The American Hippotherapy Association, Inc. supports further research on the inclusion of hippotherapy in occupational therapy, physical therapy, and speech-language pathology services. AHA, Inc. created a conceptual framework in 1997 to (a) provide therapists with a theoretical basis for the utilization of hippotherapy for improved function, (b) promote effective clinical problem-solving, and (c) generate hypotheses for scientific research. The current conceptual framework is based on motor learning principles, dynamic systems theory, and sensory processing strategies.

It is critical for occupational therapy, physical therapy, and speech-language pathology professionals who use hippotherapy as a treatment tool to base their treatment planning on evidence-based practice. Evidenced-based practice is “the integration of best research evidence (when available) with clinical expertise and patient values” (Sackett et al., 1996, p. 312).

The evidence for incorporating hippotherapy into occupational therapy, physical therapy, and speech-language pathology treatment continues to evolve nationally and internationally, representing a diverse range of theoretical perspectives, therapeutic techniques, and outcome measures.