“Hippotherapy has made an amazing difference in my son’s strength and abilities. Not to mention it puts a smile on his face each week.”
— Mother of Hippotherapy participant


Hippotherapy is a mounted activity utilizing the movement of the horse and is implemented by a Physical Therapist (PT), Occupational Therapist (OT), or Speech Language Therapist (SLT). The participant receiving individualized treatment is not learning riding skills, but is gaining improvements in muscle tone, strength, postural control, balance, and coordination from weight shifts and postural displacement created by the horse's gait. UpReach currently contracts with It's Ability Pediatric Physical Therapy and Dr. Heather Ajzenman, OTD, OTR/L. If you are interested in participating in hippotherapy, please contact either It's Ability PPT or Dr. Heather Ajzenman directly! 

Why horses? The rhythm of a horse's gait is similar to that of the human walk and promotes active responses in the patient.  In hippotherapy, the horse's movement influences the rider, which is directed by the treating therapist. The therapist analyzes the client's response and adjusts treatment accordingly. Some general benefits of hippotherapy include:

  • Bilateral integration and body awareness
  • Dynamic postural stability and endurance
  • Midline orientation and mobility of pelvis, spine, and hip joints
  • Problem-solving movement strategies
  • Symmetry and alignment


Pediatric Physical Therapy Inc. was established in 1982 by Colleen A. Sullivan (Moses), PT, PCS to provide state of the art, compassionate therapy services for children who have a variety of orthopedic, neurological, and developmental needs, with a focus on functional outcomes. In 2007, PPT opened It's Ability: Pediatric Physical Therapy Center and shortly thereafter began contracting with UpReach to provide hippotherapy. Colleen and her team of experienced, highly trained staff of therapists treat children several days a week at UpReach with the help of our volunteers and equine partners.  


Heather Ajzenman, OTD, OTR/L

Dr. Heather Ajzenman has her doctorate in occupational therapy and is licensed to practice in New Hampshire, is a DIR Floortime® Basic Certified Provider, and is working towards obtaining her Hippotherapy Clinical Specialty Certification. She has experience working with diverse children and families from birth to 21 years of age utilizing family-center, environment based approaches incorporating all functional needs of each child and family. Heather is focused on families building relationships with their children through shared engagement, creating connections, and developing trust for emotional and intellectual growth.