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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.
Hippotherapy: a systematic mapping review of peer-reviewed research, 1980 to 2018.
Disability and rehabilitation    September 6, 2019   Volume 43, Issue 10 1463-1487 doi: 10.1080/09638288.2019.1653997
Wood WH, Fields BE.Comprehensively and systematically map peer-reviewed studies of hippotherapy published over 30 years, from 1980 through 2018, from the perspective of a phased scientific approach to developing complex interventions as a guide to future research and practice. A systematic mapping review of research of hippotherapy was conducted. Searches of nine databases produced 3,528 unique records; 78 full-text, English-written studies were reviewed, the earliest of which was published in 1998. Data relevant to study aims were extracted electronically from these studies and analyzed using queries and pivot ...
Evaluating Animal-Assisted Interventions: An Empirical Illustration of Differences between Outcome Measures.
Animals : an open access journal from MDPI    September 3, 2019   Volume 9, Issue 9 645 doi: 10.3390/ani9090645
van der Steen S, Heineman MMP, Ernst MJA.Multiple authors have called for strong empirical evaluations to strengthen the foundation of Animal-Assisted Interventions. Carefully choosing the outcome measures of these studies is important, as choosing the wrong outcomes may lead to a failure to detect effects. The current study therefore compares and contrasts the use of several outcome measures, to assess the effect of an equine-assisted intervention for a child with Autism Spectrum Disorder: (1) a semi-structured interview with both parents, specifically designed for children with cognitive disabilities, (2) a general screening instru...
Equine-assisted interventions for veterans with service-related health conditions: a systematic mapping review.
Military Medical Research    August 29, 2019   Volume 6, Issue 1 28 doi: 10.1186/s40779-019-0217-6
Kinney AR, Eakman AM, Lassell R, Wood W.Evidence-based treatments for service-related health conditions such as posttraumatic stress disorder (PTSD), depression, and traumatic brain injury (TBI) are not effective for all veterans. Equine-assisted interventions are emerging as an additional treatment modality, but little is known regarding the safe and effective delivery of these interventions. This study aimed to describe the following features of the body of literature concerning equine-assisted interventions among veterans: 1) veterans who have participated in equine-assisted interventions; 2) specific characteristics of equine-as...
Beyond steroids and bronchodilators – investigating additional therapies for horses with severe equine asthma.
The Veterinary record    August 3, 2019   Volume 185, Issue 5 140-142 doi: 10.1136/vr.l4935
Montgomery JB.No abstract available
Assessment of Noninvasive Low-Frequency Ultrasound as a Means of Treating Injuries to Suspensory Ligaments in Horses: A Research Paper.
Journal of equine veterinary science    July 18, 2019   Volume 80 80-89 doi: 10.1016/j.jevs.2019.07.007
Carrozzo U, Toniato M, Harrison A.Therapeutic ultrasound is a noninvasive technique, which is well tolerated by horses, does not need sedation, and can easily be performed in a routine clinical setting. Twenty-three client-owned sport horses were recruited at Clinica Equina San Biagio and included in this case study. Treatment of the injured suspensory ligament apparatus was administered using an EQ Pro, low-frequency therapeutic unit (38 kHz). The noninvasive treatment consisted of massaging the injured area in combination with a traditional ultrasound gel while maintaining the head of the device in direct contact with the i...
An equine-assisted therapy intervention to improve pain, range of motion, and quality of life in adults and older adults with arthritis: A randomized controlled trial.
Applied nursing research : ANR    July 10, 2019   Volume 49 5-12 doi: 10.1016/j.apnr.2019.07.002
White-Lewis S, Johnson R, Ye S, Russell C.To compare equine-assisted therapy to exercise education on pain, range of motion, and quality of life in adults and older adults with arthritis. Quality of life for adults and older adults is negatively impacted by arthritis pain, stiffness, and decreased function. Equine-assisted therapy provides unique movements to the rider's joints and muscles improving pain, range of motion, and quality of life and has improved outcomes in balance, gait, strength, functional mobility, and spasticity for older adults, stroke, spinal cord injury, and multiple sclerosis patients. No research has investigate...
Case Study: How Horses Helped a Teenager with Autism Make Friends and Learn How to Work.
International journal of environmental research and public health    July 1, 2019   Volume 16, Issue 13 2325 doi: 10.3390/ijerph16132325
Grandin T.I was born in 1947 and had autism with speech delay until age four. I am now a college professor of animal science. Horse activities enabled me to make friends through a shared interest in horses. This paper describes the benefits that I experienced from working with horses and my friendships and work skills. A close friendship developed with another student through both riding and horse craft projects. Keeping employment is a serious problem for many people with Autism Spectrum Disorder (ASD). The responsibility of caring for horses and cleaning stalls every day taught me good work skills. My...
The Impact of Equine-Assisted Therapy on Equine Behavioral and Physiological Responses.
Animals : an open access journal from MDPI    July 1, 2019   Volume 9, Issue 7 409 doi: 10.3390/ani9070409
Mendonça T, Bienboire-Frosini C, Menuge F, Leclercq J, Lafont-Lecuelle C, Arroub S, Pageat P.Equine-assisted therapies (EATs) have been widely used in the treatment of patients with mental or physical conditions. However, studies on the influence of equine-assisted therapy (EAT) on equine welfare are very recent, and the need for further research is often highlighted. The aim of this study was to investigate whether EAT creates negative or positive emotions in horses, and the influence of patients' expectations (one group of patients had physical and psychological expectations and one group of patients had only psychological expectations) on horses' emotional responses. Fifty-eight pa...
An Exploration of the Mechanism of Action of an Equine-Assisted Intervention.
Animals : an open access journal from MDPI    May 31, 2019   Volume 9, Issue 6 303 doi: 10.3390/ani9060303
Hemingway A, Carter S, Callaway A, Kavanagh E, Ellis S.Though long alluded to, there is now an accumulation of evidence of the vital contribution that emotion makes to learning. Within this broad advance in understanding is a growing body of research emphasising the embodied nature of this emotion-based learning. The study presented here is a pilot study using a mixed-method approach (combining both physiological and experiential methodologies) to give a picture of the "emotional landscape" of people's learning through the intervention under study. This has allowed researchers to examine mediating pathways that may underlie any effects of an equin...
Equine Activities Influence Horses’ Responses to Different Stimuli: Could This Have an Impact on Equine Welfare?
Animals : an open access journal from MDPI    May 29, 2019   Volume 9, Issue 6 290 doi: 10.3390/ani9060290
Mendonça T, Bienboire-Frosini C, Kowalczyk I, Leclercq J, Arroub S, Pageat P.The learning and cognitive challenges that horses may face differ according to the activities in which they are involved. The aim of this investigation was to study the influence of equine activities on the behavioral responses and autonomic nervous system (ANS) activity of adult horses. Forty-one horses were divided into four groups: dressage (9), jumping (10), eventing (13) and equine-assisted activity/therapy (9). A test was created to compare the horses' behavioral and physiological responses to different stimuli. The goal was always to obtain a treat. To study the ANS activity, heart rate...
Outcomes following physical therapy incorporating hippotherapy on neuromotor function and bladder control in children with Down syndrome: A case series.
Physical & occupational therapy in pediatrics    May 20, 2019   Volume 40, Issue 3 247-260 doi: 10.1080/01942638.2019.1615601
Moriello G, Terpstra ME, Earl J.: The objective of this case series was to document gross motor function, gait parameter, and bladder control outcomes following physical therapy incorporating hippotherapy in children with Down syndrome (DS). : Four children between three and five years of age received eight-weekly physical therapy sessions incorporating hippotherapy. Outcome measures included the Gross Motor Function Measure-88 (GMFM-88), parental perception of function during every day activities, spatiotemporal parameters of gait and bladder control. : Total change scores on the GMFM-88 exceeded the standardized response m...
Evaluating the effectiveness of therapeutic horse riding for children and young people experiencing disability: a single-case experimental design study.
Disability and rehabilitation    May 13, 2019   Volume 42, Issue 26 3734-3743 doi: 10.1080/09638288.2019.1610083
Martin RA, Taylor WJ, Surgenor LJ, Graham FP, Levack WMM, Blampied NM. Therapeutic horse riding aims to improve the health of children and young people experiencing disability; however, its benefits across a range of health domains, particularly the impact on participation outcomes, are not well known. This research evaluated to what extent there was a change in riders balance, functional performance, social responsiveness, quality of life and participation outcomes as a result of therapeutic horse riding. A multiple-baseline across participants ( = 12) single-case experimental design, with randomly allocated baseline phase lengths, quantitatively evaluated ...
PETting horses?
Equine veterinary journal    April 6, 2019   Volume 51, Issue 3 283-284 doi: 10.1111/evj.13077
Spriet M.No abstract available
Pilot testing a manualized equine-facilitated cognitive processing therapy (EF-CPT) intervention for PTSD in veterans.
Psychiatric rehabilitation journal    March 25, 2019   Volume 42, Issue 3 268-276 doi: 10.1037/prj0000359
Wharton T, Whitworth J, Macauley E, Malone M.The objective of this study was to test effectiveness and feasibility of equine-facilitated cognitive processing therapy (EF-CPT), a manualized adaptation of the cognitive processing therapy model for veterans with posttraumatic stress disorder (PTSD) championed by the Department of Veterans Affairs, in which equine-facilitated activities are integrated into face-to-face sessions. Methods: Twenty-seven veterans with a diagnosis of PTSD participated (M = 51; 78% male) in a pretest-posttest design. Veterans were seen by a single psychologist for 12 sessions of individual EF-CPT. Instruments incl...
(Horseback) Riding into the Sunset. Re: “Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review”-Reply.
PM & R : the journal of injury, function, and rehabilitation    March 12, 2019   Volume 11, Issue 3 327-328 doi: 10.1002/pmrj.12076
Hilliere C, Collado-Mateo D, Villafaina S, Duque-Fonseca P, Parraça JA.No abstract available
Equine Assisted Therapy for Patients with Post Traumatic Stress Disorder: A Case Series Study.
Military medicine    March 7, 2019   Volume 184, Issue 9-10 394-399 doi: 10.1093/milmed/usz036
Shelef A, Brafman D, Rosing T, Weizman A, Stryjer R, Barak Y.Equine assisted therapy (EAT) which includes therapeutic horseback riding (THR), grooming, horsemanship and ground level work with horses, has been studied as treatment for children with special needs and/or autistic spectrum disorder. Preliminary evidence indicates that EAT is also effective for improving self-efficacy and self-esteem in adults with psychiatric disorders. Empowerment, bonding and building trust with the horses, may promote functioning of patients struggling with post traumatic stress disorder (PTSD).The authors performed a prospective, pilot open case series study to assess t...
The Impact of Equine Therapy and an Audio-Visual Approach Emphasizing Rhythm and Beat Perception in Children with Developmental Coordination Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    February 21, 2019   Volume 25, Issue 5 535-541 doi: 10.1089/acm.2017.0242
Hession CE, Law Smith MJ, Watterson D, Oxley N, Murphy BA. This study aims to investigate the impact of a therapeutic horse riding (HR) intervention and an audiovisual (AV) intervention comprising exposure to equine rhythm and motion on developmental parameters of children with Developmental Coordination Disorder (DCD). The study design was a pretest/post-test. The study took place in three locations across Ireland-St. Michael's Boys School in Mervue, Co Galway, The Hunt Museum in Limerick City, Co. Limerick, and Fettercairn Youth Horse Project in Tallaght, Co. Dublin. Eighty-three children (6-14 years) with a primary diagnosis of DCD. Children m...
Equine-related eye injury: a case report of globe rupture and vision loss in a post-stroke hippotherapy patient.
American medical student research journal    February 12, 2019   Volume 5, Issue 1 110-113 doi: 10.1016/j.ajo.2008.10.017
Chang LY, Chang SM, Andrews L, Saeedi O.Hippotherapy has recently emerged as a horse-based rehabilitative therapy to improve balance, coordination, and strength in patients with a wide range of medical conditions. Although several studies have demonstrated its effectiveness in restoring balance and gait in patients who have suffered cerebrovascular accidents (CVA), few studies have reported on adverse events associated with the treatment. Methods: This case report describes a female post-stroke patient who fell from a horse during a hippotherapy session. She suffered a closed right zygomaticomaxillary complex fracture and ruptured g...
[… and Riding as Well? Case Report about the Treatment of an Infant with Unresponsive Wakefulness Syndrome].
Die Rehabilitation    February 11, 2019   Volume 59, Issue 1 48-53 doi: 10.1055/a-0835-2990
Steppacher I, Kissler J.There is a growing number of children surviving birth complications with severe, multiple disabilities. Unfortunately, this is not paralleled by equal growth in knowledge about adequate therapeutic approaches. Some publications showed that Hippotherapy could, under certain circumstances, be a very useful complimentary therapy for a range of disabilities. But it remains unclear if riding could even help a quadriplegic individual with multiple brain damage and tracheal ventilation. Methods: In this case study we examined the effect of horse riding on the mobility of joints and heart rate in a li...
Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial.
Journal of sport rehabilitation    January 25, 2019   Volume 29, Issue 2 179-185 doi: 10.1123/jsr.2018-0252
Kim T, Lee J, Oh S, Kim S, Yoon B.A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Methods: A randomized controlled trial. Methods: Community and university campus. Methods: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Methods: The exercises were performed for 30 minutes, 2 days p...
(Horseback) Riding into the Sunset. Re: “Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review”.
PM & R : the journal of injury, function, and rehabilitation    January 18, 2019   Volume 11, Issue 3 325-326 doi: 10.1002/pmrj.12075
No abstract available
Replication Pilot Trial of Therapeutic Horseback Riding and Cortisol Collection With Children on the Autism Spectrum.
Frontiers in veterinary science    January 14, 2019   Volume 5 312 doi: 10.3389/fvets.2018.00312
Pan Z, Granger DA, Guérin NA, Shoffner A, Gabriels RL.We aimed to determine whether results of our prior randomized control trial [RCT; NCT02301195, (1)] of Therapeutic Horseback Riding (THR) for children and adolescents with autism spectrum disorder (ASD) could be at a different riding center and if treatment effects also included differences in the expression of associations between problem behavior and the activity of the hypothalamic-pituitary-adrenal (HPA) axis. Participants with ASD ( = 16) ages 6-16 years were randomized by nonverbal intelligence quotient to either a 10-week THR group ( = 8) or no horse interaction barn activity (BA) cont...
Hippotherapy in Rehabilitation Care for Children With Neurological Impairments and Developmental Delays: A Case Series.
Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association    December 18, 2018   Volume 31, Issue 1 E14-E21 doi: 10.1097/PEP.0000000000000567
Kraft KA, Weisberg J, Finch MD, Nickel A, Griffin KH, Barnes TL.This report assesses functional mobility in children with neurological impairments and documented gross motor delays, before and after receiving either hippotherapy or standard outpatient physical therapy (PT). This is a case-series report using data previously collected for a discontinued randomized controlled trial, in which participants received hippotherapy or standard outpatient clinic PT for a 12-week treatment period. Results demonstrated both subjective and objective functional mobility improvements after treatment in participants receiving hippotherapy and standard outpatient PT, as d...
Adolescents’ Affective and Physiological Regulation Shape Negative Behavior During Challenging Equine Assisted Learning Activities.
Frontiers in veterinary science    December 4, 2018   Volume 5 300 doi: 10.3389/fvets.2018.00300
Pendry P, Carr AM, Vandagriff JL.This study examined associations between adolescents' ( = 59; = 11.63) diurnal and momentary activity of the Hypothalamic Pituitary Adrenal (HPA) axis as marked by salivary cortisol, and affective and behavioral responses to their first, mounted equine assisted learning (EAL) activity. The introduction to riding occurred during the fifth week of an 11-week EAL program for at-risk and typically developing adolescents. Before the 11-week program began, participants collected 6 salivary cortisol samples at prescribed times (wakeup, 4 p.m., bedtime) over 2 days, from which indices of diurnal cor...
Specificity and variability of trunk kinematics on a mechanical horse.
Human movement science    November 30, 2018   Volume 63 82-95 doi: 10.1016/j.humov.2018.11.007
Goodworth AD, Barrett C, Rylander J, Garner B.As perturbation training is gaining popularity, it is important to better understand postural control during complex three-dimensional stimuli. One clinically relevant and commonly used three-dimensional stimulus is found in hippotherapy and simulated hippotherapy on a mechanical horse. We tested nine healthy participants on a horse simulator, measured head and trunk kinematics, and characterized data in time (root-mean-square and variability) and frequency (amplitude spectra, gains, and phases) domains. We addressed three fundamental questions: 1) What is the specificity of postural responses...
Efficacy of equine-assisted psychotherapy in veterans with posttraumatic stress disorder.
Journal of integrative medicine    November 16, 2018   Volume 17, Issue 1 14-19 doi: 10.1016/j.joim.2018.11.001
Burton LE, Qeadan F, Burge MR.Posttraumatic stress disorder (PTSD) is a common and debilitating disorder among war veterans. Although complementary and alternative therapies are gaining acceptance in the treatment of PTSD, the efficacy of animal-based therapies in this disorder is unknown. The goal of equine-assisted psychotherapy (EAP) is to improve the social, emotional, and/or cognitive functions of individuals with PTSD. Objective: This study aims to explore the effects of EAP on PTSD symptoms. We hypothesized that veterans with PTSD who participate in a standardized EAP program for 1 h per week for 6 weeks would exp...
Equine assisted activities and therapies in children with autism spectrum disorder: A systematic review and a meta-analysis.
Complementary therapies in medicine    November 5, 2018   Volume 42 104-113 doi: 10.1016/j.ctim.2018.11.004
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...
Dysregulation of Cortisol Metabolism in Equine Pituitary Pars Intermedia Dysfunction.
Endocrinology    October 6, 2018   Volume 159, Issue 11 3791-3800 doi: 10.1210/en.2018-00726
Morgan RA, Keen JA, Homer N, Nixon M, McKinnon-Garvin AM, Moses-Williams JA, Davis SR, Hadoke PWF, Walker BR.Equine Cushing disease [pituitary pars intermedia dysfunction (PPID)] is a common condition of older horses, but its pathophysiology is complex and poorly understood. In contrast to pituitary-dependent hyperadrenocorticism in other species, PPID is characterized by elevated plasma ACTH but not elevated plasma cortisol. In this study, we address this paradox and the hypothesis that PPID is a syndrome of ACTH excess in which there is dysregulation of peripheral glucocorticoid metabolism and binding. In 14 horses with PPID compared with 15 healthy controls, we show that in plasma, cortisol levels...
Evaluation of an equine-assisted therapy program for veterans who identify as ‘wounded, injured or ill’ and their partners.
PloS one    September 27, 2018   Volume 13, Issue 9 e0203943 doi: 10.1371/journal.pone.0203943
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...
A qualitative exploration of post-acute stroke participants’ experiences of a multimodal intervention incorporating horseback riding.
PloS one    September 20, 2018   Volume 13, Issue 9 e0203933 doi: 10.1371/journal.pone.0203933
Pohl P, Carlsson G, Bunketorp Käll L, Nilsson M, Blomstrand C.Multimodal rehabilitation interventions delivered in late phase of stroke recovery involve physical (motor and sensory), social, and cognitively challenging activities. Horseback riding can be incorporated within such interventions, leading to meaningful long-term improvements when applied to individuals with moderate levels of disability. There is a lack of research illuminating stroke survivors' experiences and perceptions of horseback riding in the context of multimodal interventions. To explore stroke survivors' experiences of participation in a multimodal group-based intervention that inc...
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