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People of all ages with physical and mental disabilities obtain beneficial results from association with horses. Therapeutic riding is used to mentally and physically stimulate disabled persons and help them improve their lives through improved balance and coordination, increased self-confidence and a greater feeling of freedome and independence. The benefits of equestrian activity for people with disabilities has also been recognized with the addition of equestrian events to the Paralympic Games and recognition of para-equestrian events by the FEI. Hippotherapy and therapeutic horseback riding are names for different physical, occupational, and speech therapy treatment strategies that utilize equine movement. In hippotherapy, a therapist uses the horse's movement to provide improve their patient's cognitive, coordination, balance and fine motor skills, whereas therapeutic horseback riding uses specific riding skills. Most horses perform work such as carrying humans or are harnessed to pull objects such as carts or plows. Hundreds of distinct horse breeds have been developed, allowing horses to be specialized for certain tasks; lighter horses for racing or riding, heavier horses for farming and other tasks requiring pulling power. Some horses, such as the miniature horse, can be kept as pets. In some societies, horses are a source of food, both meat and milk; in others it is taboo to consume these products. In industrialized countries, horses are predominantly kept for leisure and sporting pursuits, while in other parts of the world they are still used as working animals. It is thought that the largest horse in (recorded) history was a Shire horse named Sampson, who lived during the late 1800s. He stood 21.2½ hands high and his peak weight was estimated at . The current record holder for the world's smallest horse is Thumbelina, a fully mature miniature horse affected by dwarfism. She is tall and weighs . The difference between a horse and pony is not simply a height difference, but also a difference in phenotype or appearance. There are noticeable differences in conformation and temperament. Ponies often exhibit thicker manes, tails and overall coat. They also have proportionally shorter legs, wider barrels, heavier bone, shorter and thicker necks, and short heads with broad foreheads. They often have calmer temperaments than horses and also a high level of equine intelligence that may or may not be used to cooperate with human handlers. Modern light horses, all descended in part from the Arabian horse, the oldest surviving breed of known lineage, include the Thoroughbred, celebrated as a racehorse; the American saddlebred horse, known for its easy gaits; the Morgan and the quarter horse, favored for riding and cow herding; and the Standardbred, or trotter, developed for light harness racing. The Appaloosa and the Pinto, much used in cow herding, are distinguished by their patterned colors. The palomino is not a breed but a color type. Among the small horses are the Shetland pony and Welsh pony. The terms cow pony and polo pony refer to the animal's use rather than its size or breed. Although little used for work today, horses are widely owned for recreational riding and show activities. All horses move naturally with four basic gaits: the four-beat walk, the two-beat trot or jog, and the leaping gaits known as the canter or lope (a three-beat gait), and the gallop. Besides these basic gaits, some horses perform a two-beat pace, instead of the trot. In addition, there are several four-beat "ambling" gaits that are approximately the speed of a trot or pace, though smoother to ride. These include the lateral slow gait, rack, running walk, and tölt as well as the diagonal fox trot. Ambling gaits are often genetic traits in specific breeds, often referred to as gaited horses. In most cases, gaited horses replace the standard trot, a 2-beat gait, with one of the four beat gaits.

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Horses and humans have lived and worked together for thousands of years and an extensive specialized vocabulary has arisen to describe virtually every horse behavioral and anatomical characteristic with a high degree of precision. It is thought that the largest horse in (recorded) history was a Shire horse named Sampson, who lived during the late 1800s. He stood 21.2½ hands high and his peak weight was estimated at . The current record holder for the world's smallest horse is Thumbelina, a fully mature miniature horse affected by dwarfism. She is tall and weighs . All horses move naturally with four basic gaits: the four-beat walk, the two-beat trot or jog, and the leaping gaits known as the canter or lope (a three-beat gait), and the gallop. Besides these basic gaits, some horses perform a two-beat pace, instead of the trot. In addition, there are several four-beat "ambling" gaits that are approximately the speed of a trot or pace, though smoother to ride. These include the lateral slow gait, rack, running walk, and tölt as well as the diagonal fox trot. Ambling gaits are often genetic traits in specific breeds, often referred to as gaited horses. In most cases, gaited horses replace the standard trot, a 2-beat gait, with one of the four beat gaits. The size of horses varies by breed, but can also be influenced by nutrition. The general rule for cutoff in height between what is considered a horse and a pony at maturity is 14.2 hands as measured at the withers. An animal 14.2h or over is usually considered a horse and one less than 14.2h is a pony. However, there are exceptions to the general rule. Some smaller horse breeds who typically produce individual horses both under and over 14.2h are considered "horses" regardless of height. Likewise, some pony breeds, such as the Welsh pony, share some features of horses and individual animals may occasionally mature at over 14.2h, but are still considered ponies. Most horses perform work such as carrying humans or are harnessed to pull objects such as carts or plows. Hundreds of distinct horse breeds have been developed, allowing horses to be specialized for certain tasks; lighter horses for racing or riding, heavier horses for farming and other tasks requiring pulling power. Some horses, such as the miniature horse, can be kept as pets. In some societies, horses are a source of food, both meat and milk; in others it is taboo to consume these products. In industrialized countries, horses are predominantly kept for leisure and sporting pursuits, while in other parts of the world they are still used as working animals.

Horses are trained to be ridden or driven in many different sporting events and competitions. Examples include horse shows, gymkhana and O-Mok-See, rodeos, endurance riding, fox hunting, and Olympic-level events such as three-day eventing, combined driving, dressage, and show jumping. Although scoring varies by event, most emphasize the horse's speed, maneuverability, obedience and/or precision. Sometimes the equitation, the style and ability of the rider, is also considered. epending on breed, management and environment, the domestic horse today has a life expectancy of 25 to 30 years. It is uncommon, but a few horses live into their 40s, and, occasionally, beyond. The oldest verifiable record was "Old Billy," a horse that lived in the 19th century to the age of 62. In modern times, Sugar Puff, who had been listed in the Guinness Book of World Records as the world's oldest then-living pony, died at age 56.

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