Hippotherapy uses a horse for rehabilitation of an individual as distinguished from therapeutic riding, which focuses on recreation or riding skills for disabled riders. Hippotherapy may decrease identified impairments with the triplanar movement of the horse, which closely resembles the human pelvic motion during gait. The movements of the horse are utilized to promote relaxation, strengthening, proximal control, balance, and so on, toward a functional outcome. Hippotherapy is performed by a physiotherapist with additional education for a hippotherapist. Hippotherapy seldom uses a saddle, but rather a blanket so the warmth of the horse can reach the child. Certain contraindications exist, which should be reviewed before selecting this approach. Every child has a predisposition for motor development and to be motor skilled. The neuromotor development of a child develops spontaneously through the interaction of the nervous and locomotor systems. Genetic patterns and external stimuli help create muscle control. The neuromotor effect of hippotherapy is to improve the pattern of movement by regulating tone, achieving torso control, coordination, and balance.