25/11/2025
Children are sometimes positioned prone side-lying on the horse during hippotherapy because this posture provides a unique mix of sensory input, core activation, and postural challenge that cannot be achieved in normal sitting.
When a child lies sideways on the horse, the slow, rhythmic movement of the horse creates gentle stretching through the trunk, encourages the child to lengthen tight muscles, and improves lateral trunk stability.
This position also supports bilateral integration, because the child must use both sides of the body to stay balanced while the horse moves.
In addition, the sideways orientation increases vestibular input, helping children improve body awareness, spatial orientation, and the ability to process moving sensations safely.
For children who are anxious or have low muscle tone, prone side-lying can be calming, grounding, and helps them engage in activities with better attention.
Overall, this position strengthens the core, improves balance reactions, supports sensory regulation, and prepares the body for more advanced riding postures.