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Positive evidences on therapeutic horseback riding (THR) for autism spectrum disorder (ASD) is undeniable. By using the natural movement of a horse, it become one of the approaches for a treatment tool in individuals with ASD. However, the risk of injury associated with THR should be considered. A child with ASD have possibilities to scream and excited on horse. The horse instincts will assume that unexpected noises as a threat so they have tendency to flight during the THR session. Hence, the objective of the study is to propose a standard guideline for ASD children to involve in THR as a prerequisite before participating in the therapy session. The guideline is design based on the learning pyramid which focuses on sensory domain that is at the bottom level of the pyramid. There are seven (7) elements in the sensory domain, but only four (4) elements are involved in the standard guideline. The elements are Tactile, Vestibular, Proprioception and Auditory. This standard guideline derived by sensory elements that relate to therapeutic horseback riding related activities. This study acknowledge that the proposed guideline is comprehensive, thus the proposed guideline can be integrated with recognition that those guidelines can be developed with further refinement. Moreover, these guidelines face challenges in recognizing the nature of common guidelines associated with different beliefs, philosophies, and school of thought. Nevertheless, these guidelines represent an essential first step as a primary resource to support and direct health care professionals, teachers, instructors, and consumers as well as therapeutic horseback riding community.

A Standard Guideline for Children With Autism Spectrum Disorder to Involve in Therapeutic Horseback Riding