Hippotherapy in Occupational Therapy Practice

Abstract

Background: There has recently been renewed interest in hippotherapy, which can be a strategy of choice within therapy 
programmes involving the use of a horse. In this study, the authors endeavoured to explore the experiences and perceptions 
of occupational therapists in the use of hippotherapy as a therapeutic intervention strategy.
Methods: A quantitative descriptive study design was selected utilising an online questionnaire. Two hundred and thirty seven
therapists were purposively sampled with data being obtained from 53 respondents. Data were analysed using descriptive statistics.
Results: The majority of respondents (n=39 i.e. 76.3%) indicated awareness of hippotherapy, with a number of the respondents
indicating exposure to hippotherapy during their studies (n=24 i.e. 46.2%). Only six of the respondents were currently using 
hippotherapy, either directly or through referrals. It is significant to note that out of the 47 of the respondents who were not 
currently using hippotherapy, 42 respondents indicated that they would consider using it in the future.
Conclusion: The high percentage of respondents interested in this therapeutic intervention strategy can be linked to their 
perception of the benefits of hippotherapy. In particular, all respondents indicated that they viewed hippotherapy as being 
beneficial for neurological conditions, as well as for specific aspects of functioning including postural control, mobility, 
processing and integration, self-confidence, self-esteem, mood and motivation. Relevant barriers impacting on the use of 
hippotherapy included limited centres available and lack of awareness. The majority of respondents currently not using hippotherapy indicated that there was limited training for occupational therapists.  As benefits become validated by future research studies, as well as by limiting barriers to the use of this intervention strategy, hippotherapy may become a more widespread and acceptable adjunctive therapeutic intervention strategy.