In general, the analyzed studies present significant methodological and design problems: few patients, almost generalized absence of a control group, assessment and follow-up only at short term, among others. This significantly restricts the value of results and conclusions and prevents from adequately analyzing the role hippotherapy has in rehabilitation of several pathologies and conditions. The efficacy of this therapy does not seem to have been sufficiently proven for any specific indication. Its recreational role and impact on the quality of life of these patients have not been sufficiently analyzed.