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Effects of Equine-Assisted Therapy: A Systematic Review and Meta-Analysis.

Alexandra N Stergiou¹, Avraam Ploumis², Spyridon Kamtsios³

¹Department of Primary Education, University of Ioannina, 45110 Ioannina, Greece.

Journal of Clinical Medicine

|June 13, 2025

Summary

Equine-assisted therapy significantly improves gross motor function in children with cerebral palsy (CP) and mobility in the elderly. This therapy offers benefits for balance, motor function, and gait in individuals with motor disorders.

Keywords:

cerebral palsy elderly equine-assisted therapy multiple sclerosis physical disabilities stroke

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Area of Science:

Rehabilitation Medicine
Neuroscience
Therapeutic Exercise

Background:

Motor disorders necessitate targeted exercises for balance, motor function, and gait.
Equine-assisted therapy (EAT) is a potential intervention for rehabilitation.

Purpose of the Study:

To evaluate the effects of EAT on balance, motor function, spasticity, posture, gait, and quality of life in individuals with motor disorders.
To compare EAT with conventional rehabilitation methods.

Main Methods:

Systematic review of clinical trials published up to April 2022.
Data extraction and quality assessment using the Downs and Black tool by two independent reviewers.
Meta-analysis of 15 studies meeting inclusion criteria.

Main Results:

Significant improvements observed in Gross Motor Function Measure (Dimension E: walking, running, jumping) in children with CP (p=0.009).
Significant improvements noted in the Time Up and Go test for elderly and post-stroke participants (p=0.006), indicating enhanced mobility.
Positive trends identified in other domains, though not always statistically significant.

Conclusions:

Equine-assisted therapy demonstrates benefits for individuals experiencing impairments in balance, gross motor function, and gait.
EAT positively impacts spasticity and coordination.
The findings support EAT as a valuable therapeutic option for diverse motor disorders.