HIGHLIGHTS
ankylosing
DISEASE, ANKYLOSING SPONDYLITIS, CHRONIC INFLAMMATORY DISEASE

Hippotherapy simulator exercises indicate a positive effect on disease activity, functionality and muscle strength in people with ankylosing spondylitisFor people with ankylosing spondylitis, hippotherapy simulator exercises are a safe workout for the spine that uses the core muscles.For people with ankylosing spondylitis, the hippotherapy simulator technique can be recommended as a long-lasting and affordable fitness program in the near future.To determine the efficacy of hippotherapy simulation exercise on other systemic chronic inflammatory disease future research are needed.