Equine therapy in a broad sense (care, support, sport-leisure) : What differences ?

How are the horse’s potential assets used to benefit disabled or special needs people ? When somebody wants to benefit from activities around the horse, one should first of all determine exactly what the person or the person’s close circle is looking for : is it a leisure or sports activity ? Is it  psychological support ? Is it motor and sensory physiotherapy ? This fact sheet will give you some insights, and explain some of the terms used in their most common context. It does not claim to be exhaustive.

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Technical level :
pratique de l’attelage en fauteuil roulant
Table of contents

What is animal therapy ?

Animal therapy involves seeking for positive interaction when man and animal are intentionally put together in an educational, social or therapeutical relationship. This is the definition of the Sommer foundation: foundation for the development of practices based on human-animal interactions.

Equine therapy : a broad definition used by socio-professionals

For the  French equestrian federation (FFE) and the SIPME (interprofessional syndicate for equine therapy), equine therapy or therapy with horses in the broad sense, is defined as seeking positive effects brought about by the presence of horses, or through equestrian activities for people with special needs, in the presence of a professional.

It therefore includes healthcare, social welfare, equestrian sports or leisure, coaching and high level paralympic sport. Any differences will stem from the objective, the qualifications of the professional(s), the activities offered, and their duration over time.

Equine therapy for therapeutical, educational or social needs

When the activities required for the beneficiary are focused on healthcare (psychological or motor-sensory rehabilitation), or on socio-educational issues, the aim is therapeutical, educational or social therapy. The activities will then be overseen by a medical or social welfare professional. In this case the aim is not learing to ride, but using the horse as a mediator between the person and the medical or welfare professional, with a specific aim in mind, with regard to the person’s needs.

Therapy with horses and equi-therapy

En équithérapie, la personne en soins est soit à pied, soit à cheval
When using equi-therapy, the beneficiary is either on foot, or on the horse © M. Vidament
Stricly speaking, therapy with horses and equine assited therapy are therapies using a psychocorporal approach. It involves using physical and mental interactions between the horse and the person to obtain efects on the person’s psyche. In this case the professionals involved are from the social healthcare sector (psychologists, psycho-motor therapists, psychotherapists…) usually with complementary training (FENTAC, National federation of therapy with horses, or SFE French equine therapy society, or IFEQ, French institute for equine therapy…).  Equine therapy is used, in certain cases, as additional therapy for autism, post traumatic stress disorder (PTSD), attention deficit disorders, depression….

The term « equine assisited therapy » is wrongly used by some professionals to describe equine assisted activities

Hippotherapy

hippothérapie, cheval mené aux longues rênes
A session for a patient heaving suffered spinal cord injury with a physiotherapist. Here the horse is guided using long-reins © Kerpape
Hippotherapy is the term used to describe motor or sensory rehabilitation, thanks to the movements and body heat of the horse. This type of healthcare is offered by professionals in the motor rehabilitation sector (physiotherapists, occupational therapists, doctors…)

In addition to their medical care diploma, they have frequently followed short specialised training courses in France, Belgium or Canada… Hippotherapy is sometimes used as additional therapy for people suffering from infantile cerebral palsy, spinal cord injuries, mutiple sclerosis….


In Belgium the term « hippotherapy » is used in a broader sense and covers all the activities in therapy with horses including equi-therapy.

Other equine-assisted therapies with therapeutical, educational or social aims, of which equine-assisted psychtherapy

In the case of social assistance and equine assisted psychotherapy activities (actions within the framework of social action with an educational, social, therapeutical or leisure based aim), the professionals involved are typically from the social welfare sector (with or without additional training mentionned above) or they are certified equine therapists (trained through Handicheval/ Equit’aide).

Senior citizens, children and teens in broken family or school situation, law offenders can also benefit from this type of equine assisted therapy in well defined help and healthcare programmes.

A more explicit naming system is becoming more commonly used internationally, which better describes exactly what the aims of the animal assisted therapy are, and which animal is used. For example Donkey assisted psychtherapy, equine assisted motor rehabilitation, dog assisted education….

Equine therapy for sports or leisure : equine assisted activities

When the activities sought after are geared towards sport, fun or leisure, they are also called equine assisted activities. These activities do not have a specific health care aim. They are typically taught by riding instructors.

In a riding school different equestrian activities are on offer, from the beginner to the advanced level rider depending on :

  • The person’s potential
  • The instructor’s qualifications
  • The reception facilities and the horses

Here is some interesting information on this topic.

Activities for people with physical or cognitive disabilities

sport adapté
Adapted sport – cognitive disability : competition organised by the FFSA © M. Vidament
The activities geared towards people with cognitive and physical disabilities are offered by riding teachers who have more often than not, followed an additional training course dispensed by the French Equestrian Federation (FFE) – the Federal certificate for Equi-Handi mentoring (BFEEH) mental module – or by the French fedration for adapted sport (FFSA).

The FFSA organises a specific circuit of equestrian competitions at regional and national levels. Some people can also take part in ordianry competitions.


The FFE uses the term « Equi-Handi activities ».

Activities geared towards people with motor or sensory disabilities

Pratique de l’attelage en fauteuil roulant, menage en double
Carriage driving for people in wheelchairs, driving in doubles © M. Vidament/
Pratique du para-dressage
Para-dressage © M. Vidament
Activities for people with motor and sensory disorders are taught by riding instructors having for the main part followed a specialised training course dispensed by the FFE : the Federal certificate for Equi-Handi mentoring (BFEEH) motor and sensory module.

The disciplines mainly practiced are para-dressage, show jumping, eventing and carriage driving. There is a French Fedration Handisport (FFH) which manages competitions for the paralympic disciplines. The FFE has had authority for paradressage since 2017.

The FFE also uses the term « Equi-Handi activities ».

Activities for people experiencing social difficulties

Activities for people with social difficulties are taught by riding teachers with or without additional specialised training dispensed since 2017 by the FFE : The federal certificate for Equisocial teaching  (BFEES)

The FFE uses the term « Equisocial » for this type of activity.

Where can these activities be found ?

Different types of structure cater for special needs people :
    • Riding schools: a lot of riding scools offer one or the other of these services, sometimes in partnership with professionals from the medico-social welfare sector. Some are certified by the FFE as « Equi Handi club » depending on their facilities, horses and the teaching staff’s qualifications. There are three different possible references :
        ◦ Equi Handi Mental
        ◦ Equi Handi Motor and sensory
        ◦ Equi Handi Social
The list of approved riding schools can be found in the Regional equestrian committees’ (CRE) directories, as for example in Nouvelle Aquitaine.

  • Specialised riding schools for adapted riding and/or for equine assisted therapy.
  • Institutions accomodating beneficiaries, which have their own riding school or equine assisted therapy centre. 

Remarks : Equine therapy is at the intersection between sport, leisure and healthcare. As there are no specific regulations regarding equine assisted therapy activities, the user should be particularly careful in choosing  the actors (qualifications, experience, facilities).

To remember

Equine therapy involves seeking for positive effects stemming from the presence of horses or from equestrian activities for special needs people, with the assistance of one or several professional(s). Equine assisted therapy with therapeutical or social aims is medical care (motor, physical) or socio-educational dispensed by a professional from the healthcare sector, with the participation of a horse. Equine therapy with a sports, fun or leisure aim, also called equine assisted activities or handisport, involves activities taught by a riding instructor.

Know more about our authors
  • Translated from french by : Karen DUFFY Translator
  • Marianne VIDAMENT Veterinarian - development engineer IFCE
To find this document: www.equipedia.ifce.fr/en
Editing date: 20 05 2024

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