Horses were used for medical rehabilitation when they were also used for transportation and agricultural purposes. I think there has always been a separation between the use of horses in daily life (now the competitive and recreational riders) and the use of the horse as a partner in medical services. Riding or interacting with horses can be inherently therapeutic for some, but can also be detrimental for others. I ride my personal horse and do not view it as any sort of therapy. For most riders, they may have a view that their time with their horse is therapeutic, but they do not consider it medical therapy. For all of my rider readers- how would you describe your riding?