Cerebral palsy (CP) is known as a group of non-progressive and permanent brain disorders that can result in impaired movement, muscle tone, sensation, posture, cognition, perception, and motor control. Due to the permanent limitations for children with CP, performing activities of daily living is often a great challenge. Hippotherapy and therapeutic riding are kinesitherapy modalities used in the treatment of neurological patients of adult age, but also children diagnosed with CP. The aim of this systematic review of literature was to define hippotherapy and therapeutic horseback riding as a specific form of physiotherapy intervention and to identify clinical and scientifically based evidence of its effectiveness in children with cerebral palsy. The electronic databases PubMed, Cochrane Library and PEDro were searched, thus 13 studies that have met the set criteria were included. Of the 13 analyzed studies, three were systematic literature reviews and meta-analyzes, and the remaining 10 studies were clinical trials. Evidence has been found on the efficacy of hippotherapy and therapeutic horseback riding as a habilitation modality applied to children with all forms of CP. In this paper, clinical and scientifically based evidence has been found on the intervention in the form of hippotherapy and therapeutic horseback riding which can improve the health conditions of patients with CP, at the levels of function / structure and activity / participation in accordance with the requirements of WHO standards, according to the International Classification of Functioning, disability and health (ICF).