Pilot Study of the Influence of Equine Assisted Therapy on Physiological and Behavioral Parameters Related to Welfare of Horses and Patients.
Abstract: Different welfare indicators were studied in three patients with psychomotor alterations and in two horses throughout 9-10 equine assisted therapy sessions in each patient. In horses, heart and respiratory rates, blood pressure, temperature and behavioral signs were studied. In patients, heart rate, oxygen saturation, temperature, sleep quality, psychomotor and emotional parameters were analyzed. Data collection was recorded in the anticipatory phase (15 min before the start of the session), two interaction phases (after 30 min of horse-patient interaction on the ground and on horseback, respectively) and the recovery phase (15 min after the end of the session). During the anticipatory phase, most of physiological parameters of patients and horses and the stress behavioral signs of horses increased, followed by a relaxing phase during the horse-patient interaction on the ground. In horse-patient riding phase the heart and respiratory rates of the horses again increased. These results showed that the horses did not seem to suffer stress attributable to the therapy sessions, but only an increase in their parameters associated with activity and external stimuli. The patients improved their gross and fine motor skills, their cognitive and perceptual-sensitive parameters and it led to an improvement in the life quality of their families.
Publication Date: 2021-12-10 PubMed ID: 34944303PubMed Central: PMC8698107DOI: 10.3390/ani11123527Google Scholar: Lookup
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- Journal Article
Summary
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This research article explores the physiological impact of equine assisted therapy on both human patients with psychomotor disorders and the therapy horses involved. It found that while the therapy activities resulted in increased physiological stimulation for the horses, it did not cause them stress, and it positively influenced the patients’ motor skills and led to an improvement in their families’ quality of life.
Methodology
- The research involved three patients with psychomotor alterations and two therapy horses. The study observed nine to ten equine assisted therapy sessions for each patient.
- The researchers studied different welfare indicators in both horses and patients. For horses, they measured heart and respiratory rates, blood pressure, temperature, and any observed behavior indicative of stress. For patients, heart rate, oxygen saturation, temperature, sleep quality, psychomotor skills, and emotional parameters were noted.
- Data collection happened in four phases: the anticipatory phase (15 minutes before the start of the session), two interaction phases (after 30 minutes of patient-horse interaction on the ground and on horseback respectively), and the recovery phase (15 minutes after the end of the session).
Findings
- In the anticipatory phase, most physiological parameters of both the patients and the horses, as well as stress behavior signs in horses, increased. This was followed by a period of relaxation during the patient-horse interaction phase on the ground.
- During the riding phase, the heart and respiratory rates of the horses increased again, but this was associated with the increased physical activity and external stimuli rather than any stress linked to the therapy session.
- Patients showed improvement in gross and fine motor skills, cognitive abilities, and perceptual-sensitive parameters. This improvement also positively affected their families’ quality of life.
Conclusions
- The study concludes that while there is a natural increase in certain physiological parameters in horses during equine assisted therapy, it does not cause them stress. This is an important finding as it reinforces the welfare of therapy animals involved.
- In terms of patients with psychomotor disorders, the therapy showed clear benefits. It enhanced their motor skills, cognitive functions, and perceptual-sensitive skills, leading to improved quality of life for them and their families.
Cite This Article
APA
Ayala MD, Carrillo A, Iniesta P, Ferrer P.
(2021).
Pilot Study of the Influence of Equine Assisted Therapy on Physiological and Behavioral Parameters Related to Welfare of Horses and Patients.
Animals (Basel), 11(12), 3527.
https://doi.org/10.3390/ani11123527 Publication
Researcher Affiliations
- Department of Anatomy and Comparative Pathological Anatomy, Faculty of Veterinary, Campus of Espinardo, University of Murcia, 30100 Murcia, Spain.
- Department of Anatomy and Comparative Pathological Anatomy, Faculty of Veterinary, Campus of Espinardo, University of Murcia, 30100 Murcia, Spain.
- Centauro-Quirón Foundation, Camino Salitre, 28, Junto al Río Mula, Alguazas, 30560 Murcia, Spain.
- Centauro-Quirón Foundation, Camino Salitre, 28, Junto al Río Mula, Alguazas, 30560 Murcia, Spain.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 31 references
- Herrero P, Asensio A, García E, Marco A, Oliván B, Ibarz A, Gómez-Trullén EM, Casas R. Study of the therapeutic effects of an advanced hippotherapy simulator in children with cerebral palsy: a randomised controlled trial.. BMC Musculoskelet Disord 2010 Apr 16;11:71.
- Park ES, Rha DW, Shin JS, Kim S, Jung S. Effects of hippotherapy on gross motor function and functional performance of children with cerebral palsy.. Yonsei Med J 2014 Nov;55(6):1736-42.
- Kwon JY, Chang HJ, Yi SH, Lee JY, Shin HY, Kim YH. Effect of hippotherapy on gross motor function in children with cerebral palsy: a randomized controlled trial.. J Altern Complement Med 2015 Jan;21(1):15-21.
- Del Rosario-Montejo O, Molina-Rueda F, Muñoz-Lasa S, Alguacil-Diego IM. Effectiveness of equine therapy in children with psychomotor impairment.. Neurologia 2015 Sep;30(7):425-32.
- Espinosa L.E.. Neurorehabilitation and its Effects on Hippotherapy for Cerebral Palsy Treatment.. Rev. Col. Reh. 2016;15:58–65.
- Borges de Araujo T, Martins WR, Freitas MP, Camargos E, Mota J, Safons MP. An Exploration of Equine-Assisted Therapy to Improve Balance, Functional Capacity, and Cognition in Older Adults With Alzheimer Disease.. J Geriatr Phys Ther 2019 Jul Sep;42(3):E155-E160.
- Kraft KA, Weisberg J, Finch MD, Nickel A, Griffin KH, Barnes TL. Hippotherapy in Rehabilitation Care for Children With Neurological Impairments and Developmental Delays: A Case Series.. Pediatr Phys Ther 2019 Jan;31(1):E14-E21.
- 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.
- 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.
- De la Fuente A.J.. Efectos de las terapias ecuestres en personas con parálisis cerebral.. Rev. Española Discapac. (REDIS) 2017;5:171–184.
- Davis E, Davies B, Wolfe R, Raadsveld R, Heine B, Thomason P, Dobson F, Graham HK. A randomized controlled trial of the impact of therapeutic horse riding on the quality of life, health, and function of children with cerebral palsy.. Dev Med Child Neurol 2009 Feb;51(2):111-9; discussion 88.
- Kaiser L, Heleski CR, Siegford J, Smith KA. Stress-related behaviors among horses used in a therapeutic riding program.. J Am Vet Med Assoc 2006 Jan 1;228(1):39-45.
- McDonnell S.. A Practical Field Guide to Horse Behavior: The Equid Ethogram.. .
- Waring G.H.. Horse Behavior.. 2nd ed..
- Houpt KA, Eggleston A, Kunkle K, Houpt TR. Effect of water restriction on equine behaviour and physiology.. Equine Vet J 2000 Jul;32(4):341-4.
- Weeks J., Beck A.M.. Equine agitation behaviors.. Equine Pract. 1996;18:23–24.
- McKinney C., Mueller M., Frank N.. Effects of Therapeutic Riding on Measures of Stress in Horses.. J. Equine Vet. Sci. 2015;35:922–928.
- Merkies K., McKechnie M.J., Zakrajsek E.. Behavioural and Physiological Responses of Therapy Horses to Mentally Traumatized Humans.. Appl. Anim. Behav. Sci. 2018;205:61–67.
- 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 May;64:17-26.
- 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).
- Velásquez J.C., Mendoza G., Corrales J.D., Parra M.A., Medina A.C., Izquierdo C.D., González J.P.. Asociación de Medidas Morfométricas Con Grasa En El Anca En Caballos de Salto En Una Escuela Ecuestre de Bogotá.. Rev.Med. Vet. 2016;32:67.
- Hall E.J., Carter A.J., Stevenson A.G., Hall C.. Establishing a Yard-Specific Normal Rectal Temperature Reference Range for Horses.. J. Equine Vet. Sci. 2019;74:51–55.
- Garrido P.. Cardiología Equina: Métodos de intervención cardíaca.. Profesión Vet. 2009;15:59–60.
- Guerrero P.A., Portocarrero L., Mutis C.A., Ramírez J.. Determinación de Frecuencia Cardiaca, Frecuencia Respiratoria, Lactato Deshidrogenasa, Creatinkinasa y Ácido Láctico En Caballos Durante Competencia de Salto En La Sabana de Bogotá.. Med. Vet. 2009;17:37–52.
- Gleerup KB, Forkman B, Lindegaard C, Andersen PH. An equine pain face.. Vet Anaesth Analg 2015 Jan;42(1):103-14.
- Bender R.. Hipoterapia.. 1st ed..
- 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.
- Duval F., González F., Rabia H.. Neurobiología del Estrés Neurobiology of Stress.. Rev. Chil. Neuro-Psiquiat. 2010;48:307–331.
- Zilberschtein J., Ayala M.D., Balastegui M., Cuenca L., Cerón J.J.. Estudio y evaluación de parámetros de estrés en caballos de equinoterapia.. Actas del XXII Congreso Internacional de la Sociedad Española de Cirugía Veterinaria. Universidad de Murcia; Murcia, Spain: 2017.
- Naber A., Kreuzer L., Zink R., Millesi E., Palme R., Hediger K., Glenk L.M.. Heart Rate, Heart Rate Variability and Salivary Cortisol as Indicators of Arousal and Synchrony in Clients with Intellectual Disability, Horses and Therapist during Equine-Assisted Interventions.. Pet Behav. Sci. 2019;7:17–23.
- Frank A, McCloskey S, Dole RL. Effect of hippotherapy on perceived self-competence and participation in a child with cerebral palsy.. Pediatr Phys Ther 2011 Fall;23(3):301-8.
Citations
This article has been cited 5 times.- Sivagurunathan R, Senathirajah ARBS, Sivagurunathan L, Arokiasamy L, Qazi S, Haque R, Su Y. Equine-assisted learning and leadership transformation: an exploratory qualitative study of workplace behavior. Front Vet Sci 2025;12:1700029.
- Geibel MA, Kildal D, Geibel AM, Ott S. Hippotherapy in the Treatment of CMD and Bruxism in Dentistry. Animals (Basel) 2025 Sep 3;15(17).
- Matlock SK, Singh A, Grandin T, Merritt T, Nett T, Reega SJ, Peters BC. Behavioral and physiological indicators of stress in horses during an equine-assisted learning program for youth with a history of trauma. Transl Anim Sci 2025;9:txaf027.
- Fletcher KA, Padalino B, Felici M, Bigi D, Limon-Vega G, Grist A, Gibson TJ. Assessment of ante mortem welfare indicators and the pathophysiology of captive-bolt trauma in equids at slaughter. Anim Welf 2024;33:e65.
- Fletcher K, Limon G, Agongo E, Akunzule A, Essel G, Padalino B, Grist A, Gibson TJ. Assessment of Donkey (Equus asinus) Welfare at Slaughter in Ghana. Animals (Basel) 2024 Dec 19;14(24).
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