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Riding Towards Independence
School of Health Sciences’ Dr. Remeshwar (Rem) Narain on Hippotherapy’s Effect on Children
For Rem Narain, OTD, OTR/L, watching a child learn to ride a horse is a magical moment. “The children are seven feet up and they’re receiving input from the horse,” explained Dr. Narain. “Some of the children are autistic, others use wheelchairs, but on the horse, they forget their challenges and experience the independence of being on a horse—something you don’t get in regular therapy.”
In 2024, Dr. Narain completed his doctoral capstone focused on educating volunteers at a local Hippotherapy program about sensory integration and autism. He developed educational materials, including a video, to help people understand the therapeutic benefits of horseback riding for children with autism. His research involved pre-tests and post-tests that showed significant improvements in participants' understanding of the role of occupational therapy (OT) in such programs.
Dr. Narain’s journey began with a psychology degree from Stony Brook University, followed by a year working in a group home. A conversation with a director changed the trajectory of his career, introducing him to OT as a field that blended psychology with science. “It took me five years to realize that this was my path,” he laughed. “I always tell younger students that it’s okay to start over to find your true calling.”
He pursued his master’s in occupational therapy at Touro University’s School of Health Sciences. His first role at St. Charles Hospital allowed him to specialize in hospital-based neurological care for infants and young children. Early intervention became a cornerstone of his career and he worked closely with families to ensure they had the tools and knowledge to transition from hospital to home care successfully.
Alongside his clinical work, Dr. Narain began teaching. “Teaching resets your knowledge base and keeps you humble,” he explained. “It’s also an opportunity to share, learn, and connect with others in the field. Teaching students who are receptive and eager gives you energy—it’s one way to avoid burnout.”
In 2010, Dr. Narain’s career took another turn when he was introduced to HorseAbility, a program combining OT with horse therapy. “As an OT, you assess the disability, figure out what’s impacting the person’s function, and develop a plan to restore their psychological and physical capabilities,” he said. “Working with horses is similar to working with children—both relationships are built on trust.”
Dr. Narain emphasized how horse therapy engages the nervous system, providing sensory input that traditional therapies cannot replicate. Additionally, children often connect emotionally with their horses.
In 2022, Dr. Narain returned to Touro University as both a professor and a student, becoming part of the inaugural cohort of the school’s OTD program. His capstone project focused on training new volunteers to lead children in hippotherapy OT sessions. “Touro is innovative,” he said. “We’re not standing still; we’re moving ahead in the healthcare world. I’m a better clinician because of Touro, and I’m a better professor because of my clinical work.”
For Dr. Narain, the magic of OT is its ability to combine science, compassion, and creativity. And when children experience the joy of horseback riding, it’s a reminder of the transformative nature of the field. “There’s magic between the kids and the animals,” he said.