title: Hippotherapy: Remuneration issues impair the offering of this therapeutic strategy at Southern California rehabilitation centers.
abstract: BACKGROUND
  Hippotherapy is the use of equine movement in physical, occupational, or speech therapy in order to obtain functional improvements in patients. Studies show improvement in motor function and sensory processing for patients with a variety of neuromuscular disabilities, developmental disorders, or skeletal impairments as a result of using hippotherapy.
  
  
  OBJECTIVE
  The primary objective of this study is to identify the pervasiveness of hippotherapy in Southern California, and any factors that impair its utilization.
  
  
  METHODS
  One hundred and fifty-two rehabilitation centers in the Southern California counties of Los Angeles, San Diego, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, Ventura, and Kern County were identified, and surveyed to ascertain if hippotherapy is utilized, and if not, why not.
  
  
  RESULTS
  Through a review of forty facilities that responded to our inquiry, our study indicates that the majority of rehabilitation centers are familiar with hippotherapy, however, only seven have reported that hippotherapy is indeed available as an option in therapy at their centers.
  
  
  CONCLUSIONS
  It is concluded that hippotherapy, used in a broad based array of physical and sensory disorders, is limited in its ability to be utilized, primarily due to remuneration issues.
authors.forename: Christine
authors.initials: C
authors.lastname: Pham
authors.forename: Robert
authors.initials: R
authors.lastname: Bitonte
mesh_terms: D000818:Animals; D002140:California; D006233:Persons with Disabilities / Q000534:rehabilitation*; D056147:Equine-Assisted Therapy / Q000191:economics*; D005260:Female; D006736:Horses; D006801:Humans; D008297:Male; D012047:Rehabilitation Centers; D060926:Remuneration
keywords: Hippotherapy; equine assisted therapy; neuromusculoskeletal dysfunction; rehabilitation centers