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.
Seery R, Graham-Wisener L, Wells DL.Equine-Assisted Services (EAS), which incorporate horses in a variety of ways in an effort to improve human wellbeing, have grown in popularity in recent years. Although much research has been conducted regarding the benefits that horses may provide for human health and wellbeing, little attention has been paid to practitioners' experiences and perspectives of the field, despite the fact they are uniquely positioned to advance our understanding of this area. This study aimed to explore practitioners' lived experiences of EAS, focusing on the benefits they observed, possible underlying mechanis...
Fiedler JM, Rosanowski S, Ayre ML, Slater JD.Participation in horse-related activities frequently involves relocating horses from the home stable to an activity venue, which might require local, regional, or international travel. In these circumstances, horses are exposed to unfamiliar surroundings and experience changes to their daily routines, which could have negative welfare impacts. An online survey was conducted in 2021 to ask experienced horse sector participants about the horse management practices that they perceived worked well and provided for positive horse welfare when undertaken at venues. Qualitative analysis identified fo...
Douglas M, Williams J, Randle H.Recent research has highlighted the detrimental impact of an ill-fitting saddle on equine health, welfare and performance. A correctly fitting saddle may not fit if positioned incorrectly. Objective: This study assessed riders' ability to visually evaluate saddle position and examine factors that influenced accuracy of assessment. Methods: Survey participants were provided with photographs of a series of saddles on horses obtained from the lateral aspect of the left side of the horse. Saddles were either correctly positioned (n = 5), too far forward (n = 5) or too far back (n = 2). This was in...
Braun TF, Ameli K, Krämer S.Numerous studies have shown the positive effects that horses in equine-assisted interventions can have on a variety of recipients. The importance of animal welfare and implementation of animal welfare practices in equine-assisted interventions has not yet been extensively researched. Objective: The aim of this exploratory study was therefore to investigate the understanding of animal welfare from the perspective of equine-assisted professionals and how it is ensured by them. Methods: 111 equine-assisted professionals in Germany were surveyed about their knowledge of animal welfare and the indi...
Wienhold S, Bär L, Ringleb Z, Zirpel V, Gomolla A, Denk BF, Volkmer N, Gaertner RJ, Klink ESC, Pruessner JC.In any therapeutic setting, the outcome depends in part on the therapeutic alliance, characterized by mutual understanding, empathy and trust among the participants. This also manifests through physiological synchronization (PS) processes involving breathing, heart and brain. This study examined the dynamics of heart rate variability (HRV) synchronization patterns during horse-assisted therapy. We explored the correlations between the therapist's horse preference, levels of early life adversity (ELA), and PS relationships within and across dyads of participants, therapists, and therapy horses....
Jardat P, Yamamoto S, Ringhofer M, Tanguy-Guillo N, Parias C, Reigner F, Calandreau L, Lansade L.Emotional contagion, the emotional state-matching of two individuals, has been documented in various species. Recent findings suggest emotional contagion could also take place between humans and domestic mammals. However, the range of targeted animal species and human emotions that have been studied is still limited, and the methodology to investigate emotional contagion in this context is not fully established. This study examined emotional contagion of fear and joy from humans to horses by measuring physiological (heart rate, infrared thermography) and behavioral responses (posture, laterali...
Szczepek Reed B, Lundesjö Kvart S.In many types of embodied skills instruction, the learnables-that is, the local and jointly negotiated foci of instruction-emerge from a combination between a pre-existing lesson plan and the spontaneous interaction between teacher and student. Through the analytical lens of Conversation Analysis, this paper investigates the interspecies instruction setting of horse-riding lessons and shows how here, it is not only the human teachers and learners that determine the emergence of new learnables but also the horses. Horses' actions can initiate new courses of action in a lesson, and horses can th...
Cetintav B, Yalcin A.Understanding equine behavior through advanced monitoring technologies is crucial for improving animal welfare, optimizing training strategies, and enabling early detection of health or stress-related issues. This study integrates wearable sensor data with Explainable Artificial Intelligence (XAI) techniques, particularly SHAP (Shapley Additive Explanations), to enhance interpretability in equine behavior classification. The data used in this study were sourced from an open-source dataset, ensuring transparency and reproducibility. Orginally, data were collected from 18 horses using sensor dev...
Martins NA, Fonseca BPA, Silvatti AP, Valente FL, Soares NL, Simonato SP, Rosa LP, Andrade MO, Barcelos KMDC.The Mangalarga Marchador (MM) breed naturally performs four-beat gaits known as "Marcha". Kinematic analysis can provide insights for optimizing training and competition performance in this breed while potentially mitigating welfare concerns associated with extreme head and neck positions (HNPs) applied without an adequate understanding of their impacts. We examined how different HNPs affect the MM horse's Marcha Batida gait. Four HNPs were evaluated: HPN1-loose reins, HPN2-the competition standard for MM, HPN3-an extremely elevated head and neck, and HPN4-a slightly behind-the-vertical positi...
Jung Y, Yoon M.Therapeutic programs involving human-horse interactions are gaining popularity as a means of enhancing human well-being. Understanding the physiological responses of both humans and horses during these interactions is essential for evaluating the effectiveness of such programs. This study examined the effects of specific interactive activities on both humans and horses by monitoring changes in oxytocin and cortisol levels. Six participants and six horses took part in the study. The participants engaged in three distinct activities, each lasting 15 min: (1) resting alone without the horse (rest...
Jastrzębska E, Górecka-Bruzda A, Ogłuszka M, Lipka MS, Pawłowska A.This pilot study investigated the effects of massage therapy on stress indicators in recreational horses, focusing on salivary cortisol levels, heart rate and conflict behaviors. Five recreational horses were analyzed under two experimental conditions: without and with massage treatments before riding sessions. Saliva samples were collected at four specific intervals in each condition to measure cortisol concentrations using an ELISA test. Observations of behavioral indicators and heart-rate monitoring complemented the physiological data. The results revealed that massage significantly reduced...
Visser EK, Jens AL, Nieuwe Weme LE, Spaapen AA, Maarleveld KN, Enzerink KH, Tromp PN, Haven-Pross SC.Equine-Assisted Services (EAS) offer significant benefits for individuals with intellectual and/or physical disabilities. However, ensuring the welfare of the horses involved remains a key ethical concern. The objective of this study was to assess the affective states of horses involved in EAS while also establishing behavioural thresholds for indicators of positive or negative affective states. A total of 98 horses were observed over a two-month period, accumulating data about horse behaviour and session characteristics from 830 EAS sessions. Horses participating in coaching programs averaged...
Rochais C, Akoka E, Amiot Girard S, Grandgeorge M, Henry S.Animal-assisted interventions (AAIs) have become increasingly popular, with horses being one of the most commonly used species. While the effects of equine-assisted interventions (EAIs) have been widely studied in humans, research focusing on animals involved in such work is limited. Understanding how animals perceive their world is ethically important because their perception reflects the valence of their underlying mood. We investigated the cognitive judgement bias (pessimistic vs. optimistic) and perception of humans (negative vs. positive) in horses from three different facilities, divided...
John KD, Vincent AL, Nieforth LO, Schafroth J.This article used an intersectional feminist analytic framework to theorize the role of anthropomorphizing human-equine interactions in the HERD Institute's modality for practitioners of Equine-facilitated learning and equine-facilitated psychotherapy (EFL/P). EFL/P is a traditionally human-centered activity which leverages anthropomorphizing equine behavior and emotions to better understand human selves and dynamics by assigning human emotions to equids and human-equine interactions. Intersectional feminist theories were used to interpret 11 in-depth interviews with EFL/P practitioners. The d...
MacKechnie-Guire R, Clayton H, Williams J, Marlin D, Fisher M, Fisher D, Walker V, Murray R.Measuring tools designed to objectively determine equine noseband tightness are inserted on the dorsal nasal planum in a rostro-caudal direction. The lateral aspect of the horse's head has several areas where minimal soft tissue intervenes between the skin and underlying bone, which makes them potentially useful sites for measuring noseband tightness. One hundred horses were fitted with a snaffle bridle with a cavesson, Swedish or dropped noseband in random order. The tightness of each noseband type was adjusted sequentially to 2.0, 1.5, 1.0, 0.5 and 0.0 finger-equivalents using an ISES Taper ...
Rankins EM, Faremi BE, Hartmann K, Quinn A, Posada-Quintero HF, McKeever KH, Malinowski K.Heart rate variability (HRV) can be measured as an indicator of autonomic nervous system (ANS) balance and thus, stress and affective arousal. Mixed results have been reported in the limited literature addressing the effects of equine-assisted services (EAS) on HRV in the human and horse participants. The aims of the present study were to determine the effects of ground-based adaptive horsemanship (AH) lessons on veterans' and horses' HRV during weekly lessons as well as veterans' resting HRV outside of lessons. Veterans with post-traumatic stress disorder (PTSD) were randomly assigned to 8 w...
Whitaker B, Barnhard JA, Webb KR, Levine D, Green MM, Vieira MR.This study assessed the safety and tolerability of concurrent intra-articular (IA) injection of 2.5% polyacrylamide hydrogel (2.5% iPAAG) and betamethasone sodium phosphate and betamethasone acetate esters (BME) in the metacarpophalangeal joints (MCPJs) of healthy horses. Methods: 10 healthy therapeutic riding horses were enrolled in this open-label safety study from August 1 to September 14, 2023. Inclusion criteria required normal physical examinations, insulin level, hematology, biochemistry, soundness at all gaits, and negative forelimb flexion tests. Screening occurred from days -14 to -0...
Gaulmin P, Marin F, Moiroud C, Beaumont A, Jacquet S, De Azevedo E, Martin P, Audigié F, Chateau H, Giraudet C.Aquatic training has been integrated into equine rehabilitation and training programs for several decades. While the cardiovascular effects of this training have been explored in previous studies, limited research exists on the locomotor patterns exhibited during the swimming cycle. This study aimed to analyze three distinct swimming strategies, identified by veterinarians, based on the propulsion phases of each limb: (S1) two-beat cycle with lateral overlap, (S2) two-beat cycle with diagonal overlap, and (S3) four-beat cycle. 125 underwater videos from eleven horses accustomed to swimming wer...
Chodzinski A, Wissing S, Tipold A, Geburek F.The skills necessary to perform diagnostic perineural anesthesia in equids belongs to one of the Day One Competences of a veterinarian, so every veterinary graduate should be able to perform them correctly. For logistical, hygienic and ethical reasons, practical exercises on cadaver limbs are not accessible to all students. Two equine distal limb simulators were developed and evaluated as an additional instructional tool to train the required skills. Both simulators were designed and built with an integrated success control, with Simulator I (S1) designed to be a simplified anatomical model an...
Clayton HM, Murray R, Williams JM, Walker V, Fisher M, Fisher D, Nixon J, Mackechnie-Guire R.Noseband adjustment should avoid discomfort and allow some jaw movement. Objective: To determine pressure beneath a cavesson noseband at five tightness levels during standing and chewing. It was hypothesised that increased noseband tightness is associated with increases in nasal and mandibular pressures while standing and chewing, accompanied by increases in eye temperature and blink rate. Methods: Experimental. Methods: Eight highly-trained dressage horses wore a snaffle bridle with their own bit. Pressure mats over the nasal bones and beneath the mandibular rami recorded sub-noseband pressur...
Bussiman F, Richter J, Hidalgo J, Silva FFE, Ventura RV, Carvalho RSB, Mattos EC, Ferraz JBS, Eler JP, de Carvalho Balieiro JC.Gait visual scores are widely applied to horse breeding because they are a fast and easy phenotyping strategy, allowing the numeric interpretation of a complex biological process such as gait quality. However, they may suffer from subjectivity or high environmental influence. We aimed to investigate potential causal relationships among six visual gait scores in Campolina horses. The data included 5475 horses with records for at least one of the following traits: Dissociation (Di), Comfort (C), Style (S), Regularity (R), Development (De), and Gait total Scores (GtS). The pedigree comprised thre...
Itoh K, Kikumura N, Maeda T, Hirata S, Ringhofer M.Despite the long history of the horse-human bond, our understanding of the brain and mind of horses remains limited due to the lack of methods to investigate their brain functions. This study introduces a novel methodology for completely non-invasive, multi-channel recording of electroencephalography (EEG) and evoked potentials in awake horses to examine equine auditory cortical processing. The new approach utilizes specially designed brush-shaped active electrodes that facilitate stable signal acquisition through the hair coat by penetrating electrode pins and integrated pre-amplifiers. A 12-...
Doherty-Sneddon G, Caiazza R, Pawlowska E, Vuong Q.Research has demonstrated the effectiveness of Animal-Assisted Therapy, usually involving dogs, as a way to reduce pain in inpatient and outpatient populations. Here two studies investigate the effectiveness of interacting with horses for reducing human acute pain perception. Unassigned: In Study 1, a blood-pressure cuff was used to administer acute ischaemic pain to 70 adult participants, who were allocated to one of three groups: Equine Assisted Psychotherapy (EAP), Horse Interaction without EAP (HI), and a Control (no horses present). All participants engaged in an activity (finding a horse...
Springer RW, Cherry NM, Muir JP, Raub RH, Wellmann KB, Jones TN.Recent changes in legislation have put hempseed meal (Cannabis sativa L.; HSM) under consideration as a potential livestock feedstuff. Digestibility of HSM has been researched in other species, however, there are little data in horses. The study objective was to determine the in vitro true digestibility (IVTD) of HSM compared to common equine feedstuffs. An in vitro split-split plot design used four geldings (8.5 ± 3.9yr; 558.4 ± 31.0kg; 6.0 ± 0.4 BCS) to investigate the IVTD of HSM compared to alfalfa hay (ALF), Coastal Bermudagrass hay (CBH), soybean meal (SBM), rice bran pellets (RBP), a...
Guyo M, Tareke M, Tonamo A, Bediye D, Defar G.Morphometric traits discrepancies are associated with production, reproduction, adaptation and behaviours in horses. It also determines the design of harnessing implements, physical injury level and working performance of the native horses. Thus, the study was conducted to evaluate morphometric traits and body conformation indices of horse ecotypes reared across four districts of Bale Zone, Ethiopia. Methods: Data of croup height, croup length, hip height, mid-back height, wither height, hip width, thoracic depth, chest width, body length, sternum height, thorax perimeter and cannon perimeter ...
Barrera G, Albiach-Serrano A, Guillén-Salazar F.Studies have shown that horses are sensitive to human attentional cues. Also, there is some evidence that they might be able to infer the knowledge state of a human and communicate intentionally with us. However, this ability is not fully characterized and certain behaviors, like gaze, asymmetric ears position or vocalizations, which could work as attention-getting behaviors, have been scarcely studied in this context. The aim of the present study was to assess whether horses' gaze toward a person, asymmetric ears position and vocalizations are subject to audience effects and adjust to human a...
Buschmann E, Van Steenkiste G, Vernemmen I, Demeyere M, Schauvliege S, Decloedt A, van Loon G.Sustained atrial tachycardia at an atrial rate of 191/min on the surface ECG was detected in a 6-year-old Warmblood mare. The vectorcardiogram obtained from a 12-lead ECG suggested a caudo-dorsal right atrial origin of the arrhythmia. Impedance-based three-dimensional electro-anatomical mapping, using the EnSite™ Precision Cardiac Mapping System revealed a clockwise macro-reentry around a line of conduction block in the caudomedial right atrium. Ten radiofrequency applications were applied to isolate the caudal vena cava myocardial sleeves at a power of 35 W and mean contact force of 14 ...
Hall C, Kay R.Quality of life is dependent upon the extent to which behavioural needs are met, and the balance between pleasant and unpleasant lifetime experiences. In Part II of this systematic review, articles (n = 109) relating to horse-human interactions were reviewed to identify behavioural evidence of their positive or negative impact on the horse. The number of articles (n = 22) relating to the recognition of pain in horses, indicated the importance of identifying health issues, which are also likely to increase the aversiveness of interactions. These and articles relating to emotional reactivity tes...
Biau S, Pycik E, Boichot L, Berg LC, Ruet A.Health and performance of vaulting horses cantering with reins might be affected by rein tensions. The primary aim of this present study was to measure rein and lunge line tensions in international-level vaulting horses with several types of reins adjusted in accordance with the requirements of the FEI Vaulting Rules and study the effect of reins types on it. The secondary aim was to evaluate behavioural signs of discomfort under the same conditions and study the effect of reins types on it. The relationship between tensions and behavioural signs of discomfort was then explored. Thirty-nine in...
Asti V, Ablondi M, Molle A, Zanotti A, Vasini M, Sabbioni A.The shift of the horse breeding sector from agricultural to leisure and sports purposes led to a decrease in local breeds' population size due to the loss of their original breeding purposes. Most of the Italian breeds must adapt to modern market demands, and gait traits are suitable phenotypes to help this process. Inertial measurement unit (IMU) technology can be used to objectively assess them. This work aims to investigate on IMU recorded data (i) the influence of environmental factors and biometric measurements, (ii) their repeatability, (iii) the correlation with judge evaluations, and (...
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 ...
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...
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...
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...
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...
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...
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...
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...
De Santis M, Contalbrigo L, Borgi M, Cirulli F, Luzi F, Redaelli V, Stefani A, Toson M, Odore R, Vercelli C, Valle E, Farina L.Equine assisted interventions (EAIs) are recently facing an increasing popularity, and are characterized by a wide diversity of practices. However, information on the welfare of animals involved in this kind of activity is often lacking. Horses are highly susceptible to work stressors related to physical constraints and/or to the need to control emotions while interacting with humans. Considerations of the emotional state of horses involved in EAIs have multiple valences: for the safety of humans and animals involved, for the quality and efficacy of interventions, as well as for ethical reason...
Lechner HE, Kakebeeke TH, Hegemann D, Baumberger M.To determine the effect of hippotherapy on spasticity and on mental well-being of persons with spinal cord injury (SCI), and to compare it with the effects of other interventions. Methods: Crossover trial with 4 conditions. Methods: Swiss paraplegic center. Methods: A volunteer sample of 12 people with spastic SCI (American Spinal Injury Association grade A or B). Methods: Hippotherapy, sitting astride a Bobath roll, and sitting on a stool with rocking seat. Each session lasted 25 minutes and was conducted twice weekly for 4 weeks; the control condition was spasticity measurement without inter...
Anderson S, Meints K.Equine-assisted activities and therapies are increasing in popularity for treatment of ASD symptoms. This research evaluated effects of a 5-week programme of therapeutic riding on social functioning of children/adolescents (N = 15) with ASD. The effectiveness of the programme was evaluated using the autism spectrum quotient, the Vineland Adaptive Behaviour Scale and the empathising and systemising quotient. Results established that the TR intervention increased empathising and reduced maladaptive behaviours. The findings also indicated that specific adaptive behaviours like socialization and...
Trzmiel T, Purandare B, Michalak M, Zasadzka E, Pawlaczyk M.The multifactorial nature of Autism Spectrum Disorder (ASD) is the reason why complementary and alternative methods of treatment are sought in order to support the classic approach. Objective: The aim of the study was to assess the effectiveness of Equine-Assisted Activities and Therapies (EAAT) in ASD patients based on a review of the literature. Methods: A review of the literature and a meta-analysis were conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PUBMED, Cochrane Library, Web of Science, ClinicalTrials.gov and PED...
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...
Stergiou A, Tzoufi M, Ntzani E, Varvarousis D, Beris A, Ploumis A.Equine-assisted therapies, such as therapeutic riding and hippotherapy, are believed to have positive physical and emotional effects in individuals with neuromotor, developmental, and physical disabilities. The purpose of this review was to determine whether therapeutic riding and hippotherapy improve balance, motor function, gait, muscle symmetry, pelvic movement, psychosocial parameters, and the patients' overall quality of life. Methods: In this study, a literature search was conducted on MEDLINE, CINAHL, MBASE, SportDiscus, Cochrane Database of Systematic Reviews, Cochrane Controlled Trial...
Borioni N, Marinaro P, Celestini S, Del Sole F, Magro R, Zoppi D, Mattei F, Dall' Armi V, Mazzarella F, Cesario A, Bonassi S.To assess the effects of equestrian rehabilitation (ER) and onotherapy (Ono) on physical and psycho-social performances of subjects affected by intellectual disability (ID), and to develop a measurement tool based on the International Classification of Functioning Disability and Health-Children and Youth (ICF-CY). Methods: A tool based on the ICF-CY classification was designed to evaluate subjects undergoing equine rehabilitation within a bio-psychosocial approach. A simplified version of this evaluation form was developed for the equestrian instructors. The agreement between the two tools was...
