept Study Using Multi-Modal Motor Learning Techniques. Many riders experience persistent communication problems with their horses, particularly in controlling speed and direction, despite extensive training. This proof-of-concept study employed a pre-test-post-test intervention design to examine the effectiveness of the Four-Step Riding Programme (FSRP) in developing clear rider-horse body language for direction control. Multi-modal motor learning techniques (MMLTs) were applied to five rider-horse dyads during four one-hour lessons to teach coordinated movement patterns necessary for directional accuracy. Rider-horse communication was evaluated b...
Morphological and Behavioural Predictors of Motor Laterality in Domestic Horses: A Cross-Sectional Field Study. Motor laterality in horses affects performance, training, and welfare. A simple morphological marker for laterality would help riders, trainers, and veterinarians identify likely locomotor asymmetries early. This study tested whether observable morphological and behavioural characteristics were associated with rider-perceived motor laterality in domestic horses, using a cross-sectional observational field study design conducted in the Blida and Algiers regions of Algeria. The study included 100 regularly ridden domestic horses. Mane orientation, facial whorl characteristics, standing curvature...
Fatal arrhythmia associated with myocardial contusion caused by a horse kick: A forensic autopsy case. Horse-related injuries often involve high-energy blunt trauma that can be fatal. In cases of chest trauma associated with horse kicks, death is typically attributed to structural cardiac injuries such as cardiac rupture or tamponade. Fatal arrhythmia associated with myocardial contusion following a horse kick has rarely been reported in the forensic literature. Methods: A 48-year-old man was kicked in the left lower chest by the right hind limb of a Thoroughbred horse while handling the animal. The patient collapsed immediately after the impact. Emergency medical personnel documented ventricul...
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...
Mutual wellbeing in an equine-assisted intervention: experimental evidence for the two-way hypothesis and the importance of interaction method. Rising rates of mental health disorders have increased demand for scalable, non-pharmacological interventions. Interactions with animals can improve emotional wellbeing across diverse populations, yet the mechanisms responsible for these benefits remain poorly understood. Most research focuses on human outcomes while treating the animal as a passive component of the interaction, despite human-animal interactions being inherently reciprocal. We therefore propose the Two-Way Hypothesis, which predicts that human behavior shapes animal behavior, which in turn contributes to variation in human emo...
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...
Effects of quercetin supplementation in cooling extender on sperm quality of stallions. Oxidative stress from excessive reactive oxygen species (ROS) during cooling impairs equine sperm quality. Quercetin, a flavonoid with antioxidant properties, has been proposed to reduce oxidative damage in cooled semen. Objective: This study aimed to identify a suitable quercetin concentration among those tested for cooled equine semen and evaluate its effects on sperm kinematics, membrane integrity, and oxidative stress parameters. Methods: Four experiments were conducted. Experiment 1 (n = 8 ejaculates, 4 stallions) evaluated quercetin at 0, 20, 30, or 45 µg/mL at 5°C for 24 h. Experiment...
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)...
