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Nursing open2019; 7(1); 58-67; doi: 10.1002/nop2.377

Equine-assisted therapies using horses as healers: A concept analysis.

Abstract: 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 between an equine and a human participant, a purposeful and regulated interaction and a positive health outcome goal from the interaction. Antecedents include a live horse with a human physically able to interact with the horse, a facilitator and accessibility to an equine-assisted therapy (EAT) programme. Consequences include improved balance, well-being, quality of life, trust, spasticity, self-efficacy, self-esteem, nurse presence, pleasure and a sense of accomplishment.
Publication Date: 2019-09-27 PubMed ID: 31871691PubMed Central: PMC6917924DOI: 10.1002/nop2.377Google Scholar: Lookup
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  • 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 paper looks at how horses can be used in therapy to help individuals with various conditions and aims to clearly define what equine-assisted therapy is and what it involves.

Concept Analysis Method

  • The researchers used a method known as concept analysis, which was developed by Walker and Avant. This approach is designed to help clarify the meaning of concepts. In this case, it was used to better define and understand equine-assisted therapy.
  • To accomplish their goal, the researchers looked at different components of equine-assisted therapy including attributes, antecedents, consequences, and empirical referents. Attributes are the characteristics that distinguish the concept, while antecedents are events or conditions that happen before the concept and consequences are the result of the concept. Empirical referents are classes or categories of actual phenomena that demonstrate the occurrence of the concept.

Defining Attributes of Equine-Assisted Therapy

  • The study identified several defining attributes for equine-assisted therapy, such as the physical presence of a horse and a human participant who interacts with the horse during treatment.
  • The interaction between the horse and the human participant needs to be purposeful and regulated by a facilitator or therapist. The goal of this interaction is to attain a positive health outcome. For instance, this could involve the patient learning to manage their emotions better or enhancing their self-esteem.

Antecedents and Consequences

  • Key antecedents identified include the physical capability of the human participant to interact with the horse, the presence of a live horse, and accessibility to an equine-assisted therapy program.
  • The study also assessed the potential consequences or outcomes of equine-assisted therapy. These include a range of physical and psychological benefits, such as improved balance and diminished spasticity, increased self-efficacy and self-esteem, improved sense of well-being, increased trust, as well as increased nurse presence, pleasure, and overall sense of accomplishment.

Conclusion

  • Ultimately, this research aids in providing a clear and concise definition of equine-assisted therapy and its potential benefits. This can help medical professionals and therapists better understand how this method can be utilized in their practices to help patients.

Cite This Article

APA
White-Lewis S. (2019). Equine-assisted therapies using horses as healers: A concept analysis. Nurs Open, 7(1), 58-67. https://doi.org/10.1002/nop2.377

Publication

ISSN: 2054-1058
NlmUniqueID: 101675107
Country: United States
Language: English
Volume: 7
Issue: 1
Pages: 58-67

Researcher Affiliations

White-Lewis, Sharon
  • University of Missouri Kansas City Missouri.

MeSH Terms

  • Animals
  • Equine-Assisted Therapy
  • Horses
  • Humans
  • Quality of Life
  • Self Concept
  • Self Efficacy

Conflict of Interest Statement

There are no conflicts of interest to declare associated with this manuscript.

References

This article includes 105 references
  1. nnAlchin, L.n (2017). Animal symbols. Retrieved from https://www.warpaths2peacepipes.com/native-american-symbols/animal-symbols.htmn
  2. nAmerican Horse Counciln. (2018). U.S. House approves funds for veterans’ equine therapy. Retrieved from BloodHorse.com website: https://www.bloodhorse.com/horse-racing/articles/227952/u-s-house-approves-funds-for-veterans-equine-therapyn
  3. Angoules A, Koukoulas D, Balakatounis K, Kapari I, Matsouki E. A review of efficacy of hippotherapy for the treatment of musculoskeletal disorders. British Journal of Medicine and Medical Research 2015;8(4):289–297.
    doi: 10.9734/BJMMR/2015/17023google scholar: lookup
  4. Aranda-García S, Iricibar A, Planas A, Prat-Subiran JA, Angulo-Barroso RM. Comparative effects of horse exercise versus traditional exercise programs on gait, muscle strength, and body balance in healthy older adults.. J Aging Phys Act 2015 Jan;23(1):78-89.
    doi: 10.1123/JAPA.2012-0326pubmed: 24425454google scholar: lookup
  5. Araujo TB, Silva NA, Costa JN, Pereira MM, Safons MP. Effect of equine-assisted therapy on the postural balance of the elderly.. Rev Bras Fisioter 2011 Sep-Oct;15(5):414-9.
  6. nAsociacion de Equinoterapia Ismael Pinton(2019). Basic concepts of equine therapy. Retrieved from http://www.asocequinoterapia.org/english/Conceptos.htmn
  7. Asselin G, Penning JH, Ramanujam S, Neri R, Ward C. Therapeutic horse back riding of a spinal cord injured veteran: a case study.. Rehabil Nurs 2012 Nov-Dec;37(6):270-6.
    doi: 10.1002/rnj.027pubmed: 23212951google scholar: lookup
  8. Bachi K. Application of attachment theory to equine‐facilitated psychotherapy. Journal of Contemporary Psychotherapy 2013;43(3):187–196.
    doi: 10.1007/s10879-013-9232-1google scholar: lookup
  9. Bachi K. Equine‐facilitated prison‐based programs within the context of prison‐based animal programs: State of the science review. Journal of Offender Rehabilitation 2013;52(1):46.
  10. nnBeckett, D.n (2014). Trained miniature horses round up senior smiles. Retrieved from http://herald-review.com/news/local/trained-miniature-horses-round-up-senior-smiles/article_444c2231-056d-53dc-af39-3f69e9558e8a.htmln
  11. Beinotti F, Christofoletti G, Correia N, Borges G. Effects of horseback riding therapy on quality of life in patients post stroke.. Top Stroke Rehabil 2013 May-Jun;20(3):226-32.
    doi: 10.1310/tsr2003-226pubmed: 23841970google scholar: lookup
  12. nBlue Cross Blue Shieldn(2016). Medical policy: Hippotherapy. Retrieved from https://www.bluecrossma.com/common/en_US/medical_policies/560%20Hippotherapy%20prn.pdfn
  13. 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. Effectiveness of a Standardized Equine-Assisted Therapy Program for Children with Autism Spectrum Disorder.. J Autism Dev Disord 2016 Jan;46(1):1-9.
    doi: 10.1007/s10803-015-2530-6pubmed: 26210515google scholar: lookup
  14. Borioni N, Marinaro P, Celestini S, Del Sole F, Magro R, Zoppi D, Mattei F, Dall' Armi V, Mazzarella F, Cesario A, Bonassi S. Effect of equestrian therapy and onotherapy in physical and psycho-social performances of adults with intellectual disability: a preliminary study of evaluation tools based on the ICF classification.. Disabil Rehabil 2012;34(4):279-87.
    doi: 10.3109/09638288.2011.605919pubmed: 21988646google scholar: lookup
  15. 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
  16. Burgon H, Gammage D, Hebden J. Hoofbeats and heartbeats: Equine‐assisted therapy and learning with young people with psychosocial issues: Theory and practice. Journal of Social Work Practice 2018;32(1):3–16.
  17. Bustad LK, Hines L. Our professional responsibilities relative to human-animal interactions.. Can Vet J 1984 Oct;25(10):369-76.
    pmc: PMC1790657pubmed: 17422458
  18. nnCarriker, M. N.n (2013). Perceived satisfaction of equine‐assisted therapy: A qualitative study of family narratives. Retrieved from http://digitalcommons.liberty.edu/honors/398/n
  19. Clarke TC, Stussman BJ, Nahin RL. Trends in the use of complementary health approaches among adults: United States, 2002–2012. National Health Statistics Report 2015;79:16.
  20. nnCoren, S.n (2013). How therapy dogs almost never came to exist. Retrieved from http://www.psychologytoday.com/blog/canine-corner/201302/how-therapy-dogs-almost-never-came-existn
  21. Cravana C, Medica P, Ragonese G, Fazio E. Influence of training and competitive sessions on peripheral β-endorphin levels in training show jumping horses.. Vet World 2017 Jan;10(1):67-73.
  22. de Araújo TB, de Oliveira RJ, Martins WR, de Moura Pereira M, Copetti F, Safons MP. Effects of hippotherapy on mobility, strength and balance in elderly.. Arch Gerontol Geriatr 2013 May-Jun;56(3):478-81.
    doi: 10.1016/j.archger.2012.12.007pubmed: 23290005google scholar: lookup
  23. Debuse D. What outcomes of hippotherapy on people with cerebral palsy should be measured?. Presented at the 13th International Congress of Therapeutic Riding, Muenster, 2009.
  24. Dell C, Chalmers D, Dell D, Sauve E, MacKinnon T. Horse as healer: An examination of equine assisted learning in the healing of First Nations youth from solvent abuse. A Journal of Aboriginal and Indigenous Community Health 2008;6(1):1063–1071.
  25. Dezutti JE. Eating disorders and equine therapy: a nurse's perspective on connecting through the recovery process.. J Psychosoc Nurs Ment Health Serv 2013 Sep;51(9):24-31.
    doi: 10.3928/02793695-20130612-01pubmed: 23786240google scholar: lookup
  26. nEquine Assisted Growth and Learning Organizationn(2018). EAGALA: The gold standard for equine‐assisted psychotherapy & personal development. Retrieved from https://www.eagala.orgn
  27. nEquine Heritage Instituten(2013). Horses in history. Retrieved from http://www.equineheritageinstitute.org/horses-in-history/n
  28. nnFilips, D.n (2013). Recreation, therapeutic In Reynolds C. R., Fletcher‐Janzen E., & Vannest K. (Eds.), Encyclopedia of special education: A reference for the education of children, adolescents, and adults with disabilities and other exceptional individuals (4th ed., e‐book). Retrieved from http://proxy.library.umkc.edu/login?qurl=http%3A%2F%2Fsearch.credoreference.com.proxy.library.umkc.edu%2Fcontent%2Fentry%2Fwileyse%2Frecreation_therapeutic%2F0n
  29. Fine AH. Handbook on animal‐assisted therapy: Foundations and guidelines for animal‐assisted interventions (4th ed.). 2015.
  30. Fitzgerald MR. The white savior and his junior partner: The Lone Ranger and Tonto on cold war television (1949–1957). The Journal of Popular Culture 2013;46(1):79–108.
    doi: 10.1111/jpcu.12017google scholar: lookup
  31. Frevel D, Mäurer M. Internet-based home training is capable to improve balance in multiple sclerosis: a randomized controlled trial.. Eur J Phys Rehabil Med 2015 Feb;51(1):23-30.
    pubmed: 24755773
  32. Giagazoglou P, Arabatzi F, Dipla K, Liga M, Kellis E. Effect of a hippotherapy intervention program on static balance and strength in adolescents with intellectual disabilities.. Res Dev Disabil 2012 Nov-Dec;33(6):2265-70.
    doi: 10.1016/j.ridd.2012.07.004pubmed: 22853887google scholar: lookup
  33. Gilliland KJ, Knight AC. Friedreich’s ataxia and gait changes through participation in therapeutic horseback riding. Clinical Kinesiology 2012;66(1):1–6.
  34. Granados AC, Agís IF. Why children with special needs feel better with hippotherapy sessions: a conceptual review.. J Altern Complement Med 2011 Mar;17(3):191-7.
    doi: 10.1089/acm.2009.0229pubmed: 21385087google scholar: lookup
  35. Hall C, Robins M, Varley I, Crundall D. Gaze behavior of show‐jumping riders when they approach a jump. Journal of Veterinary Behavior: Clinical Applications and Research 2011;6(5):290–291.
  36. Hara C, Webb G, Brady H, Walker E, Sacra S. A survey of anthelmintic methods for horses used in trail riding or ranch horse competitions: 89. Journal of Equine Veterinary Science 2015;35(5):421–422.
  37. nnHerd, G.n (2018). Horses helping domestic abuse victims. Retrieved from https://www.bbc.com/news/uk-wales-45523214n
  38. Hessel JA. Presence in nursing practice: a concept analysis.. Holist Nurs Pract 2009 Sep-Oct;23(5):276-81.
    doi: 10.1097/HNP.0b013e3181b66cb5pubmed: 19713785google scholar: lookup
  39. Hillenbrand L. Seabiscuit: An American legend. 2002.
  40. Homnick DN, Henning KM, Swain CV, Homnick TD. Effect of therapeutic horseback riding on balance in community-dwelling older adults with balance deficits.. J Altern Complement Med 2013 Jul;19(7):622-6.
    doi: 10.1089/acm.2012.0642pubmed: 23360659google scholar: lookup
  41. nHorses and Heroes, Inc.n(n.d.). Retrieved from Horses & Heroes Inc. Retrieved from http://horsesandheroes.org/n
  42. nHorses and Humans Research Foundationn(2011). Glossary of terms for writers (and readers). Retrieved from http://www.horsesandhumans.org/Research_Terminology.htmln
  43. Ihara M, Ihara M, Doumura M. Effect of therapeutic riding on functional scoliosis as observed by roentgenography.. Pediatr Int 2012 Feb;54(1):160-2.
  44. International Council on Active Aging. How miniature horses enhanced life and wellness at Kensington Village. Journal of Active Aging 2011;10(3):64–70.
  45. Jang B, Song J, Kim J, Kim S, Lee J, Shin HY, Kwon JY, Kim YH, Joung YS. Equine-Assisted Activities and Therapy for Treating Children with Attention-Deficit/Hyperactivity Disorder.. J Altern Complement Med 2015 Sep;21(9):546-53.
    doi: 10.1089/acm.2015.0067pubmed: 26167851google scholar: lookup
  46. 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. Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans.. Mil Med Res 2018 Jan 19;5(1):3.
    doi: 10.1186/s40779-018-0149-6pmc: PMC5774121pubmed: 29502529google scholar: lookup
  47. nnKane, B.n (2004). Archetypes in the mythology of horses and horse dreams. Retrieved from http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CB8QFjAA&url=http%3A%2F%2Fwww.horsensei.com%2Fpublications%2FMythologyofHorses%2FMythologyOfHorses.pdf&ei=BAz9VO5RyffJBMqtgvAD&usg=AFQjCNHMAPuu3X62VZ6NOZWjtYoxxkiXMw&sig2=3zK32X19NJ_bOz9FSUa2BA&bvm=bv.87611401,d.aWwn
  48. Kane B. The manual of medicine and horsemanship. 2007.
  49. Kelekna P. The horse in human history. 2009.
  50. Kelly S. Horses for courses exploring the limits of leadership development through equine‐assisted learning. Journal of Management Education 2014;38(2):216–233.
    doi: 10.1177/1052562913489027google scholar: lookup
  51. Kern-Godal A, Brenna IH, Arnevik EA, Ravndal E. More Than Just a Break from Treatment: How Substance Use Disorder Patients Experience the Stable Environment in Horse-Assisted Therapy.. Subst Abuse 2016;10:99-108.
    doi: 10.4137/SART.S40475pmc: PMC5054942pubmed: 27746677google scholar: lookup
  52. Knight AC, Coffey KJ. The effect of equine‐assisted therapy on gait for an individual with a spinal cord injury. Palaestra 2016;30(4):5.
  53. Koca TT, Ataseven H. What is hippotherapy? The indications and effectiveness of hippotherapy.. North Clin Istanb 2015;2(3):247-252.
    doi: 10.14744/nci.2016.71601pmc: PMC5175116pubmed: 28058377google scholar: lookup
  54. Krause-Parello CA. Human-Animal Connections and Nursing Science: What Is the Relationship?. Nurs Sci Q 2018 Jul;31(3):239-242.
    doi: 10.1177/0894318418774901pubmed: 29916317google scholar: lookup
  55. nnKystosek, L.n (2013). Horses as counselors: Therapeutic vaulting. Alexandria, VA: American Counseling Association; Retrieved from http://www.counseling.org/news/blog/aca-blog/2013/01/30/horses-as-counselors-therapeutic-vaultingn
  56. Lee CW, Kim SG, Yong MS. Effects of hippotherapy on recovery of gait and balance ability in patients with stroke.. J Phys Ther Sci 2014 Feb;26(2):309-11.
    doi: 10.1589/jpts.26.309pmc: PMC3944312pubmed: 24648655google scholar: lookup
  57. LEVINSON BM. The dog as a "co-therapist".. Ment Hyg 1962 Jan;46:59-65.
    pubmed: 14464675
  58. nnLoverro, T.n (2013). Seabiscuit vs War Admiral: The horse race that stopped the nation. London, UK: The Guardian; Retrieved from https://www.theguardian.com/sport/2013/nov/01/seabiscuit-war-admiral-horse-race-1938-pimlicon
  59. Lucena-Antón D, Rosety-Rodríguez I, Moral-Munoz JA. Effects of a hippotherapy intervention on muscle spasticity in children with cerebral palsy: A randomized controlled trial.. Complement Ther Clin Pract 2018 May;31:188-192.
    doi: 10.1016/j.ctcp.2018.02.013pubmed: 29705454google scholar: lookup
  60. Malcolm R, Ecks S, Pickersgill M. 'It just opens up their world': autism, empathy, and the therapeutic effects of equine interactions.. Anthropol Med 2018 Aug;25(2):220-234.
  61. McGibbon NH, Benda W, Duncan BR, Silkwood-Sherer D. Immediate and long-term effects of hippotherapy on symmetry of adductor muscle activity and functional ability in children with spastic cerebral palsy.. Arch Phys Med Rehabil 2009 Jun;90(6):966-74.
    doi: 10.1016/j.apmr.2009.01.011pubmed: 19480872google scholar: lookup
  62. nMedical definition of hippotherapyn(2019). In Merriam‐Webster. Retrieved from https://www.merriam-webster.com/medical/hippotherapyn
  63. Mosulishvili T, Loria M. The effectiveness of ridetherapy in children with benign joint hypermobility syndrome during articulatory changes in the knee joint.. Georgian Med News 2013 Feb;(215):76-9.
    pubmed: 23482367
  64. 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
  65. Nahin RL, Barnes PM, Stussman BJ. Expenditures on Complementary Health Approaches: United States, 2012.. Natl Health Stat Report 2016 Jun 22;(95):1-11.
    pubmed: 27352222
  66. Naste TM, Price M, Karol J, Martin L, Murphy K, Miguel J, Spinazzola J. Equine Facilitated Therapy for Complex Trauma (EFT-CT).. J Child Adolesc Trauma 2018;11(3):289-303.
    doi: 10.1007/s40653-017-0187-3pmc: PMC6132374pubmed: 30220956google scholar: lookup
  67. nNational Center for Complementary and Integrative Healthn(2015). Terms related to complementary and integrative health. Retrieved from https://nccih.nih.gov/health/providers/camterms.htmn
  68. nNational Center for Complementary and Integrative Healthn(2018). Complementary, alternative, or integrative health: What’s in a name?. Retrieved from NCCIH website: https://nccih.nih.gov/health/integrative-healthn
  69. nNational Museum of Racing and Hall of Famen(2016). Seabiscuit. Retrieved from https://www.racingmuseum.org/hall-of-fame/seabiscuitn
  70. Nightingale F. Notes on nursing: What it is, and what it is not. 1969.
  71. nnO’Brien, T.n (2012). Miniature horses as guides for the blind or disabled. Davis, CA: CEH Horse Report: A Publication of the Center for Equine Health, School of Veterinary Medicine, University of California; Retrieved from http://www.vetmed.ucdavis.edu/ceh/previous.cfmn
  72. Pendry P, Smith AN, Roeter SM. Randomized trial examines effects of equine‐facilitated learning on adolescents’ basal cortisol levels. Human-Animal Interaction Bulletin 2014;2(1):80–95.
  73. Pilgrim C. Equine therapy. In Reynolds CR, Vannest KJ, Fletcher-Janzen E (Eds.), Encyclopedia of special education (4th ed.), 2013.
  74. nProfessional Association of Therapeutic Horsemanship Internationaln(2016a). Center accreditation. Retrieved from http://www.pathintl.org/path-intl-centers/path-intl-center-accreditationn
  75. nProfessional Association of Therapeutic Horsemanship Internationaln(2016b). Standards manual. Retrieved from http://www.pathintl.org/resources-education/standards-manualn
  76. nProfessional Association of Therapeutic Horsemanship Internationaln(2018). PATH International. Retrieved from http://www.pathintl.org/n
  77. Ratliffe KT, Sanekane C. Equine‐assisted therapies: Complementary medicine or not? (Undetermined). Australian Journal of Outdoor Education 2009;13(2):33–43.
    doi: 10.1007/BF03400885google scholar: lookup
  78. nRiding for the Disabledn(2018). Vaulting. Retrieved from http://www.rda.org.au/vaulting.aspxn
  79. Rigby BR, Grandjean PW. The Efficacy of Equine-Assisted Activities and Therapies on Improving Physical Function.. J Altern Complement Med 2016 Jan;22(1):9-24.
    doi: 10.1089/acm.2015.0171pubmed: 26654868google scholar: lookup
  80. Robson HA. Equine assisted psychotherapy: A critical review of the literature. 2018.
  81. nnScharff, C.n (2017). The therapeutic value of horses. Retrieved from https://www.psychologytoday.com/blog/ending-addiction-good/201708/the-therapeutic-value-horsesn
  82. Selby A, Smith-Osborne A. A systematic review of effectiveness of complementary and adjunct therapies and interventions involving equines.. Health Psychol 2013 Apr;32(4):418-32.
    doi: 10.1037/a0029188pubmed: 22888815google scholar: lookup
  83. nnShaw, J.n (2018). Horse – Symbol of power and freedom. Retrieved from https://feminismandreligion.com/2018/02/28/horse-symbol-of-power-and-freedom-by-judith-shaw/n
  84. Smith AV, Proops L, Grounds K, Wathan J, McComb K. Functionally relevant responses to human facial expressions of emotion in the domestic horse (Equus caballus).. Biol Lett 2016 Feb;12(2):20150907.
    doi: 10.1098/rsbl.2015.0907pmc: PMC4780548pubmed: 26864784google scholar: lookup
  85. Smith AV, Wilson C, McComb K, Proops L. Domestic horses (Equus caballus) prefer to approach humans displaying a submissive body posture rather than a dominant body posture.. Anim Cogn 2018 Mar;21(2):307-312.
    doi: 10.1007/s10071-017-1140-4pmc: PMC5818628pubmed: 29030725google scholar: lookup
  86. nnSpecht, S.n (2013). Horses to be used to help women recovering from breast cancer. Ashland Daily Tidings. Hunt Valley, MD: Sinclair Broadcast Group; Retrieved from http://www.dailytidings.com/apps/pbcs.dll/article?AID=/20130813/NEWS02/308130304n
  87. Stergiou A, Tzoufi M, Ntzani E, Varvarousis D, Beris A, Ploumis A. Therapeutic Effects of Horseback Riding Interventions: A Systematic Review and Meta-analysis.. Am J Phys Med Rehabil 2017 Oct;96(10):717-725.
    doi: 10.1097/PHM.0000000000000726pubmed: 28252520google scholar: lookup
  88. Sung YH, Kim CJ, Yu BK, Kim KM. A hippotherapy simulator is effective to shift weight bearing toward the affected side during gait in patients with stroke.. NeuroRehabilitation 2013;33(3):407-12.
    doi: 10.3233/NRE-130971pubmed: 23949070google scholar: lookup
  89. Sunwoo H, Chang WH, Kwon JY, Kim TW, Lee JY, Kim YH. Hippotherapy in adult patients with chronic brain disorders: a pilot study.. Ann Rehabil Med 2012 Dec;36(6):756-61.
    doi: 10.5535/arm.2012.36.6.756pmc: PMC3546176pubmed: 23342306google scholar: lookup
  90. 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
  91. Thomas L, Lytle M, Dammann B. Transforming therapy through horses: Case stories teaching the EAGALA model in action. 2016.
  92. nnThorson, K.n (2012). Pet therapy reduces fibromyalgia pain and other symptoms. Retrieved from http://www.fmnetnews.com/latest-news/pet-therapy-reduces-fibromyalgia-painn
  93. Trzmiel T, Purandare B, Michalak M, Zasadzka E, Pawlaczyk M. Equine assisted activities and therapies in children with autism spectrum disorder: A systematic review and a meta-analysis.. Complement Ther Med 2019 Feb;42:104-113.
    doi: 10.1016/j.ctim.2018.11.004pubmed: 30670226google scholar: lookup
  94. 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.
    doi: 10.3109/09638288.2012.687033pubmed: 22630812google scholar: lookup
  95. nUnited States Driving for the Disabledn(2018). Welcome to United States driving for the disabled. Retrieved from http://usdfd.org/n
  96. Vermöhlen V, Schiller P, Schickendantz S, Drache M, Hussack S, Gerber-Grote A, Pöhlau D. Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO).. Mult Scler 2018 Sep;24(10):1375-1382.
    doi: 10.1177/1352458517721354pubmed: 28770664google scholar: lookup
  97. Walker LO, Avant KC. Strategies for theory construction in nursing (5th ed.). 2011.
  98. Walsh KM, Blakeney BA. Nurse presence enhanced through Equus.. J Holist Nurs 2013 Jun;31(2):121-8.
    doi: 10.1177/0898010112474721pubmed: 23348555google scholar: lookup
  99. Welker V, Swalve HH, Stock KF, Schöpke K. Genetic parameters of new comprehensive performance traits for dressage and show jumping competitions performance of German riding horses. Livestock Science 2018;212:93–98.
  100. White-Lewis S, Russell C, Johnson R, Cheng AL, McClain N. Equine-assisted therapy intervention studies targeting physical symptoms in adults: A systematic review.. Appl Nurs Res 2017 Dec;38:9-21.
    doi: 10.1016/j.apnr.2017.08.002pubmed: 29241527google scholar: lookup
  101. Wilkie KD, Germain S, Theule J. Evaluating the efficacy of equine therapy among at‐risk youth: A meta‐analysis. Anthrozoos 2016;29(3):377–393.
  102. Wilson K, Buultjens M, Monfries M, Karimi L. Equine-Assisted Psychotherapy for adolescents experiencing depression and/or anxiety: A therapist's perspective.. Clin Child Psychol Psychiatry 2017 Jan;22(1):16-33.
    doi: 10.1177/1359104515572379pubmed: 26668260google scholar: lookup
  103. Yates M. Research in nursing practice. Bridging the gap between clinicians and the studies they depend on.. Am J Nurs 2015 May;115(5):11.
  104. Yazdani S, Hosseini F, Ahmady S. System based practice: a concept analysis.. J Adv Med Educ Prof 2016 Apr;4(2):45-53.
    pmc: PMC4827756pubmed: 27104198
  105. 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.

Citations

This article has been cited 7 times.
  1. Jalongo MR, Guth LJ. Animal-Assisted Counseling for Young Children: Evidence Base, Best Practices, and Future Prospects.. Early Child Educ J 2022 Jul 13;:1-11.
    doi: 10.1007/s10643-022-01368-5pubmed: 35855735google scholar: lookup
  2. Fridén L, Hultsjö S, Lydell M, Jormfeldt H. Relatives' experiences of an equine-assisted intervention for people with psychotic disorders.. Int J Qual Stud Health Well-being 2022 Dec;17(1):2087276.
    doi: 10.1080/17482631.2022.2087276pubmed: 35698741google scholar: lookup
  3. Lavín-Pérez AM, Collado-Mateo D, Caña-Pino A, Villafaina S, Parraca JA, Apolo-Arenas MD. Benefits of Equine-Assisted Therapies in People with Multiple Sclerosis: A Systematic Review.. Evid Based Complement Alternat Med 2022;2022:9656503.
    doi: 10.1155/2022/9656503pubmed: 35529929google scholar: lookup
  4. Haig L, Skinner K. Use of Equine-Assisted Services to Improve Outcomes Among At-Risk and Indigenous Youth: A Scoping Review.. Front Public Health 2022;10:730644.
    doi: 10.3389/fpubh.2022.730644pubmed: 35419329google scholar: lookup
  5. Luksaite J, Zokaityte E, Starkute V, Sidlauskiene S, Zokaityte G, Bartkiene E. Personalized Strategy for Animal-Assisted Therapy for Individuals Based on the Emotions Induced by the Images of Different Animal Species and Breeds.. Animals (Basel) 2022 Feb 27;12(5).
    doi: 10.3390/ani12050597pubmed: 35268166google scholar: lookup
  6. Schmidt J, Wartenberg-Demand A, Forstmeier S. Equine-assisted biographical work (EABW) with individuals in the second half of life: study protocol of a multicentre randomised controlled trial.. Trials 2020 Oct 15;21(1):857.
    doi: 10.1186/s13063-020-04784-3pubmed: 33059730google scholar: lookup
  7. Collado-Mateo D, Lavín-Pérez AM, Fuentes García JP, García-Gordillo MÁ, Villafaina S. Effects of Equine-Assisted Therapies or Horse-Riding Simulators on Chronic Pain: A Systematic Review and Meta-Analysis.. Medicina (Kaunas) 2020 Aug 31;56(9).
    doi: 10.3390/medicina56090444pubmed: 32878327google scholar: lookup