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Translational animal science2025; 9; txaf019; doi: 10.1093/tas/txaf019

Heart rate variability responses of horses and veterans with post-traumatic stress disorder to ground-based adaptive horsemanship lessons: a pilot study.

Abstract: Heart rate variability (HRV) can be measured as an indicator of autonomic nervous system (ANS) balance and thus, stress and affective arousal. Mixed results have been reported in the limited literature addressing the effects of equine-assisted services (EAS) on HRV in the human and horse participants. The aims of the present study were to determine the effects of ground-based adaptive horsemanship (AH) lessons on veterans' and horses' HRV during weekly lessons as well as veterans' resting HRV outside of lessons. Veterans with post-traumatic stress disorder (PTSD) were randomly assigned to 8 wk of AH or control (CON, no changes in treatments or activities) conditions. Horses were assigned to AH or control (CON, stall in arena) conditions based on previous experience (EAS or recreational riding). Electrocardiogram traces from the veteran and AH and CON horses were recorded during the 30-min lessons. Traces were recorded during resting conditions before (PRE) and after (POST) the 8-wk period from AH and CON veterans and healthy, non-veterans. Heart rate (HR), root mean square of successive differences (RMSSD) and low frequency to high frequency ratios (LF/HF) were calculated after identification of peaks with the Pan-Tompkins algorithm and manual correction during 5-min epochs. Data were analyzed with repeated measures, mixed model ANOVAs (SAS v9.4). HR was lowest ( ≤ 0.0323) in the horses and veterans during the first 10 min of the lessons. Veterans' RMSSD was higher (≤ 0.0496) in weeks 4 and 6 than week 2. LF/HF was greater in veterans with PTSD than healthy, non-veterans across PRE and POST time points. Increased HR later in the lessons is likely a result of increased movement in the horses and veterans. An interval of decreased stress and increased resiliency might be present in veterans participating in multi-day AH sessions. Increased sympathetic arousal measured via LF/HF was not mitigated by 8 wk of AH. Horses appeared unstressed by the interactions as no changes in HRV were observed.
Publication Date: 2025-02-12 PubMed ID: 40124971PubMed Central: PMC11926800DOI: 10.1093/tas/txaf019Google Scholar: Lookup
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  • Journal Article

Summary

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The study explored the impact of adaptive horsemanship programs on the heart rate variability of both horses and veterans suffering from post-traumatic stress disorder (PTSD), measuring stress levels and emotional arousal during and outside the weekly training sessions.

Study Overview

  • The research explored the heart rate variability (HRV), an indicator of the balance of the autonomic nervous system (ANS), which reflects stress levels and emotional arousal. The study monitored both veterans with PTSD and horses during ground-based adaptive horsemanship (AH) lessons.
  • The primary objective was to measure how these lessons affected the HRV of both parties during lessons, as well as the resting HRV of veterans outside of class.

Research Approach

  • Veterans were randomly assigned to either an 8-week AH program or a control group with no change in treatments or activities.
  • Horses were also separated into groups depending on their previous experience with either equine-assisted services (EAS) or recreational riding. They were assigned to either AH lessons or to control activities where they were in stalls within the arena.

Data Collection and Analysis

  • Persons in the study and the horses involved had their electrocardiogram traces recorded during the 30-minute lessons, before and after the 8-week period.
  • Specific variables and calculations such as heart rate (HR), root mean square of successive differences (RMSSD), and low frequency to high frequency ratios (LF/HF) were obtained using the Pan-Tompkins algorithm.
  • The data was then analyzed using repeated measures and mixed-model ANOVAs.

Key Findings

  • The lowest HR was observed in both horses and veterans during the first 10 minutes of the lessons.
  • Veterans displayed a higher RMSSD during weeks 4 and 6 compared to week 2, implying that AH lessons might be associated with decreased stress and increased resilience for veterans with PTSD.
  • Interestingly, an increased LF/HF ratio was found in veterans across pre and post time points, indicating that higher sympathetic arousal was not mitigated by the AH program.
  • The horses involved in the study did not show any changes in HRV, which suggests that they were not stressed by their interactions with the veterans.

Cite This Article

APA
Rankins EM, Faremi BE, Hartmann K, Quinn A, Posada-Quintero HF, McKeever KH, Malinowski K. (2025). Heart rate variability responses of horses and veterans with post-traumatic stress disorder to ground-based adaptive horsemanship lessons: a pilot study. Transl Anim Sci, 9, txaf019. https://doi.org/10.1093/tas/txaf019

Publication

ISSN: 2573-2102
NlmUniqueID: 101738705
Country: England
Language: English
Volume: 9
Pages: txaf019
PII: txaf019

Researcher Affiliations

Rankins, Ellen M
  • Department of Animal Sciences, Equine Science Center, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA.
Faremi, Boluwatife E
  • Department of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.
Hartmann, Kyle
  • Department of Animal Sciences, Equine Science Center, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA.
Quinn, Andrea
  • Center for Psychological Services, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA.
Posada-Quintero, Hugo F
  • Department of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.
McKeever, Kenneth H
  • Department of Animal Sciences, Equine Science Center, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA.
Malinowski, Karyn
  • Department of Animal Sciences, Equine Science Center, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA.

Conflict of Interest Statement

The authors declare no conflicts of interest.

References

This article includes 34 references
  1. Allen KJ, Young LE, Franklin SH. Evaluation of heart rate and rhythm during exercise. Equine Vet. Educ. 2016 28:99–112.
    doi: 10.1111/eve.12405google scholar: lookup
  2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 2013 5th ed..
  3. Baldwin AL, Rector BK, Alden AC. Physiological and behavioral benefits for people and horses during guided interactions at an assisted living residence. Behav. Sci. 2021 11:129.
    doi: 10.3390/bs11100129pmc: PMC8533143pubmed: 34677222google scholar: lookup
  4. Billman GE. The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance. Front. Physiol. 2013 4:26.
  5. Calvo MG, Szabo A, Capafons J. Anxiety and heart rate under psychological stress: the effects of exercise-training. Anxiety Stress Coping 1996 9:321–337.
    doi: 10.1080/10615809608249409pubmed: 21892849google scholar: lookup
  6. Ferrer E, Helm JL. Dynamical systems modeling of physiological coregulation in dyadic interactions. Int. J. Psychophysiol. 2013 88:296–308.
  7. Frederick KE, Ivey Hatz J, Lanning B. Not just horsing around: the impact of equine-assisted learning on levels of hope and depression in at-risk adolescents. Community Ment. Health J. 2015 51:809–817.
  8. Ge F, Yuan M, Li Y, Zhang W. Posttraumatic stress disorder and alterations in resting heart rate variability: a systematic review and meta-analysis. Psychiatry Investig. 2020 17:9–20.
    doi: 10.30773/pi.2019.0112pmc: PMC6992856pubmed: 31995968google scholar: lookup
  9. Gehrke EK, Noquez AE, Ranke PL, Myers MP. Measuring the psychophysiological changes in combat veterans participating in an equine therapy program. J. Mil. Veteran Family Health. 2018 4:60–69.
  10. Hockenhull J, Young TJ, Redgate SE, Birke L. Exploring synchronicity in the heart rates of familiar and unfamiliar pairs of horses and humans undertaking an in-hand task. Anthrozoös 2015 28:501–511.
  11. Hodgson DR. The cardiovascular system: anatomy, physiology, and adaptations to exercise training. 2014 p. 162–173.
  12. Johnson RA, Johnson PJ, Megarani DV, Patel SD, Yaglom HD, Osterlind S, Grindler K, Vogelweid CM, Parker TM, Pascua CK. Horses working in therapeutic riding programs: cortisol, adrenocorticotropic hormone, glucose, and behavior stress indicators. J. Equine Vet. Sci. 2017 57:77–85.
  13. Kendall E, Maujean A, Pepping CA, Downes M, Lakhani A, Byrne J, Macfarlane K. A systematic review of the efficacy of equine-assisted interventions on psychological outcomes. Eur. J. Psychother. Couns. 2015 17:57–79.
  14. Kreuzer L, Naber A, Zink R, Millesi E, Palme R, Hediger K, Glenk LM. Horses’ cardiovascular and glucocorticoid responses to equine-assisted therapy with women with intellectual disability: an exploratory study. J. Appl. Anim. Welf. Sci. 2024 1–16.
  15. Kuwahara M, Hashimoto S, Ishii K, Yagi Y, Hada T, Hiraga A, Kai M, Kubo K, Oki H, Tsubone H. Assessment of autonomic nervous function by power spectral analysis of heart rate variability in the horse. J. Auton. Nerv. Syst. 1996 60:43–48.
    doi: 10.1016/0165-1838(96)00028-8pubmed: 8884694google scholar: lookup
  16. Li J, Sánchez-García R. Equine-assisted interventions for veterans with posttraumatic stress disorder: a systematic review. Front. Psychiatry 2023 14:1277338.
  17. Malinowski K, Yee C, Tevlin JM, Birks EK, Durando MM, Pournajafi-Nazarloo H, Cavaiola AA, McKeever KH. 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. J. Equine Vet. Sci. 2018 64:17–26.
    doi: 10.1016/j.jevs.2018.01.011pubmed: 30973147google scholar: lookup
  18. McD○ LA, Montelpare WJ, LeBlanc C. Psychophysiological effects of equine-facilitated psychotherapy on veterans with PTSD and their horse partners. J. Mil. Veteran Fam. Health 2024 10:135–147.
    doi: 10.3138/jmvfh-2023-0063google scholar: lookup
  19. Merkies K, McKechnie MJ, Zakrajsek E. Behavioural and physiological responses of therapy horses to mentally traumatized humans. Appl. Anim. Behav. Sci. 2018 205:61–67.
  20. Ohmura H, Jones JH. Changes in heart rate and heart rate variability as a function of age in thoroughbred horses. J. Equine Sci. 2017 28:99–103.
    doi: 10.1294/jes.28.99pmc: PMC5608962pubmed: 28955161google scholar: lookup
  21. Pan J, Tompkins WJ. A real-time QRS detection algorithm. IEEE Trans. Biomed. Eng. 1985 BME-3232:230–236.
    doi: 10.1109/TBME.1985.325532pubmed: 3997178google scholar: lookup
  22. Provan M, Ahmed Z, Stevens AR, Sardeli AV. Are equine-assisted services beneficial for military veterans with post-traumatic stress disorder? A systematic review and meta-analysis. BMC Psychiatry 2024 24:544.
    doi: 10.1186/s12888-024-05984-wpmc: PMC11293092pubmed: 39085783google scholar: lookup
  23. Rankins EM, McKeever KH, Malinowski K. Equids in equine assisted services: a scoping review. J. Equine Vet. Sci. 2023 127:104825.
    doi: 10.1016/j.jevs.2023.104825pubmed: 37244632google scholar: lookup
  24. Rankins EM, McKeever KH, Malinowski K. Behavioral and physiological responses of horses to ground-based adaptive horsemanship lessons for veterans with post-traumatic stress disorder (PTSD). J. Equine Vet. Sci. 2024a 135:105049.
    doi: 10.1016/j.jevs.2024.105049pubmed: 38513814google scholar: lookup
  25. Rankins EM, Quinn A, McKeever KH, Malinowski K. Ground-based adaptive horsemanship lessons for veterans with post-traumatic stress disorder: a randomized controlled pilot study. Front. Psychiatry 2024b 15:1390212.
  26. Schneider M, Schwerdtfeger A. Autonomic dysfunction in posttraumatic stress disorder indexed by heart rate variability: a meta-analysis. Psychol. Med. 2020 50:1937–1948.
    doi: 10.1017/S003329172000207Xpmc: PMC7525781pubmed: 32854795google scholar: lookup
  27. 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 2019 9:1030.
    doi: 10.3390/ani9121030pmc: PMC6941042pubmed: 31779120google scholar: lookup
  28. Shaffer F, Ginsberg JP. An overview of heart rate variability metrics and norms. Front. Public Health 2017 5:258.
  29. Stucke D, Große Ruse M, Lebelt D. Measuring heart rate variability in horses to investigate the autonomic nervous system activity – Pros and cons of different methods. Appl. Anim. Behav. Sci. 2015 166:1–10.
  30. Von Borell E, Langbein J, Després G, Hansen S, Leterrier C, Marchant-Forde J, Marchant-Forde R, Minero M, Mohr E, Prunier A. Heart rate variability as a measure of autonomic regulation of cardiac activity for assessing stress and welfare in farm animals — A review. Physiol. Behav. 2007 92:293–316.
    doi: 10.1016/j.physbeh.2007.01.007pubmed: 17320122google scholar: lookup
  31. von Rosenberg W, Chanwimalueang T, Adjei T, Jaffer U, Goverdovsky V, Mandic DP. Resolving ambiguities in the LF/HF ratio: LF-HF scatter plots for the categorization of mental and physical stress from HRV. Front. Physiol. 2017 8:360.
  32. Wood W, Alm K, Benjamin J, Thomas L, Anderson D, Pohl L, Kane M. Optimal terminology for services in the United States that incorporate horses to benefit people: a consensus document. J. Altern. Complement. Med. 2021 27:88–95.
  33. Yang Z, Jia W, Liu G, Sun M. Quantifying mental arousal levels in daily living using additional heart rate. Biomed. Signal Proc. Control 2017 33:368–378.
  34. Yorke J, Nugent W, Strand E, Bolen R, New J, Davis C. Equine-assisted therapy and its impact on cortisol levels of children and horses: a pilot study and meta-analysis. Early Child Dev. Care 2013 183:874–894.

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