Hippotherapy uses the horse's movement to enhance motor coordination, sensory integration, communication, and emotional stability in people with different disabilities. There is a need for evidence that proves increased efficiency in language use. In this study, we analyze the effect of hippotherapy on the communicative abilities of children with Down syndrome. Nine children between 4 and 7 years of age participated in two types of therapies: traditional language therapy and hippotherapy. Results showed effects of hippotherapy on language production and utterance length. Comprehension was enhanced by all therapy techniques. This preliminary study based on systematic evidence illustrates the effects of hippotherapy on communicative abilities.