Therapeutic horse riding provides sensory stimulation that benefits patients with sensory integration problems. The movement of the horse stimulates the vestibular system in the inner ear, which helps develop neural pathways and improves functions like balance, coordination, speech and attention. During a typical lesson, activities are done while riding and on the ground to stimulate the tactile, visual, and proprioceptive senses as well as skills like bilateral coordination, motor planning and crossing the midline. This multi-sensory stimulation from therapeutic horseback riding can help address conditions like learning disabilities and developmental delays.