Rehabilitating the Lame Horse (Stubbs)


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This webcast explains how rehabilitation and physical therapy principles can be applied to the horse with respect to lameness, loss of performance, performance enhancement, injury prevention and principles of conditioning. Exercise based rehabilitation techniques, including mobilization and dynamic core muscle exercises, and how these can be applied to your horse are also discussed.

Published in: Education

Rehabilitating the Lame Horse (Stubbs)

  1. 1. My Horse University and eXtension’s HorseQuest welcome you to this live Webcast. REHABILITATING THE LAME HORSE Narelle Stubbs B.Sc(PT), M.AnimSt (Veterinary Physiotherapy), PhD candidate McPhail Equine Performance Center Michigan State University
  2. 2. MEET OUR PRESENTER: <ul><li>Narelle Stubbs </li></ul><ul><li>McPhail Equine Performance Center </li></ul><ul><li>Michigan State University </li></ul>Facilitator Name Michigan State University Question facilitator: Dr Ann Rashmir Nicole Rombach
  3. 3. <ul><li>Rehabilitation and Physical Therapy </li></ul><ul><li>Assessment and treatment techniques </li></ul><ul><li>Research </li></ul><ul><li>Exercises </li></ul><ul><li>Performance Enhancement </li></ul><ul><li>Principles of Conditioning </li></ul>KEEPING YOUR HORSE “FUNCTIONALLY” SOUND
  4. 4. Muscle imbalances Biceps Femoris Sport specific injuries SPORT HORSES: NEVER INJURY FREE! MANAGEMENT +++++++++ Osteoarthritis DJD Muscle trauma
  6. 6. PHYSICAL THERAPY AND REHABILITATION <ul><li>Human medical field – PT plays an essential role in all aspects of medicine and sports: musculoskeletal, neurological, cardiopulmonary, pre-post surgery, acute care , injury prevention and performance </li></ul><ul><ul><li>from paediatrics to geriatrics to elite athletes </li></ul></ul><ul><li>Advancements in veterinary medicine, surgery, orthopaedics and sport sciences have highlighted a need for these services and professionals trained in (veterinary) allied health including physiotherapy and rehabilitation </li></ul>
  7. 7. WHAT IS PHYSICAL THERAPY <ul><li>PT’s provide a functional assessment to identify pain or loss of function caused by a physical injury, disorder or disability </li></ul><ul><li>Physiotherapeutic techniques are utilised to reduce pain, improve movement and restore normal muscle control for better motor performance and function </li></ul><ul><li>Assessment-reassessment is essential during the treatment process and outcomes are measured objectively e.g. range of motion, muscle bulk or symmetry, pain scores, kinematic and kinetic analysis </li></ul><ul><li>Veterinary patho-anatomical diagnosis is vital, along with medical management </li></ul>
  8. 8. THE HORSE-RIDER UNIT The Athlete Sports Medicine
  13. 13. Taping Rehabilitation and performance enhancement
  14. 14. <ul><li>Conditioning the sport horse </li></ul><ul><li>Environmental factors </li></ul><ul><li>Tack </li></ul><ul><li>Sport specific training </li></ul><ul><li>Sport specific injury prevention </li></ul>REHABILITATION AND SOUNDNESS
  15. 15. REHABILITATION AND INJURY PREVENTION PRINCIPLES OF CONDITIONING <ul><li>Warm up </li></ul><ul><li>Cool down </li></ul><ul><li>Graduated exercise program </li></ul><ul><li>Evaluate your horse regularly </li></ul>Soundness
  16. 16. DOMS Delayed onset muscle soreness <ul><li>Graduated work program </li></ul><ul><li>Weekend warrior syndrome </li></ul><ul><li>Cross training </li></ul><ul><li>Training v’s competition environment and climate </li></ul>
  17. 17. RESEARCH <ul><li>Equipment includes: </li></ul><ul><li>Motion Analysis system </li></ul><ul><li>Force plates (x6) </li></ul><ul><li>Noraxon EMG system </li></ul><ul><li>Pliance saddle pressure pad </li></ul><ul><li>Other customised equipment, such as rein tension sensors for making measurements of horses and riders  </li></ul><ul><li>  </li></ul>
  18. 18. RESEARCH ON SADDLE FIT Areas of interest are the effects of asymmetrical weight distribution of a rider, effects of locomotion at different gaits on saddle fit, and the comparison between different types of saddle pads
  20. 22. Canter Pirouette Motion Analysis and Force Plate Analysis
  21. 23. Active Exercise Therapy Methods in Treatment, Prevention and Rehabilitation of Equine Spine- Related Disorders
  22. 24. To determine the effects on the kinetics and kinematics of the horses limbs, habituation, cross-over effects and interlimb coordination T he effect on proprioception and motion: Tactile stimulation of the pastern and coronet in the horse
  23. 25. NO JANGLES
  24. 26. JANGLES (55 GRAMS)
  25. 27. DYNAMIC STABILITY Core Muscle Exercises
  26. 28. Mobility, Stability, Strength= SOUNDNESS Treatment Rehabilitation Injury Prevention Performance Enhancement Ballistic muscle activity versus preparatory, postural, dynamic stability muscle activity The effect of box rest Advances in human sports medicine and training related to specific core exercises
  27. 29. THE HORSE’S CORE <ul><li>Neck muscles </li></ul><ul><li>Hypaxial (abdominal </li></ul><ul><li>sublumbar muscles) </li></ul><ul><li>Epaxial muscles </li></ul><ul><li>Pelvic stabilizer muscles </li></ul>
  28. 30. DYNAMIC MOBILIZATION EXERCISES <ul><li>To determine the range of spinal motion in different horses over time, muscle development of the back and abdomen over time, and the effect on conformation </li></ul><ul><li>Motion analysis, still photography and real-time ultrasonography are used to measure these changes </li></ul>Rehabilitation techniques
  29. 31. The effects of a 6-month physiotherapy exercise program on the mobility of the equine spine  
  30. 32. MOBILITY AND STABILITY Chin to Chest Chin to Knees Chin to Fetlocks Mobilization with movement: nothing is forced Chin to Fetl
  31. 33. skull 1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 2 3 4 5 6 0 10 20 30 40 50 60 70 80 90 Cervical Degrees Thoracic Lumbar sacrum Extension and Flexion (in vitro) ‏
  33. 35. LATERAL BENDING coupled with flexion and rotation 6 5 4 3 2 1 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 7 6 5 4 3 2 1 skull 0 10 20 30 40 50 Cervical Degrees Thoracic Lumbar sacrum
  34. 36. Motion analysis <ul><li>MOBILITY </li></ul>
  35. 38. ULTRASONOGRAPHY Long-term exercise program Muscle development Abdominal muscles Biceps Femoris Deep Epaxial muscles External abdominal oblique Internal abdominal oblique Transversus abdominis Rectus abdominis
  36. 39. Core strengthening combined exercises Combined rounding responses Thoracic Lumbar Pelvis
  37. 40. Balancing/stability exercises Destabilisation techniques: weight shifts Pelvic stability: Biceps femoris - EMG studies (unpublished)
  39. 42. Rehabilitation after injury, prevent injury and enhance performance How these exercises affect strength and stability
  40. 43. Rehabilitation and soundness= happy horses and riders= SUCCESS
  41. 44. QUESTIONS
  42. 45. GIVE US YOUR FEEDBACK! <ul><li>You will receive a survey by email in 1-2 days. Please take a few minutes to give us your feedback on this webcast. It will help us to better serve you! </li></ul>
  43. 46. UPCOMING WEBCASTS <ul><li>Equine Emergency First Aid </li></ul><ul><li>April 20, 2010 | 7pm ET </li></ul>
  44. 47. Thank you for attending this live web presentation! For more information about My Horse University please visit us at: | | 517-353-3123