Horse riding therapy reduces hyperactivity in autistic children

What the research found

A 2015 randomised controlled trial of 116 children aged 6 to 16 compared 10 weeks of therapeutic horse riding with a barn activity group without horses. The riding group improved more on hyperactivity (effect size 0.53), starting by week 5. Irritability also improved.

A 2023 systematic review and meta-analysis of 25 articles found considerable improvements in hyperactivity and irritability after equine-assisted programs. Results varied across other areas, with no clear gains in some behaviour domains.

Other reviews are more cautious. A 2013 review said animal-assisted therapy had only preliminary support, with many methodological weaknesses. A 2022 review noted that assessors often knew which children got the therapy. A 2026 review said most equine therapy lacks robust evidence to be a primary treatment, though some approaches may help as add-ons.

What it doesn’t mean

• The best trial was a single study of children aged 6 to 16 over 10 weeks. It does not show that the effect lasts, or that it applies to younger children or to every autistic child.
• Horse riding may be a helpful extra, but the evidence does not support it as a replacement for therapies already recommended for your child. Talk to your GP, paediatrician or child health nurse before choosing a therapy.
• If hyperactivity is affecting your child's sleep, learning or safety, see your doctor. Choose programs with qualified staff and check they suit your child's needs.