↵^a The quantitative data were from video analysis of therapist-designed adaptive riding (TDAR) sessions at the beginning (V1) and at the end (V2) of the program. Data represent the number of challenges performed; P values represent the differences between V1 and V2 (Wilcoxon signed rank test). In arm challenges, posture and balance were challenged by exercises such as “raise your arms high up in the air” and “fly like an airplane”; in body sway challenges, posture and balance were challenged by exercises such as lying prone or leaning backward on the horse; in horse challenges, posture and balance were challenged by, for instance, a change from walking to trotting.