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

Objectives: Different types of exercises that aim in the development of balance, motor function, and gait are necessary for patients with motor disorders. Equine-assisted therapy could play an important role in the rehabilitation of these participants. Methods: The purpose of this study was to examine the effects that equine-assisted therapy can exert on balance, motor function, spasticity, posture and gait, as well as quality of life on individuals with motor disorders. Clinical trials, published up to 20 April 2022, comparing equine-assisted therapy with conventional rehabilitation were systematically searched. Two independent reviewers performed data extraction and assessed the quality of studies using the Downs and Black quality assessment tool. Results: Out of 27 studies that satisfied the inclusion criteria for systematic review, 15 included appropriate data for further comparative meta-analysis. Statistically significant differences were found in Dimension E (walking, running, jumping) of Gross Motor Function Measure in children with CP (0.009) and in Time Up and Go in Elderly and post-stroke participants (p = 0.006). Specifically, children with CP improved in walking, running, and jumping, as well as improved mobility in the elderly. The systematic review showed that the intervention had positive results, as well as in other domains, even though these were not statistically significant. Conclusions: Equine-assisted therapy is beneficial for individuals with impairments in balance, gross motor function, gait, spasticity, and coordination.