Contraindications for hippotherapy

Hippotherapy as incorporated into physical and occupational therapies

As with any other type of treatment, there are some circumstances in which hippotherapy is contraindicated. These include the following:


  • Atlantoaxial instability
  • Coxa arthrosis
  • Cranial deficitso
  • Heterotropic ossification / Myositis ossificans
  • Joint subluxation/dislocation
  • Osteoporosis
  • Pathologic fractures
  • Spinal fusion/fixationo
  • Spinal instability/abnormalities


  • Hydrocephalus / shunt
  • Active seizures
  • Spina bifida / Chiari II malformation / Tethered cord / Hydromelia


  • Allergies
  • Blood pressure control
  • Exacerbations of medical conditions
  • Heart conditions
  • Hemophilia
  • Medical instability
  • Migraines
  • PVD
  • Respiratory compromise
  • Recent surgeries
  • Indwelling catheters

If, after reviewing this list, you’re still not sure about whether hippotherapy is contraindicated for your child, you’re welcome to contact us

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