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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.
(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...
Short-Term and Long-Term Effects of Riding for Children with Cerebral Palsy Gross Motor Functions.
BioMed research international    July 8, 2018   Volume 2018 4190249 doi: 10.1155/2018/4190249
Žalienė L, Mockevičienė D, Kreivinienė B, Razbadauskas A, Kleiva Ž, Kirkutis A.. To evaluate the effects of riding for beginners (short-term) and advanced (long-term) riders with cerebral palsy on their whole mobility. The study involved 15 subjects (two girls and eleven boys). The subjects were aged from 3 to 19 years (8.73 years ± 5.85). All of the subjects had been diagnosed with a spastic form of cerebral palsy. The duration of the participation differed as follows: the advanced subjects had been riding for 1-4 years (2.66 years ± 1.16), while the beginners have been riding for two weeks (10 sessions). Group I (advanced riders) consisted of eight subjects (7 boys a...
Influence of an Equine-Assisted Activities Program on Dementia-Specific Quality of Life.
American journal of Alzheimer's disease and other dementias    May 9, 2018   Volume 33, Issue 5 309-317 doi: 10.1177/1533317518772052
Fields B, Bruemmer J, Gloeckner G, Wood W.Institutional facilities face challenges providing experiences to residents with dementia that promote participation in meaningful activities. Guided by the Lived Environment Life Quality Model, this study investigated associations between 9 different activity situations-one an equine-assisted activities program (EAAP)-and positive, negative, and neutral behavioral indicators of quality of life (QoL) in 6 residents with dementia who expressed an interest in horses. Direct observational data were collected for 4 hours twice weekly over 8 weeks. Using χ tests, differences across activity situat...
Effects of Equine-Assisted Activities and Therapies on the Affective Network of Adolescents with Internet Gaming Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    April 26, 2018   Volume 24, Issue 8 841-849 doi: 10.1089/acm.2017.0416
Kang KD, Jung TW, Park IH, Han DH.Internet gaming disorder (IGD) has been suggested to be a mental health disorder. Attachment and emotional status in IGD patients are important for understanding the etiology and progression of IGD because both parameters are considered to be associated with the affective network. Equine-assisted activities and therapies (EAAT) have been reported to improve emotional status and attachment in subjects. We hypothesized that EAAT would improve attachment in IGD adolescents with insecure attachment issues and increase functional connectivity (FC) within the affective network. Methods: Subjects com...
An Exploration of Equine-Assisted Therapy to Improve Balance, Functional Capacity, and Cognition in Older Adults With Alzheimer Disease.
Journal of geriatric physical therapy (2001)    April 10, 2018   Volume 42, Issue 3 E155-E160 doi: 10.1519/JPT.0000000000000167
Borges de Araujo T, Martins WR, Freitas MP, Camargos E, Mota J, Safons MP.Alzheimer disease (AD) is a chronic, progressive dementia syndrome that features cognitive and behavioral symptoms, as well as physical and functional limitations that develop over the course of the disease. As an activity that involves physical and cognitive aspects, equine-assisted therapy (EAT) could be a useful therapeutic approach in conditions that involve physical and cognitive decline. However, to date, there are no reports of the use of this therapy in participants with AD. Within this context, the objective of this case series was to describe the effects of EAT on balance, functional...
Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review.
PM & R : the journal of injury, function, and rehabilitation    April 5, 2018   Volume 10, Issue 10 1062-1072 doi: 10.1016/j.pmrj.2018.03.019
Hilliere C, Collado-Mateo D, Villafaina S, Duque-Fonseca P, Parraça JA.To provide an up-to-date research analysis on equine-assisted therapies and horse riding simulation exercise in older adults, and to suggest future directions in clinical practice and research. TYPE: Systematic review. A comprehensive search of studies was performed in 4 electronic databases (Cochrane, PubMed, PEDro, and Web of Science) regarding the effects of equine-assisted therapies and horse riding simulation exercise in older adults. Eight articles were selected, 5 of them focused on hippotherapy, 2 on horse riding simulation, and a single article that used the 2 types of therapy. PRISMA...
Effects of Equine Therapy on Individuals with Autism Spectrum Disorder: A Systematic Review.
Review journal of autism and developmental disorders    February 20, 2018   Volume 5, Issue 2 156-175 doi: 10.1007/s40489-018-0130-z
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...
The Effects of Equine Assisted Therapy on Plasma Cortisol and Oxytocin Concentrations and Heart Rate Variability in Horses and Measures of Symptoms of Post-Traumatic Stress Disorder in Veterans.
Journal of equine veterinary science    February 12, 2018   Volume 64 17-26 doi: 10.1016/j.jevs.2018.01.011
Malinowski K, Yee C, Tevlin JM, Birks EK, Durando MM, Pournajafi-Nazarloo H, Cavaiola AA, McKeever KH.With the increase in the number of horses being used in Equine-Assisted Activities and Therapies (EAAT) programs and with the increasing concern for animal welfare, it is important to understand the impact of such interventions on the stress level and quality of life for the horses involved. The purpose of the present pilot study was to test the hypothesis that participation in EAAT would acutely alter physiological markers of stress and well-being, including plasma cortisol, plasma oxytocin, and heart rate variability (HRV), in horses and that symptoms of posttraumatic stress disorder (PTSD) ...
Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans.
Military Medical Research    January 19, 2018   Volume 5, Issue 1 3 doi: 10.1186/s40779-018-0149-6
Johnson RA, Albright DL, Marzolf JR, Bibbo JL, Yaglom HD, Crowder SM, Carlisle GK, Willard A, Russell CL, Grindler K, Osterlind S, Wassman M, Harms N.Large numbers of post-deployment U.S. veterans are diagnosed with post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI), leading to an urgent need for effective interventions to reduce symptoms and increase veterans' coping. PTSD includes anxiety, flashbacks, and emotional numbing. The symptoms increase health care costs for stress-related illnesses and can make veterans' civilian life difficult. We used a randomized wait-list controlled design with repeated measures of U.S. military veterans to address our specific aim to test the efficacy of a 6-week therapeutic horseback...
Targeting gait and life quality in persons with Parkinson’s disease: Potential benefits of Equine-Assisted Interventions.
Parkinsonism & related disorders    December 11, 2017   Volume 47 94-95 doi: 10.1016/j.parkreldis.2017.12.003
Peppe A, Costa A, Cerino S, Caltagirone C, Alleva E, Borgi M, Cirulli F.No abstract available
Parent Perceptions of Psychosocial Outcomes of Equine-Assisted Interventions for Children with Autism Spectrum Disorder.
Journal of autism and developmental disorders    December 3, 2017   Volume 48, Issue 3 759-769 doi: 10.1007/s10803-017-3399-3
Tan VX, Simmonds JG.This research explored parents' perceptions of the psychosocial outcomes of their children's experience of receiving equine-assisted interventions (EAI). Participants were the parents of six children (aged 3-14) diagnosed with autism spectrum disorder. Five semi-structured interviews were conducted and the transcript data was analysed using Interpretative phenomenological analysis. Four super-ordinate themes emerged from the analysis: (1) child's improved self-concept and enhanced emotional well-being, (2) child's improved self-regulatory ability, (3) social benefits for the child, and (4) une...
Equine Exercise in Younger and Older Adults: Simulated Versus Real Horseback Riding.
Perceptual and motor skills    October 26, 2017   Volume 125, Issue 1 93-108 doi: 10.1177/0031512517736463
Kim MJ, Kim T, Oh S, Yoon B.Horseback riding is an effective exercise for improving postural control and balance. To reduce costs and improve accessibility, simulated horseback riding has been developed; but no differential effects of simulated and real horseback riding on muscle activation patterns in older adults have been studied. Thus, we compared muscle activation patterns for older and younger adults engaged in real and simulated horseback riding exercises, using surface electromyography recordings of the erector spinae, rectus abdominis, internal oblique abdominis, and rectus femoris muscles. We recorded muscle ac...
Complications of intravenous catheterization in horses.
Schweizer Archiv fur Tierheilkunde    September 28, 2017   Volume 159, Issue 9 477-485 doi: 10.17236/sat00126
Schoster A.Intravenous catheterization is a necessity for continuous administration of intravenous fluids and for intermittent intravenous access to avoid discomfort and potential complications of repeated needle insertions into the vein. Intravenous catheterization is commonly performed and well tolerated in horses, but catheter associated complications have been reported. The most commonly reported complication is thrombophlebitis, but others such as venous air embolism, exsanguination and catheter fragmentation may also occur. This article aims to review clinical signs, pathogenesis, diagnosis, therap...
Equine Assisted Interventions (EAIs): Methodological Considerations for Stress Assessment in Horses.
Veterinary sciences    September 8, 2017   Volume 4, Issue 3 44 doi: 10.3390/vetsci4030044
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...
Equine-assisted therapy intervention studies targeting physical symptoms in adults: A systematic review.
Applied nursing research : ANR    August 26, 2017   Volume 38 9-21 doi: 10.1016/j.apnr.2017.08.002
White-Lewis S, Russell C, Johnson R, Cheng AL, McClain N.No abstract available
Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO).
Multiple sclerosis (Houndmills, Basingstoke, England)    August 3, 2017   Volume 24, Issue 10 1375-1382 doi: 10.1177/1352458517721354
Vermöhlen V, Schiller P, Schickendantz S, Drache M, Hussack S, Gerber-Grote A, Pöhlau D.Evidence-based complementary treatment options for multiple sclerosis (MS) are limited. To investigate the effect of hippotherapy plus standard care versus standard care alone in MS patients. A total of 70 adults with MS were recruited in five German centers and randomly allocated to the intervention group (12 weeks of hippotherapy) or the control group. Primary outcome was the change in the Berg Balance Scale (BBS) after 12 weeks, and further outcome measures included fatigue, pain, quality of life, and spasticity. Covariance analysis of the primary endpoint resulted in a mean difference ...
Autism and Equine-Assisted Interventions: A Systematic Mapping Review.
Journal of autism and developmental disorders    July 25, 2017   Volume 47, Issue 10 3220-3242 doi: 10.1007/s10803-017-3219-9
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...
The Impact of a Horse Riding Intervention on the Social Functioning of Children with Autism Spectrum Disorder.
International journal of environmental research and public health    July 14, 2017   Volume 14, Issue 7 776 doi: 10.3390/ijerph14070776
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...
‘It just opens up their world’: autism, empathy, and the therapeutic effects of equine interactions.
Anthropology & medicine    May 17, 2017   Volume 25, Issue 2 220-234 doi: 10.1080/13648470.2017.1291115
Malcolm R, Ecks S, Pickersgill M.Experiences of autism-spectrum disorder are now increasingly studied by social scientists. Human-animal relations have also become a major focus of social inquiry in recent years. Examining horse-assisted therapy for autistic spectrum disorders, this is the first paper that brings these fields together. Drawing on participant observation and interviews at a UK horse therapy Centre, this article examines how staff and the parents of riders account for the successes and limitations of equine therapy. To the respondents, horses 'open up' autistic children and make possible interactions that seeme...
Green Care: A Review of the Benefits and Potential of Animal-Assisted Care Farming Globally and in Rural America.
Animals : an open access journal from MDPI    April 13, 2017   Volume 7, Issue 4 31 doi: 10.3390/ani7040031
Artz B, Bitler Davis D.The term Green Care includes therapeutic, social or educational interventions involving farming; farm animals; gardening or general contact with nature. Although Green Care can occur in any setting in which there is interaction with plants or animals, this review focuses on therapeutic practices occurring on farms. The efficacy of care farming is discussed and the broad utilization of care farming and farm care communities in Europe is reviewed. Though evidence from care farms in the United States is included in this review, the empirical evidence which could determine its efficacy is lacking....
Therapeutic Effects of Horseback Riding Interventions: A Systematic Review and Meta-analysis.
American journal of physical medicine & rehabilitation    March 3, 2017   Volume 96, Issue 10 717-725 doi: 10.1097/PHM.0000000000000726
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...
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