The provision of horse-mounted activities is conditional, based on combined factors of participant weight and height, horses' physical capacity, and the availability of volunteer side-walkers, among other variables. Eligibility for participation is determined by individual instructors or therapists who are responsible for assessment and participant safety.
Session time is dependent on the client's abilities, endurance, and overall tolerance to this activity. Adaptive Riding and Hippotherapy sessions generally include "off horse" time, such as grooming, tacking, and walking the horse. Sessions do not always include full "on horse" time, as the instructor or therapist determines the best treatment for each session. Part of the activity for the day may include exercises or stretching.