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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.
The Influence of Hippotherapy on the Body Posture in a Sitting Position among Children with Cerebral Palsy.
International journal of environmental research and public health    September 19, 2020   Volume 17, Issue 18 6846 doi: 10.3390/ijerph17186846
Matusiak-Wieczorek E, Dziankowska-Zaborszczyk E, Synder M, Borowski A.The purpose of this study was to assess the influence of hippotherapy (therapy with horses) on posture and body function among children with cerebral palsy. A case-control study included forty-five children aged 6-12 years, classified as Gross Motor Function Classification System (GMFCS) level I or II, with spastic diplegia or hemiplegia. The participants were randomly divided into three groups: study I (n = 15), study II (n = 15) and control (n = 15). The children from the study groups attended 30min hippotherapy sessions for 12 consecutive weeks, twice (study group I) or once (study group II...
Gymnastic Training of Hippotherapy Horses Benefits Gait Quality When Ridden by Riders with Different Body Weights.
Journal of equine veterinary science    September 12, 2020   Volume 94 103248 doi: 10.1016/j.jevs.2020.103248
de Oliveira K, Clayton HM, Dos Santos Harada É.The objective was to evaluate the effects of gymnastic training on stride characteristics of walk and trot in therapy horses carrying riders of different weights. Eighteen horses used for therapeutic riding 5 days/week were randomly divided into 2 groups. Nine horses performed gymnastic (GYM) exercises after therapeutic riding on 4 days/week for 3 months, 9 horses did no additional exercises (SED). On days 0 and 90, an inertial sensor mounted to the girth on the ventral midline was used to evaluate stride characteristics when horses were ridden at walk (1.3 m/second) and trot (3.0 m/secon...
Effects of Equine-Assisted Therapies or Horse-Riding Simulators on Chronic Pain: A Systematic Review and Meta-Analysis.
Medicina (Kaunas, Lithuania)    August 31, 2020   Volume 56, Issue 9 doi: 10.3390/medicina56090444
Collado-Mateo D, Lavín-Pérez AM, Fuentes García JP, García-Gordillo MÁ, Villafaina S.Background and objectives: Chronic pain is a complex global public health problem that affects the health status, quality of life, activities of daily living, and different work-related variables. Riding a horse may lead to some benefits in chronic pain patients through the improvement of postural control and other biopsychosocial processes. Therefore, this systematic review and meta-analysis aimed to evaluate the effects of horse riding (with real or simulated horses) on chronic pain. Materials and methods: A systematic literature search was carried out in accordance with PRISMA guidelines in...
The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis.
Children (Basel, Switzerland)    August 19, 2020   Volume 7, Issue 9 106 doi: 10.3390/children7090106
Guindos-Sanchez L, Lucena-Anton D, Moral-Munoz JA, Salazar A, Carmona-Barrientos I.Cerebral palsy (CP) is a permanent disorder of the posture and movement, which can result in impairments of gross motor function, among others. Hippotherapy (HPT) is an emerging intervention to promote motor recovery in patients with neurological disorders, providing a smooth, precise, rhythmic, and repetitive pattern of movement to the patient. The main objective of this systematic review and meta-analysis of randomized controlled clinical trials was to analyze the effectiveness of HPT interventions on gross motor function in subjects with CP. The following databases were searched in May 2019...
Effects of horse riding simulator on sitting motor function in children with spastic cerebral palsy.
Physiotherapy research international : the journal for researchers and clinicians in physical therapy    August 18, 2020   Volume 25, Issue 4 e1870 doi: 10.1002/pri.1870
Chinniah H, Natarajan M, Ramanathan R, Ambrose JWF.Horse riding simulator (HRS) is an electronic horse, working under the principles of hippotherapy. It is one of the advanced therapeutic methods to improve postural control and balance in sitting, which could be recommended in the rehabilitation of cerebral palsy if real horses are unavailable. Objective: To investigate the therapeutic effects of HRS on sitting motor function in children with spastic diplegia and evaluate the changes in sitting motor function at different periods of time (4, 8 and 12 weeks). Methods: This study is a randomized controlled trial conducted over a period of 12...
Psychodynamic Based Equine-Assisted Psychotherapy in Adults with Intertwined Personality Problems and Traumatization: A Systematic Review.
International journal of environmental research and public health    August 5, 2020   Volume 17, Issue 16 5661 doi: 10.3390/ijerph17165661
Kovács G, van Dijke A, Enders-Slegers MJ.The growing field of equine-assisted psychotherapy (EAP), a subfield of animal-assisted psychotherapy (AAP), needs theoretically-based clinical studies. This systematic review examines the existing clinical studies in adult populations on psychodynamic psychotherapy combined with equine-assisted psychotherapy. An electronic database search was divided in two studies to identify publications on 1) EAP combined with psychodynamic psychotherapy and 2) EAP combined to personality problems and traumatization in order to compile studies by population, intervention, outcome and therapeutic assets. St...
[Effects of pony-assisted therapy on the behavior of older people with neurocognitive disorders living in nursing homes].
Geriatrie et psychologie neuropsychiatrie du vieillissement    July 28, 2020   Volume 18, Issue 3 273-282 doi: 10.1684/pnv.2020.0854
Carillon B, Jarzebowski W, Fulpin B, Miliotis A, Bernadac A, Saint-Georges Chaumet Y, Belmin J.Experienced in psychomotricity in two nursing homes, pony-assisted therapy shows first positive effects on psycho-behavioral symptoms. Recognized in the field of disability and psychiatry, this form of therapy is not developed in gerontology. To measure the effects of this therapy on the behavior of elderly people with neurocognitive disorders living in long-term care and especially on the involvement in this activity. Anxiety and apathy were chosen as the measurement criteria. An intervention study with an experimental cross-study design was conducted over two months for 23 subjects. An inter...
Effect of Human Attachment Style on Horse Behaviour and Physiology during Equine-Assisted Activities-A Pilot Study.
Animals : an open access journal from MDPI    July 8, 2020   Volume 10, Issue 7 1156 doi: 10.3390/ani10071156
Arrazola A, Merkies K.Equine-assisted activities (EAA) for human well-being and health rely on human-horse interactions for therapeutic effect. At-risk participants with mental and emotional difficulties can show poor social skills and functioning relationships, potentially leading to unsuccessful human-horse interaction in EAA. This study addresses the effect of the attachment style (AS) of at-risk adolescents on horse physiology and behaviour during an equine-facilitated learning (EFL) program. Thirty-three adolescents participated in a 10-week EFL program with nine therapy horses (the same therapy horse per adol...
Donkey Therapy and Hippotherapy: Two Faces of the Same Coin?
Innovations in clinical neuroscience    June 18, 2020   Volume 17, Issue 1-3 20-21 
Animal-assisted interventions are considered an innovative rehabilitation approach to improve social, emotional, and physical domains in several diseases. Among such treatments, the equine-assisted activities and therapies have been developed to support the conventional approaches. There is growing evidence on the beneficial effects of hippotherapy, whereas few data are available regarding donkey therapy. Herein, we compare such treatments, hypothesizing their best application field to reach the proper therapeutic outcomes.
Hippotherapy Practice and Safety Patterns in the United States: A Descriptive Survey Study.
Journal of alternative and complementary medicine (New York, N.Y.)    June 17, 2020   Volume 26, Issue 8 743-749 doi: 10.1089/acm.2020.0039
Peters BC, Fields BE, Erdman EA.Objective: The use of equine movement as a therapy tool in a plan of care, or hippotherapy, has grown considerably over the past three decades. However, there is little evidence of safety rates and related practice patterns to guide key stakeholders such as clients, therapists, the health care team, and third-party payers. The purpose of this article is to describe the safety and practice patterns of contemporary use of hippotherapy. Design: A survey was distributed to occupational therapy (OT), physical therapy (PT), and speech-language pathology clinicians who incorporate hippotherapy into t...
Characterization of Horse Use in Therapeutic Horseback Riding Programs in the United States: A Pilot Survey.
Journal of equine veterinary science    June 6, 2020   Volume 92 103157 doi: 10.1016/j.jevs.2020.103157
Watson E, Davis A, Splan R, Porr CAS.With increasing public scrutiny on animal welfare, it behooves those involved in the equine industry to revisit best management practices to ensure these support healthy horses. There is little published research on how horses are used in the equine industry, particularly in therapeutic horseback riding (THR) programs. Although there is a large amount of information on the benefits of THR programs to the participants, there is little published information available about the horses. Therefore, the objective of this survey was to gather data regarding horse use and care in Professional Associat...
How Equine-Assisted Activities Affect the Prosocial Behavior of Adolescents.
International journal of environmental research and public health    April 24, 2020   Volume 17, Issue 8 2967 doi: 10.3390/ijerph17082967
Pelyva IZ, Kresák R, Szovák E, Tóth ÁL.Multiple studies have investigated the positive effects of human-animal interactions and showed that animal-assisted activities can be successfully used to better human physical and mental health. Equine-assisted activities have also raised considerable attention within the field. Our research focuses on healthy students (aged 14-18) without deviations or special educational needs. We analyze the occurrence of behavior problems and prosocial behavior among adolescents who regularly have interactions with horses, and those who have no connection to horses at all. The subjects of our investigati...
Parental Perspectives of Occupational Therapy in an Equine Environment for Children with Autism Spectrum Disorder.
Occupational therapy in health care    April 17, 2020   Volume 34, Issue 3 230-252 doi: 10.1080/07380577.2020.1751903
Kalmbach D, Wood W, Peters BC.This paper reports on the qualitative phase of a mixed methods study of occupational therapy in an equine environment for children with autism spectrum disorder (ASD). The study's quantitative phase found that this intervention improved the occupational performance, social motivation, social communication, and self-regulation of some children with ASD. The study's qualitative phase, reported herein, subsequently aimed to describe parental perspectives on children's experiences of the intervention and its influences on everyday life. Using a qualitative descriptive research approach, five paren...
Equine-assisted therapeutic activities and their influence on the heart rate variability: A systematic review.
Complementary therapies in clinical practice    April 6, 2020   Volume 39 101167 doi: 10.1016/j.ctcp.2020.101167
García-Gómez A, Guerrero-Barona E, García-Peña I, Rodríguez-Jiménez M, Moreno-Manso JM.To examine the effect of equine-assisted therapeutic interventions on users' heart rate variability, using this said variability as an objective biological variable related to stress levels. Methods: A systematic review has been carried out using the methodology suggested in the PRISMA declaration following systematic searches in academic databases. Results: 432 registers were initially identified; however, in the screening and suitability process, nine papers were included in the review. With one exception, all of them reported that equine-assisted therapeutic activities had a favourable effe...
Equine-Assisted Intervention to Improve Perceived Value of Everyday Occupations and Quality of Life in People with Lifelong Neurological Disorders: A Prospective Controlled Study.
International journal of environmental research and public health    April 3, 2020   Volume 17, Issue 7 2431 doi: 10.3390/ijerph17072431
Pálsdóttir AM, Gudmundsson M, Grahn P.People with neurological disorders suffer from poor mobility, poor balance, fatigue, isolation and monotonous everyday activities. Studies show that equine-assisted interventions can improve their mobility and balance, but could these kinds of interventions also increase participants' activity repertoire and self-assessed health, and reduce their fatigue? The study was conducted as a prospective, controlled study with three cohorts followed for one year: intervention group ( = 14), control group Passive ( = 29), and control group Active ( = 147). Participants in the study were affected by neur...
Parental Perception of Changes in Basic Life Needs of Children with Disabilities after Six Months of Therapeutic Horseback Riding: A Qualitative Study.
International journal of environmental research and public health    February 13, 2020   Volume 17, Issue 4 1213 doi: 10.3390/ijerph17041213
Lovrić R, Farčić N, Mikšić Š, Gvozdanović Debeljak A.Therapeutic horseback riding (THR) has a positive effect on the physical, cognitive, and psychosocial functioning of children with disabilities. Parents' reports of the effects of THR on their children support professionals in individualizing the THR program. With this qualitative study, we aimed to explore parents' perceptions of changes in the basic life needs of their children with disabilities after six months of THR lessons and to survey parents' explanations for the causes of these changes. The study involved parents of 13 children with disabilities who were enrolled in a six-month THR p...
Equine-Assisted Therapy for Veterans with PTSD: Manual Development and Preliminary Findings.
Military medicine    February 9, 2020   Volume 185, Issue 5-6 e557-e564 doi: 10.1093/milmed/usz444
Arnon S, Fisher PW, Pickover A, Lowell A, Turner JB, Hilburn A, Jacob-McVey J, Malajian BE, Farber DG, Hamilton JF, Hamilton A, Markowitz JC, Neria Y.Equine-assisted therapy (EAT) for post-traumatic stress disorder (PTSD) has attracted great interest despite lacking empirical support, a manual, and a standardized protocol. Our team of experts in EAT and PTSD developed an eight-session group EAT treatment protocol for PTSD (EAT-PTSD) and administered it to two pilot groups of military veterans to assess initial effects. We describe the development of the treatment manual, which was used with two pilot groups of veterans. Protocol safety, feasibility, and acceptability were assessed by reported adverse events, treatment completion rates, and ...
A Word of Thanks from the Editors.
The Veterinary clinics of North America. Equine practice    February 6, 2020   Volume 36, Issue 1 xi doi: 10.1016/j.cveq.2020.01.001
DeNotta SL, Stokol T.No abstract available
Medicine and Horsemanship: The Effects of Equine-assisted Activities and Therapies on Stress and Depression in Medical Students.
Cureus    February 5, 2020   Volume 12, Issue 2 e6896 doi: 10.7759/cureus.6896
Chakales PA, Locklear J, Wharton T.This study examined the use of an equine-assisted brief course module on stress and depression among medical students (n = 28), a demographic known to experience high pressure. Evidence supports that animal-assisted therapies can lead to the improvement of health and quality of life, particularly in terms of cognitive, psychological, and physical benefits. This study used the seven-session Kane Medicine and Horsemanship program; students completed pre- and post-measures one week before and after the course. Participation in the course significantly reduced perceived stress (p: 0.001), depressi...
Complementary horse-assisted therapy for substance use disorders: a randomized controlled trial.
Addiction science & clinical practice    February 4, 2020   Volume 15, Issue 1 7 doi: 10.1186/s13722-020-0183-z
Gatti F, Walderhaug E, Kern-Godal A, Lysell J, Arnevik EA.Treatment completion is the greatest challenge for the treatment of substance use disorders (SUDs). A previous investigation showed that complementary horse-assisted therapy (cHAT) was associated with higher retention in treatment and completion than standard treatment alone. This randomized controlled trial further explored the benefits of cHAT for patients with SUDs. Fifty patients in residential SUD treatment at the Department of Addiction Treatment, Oslo University Hospital, were randomly allocated to either cHAT (cHAT group) or treatment as usual alone (TAU-only group). The primary end-po...
Acceptability of an adjunct equine-assisted activities and therapies program for veterans with posttraumatic stress disorder and/or traumatic brain injury.
Journal of integrative medicine    January 21, 2020   Volume 18, Issue 2 169-173 doi: 10.1016/j.joim.2020.01.005
Sylvia L, West E, Blackburn AM, Gupta C, Bui E, Mahoney T, Duncan G, Wright EC, Lejeune S, Spencer TJ.Equine-assisted activities and therapies (EAATs) have been a growing adjunctive integrative health modality, as they allow participants to practice mindfulness, emotional regulation, and self-mastery or self-esteem building skills. Preliminary evidence suggests that these programs may be helpful in reducing posttraumatic stress disorder (PTSD), anxiety, and depressive symptoms. The current study examines the acceptability of integrating an EAAT program as part of a two-week, intensive clinical program for veterans with PTSD and/or traumatic brain injury (TBI). Methods: A family member or suppo...
Self-Management Intervention for Attention and Executive Functions Using Equine-Assisted Occupational Therapy Among Children Aged 6-14 Diagnosed with Attention Deficit/Hyperactivity Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    January 14, 2020   Volume 26, Issue 3 239-246 doi: 10.1089/acm.2019.0374
Gilboa Y, Helmer A. Attention deficit/hyperactivity disorder (ADHD), characterized by inattention, hyperactivity, and impulsivity, is currently one of the most common diagnoses given to children. Children with ADHD have a unique cognitive profile that involves difficulties in executive functions (EFs) and in the self-management system of the brain, and are at higher risk for educational failure, social and emotional difficulties, and high risk behavior. The purpose of this study was to examine the effectiveness of self-management intervention for attention and executive functions using equine-assisted occupatio...
[Physiotherapy interventions through hippotherapy in the treatment of cerebral palsy. A literature review].
Rehabilitacion    January 10, 2020   Volume 54, Issue 2 96-106 doi: 10.1016/j.rh.2019.11.003
Mendizábal Alonso P.Cerebral palsy is produced by nonprogressive injury to the developing brain. This lesion produces life-long motor impairments, disturbances in perception, speech, communication, cognition and competence. Physiotherapy is an important part of treatment, and may include hippotherapy, which uses the movement of the horse to stimulate the sensorial, neuromotor and cognitive systems to obtain functional results. Methods: We performed a literature search using distinct databases and the following Keywords: "hippotherapy"; "cerebral palsy"; "children"; "treatment" and "physiotherapy". After applicati...
Riding into Health: A Case Study on an Equine-Assisted Childhood Obesity Intervention.
International journal of environmental research and public health    December 1, 2019   Volume 16, Issue 23 4835 doi: 10.3390/ijerph16234835
Schroeder K, Van Allen J, Dhurandhar E, Lancaster B, Heidari Z, Cazenave K, Boone D, Erdman P.In this article, we present an exploratory case study that describes the initial outcomes of the Equine-Assisted Positively Fit (EAPF) program. Children with obesity and their caregivers were recruited to participate in the eight-session program. Results indicated that treatment completers ( = 2) had a decrease in fat mass and fat mass percentage and an increase in fat-free mass and fat-free mass percentage. Moreover, results from accelerometer measurements of physical activity indicated that participants increased their moderate to vigorous physical activity, as well as reported increased sel...
Emotional Transfer in Human-Horse Interaction: New Perspectives on Equine Assisted Interventions.
Animals : an open access journal from MDPI    November 26, 2019   Volume 9, Issue 12 1030 doi: 10.3390/ani9121030
Equine assisted interventions (EAIs) include all therapeutic interventions aimed at improving human wellbeing through the involvement of horses. Due to the prominent emotional involvement traditionally characterizing their relation with humans, horses developed sophisticated communicative skills, which fostered their ability to respond to human emotional states. In this review, we hypothesize that the proximate causation of successful interventions could be human-animal mutual coordination, through which the subjects bodily and, most importantly, emotionally come into contact. We propose that ...
The Equine Hoof: Laminitis, Progenitor (Stem) Cells, and Therapy Development.
Toxicologic pathology    November 19, 2019   Volume 49, Issue 7 1294-1307 doi: 10.1177/0192623319880469
Yang Q, Lopez MJ.The equine hoof capsule, composed of modified epidermis and dermis, is vital for protecting the third phalanx from forces of locomotion. There are descriptions of laminitis, defined as inflammation of sensitive hoof tissues but recognized as pathologic changes with or without inflammatory mediators, in the earliest records of domesticated horses. Laminitis can range from mild to serious, and signs can be acute, chronic, or transition from acute, severe inflammation to permanently abnormal tissue. Damage within the intricate dermal and epidermal connections of the primary and secondary lamellae...
Platelet-Rich Products and Their Application to Osteoarthritis.
Journal of equine veterinary science    November 16, 2019   Volume 86 102820 doi: 10.1016/j.jevs.2019.102820
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...
Conceptual Design and Computational Modeling Analysis of a Single-Leg System of a Quadruped Bionic Horse Robot Driven by a Cam-Linkage Mechanism.
Applied bionics and biomechanics    November 4, 2019   Volume 2019 2161038 doi: 10.1155/2019/2161038
Wang L, Zhang W, Wang C, Meng F, Du W, Wang T.In this study, the configuration of a bionic horse robot for equine-assisted therapy is presented. A single-leg system with two degrees of freedom (DOFs) is driven by a cam-linkage mechanism, and it can adjust the span and height of the leg end-point trajectory. After a brief introduction on the quadruped bionic horse robot, the structure and working principle of a single-leg system are discussed in detail. Kinematic analysis of a single-leg system is conducted, and the relationships between the structural parameters and leg trajectory are obtained. On this basis, the pressure angle characteri...
The Nguudu Barndimanmanha Project-Improving Social and Emotional Wellbeing in Aboriginal Youth Through Equine Assisted Learning.
Frontiers in public health    October 10, 2019   Volume 7 278 doi: 10.3389/fpubh.2019.00278
Coffin J.Background: Recent statistics have painted a grim picture for Australia's Aboriginal youth, with reports of higher levels of almost every health indicator, including depression, sexual and emotional abuse, unemployment, and incarceration. Traditional western based therapies have proven to have limited effectiveness in engaging this group as they can often be culturally inappropriate. International studies have provided promising results using equine assisted learning, with a sound methodological basis underpinned by Indigenous ways of being and doing. In Australia Aboriginal people have strong...
Equine-assisted therapies using horses as healers: A concept analysis.
Nursing open    September 27, 2019   Volume 7, Issue 1 58-67 doi: 10.1002/nop2.377
White-Lewis S.A concept analysis was conducted to clarify the attributes, antecedents and meaning of equine-assisted therapy and present an operational definition. Concept analysis. Walker and Avant's concept analysis method was used to analyse equine-assisted therapy, using horses as healers by defining and enumerating the attributes, antecedents, consequences and empirical referents. Example cases are presented. Defining attributes include the following: a human participant with an equine physically present to assist the human participant, a treatment or intervention as a result of the interactions betwee...
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