The American Hippotherapy Association states that medical quality equine movement is a sustainable, highly organized, multidirectional medium that includes impact that can activate or facilitate a broad span of neuromotor systems that support function. Utilizing the unique holistic impacts that equine movement has on the participant’s entire system and implementing clinical judgment and training allows therapists to integrate the horse as a tool into medically necessary therapy sessions. Therapists are able to challenge the participant’s cognitive, emotional, sensory, physical, and social skills.