Analyze Diet
Journal of autism and developmental disorders2015; 46(1); 1-9; doi: 10.1007/s10803-015-2530-6

Effectiveness of a Standardized Equine-Assisted Therapy Program for Children with Autism Spectrum Disorder.

Abstract: 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. reduced planning time in a problem-solving task) at the end of the EAT program. Our findings provide further support for the use of animal-assisted intervention programs as complementary intervention strategies for children with ASD.
Publication Date: 2015-07-27 PubMed ID: 26210515DOI: 10.1007/s10803-015-2530-6Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research article examines the impact of equine-assisted therapy (EAT) on adaptive and executive behaviors in children with Autism Spectrum Disorder (ASD). The study found that EAT can enhance social functioning and, to a lesser extent, motor abilities. It also shows preliminary evidence of improved problem-solving capabilities among the participants following the therapy program.

Sample and Methodology

  • For this study, two comparative groups of children with Autism Spectrum Disorder were selected: an EAT attending group (15 children) and a control group that did not receive EAT (13 children).
  • The only inclusion criterion was that the children had an IQ of over 70.
  • The equine therapy sessions were specially designed and entailed structured activities such as interaction with and riding of horses.

Results and Findings

  • The research discovered notable improvements in social functioning in children who were part of the EAT program compared to those in the control team.
  • EAT was found to have a slight yet positive impact on motor abilities in the children. Improved executive functioning, such as more rapid planning during a problem-solving task, was observed among the children following the EAT program.

Conclusions and Impact

  • Findings from this study offer additional evidence in support of animal-assisted intervention programs as supplementary strategies for managing children with Autism Spectrum Disorder.
  • Improvements in social and motor functioning, combined with advancements in executive abilities, underpin the efficacy of equine-assisted therapy in enhancing the quality of life for children with ASD.

Cite This Article

APA
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, Cirulli F. (2015). Effectiveness of a Standardized Equine-Assisted Therapy Program for Children with Autism Spectrum Disorder. J Autism Dev Disord, 46(1), 1-9. https://doi.org/10.1007/s10803-015-2530-6

Publication

ISSN: 1573-3432
NlmUniqueID: 7904301
Country: United States
Language: English
Volume: 46
Issue: 1
Pages: 1-9

Researcher Affiliations

Borgi, Marta
  • Section of Behavioral Neuroscience, Department of Cell Biology and Neuroscience, Istituto Superiore di Sanità, Viale Regina Elena, 299, 00161, Rome, Italy. marta.borgi@iss.it.
Loliva, Dafne
  • Sapienza University of Rome, Rome, Italy.
Cerino, Stefania
  • Italian Society for Psychosocial Rehabilitation, Rome, Italy.
Chiarotti, Flavia
  • Section of Neurotoxicology and Neuroendocrinology, Department of Cell Biology and Neuroscience, Istituto Superiore di Sanità, Rome, Italy.
Venerosi, Aldina
  • Section of Neurotoxicology and Neuroendocrinology, Department of Cell Biology and Neuroscience, Istituto Superiore di Sanità, Rome, Italy.
Bramini, Maria
  • DSM ASL RM D, Rome, Italy.
Nonnis, Enrico
  • DSM ASL RM D, Rome, Italy.
Marcelli, Marco
  • UOC Neuropsichiatria infantile ASL VT, Viterbo, Italy.
Vinti, Claudia
  • A.S.D. Equitazione per tutti, Fiumicino, Rome, Italy.
De Santis, Chiara
  • A.S. Il giardino di Filippo, Viterbo, Italy.
Bisacco, Francesca
  • A.S.D. Associazione Rubens, Turin, Italy.
Fagerlie, Monica
  • A.S. Palidoro Equitazione, Rome, Italy.
Frascarelli, Massimo
  • Sapienza University of Rome, Rome, Italy.
Cirulli, Francesca
  • Section of Behavioral Neuroscience, Department of Cell Biology and Neuroscience, Istituto Superiore di Sanità, Viale Regina Elena, 299, 00161, Rome, Italy.

MeSH Terms

  • Animals
  • Autism Spectrum Disorder / diagnosis
  • Autism Spectrum Disorder / psychology
  • Autism Spectrum Disorder / therapy
  • Child
  • Equine-Assisted Therapy / methods
  • Executive Function
  • Horses
  • Humans
  • Longitudinal Studies
  • Male
  • Problem Solving
  • Social Adjustment
  • Treatment Outcome

References

This article includes 33 references
  1. Thomas KC, Morrissey JP, McLaurin C. Use of autism-related services by families and children.. J Autism Dev Disord 2007 May;37(5):818-29.
    pubmed: 17146709doi: 10.1007/s10803-006-0208-9google scholar: lookup
  2. Snider L, Korner-Bitensky N, Kammann C, Warner S, Saleh M. Horseback riding as therapy for children with cerebral palsy: is there evidence of its effectiveness?. Phys Occup Ther Pediatr 2007;27(2):5-23.
    pubmed: 17442652
  3. Borgi M, Cogliati-Dezza I, Brelsford V, Meints K, Cirulli F. Baby schema in human and animal faces induces cuteness perception and gaze allocation in children.. Front Psychol 2014;5:411.
    pubmed: 24847305doi: 10.3389/fpsyg.2014.00411google scholar: lookup
  4. Reichow B. Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders.. J Autism Dev Disord 2012 Apr;42(4):512-20.
    pubmed: 21404083doi: 10.1007/s10803-011-1218-9google scholar: lookup
  5. Cerino S, Cirulli F, Chiarotti F, Seripa S. Non conventional psychiatric rehabilitation in schizophrenia using therapeutic riding: the FISE multicentre Pindar project.. Ann Ist Super Sanita 2011;47(4):409-14.
    pubmed: 22194076doi: 10.4415/ANN_11_04_13google scholar: lookup
  6. Gowen E, Hamilton A. Motor abilities in autism: a review using a computational context.. J Autism Dev Disord 2013 Feb;43(2):323-44.
    pubmed: 22723127doi: 10.1007/s10803-012-1574-0google scholar: lookup
  7. Muñoz-Lasa S, Ferriero G, Valero R, Gomez-Muñiz F, Rabini A, Varela E. Effect of therapeutic horseback riding on balance and gait of people with multiple sclerosis.. G Ital Med Lav Ergon 2011 Oct-Dec;33(4):462-7.
    pubmed: 22452106
  8. Wood L, Giles-Corti B, Bulsara M. The pet connection: pets as a conduit for social capital?. Soc Sci Med 2005 Sep;61(6):1159-73.
  9. Endenburg N, van Lith HA. The influence of animals on the development of children.. Vet J 2011 Nov;190(2):208-214.
    pubmed: 21195645doi: 10.1016/j.tvjl.2010.11.020google scholar: lookup
  10. O'Haire ME. Animal-assisted intervention for autism spectrum disorder: a systematic literature review.. J Autism Dev Disord 2013 Jul;43(7):1606-22.
    pubmed: 23124442doi: 10.1007/s10803-012-1707-5google scholar: lookup
  11. Keino H, Funahashi A, Keino H, Miwa C, Hosokawa M, Hayashi Y, Kawakita K. Psycho-educational Horseback Riding to Facilitate Communication Ability of Children with Pervasive Developmental Disorders.. J Equine Sci 2009;20(4):79-88.
    pubmed: 24833971doi: 10.1294/jes.20.79google scholar: lookup
  12. Holm MB, Baird JM, Kim YJ, Rajora KB, D'Silva D, Podolinsky L, Mazefsky C, Minshew N. Therapeutic horseback riding outcomes of parent-identified goals for children with autism spectrum disorder: an ABA' multiple case design examining dosing and generalization to the home and community.. J Autism Dev Disord 2014 Apr;44(4):937-47.
    pubmed: 24091469doi: 10.1007/s10803-013-1949-xgoogle scholar: lookup
  13. Zadnikar M, Kastrin A. Effects of hippotherapy and therapeutic horseback riding on postural control or balance in children with cerebral palsy: a meta-analysis.. Dev Med Child Neurol 2011 Aug;53(8):684-91.
  14. Warren Z, McPheeters ML, Sathe N, Foss-Feig JH, Glasser A, Veenstra-Vanderweele J. A systematic review of early intensive intervention for autism spectrum disorders.. Pediatrics 2011 May;127(5):e1303-11.
    pubmed: 21464190doi: 10.1542/peds.2011-0426google scholar: lookup
  15. Cirulli F, Borgi M, Berry A, Francia N, Alleva E. Animal-assisted interventions as innovative tools for mental health.. Ann Ist Super Sanita 2011;47(4):341-8.
    pubmed: 22194067doi: 10.4415/ANN_11_04_04google scholar: lookup
  16. Lanning BA, Baier ME, Ivey-Hatz J, Krenek N, Tubbs JD. Effects of equine assisted activities on autism spectrum disorder.. J Autism Dev Disord 2014 Aug;44(8):1897-907.
    pubmed: 24526337doi: 10.1007/s10803-014-2062-5google scholar: lookup
  17. Wuang YP, Wang CC, Huang MH, Su CY. The effectiveness of simulated developmental horse-riding program in children with autism.. Adapt Phys Activ Q 2010 Apr;27(2):113-26.
    pubmed: 20440023doi: 10.1123/apaq.27.2.113google scholar: lookup
  18. Bronson C, Brewerton K, Ong J, Palanca C, Sullivan SJ. Does hippotherapy improve balance in persons with multiple sclerosis: a systematic review.. Eur J Phys Rehabil Med 2010 Sep;46(3):347-53.
    pubmed: 20927000
  19. Whalen CN, Case-Smith J. Therapeutic effects of horseback riding therapy on gross motor function in children with cerebral palsy: a systematic review.. Phys Occup Ther Pediatr 2012 Aug;32(3):229-42.
    pubmed: 22122355doi: 10.3109/01942638.2011.619251google scholar: lookup
  20. Geschwind DH, Levitt P. Autism spectrum disorders: developmental disconnection syndromes.. Curr Opin Neurobiol 2007 Feb;17(1):103-11.
    pubmed: 17275283doi: 10.1016/j.conb.2007.01.009google scholar: lookup
  21. Lechner HE, Kakebeeke TH, Hegemann D, Baumberger M. The effect of hippotherapy on spasticity and on mental well-being of persons with spinal cord injury.. Arch Phys Med Rehabil 2007 Oct;88(10):1241-8.
    pubmed: 17908564doi: 10.1016/j.apmr.2007.07.015google scholar: lookup
  22. Tseng SH, Chen HC, Tam KW. Systematic review and meta-analysis of the effect of equine assisted activities and therapies on gross motor outcome in children with cerebral palsy.. Disabil Rehabil 2013 Jan;35(2):89-99.
    pubmed: 22630812doi: 10.3109/09638288.2012.687033google scholar: lookup
  23. Schultz PN, Remick-Barlow GA, Robbins L. Equine-assisted psychotherapy: a mental health promotion/intervention modality for children who have experienced intra-family violence.. Health Soc Care Community 2007 May;15(3):265-71.
  24. Bizub AL, Joy A, Davidson L. "It's like being in another world": demonstrating the benefits of therapeutic horseback riding for individuals with psychiatric disability.. Psychiatr Rehabil J 2003 Spring;26(4):377-84.
    pubmed: 12739908doi: 10.2975/26.2003.377.384google scholar: lookup
  25. Rogers SJ, Vismara LA. Evidence-based comprehensive treatments for early autism.. J Clin Child Adolesc Psychol 2008 Jan;37(1):8-38.
    pubmed: 18444052doi: 10.1080/15374410701817808google scholar: lookup
  26. McNicholas J, Collis GM. Dogs as catalysts for social interactions: robustness of the effect.. Br J Psychol 2000 Feb;91 ( Pt 1):61-70.
    pubmed: 10717771doi: 10.1348/000712600161673google scholar: lookup
  27. Winchester P, Kendall K, Peters H, Sears N, Winkley T. The effect of therapeutic horseback riding on gross motor function and gait speed in children who are developmentally delayed.. Phys Occup Ther Pediatr 2002;22(3-4):37-50.
    pubmed: 12506820
  28. Vismara LA, Rogers SJ. Behavioral treatments in autism spectrum disorder: what do we know?. Annu Rev Clin Psychol 2010;6:447-68.
  29. Kern JK, Fletcher CL, Garver CR, Mehta JA, Grannemann BD, Knox KR, Richardson TA, Trivedi MH. Prospective trial of equine-assisted activities in autism spectrum disorder.. Altern Ther Health Med 2011 May-Jun;17(3):14-20.
    pubmed: 22164808
  30. Shallice T. Specific impairments of planning.. Philos Trans R Soc Lond B Biol Sci 1982 Jun 25;298(1089):199-209.
    pubmed: 6125971doi: 10.1098/rstb.1982.0082google scholar: lookup
  31. Bass MM, Duchowny CA, Llabre MM. The effect of therapeutic horseback riding on social functioning in children with autism.. J Autism Dev Disord 2009 Sep;39(9):1261-7.
    pubmed: 19350376doi: 10.1007/s10803-009-0734-3google scholar: lookup
  32. Berry A, Borgi M, Francia N, Alleva E, Cirulli F. Use of assistance and therapy dogs for children with autism spectrum disorders: a critical review of the current evidence.. J Altern Complement Med 2013 Feb;19(2):73-80.
    pubmed: 22978246doi: 10.1089/acm.2011.0835google scholar: lookup
  33. Ward SC, Whalon K, Rusnak K, Wendell K, Paschall N. The association between therapeutic horseback riding and the social communication and sensory reactions of children with autism.. J Autism Dev Disord 2013 Sep;43(9):2190-8.
    pubmed: 23371511doi: 10.1007/s10803-013-1773-3google scholar: lookup

Citations

This article has been cited 66 times.
  1. Marchand WR. Potential Mechanisms of Action and Outcomes of Equine-Assisted Services for Veterans with a History of Trauma: A Narrative Review of the Literature. Int J Environ Res Public Health 2023 Jul 16;20(14).
    doi: 10.3390/ijerph20146377pubmed: 37510609google scholar: lookup
  2. Tepper D, Shnookal J, Howell T, Bennett P. Can Interacting with Animals Improve Executive Functions? A Systematic Review. Animals (Basel) 2023 Jun 23;13(13).
    doi: 10.3390/ani13132080pubmed: 37443878google scholar: lookup
  3. Liguori G, Costagliola A, Lombardi R, Paciello O, Giordano A. Human-Animal Interaction in Animal-Assisted Interventions (AAI)s: Zoonosis Risks, Benefits, and Future Directions-A One Health Approach. Animals (Basel) 2023 May 9;13(10).
    doi: 10.3390/ani13101592pubmed: 37238022google scholar: lookup
  4. Corallo F, Bonanno L, Cardile D, Luvarà F, Giliberto S, Di Cara M, Leonardi S, Quartarone A, Rao G, Pidalà A. Improvement of Self-Esteem in Children with Specific Learning Disorders after Donkey-Assisted Therapy. Children (Basel) 2023 Feb 22;10(3).
    doi: 10.3390/children10030425pubmed: 36979983google scholar: lookup
  5. Xiao N, Shinwari K, Kiselev S, Huang X, Li B, Qi J. Effects of Equine-Assisted Activities and Therapies for Individuals with Autism Spectrum Disorder: Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2023 Feb 1;20(3).
    doi: 10.3390/ijerph20032630pubmed: 36767996google scholar: lookup
  6. Plaza-Diaz J, Radar AM, Baig AT, Leyba MF, Costabel MM, Zavala-Crichton JP, Sanchez-Martinez J, MacKenzie AE, Solis-Urra P. Physical Activity, Gut Microbiota, and Genetic Background for Children and Adolescents with Autism Spectrum Disorder. Children (Basel) 2022 Nov 27;9(12).
    doi: 10.3390/children9121834pubmed: 36553278google scholar: lookup
  7. Peng S, Fang Y, Othman AT, Liang J. Meta-analysis and systematic review of physical activity on neurodevelopment disorders, depression, and obesity among children and adolescents. Front Psychol 2022;13:940977.
    doi: 10.3389/fpsyg.2022.940977pubmed: 36533019google scholar: lookup
  8. Ghai JL, Lehr DH, Harayama NE, Spooner F, Protopopova A. Animal-assisted Interventions as an Adjunct to ABA Services: Clinician Practices and Perceptions. Behav Anal Pract 2022 Sep;15(3):659-676.
    doi: 10.1007/s40617-021-00605-4pubmed: 36457828google scholar: lookup
  9. Chen S, Zhang Y, Zhao M, Du X, Wang Y, Liu X. Effects of Therapeutic Horseback-Riding Program on Social and Communication Skills in Children with Autism Spectrum Disorder: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2022 Nov 4;19(21).
    doi: 10.3390/ijerph192114449pubmed: 36361327google scholar: lookup
  10. Badin L, Alibran É, Pothier K, Bailly N. Effects of equine-assisted interventions on older adults' health: A systematic review. Int J Nurs Sci 2022 Oct;9(4):542-552.
    doi: 10.1016/j.ijnss.2022.09.008pubmed: 36285074google scholar: lookup
  11. Sissons JH, Blakemore E, Shafi H, Skotny N, Lloyd DM. Calm with horses? A systematic review of animal-assisted interventions for improving social functioning in children with autism. Autism 2022 Aug;26(6):1320-1340.
    doi: 10.1177/13623613221085338pubmed: 35403450google scholar: lookup
  12. Gao Y, Hannan MA, Murata K, Rajabi-Toustani R, Nambo Y. Ultrasonographic examination of equine fetal growth parameters throughout gestation in pony for Equine-Assisted Therapy. J Vet Med Sci 2022 Jan 7;84(1):74-81.
    doi: 10.1292/jvms.21-0301pubmed: 34819425google scholar: lookup
  13. Lerch N, Cirulli F, Rochais C, Lesimple C, Guilbaud E, Contalbrigo L, Borgi M, Grandgeorge M, Hausberger M. Interest in Humans: Comparisons between Riding School Lesson Equids and Assisted-Intervention Equids. Animals (Basel) 2021 Aug 28;11(9).
    doi: 10.3390/ani11092533pubmed: 34573500google scholar: lookup
  14. Contalbrigo L, Borgi M, De Santis M, Collacchi B, Tuozzi A, Toson M, Redaelli V, Odore R, Vercelli C, Stefani A, Luzi F, Valle E, Cirulli F. Equine-Assisted Interventions (EAIs) for Children with Autism Spectrum Disorders (ASD): Behavioural and Physiological Indices of Stress in Domestic Horses (Equus caballus) during Riding Sessions. Animals (Basel) 2021 May 27;11(6).
    doi: 10.3390/ani11061562pubmed: 34071859google scholar: lookup
  15. Zoccante L, Marconi M, Ciceri ML, Gagliardoni S, Gozzi LA, Sabaini S, Di Gennaro G, Colizzi M. Effectiveness of Equine-Assisted Activities and Therapies for Improving Adaptive Behavior and Motor Function in Autism Spectrum Disorder. J Clin Med 2021 Apr 16;10(8).
    doi: 10.3390/jcm10081726pubmed: 33923582google scholar: lookup
  16. Sung MC, Ku B, Leung W, MacDonald M. The Effect of Physical Activity Interventions on Executive Function Among People with Neurodevelopmental Disorders: A Meta-Analysis. J Autism Dev Disord 2022 Mar;52(3):1030-1050.
    doi: 10.1007/s10803-021-05009-5pubmed: 33856619google scholar: lookup
  17. Di Renzo M, di Castelbianco FB, Alberto V, Antonio DV, Giovanni C, Vanadia E, Petrillo M, Davide T, Racinaro L, Rea M. Prognostic factors and predictors of outcome in children with autism spectrum disorder: the role of the paediatrician. Ital J Pediatr 2021 Mar 18;47(1):67.
    doi: 10.1186/s13052-021-01008-5pubmed: 33736673google scholar: lookup
  18. Marchand WR, Andersen SJ, Smith JE, Hoopes KH, Carlson JK. Equine-Assisted Activities and Therapies for Veterans With Posttraumatic Stress Disorder: Current State, Challenges and Future Directions. Chronic Stress (Thousand Oaks) 2021 Jan-Dec;5:2470547021991556.
    doi: 10.1177/2470547021991556pubmed: 33644617google scholar: lookup
  19. Gitimoghaddam M, Vanderloo LM, Hung R, Ryce A, McKellin W, Miller A, Collet JP. Impacts of Participation in Community-Based Physical Activity Programs on Cognitive Functions of Children and Youth with Neurodevelopmental Disabilities: A Scoping Review. Brain Sci 2021 Feb 5;11(2).
    doi: 10.3390/brainsci11020195pubmed: 33562519google scholar: lookup
  20. Panzera M, Alberghina D, Statelli A. Ethological and Physiological Parameters Assessment in Donkeys Used in Animal Assisted Interventions. Animals (Basel) 2020 Oct 13;10(10).
    doi: 10.3390/ani10101867pubmed: 33066258google scholar: lookup
  21. Dimolareva M, Dunn TJ. Animal-Assisted Interventions for School-Aged Children with Autism Spectrum Disorder: A Meta-Analysis. J Autism Dev Disord 2021 Jul;51(7):2436-2449.
    doi: 10.1007/s10803-020-04715-wpubmed: 32990899google scholar: lookup
  22. Portaro S, Maresca G, Raffa A, Gemelli G, Aliberti B, Calabrò RS. Donkey Therapy and Hippotherapy: Two Faces of the Same Coin?. Innov Clin Neurosci 2020 Jan 1;17(1-3):20-21.
    pubmed: 32547842
  23. Shnaiderman-Torban A, Navon-Venezia S, Dor Z, Paitan Y, Arielly H, Ahmad WA, Kelmer G, Fulde M, Steinman A. Extended-Spectrum β-lactamase-Producing Enterobacteriaceae Shedding in Farm Horses Versus Hospitalized Horses: Prevalence and Risk Factors. Animals (Basel) 2020 Feb 11;10(2).
    doi: 10.3390/ani10020282pubmed: 32054111google scholar: lookup
  24. White-Lewis S. Equine-assisted therapies using horses as healers: A concept analysis. Nurs Open 2020 Jan;7(1):58-67.
    doi: 10.1002/nop2.377pubmed: 31871691google scholar: lookup
  25. Scopa C, Contalbrigo L, Greco A, Lanatà A, Scilingo EP, Baragli P. Emotional Transfer in Human-Horse Interaction: New Perspectives on Equine Assisted Interventions. Animals (Basel) 2019 Nov 26;9(12).
    doi: 10.3390/ani9121030pubmed: 31779120google scholar: lookup
  26. van der Steen S, Heineman MMP, Ernst MJA. Evaluating Animal-Assisted Interventions: An Empirical Illustration of Differences between Outcome Measures. Animals (Basel) 2019 Sep 3;9(9).
    doi: 10.3390/ani9090645pubmed: 31484309google scholar: lookup
  27. Mendonça T, Bienboire-Frosini C, Menuge F, Leclercq J, Lafont-Lecuelle C, Arroub S, Pageat P. The Impact of Equine-Assisted Therapy on Equine Behavioral and Physiological Responses. Animals (Basel) 2019 Jul 1;9(7).
    doi: 10.3390/ani9070409pubmed: 31266217google scholar: lookup
  28. Grandin T. Case Study: How Horses Helped a Teenager with Autism Make Friends and Learn How to Work. Int J Environ Res Public Health 2019 Jul 1;16(13).
    doi: 10.3390/ijerph16132325pubmed: 31266210google scholar: lookup
  29. Mendonça T, Bienboire-Frosini C, Kowalczyk I, Leclercq J, Arroub S, Pageat P. Equine Activities Influence Horses' Responses to Different Stimuli: Could This Have an Impact on Equine Welfare?. Animals (Basel) 2019 May 29;9(6).
    doi: 10.3390/ani9060290pubmed: 31146422google scholar: lookup
  30. Howells K, Sivaratnam C, May T, Lindor E, McGillivray J, Rinehart N. Efficacy of Group-Based Organised Physical Activity Participation for Social Outcomes in Children with Autism Spectrum Disorder: A Systematic Review and Meta-analysis. J Autism Dev Disord 2019 Aug;49(8):3290-3308.
    doi: 10.1007/s10803-019-04050-9pubmed: 31102193google scholar: lookup
  31. O'Haire M. Research on animal-assisted intervention and autism spectrum disorder, 2012-2015. Appl Dev Sci 2017;21(3):200-216.
    doi: 10.1080/10888691.2016.1243988pubmed: 31080343google scholar: lookup
  32. Srinivasan SM, Cavagnino DT, Bhat AN. Effects of Equine Therapy on Individuals with Autism Spectrum Disorder: A Systematic Review. Rev J Autism Dev Disord 2018 Jun;5(2):156-175.
    doi: 10.1007/s40489-018-0130-zpubmed: 30319932google scholar: lookup
  33. Tan VX, Simmonds JG. Parent Perceptions of Psychosocial Outcomes of Equine-Assisted Interventions for Children with Autism Spectrum Disorder. J Autism Dev Disord 2018 Mar;48(3):759-769.
    doi: 10.1007/s10803-017-3399-3pubmed: 29196865google scholar: lookup
  34. 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): Methodological Considerations for Stress Assessment in Horses. Vet Sci 2017 Sep 8;4(3).
    doi: 10.3390/vetsci4030044pubmed: 29056702google scholar: lookup
  35. Harris A, Williams JM. The Impact of a Horse Riding Intervention on the Social Functioning of Children with Autism Spectrum Disorder. Int J Environ Res Public Health 2017 Jul 14;14(7).
    doi: 10.3390/ijerph14070776pubmed: 28708075google scholar: lookup
  36. Anderson S, Meints K. Brief Report: The Effects of Equine-Assisted Activities on the Social Functioning in Children and Adolescents with Autism Spectrum Disorder. J Autism Dev Disord 2016 Oct;46(10):3344-52.
    doi: 10.1007/s10803-016-2869-3pubmed: 27457363google scholar: lookup
  37. Borgi M, Cirulli F. Pet Face: Mechanisms Underlying Human-Animal Relationships. Front Psychol 2016;7:298.
    doi: 10.3389/fpsyg.2016.00298pubmed: 27014120google scholar: lookup
  38. Li Y, Qi Y, Yang Y, Zhang R. Effects of exercise intervention on inhibitory control in children and adolescents with autism spectrum disorders: A systematic review and meta-analysis. Medicine (Baltimore) 2026 Jan 16;105(3):e47186.
    doi: 10.1097/MD.0000000000047186pubmed: 41560031google scholar: lookup
  39. Li C, Pan H, Zhou T, Li X, Cui W, Li D. Effects of physical activity on motor, communication, social, and executive function in children with autism spectrum disorder: a meta-analysis of randomized controlled trials. Eur J Pediatr 2025 Dec 11;185(1):5.
    doi: 10.1007/s00431-025-06636-1pubmed: 41379344google scholar: lookup
  40. Zhang Y, Hong Y, Zhao Z, Hou F, Hong F, Li F. Localization of the Autism Spectrum Disorder Knowledge Scale Professional Version (ASKSP-R) in western cities of China. Front Psychiatry 2025;16:1550823.
    doi: 10.3389/fpsyt.2025.1550823pubmed: 41000337google scholar: lookup
  41. Li L, Wang C, Wang Z, Wang Y, Xiao Q. A network meta-analysis of the effects of different rehabilitation intervention strategies on executive function in children and adolescents. Eur J Pediatr 2025 Sep 26;184(10):637.
    doi: 10.1007/s00431-025-06372-6pubmed: 40999094google scholar: lookup
  42. Martínez Moreno CM, Hernández Garre JM, Echevarría Pérez P, Morales Moreno I, Vegue Parra E, Valero Merlos E. Effectiveness of Equine-Assisted Intervention as a Therapeutic Strategy for Improving Adaptive Behaviour in Children with Autism Spectrum Disorder. Healthcare (Basel) 2025 Aug 15;13(16).
    doi: 10.3390/healthcare13162014pubmed: 40868632google scholar: lookup
  43. Qi K, Sun Z, Shi Y, Xiong X, Liu Y, Cai K, Chen A, Białas M. Effects of ball combination training program combined with cTBS intervention on motor disorder in children with autism spectrum disorder. Sci Rep 2025 Jul 21;15(1):26418.
    doi: 10.1038/s41598-025-11540-7pubmed: 40691690google scholar: lookup
  44. Badin L, Pothier K, Agli O, Van Dendaele E, Guillou G, Ventalon G, Bailly N. Equine-Assisted Interventions and Physical Health in Older Adults: A Meta-Analysis. Sage Open Aging 2025 Jan-Dec;11:23337214241298342.
    doi: 10.1177/23337214241298342pubmed: 40611861google scholar: lookup
  45. He J, Gong Y, Yin M, Zhang L, Wu X. Optimal dosage of group-based organized physical activity for enhancing social abilities in autistic children: insights from a multilevel meta-analysis. Int J Behav Nutr Phys Act 2025 Jul 1;22(1):87.
    doi: 10.1186/s12966-025-01787-8pubmed: 40597379google scholar: lookup
  46. Moe I, Ho PJ, Andersson M, Karlberg S, Lidfors L, Sampaio F, Feldman I. Effectiveness of animal-assisted services for school-aged children: a systematic review. Eur Child Adolesc Psychiatry 2025 Oct;34(10):3017-3033.
    doi: 10.1007/s00787-025-02740-7pubmed: 40451970google scholar: lookup
  47. Wienhold S, Bär L, Ringleb Z, Zirpel V, Gomolla A, Denk BF, Volkmer N, Gaertner RJ, Klink ESC, Pruessner JC. The relationship of early life adversity and physiological synchrony within the therapeutic triad in horse-assisted therapy. J Neural Transm (Vienna) 2025 Sep;132(9):1291-1312.
    doi: 10.1007/s00702-025-02947-7pubmed: 40423728google scholar: lookup
  48. Smith CM, Weimann K, Widick M, Merritt T, Christensen H, Siegel M, Pan Z, Gabriels RL. Best practices for physiological data collection in youth with autism and co-occurring mental health diagnoses: Implications for human-animal intervention research. MethodsX 2025 Jun;14:103284.
    doi: 10.1016/j.mex.2025.103284pubmed: 40236803google scholar: lookup
  49. Xing Y, Wu X. Effects of Motor Skills and Physical Activity Interventions on Motor Development in Children with Autism Spectrum Disorder: A Systematic Review. Healthcare (Basel) 2025 Feb 24;13(5).
    doi: 10.3390/healthcare13050489pubmed: 40077051google scholar: lookup
  50. Chan HW, Hsu LSJ, Shum KKM. Exploring the Human-Animal Interaction (HAI) for Children with ASD Across Countries: A Systematic Review. J Autism Dev Disord 2025 Mar 3;.
    doi: 10.1007/s10803-025-06745-8pubmed: 40029503google scholar: lookup
  51. Tao R, Yang Y, Wilson M, Chang JR, Liu C, Sit CHP. Comparative effectiveness of physical activity interventions on cognitive functions in children and adolescents with Neurodevelopmental Disorders: a systematic review and network meta-analysis of randomized controlled trials. Int J Behav Nutr Phys Act 2025 Jan 13;22(1):6.
    doi: 10.1186/s12966-024-01702-7pubmed: 39806448google scholar: lookup
  52. Zoccante L, Sabaini S, Bonatti SM, Rigotti E, Lintas C, Marconi M, Zaffanello M. Effectiveness of Equine-Assisted Activities and Therapies for Children with Autism Spectrum Disorder: An Update. Children (Basel) 2024 Dec 8;11(12).
    doi: 10.3390/children11121494pubmed: 39767923google scholar: lookup
  53. Kou R, Li Z, Li M, Zhou R, Zhu F, Ruan W, Zhang J. Comparative effectiveness of physical exercise interventions on sociability and communication in children and adolescents with autism: a systematic review and network meta-analysis. BMC Psychol 2024 Nov 30;12(1):712.
    doi: 10.1186/s40359-024-02210-wpubmed: 39614353google scholar: lookup
  54. Hou Y, Wang Y, Deng J, Song X. Effects of different exercise interventions on executive function in children with autism spectrum disorder: a network meta-analysis. Front Psychiatry 2024;15:1440123.
    doi: 10.3389/fpsyt.2024.1440123pubmed: 39345918google scholar: lookup
  55. Callara AL, Scopa C, Contalbrigo L, Lanatà A, Scilingo EP, Baragli P, Greco A. Unveiling directional physiological coupling in human-horse interactions. iScience 2024 Sep 20;27(9):110857.
    doi: 10.1016/j.isci.2024.110857pubmed: 39310749google scholar: lookup
  56. Hou Y, Song Z, Deng J, Song X. The impact of exercise intervention on social interaction in children with autism: a network meta-analysis. Front Public Health 2024;12:1399642.
    doi: 10.3389/fpubh.2024.1399642pubmed: 39206007google scholar: lookup
  57. Amado-Fuentes M, Denche-Zamorano A, Barrios-Fernandez S, Gozalo M. Bibliometric Analysis on Equine-Assisted Interventions. Animals (Basel) 2024 Jun 13;14(12).
    doi: 10.3390/ani14121776pubmed: 38929395google scholar: lookup
  58. Xiao N, Bagayi V, Yang D, Huang X, Zhong L, Kiselev S, Bolkov MA, Tuzankina IA, Chereshnev VA. Effectiveness of animal-assisted activities and therapies for autism spectrum disorder: a systematic review and meta-analysis. Front Vet Sci 2024;11:1403527.
    doi: 10.3389/fvets.2024.1403527pubmed: 38895710google scholar: lookup
  59. Gu T, Jin C, Lin L, Wang X, Li X, Jing J, Cao M. The relationship between executive function and the association of motor coordination difficulties and social communication deficits in autistic children. Front Psychiatry 2024;15:1363406.
    doi: 10.3389/fpsyt.2024.1363406pubmed: 38596639google scholar: lookup
  60. Flores MB, Tovin MM, Gill SV, Iverson JM. Movement as a Gateway to Participation for Individuals With Neuromotor Conditions: A Scoping Review. Pediatr Phys Ther 2024 Apr 1;36(2):225-254.
    doi: 10.1097/PEP.0000000000001090pubmed: 38568271google scholar: lookup
  61. Helmer A, Delore E, Bart O. Equine Assisted Occupational Therapy for Children with Adhd (Astride): Protocol Development and Preliminary Study. Clin Neuropsychiatry 2024 Feb;21(1):88-98.
  62. Fan MSN, Li WHC, Ho LLK, Phiri L, Choi KC. Nature-Based Interventions for Autistic Children: A Systematic Review and Meta-Analysis. JAMA Netw Open 2023 Dec 1;6(12):e2346715.
  63. Ranieri A, Mennitti C, Falcone N, La Monica I, Di Iorio MR, Tripodi L, Gentile A, Vitale M, Pero R, Pastore L, D'Argenio V, Scudiero O, Lombardo B. Positive effects of physical activity in autism spectrum disorder: how influences behavior, metabolic disorder and gut microbiota. Front Psychiatry 2023;14:1238797.
    doi: 10.3389/fpsyt.2023.1238797pubmed: 38025444google scholar: lookup
  64. Casini F, Scaltrito F, Grimaldi MT, Pop TL, Calcaterra V, Zuccotti GV, Pettoello-Mantovani M, Ferrara P, Corsello G, Fabiano V. Use of complementary and alternative medicine in children affected by oncologic, neurologic and liver diseases: a narrative review. Ital J Pediatr 2023 Nov 15;49(1):152.
    doi: 10.1186/s13052-023-01554-0pubmed: 37968663google scholar: lookup
  65. Cheng X, Zhen K, Fan Y, Tang Q, Wu H. The effects of equine-assisted activities on execution function in children aged 7-8 years: A randomized controlled trial. Brain Behav 2023 Sep;13(9):e3148.
    doi: 10.1002/brb3.3148pubmed: 37443400google scholar: lookup
  66. Ji YQ, Tian H, Zheng ZY, Ye ZY, Ye Q. Effectiveness of exercise intervention on improving fundamental motor skills in children with autism spectrum disorder: a systematic review and meta-analysis. Front Psychiatry 2023;14:1132074.
    doi: 10.3389/fpsyt.2023.1132074pubmed: 37377477google scholar: lookup