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International journal of environmental research and public health2017; 14(7); 776; doi: 10.3390/ijerph14070776

The Impact of a Horse Riding Intervention on the Social Functioning of Children with Autism Spectrum Disorder.

Abstract: 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 symptoms and hyperactivity from pre- to post-test for the intervention group only. These results indicate that the intervention improves some aspects of social functioning for children with ASD.
Publication Date: 2017-07-14 PubMed ID: 28708075PubMed Central: PMC5551214DOI: 10.3390/ijerph14070776Google Scholar: Lookup
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  • Journal Article

Summary

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The research paper discusses how a horse-riding intervention impacted children with autism spectrum disorder (ASD) and found that the activity significantly reduced ASD symptoms and hyperactivity.

Objective & Methodology

  • This research studied the effects of a horse riding intervention on social functioning in children with ASD.
  • The study used the case-control method and involved 26 children aged 6 to 9. The children were divided into two groups – one group participated in the horse riding intervention (12 children) and the other group was the control group that didn’t participate in the intervention (14 children).
  • The severity of ASD symptoms was assessed before (pre-test) and after (post-test) the intervention using two tools – the Childhood Autism Rating Scale, Second Edition (CARS2), and the Aberrant Behaviour Checklist-Community Edition (ABC-C).
  • A separate observational measure was carried out specifically for the intervention group during the horse riding sessions to assess compliance and behavior.

Findings

  • The results showed a significant reduction in the severity of ASD symptoms and hyperactivity in the group that participated in the horse riding intervention. This reduction was assessed from pre- to post-test.
  • The control group, which did not participate in the horse riding intervention, did not display such a reduction.
  • There were no specific observations or findings reported from the compliance and behavior measure carried out during horse riding sessions.

Conclusion

  • The research concluded that the horse riding intervention improves certain aspects of social functioning for children with ASD. The paper suggests that further research may be needed to fully understand the scope and limitations of such interventions.

Cite This Article

APA
Harris A, Williams JM. (2017). The Impact of a Horse Riding Intervention on the Social Functioning of Children with Autism Spectrum Disorder. Int J Environ Res Public Health, 14(7), 776. https://doi.org/10.3390/ijerph14070776

Publication

ISSN: 1660-4601
NlmUniqueID: 101238455
Country: Switzerland
Language: English
Volume: 14
Issue: 7
PII: 776

Researcher Affiliations

Harris, Androulla
  • Clinical and Health Psychology, University of Edinburgh, Edinburgh EH8 9AG, UK. androulla_harris@hotmail.com.
Williams, Joanne M
  • Clinical and Health Psychology, University of Edinburgh, Edinburgh EH8 9AG, UK. jo.williams@ed.ac.uk.

MeSH Terms

  • Animals
  • Autism Spectrum Disorder / psychology
  • Autism Spectrum Disorder / therapy
  • Case-Control Studies
  • Child
  • Equine-Assisted Therapy / statistics & numerical data
  • Female
  • Horses
  • Humans
  • Male
  • United Kingdom

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 76 references
  1. Davis TN, Scalzo R, Butler E, Stauffer M, Farah YN, Perez S, Coviello L. Animal-assisted interventions for children with autism spectrum disorder: A systematic review. Educ. Train. Autism Dev. Disabil. 2015;50:316–329.
  2. 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;2537:1–23.
  3. May DK, Seivert NP, Cano A, Casey RJ, Johnson A. Animal-assisted therapy for youth: A systematic methodological critique. Hum. Anim. Interact. Bull. 2016;4:1–18.
  4. O'Haire ME. Animal-assisted intervention for autism spectrum disorder: a systematic literature review.. J Autism Dev Disord 2013 Jul;43(7):1606-22.
    doi: 10.1007/s10803-012-1707-5pubmed: 23124442google scholar: lookup
  5. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Text Revision (DSM IV–TR) Volume IV. American Psychiatric Association; Washington, DC, USA: 2000.
  6. Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a "theory of mind"?. Cognition 1985 Oct;21(1):37-46.
    doi: 10.1016/0010-0277(85)90022-8pubmed: 2934210google scholar: lookup
  7. Baron-Cohen S. Autism and Asperger Syndrome: The Facts. Oxford University Press; Oxford, UK: 2008.
  8. Gray D. Perceptions of stigma: The parents of autistic children. Sociol. Health Illn. 1993;15:102–120.
  9. Orsmond GI, Shattuck PT, Cooper BP, Sterzing PR, Anderson KA. Social participation among young adults with an autism spectrum disorder.. J Autism Dev Disord 2013 Nov;43(11):2710-9.
    doi: 10.1007/s10803-013-1833-8pmc: PMC3795788pubmed: 23615687google scholar: lookup
  10. Verdugo MA, Navas P, Gómez LE, Schalock RL. The concept of quality of life and its role in enhancing human rights in the field of intellectual disability.. J Intellect Disabil Res 2012 Nov;56(11):1036-45.
  11. Nimer J, Lundahl B. Animal-assisted therapy: A meta-analysis. Anthrozoos. 2007;20:225–238.
    doi: 10.2752/089279307X224773google scholar: lookup
  12. Kruger KA, Serpell JA. Animal-assisted interventions in mental health: Definitions and theoretical foundations. In: Fine AH, editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2010. pp. 33–48.
  13. International Association of Human–Animal Interaction Organizations. The IAHAIO definitions for animal-assisted intervention and guidelines for wellness of animals involved. In: Fine AH, editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2014. pp. 415–418.
  14. Pretty J, Hine R, Peacock J. Green exercise: The benefits of activities in green places. Biologist. 2006;53:143–148.
  15. Sempik J, Hine R, Wilcox D. Green Care: A Conceptual Framework, a Report of the Working Group on the Health Benefits of Green Care. Centre for Child and Family Research, Loughborough University; Loughborough, UK: 2010.
  16. Bragg R, Wood C, Barton J, Pretty J. Measuring Connection to Nature in Children: A Robust Methodology for the Royal Society for the Protection of Birds. Elesvier; Amsterdam, The Netherlands: 2013. Short Report for RSPB.
  17. Hine R, Peacock J, Pretty J. Care farming in the UK: Contexts, benefits, and links with therapeutic communities. Int. J. Ther. Communities. 2008;29:245–260.
  18. Morrison ML. Health benefits of animal-assisted interventions. Complement. Health Pract. Rev. 2007;12:51–62.
    doi: 10.1177/1533210107302397google scholar: lookup
  19. LEVINSON BM. PETS: A SPECIAL TECHNIQUE IN CHILD PSYCHOTHERAPY.. Ment Hyg 1964 Apr;48:243-8.
    pubmed: 14124174
  20. Redefer LA, Goodman JF. Brief report: pet-facilitated therapy with autistic children.. J Autism Dev Disord 1989 Sep;19(3):461-7.
    doi: 10.1007/BF02212943pubmed: 2793790google scholar: lookup
  21. Solomon O. What a dog can do: Children with autism and therapy dogs in social interaction. Ethos. 2010;38:143–166.
  22. Viau R, Arsenault-Lapierre G, Fecteau S, Champagne N, Walker CD, Lupien S. Effect of service dogs on salivary cortisol secretion in autistic children.. Psychoneuroendocrinology 2010 Sep;35(8):1187-93.
  23. 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.
    doi: 10.1294/jes.20.79pmc: PMC4013963pubmed: 24833971google scholar: lookup
  24. 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
  25. Silva K, Correia R, Lima M, Magalhães A, de Sousa L. Can dogs prime autistic children for therapy? Evidence from a single case study.. J Altern Complement Med 2011 Jul;17(7):655-9.
    doi: 10.1089/acm.2010.0436pubmed: 21689015google scholar: lookup
  26. Martin F, Farnum J. Animal-assisted therapy for children with pervasive developmental disorders.. West J Nurs Res 2002 Oct;24(6):657-70.
    doi: 10.1177/019394502320555403pubmed: 12365766google scholar: lookup
  27. Sams MJ, Fortney EV, Willenbring S. Occupational therapy incorporating animals for children with autism: A pilot investigation.. Am J Occup Ther 2006 May-Jun;60(3):268-74.
    doi: 10.5014/ajot.60.3.268pubmed: 16776394google scholar: lookup
  28. O'Haire ME, McKenzie SJ, Beck AM, Slaughter V. Social behaviors increase in children with autism in the presence of animals compared to toys.. PLoS One 2013;8(2):e57010.
  29. 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.
    doi: 10.1007/s10803-009-0734-3pubmed: 19350376google scholar: lookup
  30. Gabriels RL, Agnew JA, Holt KD, Shoffner A, Zhaoxing P, Ruzzano S, Mesibov G. Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders. Res. Autism Spectr. Disord. 2012;6:578–588.
  31. Memishevikj H, Hodzhikj S. The effects of equine-assisted therapy in improving the psychosocial functioning of children with autism. J. Spec. Educ. Rehabil. 2010;11:57–67.
  32. 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.
    doi: 10.1007/s10803-013-1949-xpmc: PMC4136476pubmed: 24091469google 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.
    doi: 10.1007/s10803-013-1773-3pubmed: 23371511google scholar: lookup
  34. 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.
    doi: 10.1007/s10803-014-2062-5pubmed: 24526337google scholar: lookup
  35. 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
  36. Steiner H, Kertesz Z. Effects of therapeutic horse riding on gait cycle parameters and some aspects of behavior of children with autism.. Acta Physiol Hung 2015 Sep;102(3):324-35.
    doi: 10.1556/036.102.2015.3.10pubmed: 26551748google scholar: lookup
  37. Grandin T, Fine AH, O’Haire M, Carlisle G, Bowers M. The roles of animals for individuals with autism spectrum disorder. In: Fine AH, editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2015. pp. 225–236.
  38. 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
  39. Corson SA, Corson E'L, Gwynne PH, Arnold LE. Pet dogs as nonverbal communication links in hospital psychiatry.. Compr Psychiatry 1977 Jan-Feb;18(1):61-72.
    doi: 10.1016/S0010-440X(77)80008-4pubmed: 556686google scholar: lookup
  40. Fine AH. Animals and therapists: Incorporating animals in outpatient psychotherapy. In: Fine AH, editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; New York, NY, USA: 2000. pp. 179–211.
  41. Gunter B. Pets and People: The Psychology of Pet Ownership. Whurr; Philadelphia, PA, USA: 1999.
  42. Levinson BM. Pet-Oriented Child Psychotherapy. Charles C Thomas; Springfield, IL, USA: 1969.
  43. McNicholas J, Collis GM. Dogs as catalysts for social interactions: robustness of the effect.. Br J Psychol 2000 Feb;91 ( Pt 1):61-70.
    doi: 10.1348/000712600161673pubmed: 10717771google scholar: lookup
  44. Daly B, Suggs S. Teachers’ experiences with humane education and animals in the elementary classroom: Implications for empathy development. J. Moral Educ. 2010;39:101–112.
    doi: 10.1080/03057240903528733google scholar: lookup
  45. Grandgeorge M, Tordjman S, Lazartigues A, Lemonnier E, Deleau M, Hausberger M. Does pet arrival trigger prosocial behaviors in individuals with autism?. PLoS One 2012;7(8):e41739.
  46. Kršková L, Talarovicová A, Olexová L. Guinea pigs—The “small great” therapist for autistic children, or: Do guinea pigs have positive effects on autistic child social behavior?. Soc. Anim. 2010;18:139–151.
    doi: 10.1163/156853010X491999google scholar: lookup
  47. Prothmann A, Ettrich C, Prothmann S. Preference for, and responsiveness to, people, dogs and objects in children with autism. Anthrozoos. 2009;22:161–171.
    doi: 10.2752/175303709X434185google scholar: lookup
  48. Winnicott DW. Transitional objects and transitional phenomena. In: Buckley P, editor. Essential Papers on Object Relations. University Press; New York, NY, USA: 1986. pp. 254–271.
  49. George H. Child therapy and animals. In: Schaefer CE, editor. Innovative Interventions in Child and Adolescent Therapy. John Wiley; New York, NY, USA: 1988. pp. 400–418.
  50. Katcher AH. The future of education and research on the human-animal bond and animal-assisted therapy. Part B: Animal-assisted therapy and the study of human-animal relationships: Discipline or bondage? Context or transitional object?. In: Fine AH, editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2000. pp. 461–473.
  51. van Steensel FJ, Bögels SM, Perrin S. Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis.. Clin Child Fam Psychol Rev 2011 Sep;14(3):302-17.
    doi: 10.1007/s10567-011-0097-0pmc: PMC3162631pubmed: 21735077google scholar: lookup
  52. Hansen K, Messinger C, Baun M, Megel M. Companion animals alleviating distress in children. Anthrozoos. 1999;12:142–148.
  53. Shiloh S, Sorek G, Terkel J. Reduction of state anxiety by petting animals in a controlled laboratory experiment. Anxiety Stress Coping. 2003;16:387–395.
  54. Burrows KE, Adams CL, Spiers J. Sentinels of safety: service dogs ensure safety and enhance freedom and well-being for families with autistic children.. Qual Health Res 2008 Dec;18(12):1642-9.
    doi: 10.1177/1049732308327088pubmed: 18955467google scholar: lookup
  55. Kazdin AE. Methodological standards and strategies for establishing the evidence base of animal-assisted therapies. In: Fine AH, editor. Handbook on Animal-Assisted Therapy: Theoretical Foundations and Guidelines for Practice. Academic Press; San Diego, CA, USA: 2015. pp. 377–390.
  56. Marino L. Construct validity of animal assisted therapy and activities: How important is the animal in AAT?. Anthrozoos. 2012;25:139–151.
  57. Gabriels RL, Pan Z, Dechant B, Agnew JA, Brim N, Mesibov G. Randomized Controlled Trial of Therapeutic Horseback Riding in Children and Adolescents With Autism Spectrum Disorder.. J Am Acad Child Adolesc Psychiatry 2015 Jul;54(7):541-9.
    doi: 10.1016/j.jaac.2015.04.007pmc: PMC4475278pubmed: 26088658google scholar: lookup
  58. Schopler E, Van Bourgondien ME, Wellman GJ, Love SR. Childhood Autism Rating Scale. 2nd ed.. Western Psychological Services; Los Angeles, CA, USA: 2010.
  59. Vaughan CA. Test Review: E. Schopler, M.E. Van Bourgondien, G.J. Wellman, & S.R. Love Childhood Autism Rating Scale (2nd ed.). J. Psychoeduc. Assess. 2011;29:489–493.
    doi: 10.1177/0734282911400873google scholar: lookup
  60. Aman MG, Singh NN, Stewart AW, Field CJ. The aberrant behavior checklist: a behavior rating scale for the assessment of treatment effects.. Am J Ment Defic 1985 Mar;89(5):485-91.
    pubmed: 3993694
  61. Aman MG, Novotny S, Samango-Sprouse C, Lecavalier L, Leonard E, Gadow KD, King BH, Pearson DA, Gernsbacher MA, Chez M. Outcome measures for clinical drug trials in autism.. CNS Spectr 2004 Jan;9(1):36-47.
    doi: 10.1017/S1092852900008348pmc: PMC4441220pubmed: 14999174google scholar: lookup
  62. Kaat AJ, Lecavalier L, Aman MG. Validity of the aberrant behavior checklist in children with autism spectrum disorder.. J Autism Dev Disord 2014 May;44(5):1103-16.
    doi: 10.1007/s10803-013-1970-0pubmed: 24165702google scholar: lookup
  63. Kasari C, Brady N, Lord C, Tager-Flusberg H. Assessing the minimally verbal school-aged child with autism spectrum disorder.. Autism Res 2013 Dec;6(6):479-93.
    doi: 10.1002/aur.1334pmc: PMC4139180pubmed: 24353165google scholar: lookup
  64. Brinkley J, Nations L, Abramson RK, Hall A, Wright HH, Gabriels R, Gilbert JR, Pericak-Vance MA, Cuccaro ML. Factor analysis of the aberrant behavior checklist in individuals with autism spectrum disorders.. J Autism Dev Disord 2007 Nov;37(10):1949-59.
    doi: 10.1007/s10803-006-0327-3pubmed: 17186368google scholar: lookup
  65. Schiro-Geist C, Heimlich K. Evaluating the Effects of Animal-Assisted Therapy on Severely Disabled Children; Proceedings of the Delta Society Sixteenth Annual Continuing Education and Training Conference; Atlanta, GA, USA. 17–19 October 1997.
  66. Heimlich K. Animal-assisted therapy and the severely disabled child: A quantitative study. J. Rehabil. 2001;67:48–54.
  67. Heimlich K, Schiro-Geist C, Broadbent E. Animal-assisted therapy and the child with severe disabilities: A case study. Rehabil. Prof. 2003;11:41–53.
  68. Brown K, Swanson L, Hall B. Demonstrating the efficacy of animal-assisted therapy. Am. Int. J. Soc. Sci. 2014;3:1–6.
  69. Anderson D. Assessing the Human-Animal Bond: A Compendium of Actual Measures. Purdue University Press; West Lafayette, IN, USA: 2007.
  70. Aman MG, Farmer CA, Hollway J, Arnold LE. Treatment of inattention, overactivity, and impulsiveness in autism spectrum disorders.. Child Adolesc Psychiatr Clin N Am 2008 Oct;17(4):713-38, vii.
    doi: 10.1016/j.chc.2008.06.009pmc: PMC3805750pubmed: 18775366google scholar: lookup
  71. Lecavalier L. Behavioral and emotional problems in young people with pervasive developmental disorders: relative prevalence, effects of subject characteristics, and empirical classification.. J Autism Dev Disord 2006 Nov;36(8):1101-14.
    doi: 10.1007/s10803-006-0147-5pubmed: 16897387google scholar: lookup
  72. Department for Education. Performance P Scale Attainment Targets for Pupils with Special Educational Needs. [(accessed on 31 May 2017)]; Available online: https://www.gov.uk/government/publications/p-scales-attainment-targets-for-pupils-with-sen.
  73. Cohen J. A power primer.. Psychol Bull 1992 Jul;112(1):155-9.
    doi: 10.1037/0033-2909.112.1.155pubmed: 19565683google scholar: lookup
  74. Field A. Discovering Statistics Using SPSS. 3rd ed.. Sage Publications; Los Angeles, CA, USA: London, UK: 2009.
  75. Schieve LA, Blumberg SJ, Rice C, Visser SN, Boyle C. The relationship between autism and parenting stress.. Pediatrics 2007 Feb;119 Suppl 1:S114-21.
    doi: 10.1542/peds.2006-2089Qpubmed: 17272578google scholar: lookup
  76. Stuart EA, Rubin DB. Best practices in quasi-experimental design: Matching methods for causal inference. In: Osborne J, editor. Best Practices in Quantitative Methods. Sage; Thousand Oaks, CA, USA: 2008. pp. 155–177.

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    doi: 10.3390/ijerph20146377pubmed: 37510609google scholar: lookup
  2. Nieforth LO, Schwichtenberg AJ, O'Haire ME. Animal-Assisted Interventions for Autism Spectrum Disorder: A Systematic Review of the Literature from 2016 to 2020.. Rev J Autism Dev Disord 2023 Jun;10(2):255-280.
    doi: 10.1007/s40489-021-00291-6pubmed: 37313251google scholar: lookup
  3. 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
  4. Elbeltagi R, Al-Beltagi M, Saeed NK, Alhawamdeh R. Play therapy in children with autism: Its role, implications, and limitations.. World J Clin Pediatr 2023 Jan 9;12(1):1-22.
    doi: 10.5409/wjcp.v12.i1.1pubmed: 36685315google scholar: lookup
  5. 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
  6. Yao Y, Xu Y, Guo H, Han K, Dai Z. Effect of Integrated Psychobehavioral Care on Emotional-Behavioral Responses, Cognitive Changes in Outpatients with Schizophrenia Followed Up: Based on a Prospective Randomized Controlled Study.. Comput Math Methods Med 2022;2022:1862396.
    doi: 10.1155/2022/1862396pubmed: 35756401google scholar: lookup
  7. Kemeny B, Burk S, Hutchins D, Gramlich C. Therapeutic Riding or Mindfulness: Comparative Effectiveness of Two Recreational Therapy Interventions for Adolescents with Autism.. J Autism Dev Disord 2022 Jun;52(6):2438-2462.
    doi: 10.1007/s10803-021-05136-zpubmed: 34131850google scholar: lookup
  8. Jeon BJ, Son SM. Social interaction changes in people with intellectual disabilities through the application of equine-assisted intervention in Korea.. Am J Transl Res 2021;13(4):3573-3581.
    pubmed: 34017538
  9. Zhao M, Chen S, You Y, Wang Y, Zhang Y. Effects of a Therapeutic Horseback Riding Program on Social Interaction and Communication in Children with Autism.. Int J Environ Res Public Health 2021 Mar 6;18(5).
    doi: 10.3390/ijerph18052656pubmed: 33800787google scholar: lookup
  10. 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
  11. Fine AH, Beck AM, Ng Z. The State of Animal-Assisted Interventions: Addressing the Contemporary Issues that will Shape the Future.. Int J Environ Res Public Health 2019 Oct 18;16(20).
    doi: 10.3390/ijerph16203997pubmed: 31635430google scholar: lookup
  12. 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
  13. Kilroy E, Cermak SA, Aziz-Zadeh L. A Review of Functional and Structural Neurobiology of the Action Observation Network in Autism Spectrum Disorder and Developmental Coordination Disorder.. Brain Sci 2019 Mar 28;9(4).
    doi: 10.3390/brainsci9040075pubmed: 30925819google scholar: lookup
  14. Pan Z, Granger DA, Guérin NA, Shoffner A, Gabriels RL. Replication Pilot Trial of Therapeutic Horseback Riding and Cortisol Collection With Children on the Autism Spectrum.. Front Vet Sci 2018;5:312.
    doi: 10.3389/fvets.2018.00312pubmed: 30693284google scholar: lookup