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In addition to therapeutic riding, Hearts & Horses also offers hippotherapy. Germany and Switzerland have been in the forefront of developing and establishing hippotherapy as a medical model of equine-assisted therapy. The American Hippotherapy Association (AHA) has defined hippotherapy as �a term that refers to the use of the movement of the horse as a tool by Physical Therapists, Occupational Therapists, and Speech-Language Pathologists to address impairments, functional limitations, and disabilities in patients with neuromusculoskeletal dysfunction. This tool is used as part of an integrated treatment program to achieve functional outcomes.�