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Tissot of France in his book ‘Medical and Surgical Gymnastics’ regarded riding at the walk as the most beneficial gait. He was also the first to describe the effects of too much riding as well as contraindications.
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At the Helsinki Olympics, Liz Hartel won a silver medal in equestrian sports and told the world how riding had helped her recover from polio.
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In 1969 the North American Riding for the Handicapped Association (NARHA) was established in the United States.
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In 1987 a group of 18 American and Canadian therapists went to Germany to study hippotherapy and began development of a standardized hippotherapy curriculum.
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The American Hippotherapy Association was formed in 1992.
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AHA Inc. established therapist registration and set standards of practice for hippotherapy.
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In 1999, the American Hippotherapy Certification Board was established.
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In 1993, the American Hippotherapy Association was approved as the first Section of NARHA.