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The final height in hands of a grown horse is reached dependant upon the individual horse and it's type,breed or the genetic family makeup. Horses PHYSICALLY appear to be grown before they reach full mental and emotional maturity. On average a horse is said to be full grown by age six. Muscle developement and fitness from proper training also play a part in how tall a horse can be since the forelegs and shoulders are attached to the body via a musculature suspension system and the height of a horse is measured from the top of the withers to the ground.