Therapeutic horseback riding (also known as equine-assisted activity or adaptive riding) is used to teach riding skills to people with disabilities. Therapeutic riding is beneficial for children and adults who present with any of a wide range of cognitive, physical, and emotional conditions.
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A therapeutic riding program are often taught by a nationally-certified instructor. In an equine-assisted activity (EAA) program, a certified or specially-trained riding instructor teaches a person with a disability how to ride a horse. However, working with horses can provide more than just riding skills - participants can also learn companionship, responsibility, confidence, leadership, vocational and educational skills, and may offer competition venues in various riding disciplines. Riding a horse provides a unique, sometimes profound, recreational or leisure activity for many. There are many sports in which the disabled can participate in to enhance their lives and attain social and physical fitness (such as the Special Olympic programs, for people with cognitive disabilities). Hundreds of programs (and many organizations) exist worldwide which are dedicated to horseback riding or horse care in the context of a cognitive or other disability.
A student who interacts with his or her horse may extend this interaction to others and form meaningful relationships with people. Building a relationship with an animal is very rewarding in many respects; for a person with an emotional, social or psychological disability, the trust and loyalty of an animal demonstrates to the student how important he or she is; they may then apply this newly-acquired self-esteem to personal relationships. A horses may also help a person feel in control of his or her situation, since in dealing with horses there is a direct relationship between action and reaction. To learn how to care for (and ride) a horse, a student must also be able to communicate effectively with both horse and instructor. In this way riding is a social activity, but may be less daunting to those uncomfortable in social situations. Riding a horse is also a unique experience and it helps empower a person and enable them to connect with others on a personal level. The sometimes-unpredictable nature of animals and situations also creates a real-life environment in which a student can confront his or her fears, and adjust to situations beyond their control.
The term therapeutic riding was originally used in Germany to address orthopedic dysfunctions such as scoliosis. The physician would engage a physical therapist and a specially-trained horse and instructor to address the strength and orthopedic dysfunction for one year, after which the patient was discharged. The physical therapist worked with the physician and the patient to attain the patient's goals, and the instructor was responsible for the horse. This later became known as hippotherapy in the US.
A special kind of hippotherapy is "huifbedrijden" or wagon-bed riding, developed in the Netherlands in the 1990s.
The Professional Association of Therapeutic Horsemanship (PATH) accredits centers providing a variety of beneficial services to people with disabilities.[1] The Equine Assisted Growth and Learning Association (EAGALA) focuses more on the mental-health aspects of human-equine interaction, and provides certification for mental-health and equine professionals. [2]
PATH divides these services into two general categories – "Equine-Assisted Activity" and "Equine-Assisted Therapy". Equine- assisted activities are those services provided by a trained professional and focus on recreation, leisure, sport or education. Examples of equine-assisted activities are therapeutic horseback riding, carriage driving, vaulting and equine-facilitated learning. These activities are based on an educational model; skills are taught to riders, vaulters and students. The professional guiding the experience is a specially-trained, PATH-certified instructor. The professionals’ training provides them with expertise in specialized, adaptive teaching methods which allow people with a variety of disabilities to learn horsemanship skills and experience the equine environment.
Therapeutic horseback riding has been used to help people with autism.[3] [4] [5] [6] This activity is said to benefit the communication, motor skills, and social skills of an autistic person. It also causes improvement in responses to verbal and external stimuli and relaxation. People with autism cannot ignore one sense and let another take over the way most people can. Instead, they see, smell, hear, taste, and feel, and think all at once giving them sort of a sensory overload that they cannot handle. Riding a horse helps them concentrate on just the task they are doing rather than everything all at once.
Equine assisted activities work almost like a reward system. When a child with poor communication skills wants the horse to walk they have to use a verbal command to move the horse forward it gives them incentive to give that command. Also, they will begin to build a bond with the horse and also with the handlers of that horse. Although the horses are led during therapy lessons they learn to pull the reins to move the horse to one direction or another. Also sometimes games while on horseback will improve motor skills. These could be reaching down to grab something or giving the handler a high-five. Individuals with autism will learn to interact with the horses handlers to convey to them what they want the horse to do. If they want the horse to walk they have to learn from the handler how to ask the horse to do that. Also, it helps them to focus on something outside from themselves which is a difficulty for people with autism.
Many people might ask if it’s safe for someone with poor motor and communication skills to ride a horse. But while there are always some risks involved every precaution is taken. There are side walkers who help to stabilize the child and the horse is matched to the rider’s ability level. The benefits of therapeutic riding by far outweigh the risks.[7][8]