My son did therapeutic riding from ages 3 to 6. We stopped because it was so hard to get an afterschool spot. We actually pulled him out of kindergarten early to get the therapy (although we had the advantage of being one of 2 kids in the district who went to kindergarten full day).

Believe it or not, it didn't seem to help with muscle tone. BUT it helped remarkably and inexplicably with speech!! The therapist agreed that it seemed to make a difference. My son loved it and it was great for him.

The balancing thing is really tough. There was one year when my older son, who has adhd, came, too. He really enjoyed it but the scheduling was tough. We've actually included my older son in a few activities with my younger, or at the same facility, to balance things out. If you have an adaptive swim at the Y, there might be other programs for your other kids. That being said, my kids are running me ragged, so why listen to me?

Good luck!!!!!!

- momster