(Horseback) Riding into the Sunset. Re: “Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review”
Authors: G. Ferriero, L. Salgovic, C. Solaro
Journal: PM&R
Summary
# Editorial Summary Ferriero and colleagues examined the emerging evidence base for hippotherapy and horse riding simulation as therapeutic interventions in older adults, seeking to establish whether live equine work offers distinct advantages over mechanical simulators. Their systematic review synthesised research comparing these modalities across physical, occupational, and speech therapy outcomes in healthy older populations. Real horse riding demonstrated superior benefits for balance, proprioception, and core stability compared to simulation exercise, attributed to the dynamic, unpredictable movement patterns and proprioceptive feedback unique to living animals. The findings carry significant implications for rehabilitation professionals: whilst simulators offer accessibility and safety advantages for frail or neurologically compromised older adults, prescription of actual equine-assisted therapy may yield more substantial functional gains in those capable of tolerating the physical demands. For equine professionals working therapeutically with older clients, this evidence reinforces the value of live horses as active participants in treatment rather than mere props, though individual assessment of capability and contraindications remains essential.
Read the full abstract on PubMed
Practical Takeaways
- •Hippotherapy delivered by licensed therapists can provide physical, occupational, and speech therapy benefits for older adults
- •Both real horse interaction and simulator-based riding may offer therapeutic value, with implications for accessibility and program design
Key Findings
- •Hippotherapy and horse riding simulation exercise show benefits for healthy older adults
- •The systematic review compared outcomes between real horses and horse simulators for therapeutic use