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Topic:Rehabilitation
Rehabilitation for horses refers to the process of restoring physical function and performance following injury, illness, or surgery. This process often involves a combination of veterinary care, physical therapy, and specialized training techniques. Rehabilitation aims to promote healing, improve mobility, and prevent further injury. Common methods used in equine rehabilitation include controlled exercise programs, hydrotherapy, and the use of therapeutic modalities such as laser therapy and ultrasound. The effectiveness of these methods is evaluated through clinical assessments and performance metrics. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, outcomes, and advancements in the field of equine rehabilitation.
Human-horse interactions as complementary strategies for mental health promotion. Animal-assisted interventions (AAI) represent complementary rehabilitative approaches designed to address a range of physical and mental health conditions. Among these, Equine-assisted interventions (EAI) offer structured opportunities for engagement through diverse activities conducted within naturalistic settings, thereby integrating therapeutic processes with ecological contexts. Methods: Over the past years, our group has developed and implemented standardized AAI methodologies that are now embedded within comprehensive intervention planning. This overview summarizes the application of dif...
Equine Blood and Salivary Cortisol Levels While Exercising on a Water Treadmill with an Artificial River System. A water treadmill (WT) is used in equine rehabilitation and training. This study aimed to investigate whether varying water depths and using an active artificial river (AR) system during water treadmill exercise would affect physiological stress responses in leisure horses. Thirteen leisure horses participated in five 20 min WT sessions, including those with a treadmill with dry belt, fetlock-depth WT (with/without AR), and carpal-depth WT (with/without AR) at a walking speed of 1.25 m/s. Blood and salivary cortisol levels were measured before, immediately after, and 30 min after exercise. Blo...
Factors affecting veterinary perception of the prevalence of back pain and dysfunction in dogs and horses. The prevalence of back pain in humans has been extensively reported, but in dogs it is unknown. In horses, research on the prevalence of back pain exists, but with reports ranging from 1% to 94%, indicating a data deficiency. Unassigned: Veterinarians were surveyed about their perception of the prevalence of back pain and dysfunction in dogs and horses for 6 different clinical scenarios. The respondents' education background and physical examination techniques were recorded. Unassigned: Perceptions of the prevalence of back pain and dysfunction varied widely both within and between education g...
Quantitative Bone Scintigraphic Follow-Up After a 2-Month Cross-Training Program Including Swimming in Showjumping Horses with Back and Neck Pain. To quantitatively describe changes in skeletal radiopharmaceutical uptake during a training program including swimming in horses with neck and back pain, eighteen showjumping horses with documented vertebral lesions were prospectively included in a training program composed of 4 weeks of ridden work and then 8 weeks combining swimming and ridden exercise. Previously published data on this cohort did not demonstrate any clear change in thoracolumbar mobility. Bone scintigraphy was performed at the 4th and 12th weeks. Radiopharmaceutical uptake was quantified in 205 regions of interest (ROIs) an...
Eight Weeks of 448 kHz Radiofrequency Therapy Increases Multifidus Muscle Cross-Sectional Area and Modulates Thoracolumbar Range of Motion in Horses with Chronic Back Pain. We aimed to investigate the effects of an 8-week 448 kHz radiofrequency (RF) on multifidus cross-sectional area (CSA) and thoracolumbar differential range of motion (ROM). Eight Thoroughbred horseball horses received four RF treatments (T9-L6) at 2-week intervals. Multifidus CSA (T10-L5) and differential spinal ROM between the withers (W), T13, T18, L3 and sacrum (S) were measured before treatment, immediately after the first session, 24 h after the first session, and at 8 weeks (15 days after the last session). Linear mixed models with Tukey post hoc comparisons were used. Significant effects...
Effects of TECAR Therapy on Body Surface Temperature and Longissimus Dorsi Muscle Tone in Thoroughbred Racehorses: A Pilot Study. Capacitive and resistive electric transfer (TECAR) therapy is increasingly used in equine physiotherapy; however, objective evidence regarding its immediate effects on equine back muscles remains limited. This pilot study aimed to evaluate the effects of TECAR therapy on body surface temperature and muscle tone of the longissimus dorsi muscle in Thoroughbred racehorses. A randomized, single-blinded experimental study was conducted in 20 clinically healthy Thoroughbred racehorses aged 2-3 years. Horses were randomly assigned to either a TECAR treatment group ( = 10) or a sham-treatment control ...
Imaging Diagnosis: Imaging Diagnosis of Lateral Plantar Digital Vein Thrombosis in a Yearling Thoroughbred. A 1-year-old thoroughbred filly was referred to the Washington State Veterinary Teaching Hospital with a 4-month history of left hind limb swelling, from the mid metatarsus to the distal pastern, without lameness. Previous imaging (digital radiographs, ultrasound, and low-field magnetic resonance imaging [MRI]) was inconclusive, with a tentative diagnosis of lymphatic drainage impairment. A high-field MRI diagnosed left lateral plantar digital vein thrombosis, with secondary lymphatic dilation and edema. The filly was discharged with rehabilitation instructions and resumed exercise shortly aft...
Parents’ perspectives on equine-assisted occupational therapy intervention for their children with attention deficit hyperactivity disorder (ADHD). This study examined how parents experienced the ASTride Equine-Assisted Occupational Therapy intervention for their children with ADHD, and the meanings they ascribed to changes observed in their children and themselves. Unassigned: Thirteen parents of children aged 7-12 who completed the ASTride intervention participated in in-depth, semi-structured interviews. A grounded theory approach guided the analysis, which included open coding, category mapping, and thematic modeling to identify central processes across narratives. Unassigned: (1) Parents' perceived benefits for children including emo...
Does the Distance Between Ground Poles Affect Limb, Spinal and Pelvic Kinematics in Horses When Walking In-Hand? Polework exercise is commonly used in equine training and rehabilitation; however, the influence of pole spacing on locomotor kinematics remains unclear. This study investigated the effects of pole spacing on limb, thoracolumbar and pelvic kinematics in horses walking in-hand. Eleven warmblood horses were assessed during overground walking and over five ground poles set at 85%, 100% and 105% of forelimb step length. Pole spacing did not significantly alter maximum fore- or hindlimb retraction; however, protraction-retraction range of motion (ROM) was reduced at 85% spacing. Forelimb ROM was re...
Outcome of keratoma removal using different surgical techniques, including a modified partial hoof wall resection: A retrospective study (2004-2025). Keratomas are diseases of the equine hoof that can be associated with intermittent lameness and/or recurrent foot abscesses. Different surgical techniques for keratoma removal have been described. The aim of this retrospective study was to report the short- and long-term postoperative complications after keratoma removal using different surgical techniques: complete hoof wall resection (CR), partial hoof wall resection (PR) and a modified version of PR (MPR). The medical records of horses diagnosed with keratoma and space occupying lesion (SOL) of the hoof wall (2004-2025) at a Veterinary Teac...
Rider dislodgement events in U.S. steeplechase racing: participation outcomes in riders and horses. Steeplechase jockeys compete in high-risk races requiring horses and riders to clear fixed obstacles at speed. Although rider dislodgement events are recognized hazards, their incidence and participation consequences are not well characterized. Methods: This retrospective observational study used publicly available race charts from United States National Steeplechase Association races (2023-2025). Dislodgement events were defined as falls or lost rider events. Incidence rates were calculated per 1,000 starts, and timber and hurdle races were compared using Poisson regression. Rider interruptio...
Musculoskeletal Burden in German Equestrians: Hip-Specific Symptoms and Risk Factors. Equestrian sport is a major component of German athletics, with broad recreational participation and a strong competitive sector. In 2019, about 2.32 million people identified as active riders, and more than 60,000 competitional licences were issued in 2021, reflecting substantial competitive engagement across the Olympic disciplines and national performance levels. Hip pain is a frequent and clinically relevant complaint among athletes and can stem from structural, degenerative, or overuse-related causes. In riding, the hip joint is crucial for transmitting forces and coordinating rider-horse...
Horsepower: equine-assisted interventions are associated with reduced PTSD symptoms, improved sleep quality, and quality of life in military veterans with treatment-resistant PTSD. Military veterans are at an elevated risk of developing posttraumatic stress disorder (PTSD), while first-line trauma-focused treatments are less effective in this population. This highlights the need for novel, evidence-based complementary interventions for military veterans with treatment-resistant PTSD. Although equine-assisted interventions (EAIs) are increasingly popular and appear promising, many studies suffer from methodological issues. Therefore, further research incorporating both psychometric and physiological parameters is warranted. Unassigned: Nine consecutive groups of eight vet...
Equine-assisted coaching in formerly incarcerated men with histories of substance abuse: a 12-week exploratory study of anger regulation, quality of life, human-horse synchrony, and equine behavior. Equine-assisted interventions are increasingly used as complementary approaches to support psychosocial functioning, yet empirical evidence in justice-involved populations with histories of substance abuse remains limited. The present exploratory quantitative study examined the effects of a 12-week equine-assisted coaching program on anger regulation, quality of life, and human-horse synchrony in formerly incarcerated men, while also monitoring equine behavioral responses from a One Health perspective. Eleven male participants residing in a residential reintegration facility in the Netherlands...
Feasibility of a hand-held myotonometry device for measuring biomechanical muscle parameters in horses. To evaluate the feasibility of a hand-held myotometry device for measuring the biomechanical parameters (frequency, stiffness, and decrement) of the longissimus dorsi muscle in the thoracolumbar region of healthy horses. Unassigned: Data were obtained from 50 adult horses. The biomechanical parameters were measured using a MyotonPRO device in triple-scan mode. Measurements were recorded on both sides, with the horses standing square. The analysis focused on whether there were differences between the sides and correlations between the variables. Unassigned: The mean muscle frequency (hertz) was...
Outcomes and racing performance in thoroughbreds following a long-term injury sustained during a jump race in Great Britain. Limited literature is available about the career outcomes of horses sustaining a long-term injury (LTI) in a jump race. Methods: All Thoroughbreds that sustained an LTI, defined as any non-fatal musculoskeletal injury requiring a minimum 90-day break from racing, in a British jump race between May 2018 and April 2023 were followed up for at least 24 months and outcomes described. Pre-injury racing performance was compared between horses that did and did not return to racing, and post-injury racing performance was compared between horses that sustained tendon/ligament injuries and fractures. R...
Electromyographic activity of equine abdominal muscles during single and double riding in hippotherapy. Background: Hippotherapy is a therapeutic intervention that uses the horse as a biomechanical and sensorimotor agent to promote rehabilitation in individuals with physical and neurological disabilities. Depending on patient needs, riding may be performed with a single rider or with double riding, in which a therapist accompanies the practitioner on the horse. However, the effects of these riding configurations on equine trunk muscle activity remain poorly understood, despite their relevance for both horse welfare and the quality of therapeutic stimuli delivered to the patient.Methods: Nine cli...
Effects of an Equine-Assisted Riding Program on Motor Performance, Movement Quality, and Well-Being Among Young Inmates. Equine-assisted programs have been shown to promote psychosocial outcomes, but quantitative evidence of motor benefits in correctional settings is scarce. Objective: The present study examined the effects of a one-week equine-assisted riding program on riding performance, movement quality, and well-being among young inmates in an open German prison. Methods: Ten male participants (24.5 ± 0.71 years) completed a five-day program combining practical riding exercises, cooperative activities, and guided reflection. Riding performance was assessed using standardized expert video ratings based on t...
Myofascial trigger points as a primary cause of equine lameness: a biomechanical, neurophysiological, and fascial review. Equine lameness diagnosis is dominated by a joint- and tendon-centric paradigm. The standard diagnostic algorithm relies on gait observation, perineural and intrasynovial anesthesia, and cross-sectional imaging. It is directed almost exclusively at skeletal and articular structures. Myofascial trigger points (MTrPs) are hypersensitive, hyperirritable loci within taut bands of skeletal muscle. They produce local and referred pain on compression or contraction. In horses, MTrPs are a clinically relevant but systematically overlooked source of primary lameness. This review synthesises evidence fr...
The effect of dynamic mobilization exercises and therapeutic trunk exercises on superficial epaxial and hypaxial muscle activity in horses. Equine back rehabilitation commonly integrates dynamic mobilization exercises (DME), including DME to the chest (DMEChest) and DME to the hip (DMEHip), and therapeutic trunk (TTE) exercises, including pelvic rounding (Rounding), and lateral tail pulls (LatTail). However, limited evidence supports their use for selectively activating trunk muscles. Objective: To quantify and compare superficial epaxial and hypaxial muscle activity during selected DMEs and TTEs using surface electromyography (sEMG). Increased muscle activity was hypothesized across exercises, specifically in external abdominal o...
Functional and feasibility aspects of orthopedic exoprostheses in quadruped domestic animals: a systematic review. The use of prostheses in animals with partial limb amputation has emerged as an alternative to euthanasia, aiming to improve their quality of life. However, the fabrication and adaptation remain challenging in Veterinary Medicine. This study aims to evaluate, through a systematic review, the determinants of viability, outcomes, and limitations of exoprostheses in domestic animals of varying sizes. A literature search was conducted in ScienceDirect, PubMed, Scopus, Web of Science, and Google Scholar using structure search terms related to prosthesis, veterinary, amputation. After screening and ...
Quantitative evaluation of behavioral and physiological adaptation during retraining of retired Thoroughbred racehorses. Retired Thoroughbred racehorses commonly transition into riding roles, yet outward behavioral calmness may not fully reflect internal physiological regulation, with implications for safety. Objective: To quantify behavioral and autonomic adaptation across repeated startle exposures and assess concordance between behavioral and physiological indicators. Methods: Twelve retired Thoroughbreds underwent standardized plastic-bag startle trials conducted across three sessions (T1-T3), each including pre-training (Before) and post-training (After) phases, with three repeated exposures at 5-minute int...
Physical Therapy Intervention With Hippotherapy (HPOT) Affects Balance Control in the Elderly: A Randomized Controlled Trial. Aging is characterized by a decline in functional abilities, strength, balance, flexibility, agility, and coordination due to neurological and muscular changes. Hippotherapy (HPOT) has been recognized for its physical and psychological benefits for older adults. Hence, this study aimed to investigate the effects of hippotherapy on balance in elderly individuals. The novelty lies in using the Biodex Balance System SD for dynamic balance assessment in healthy elderly without neurological disorders. Unassigned: We recruited elderly men aged 60 to 70 who had independent mobility and medical cleara...
The immediate effect of whole-body vibration therapy on mechanical nociceptive thresholds in horses with thoracolumbar pain. Treating primary back pain in horses can be challenging and often necessitates a multimodal approach. Whole-body vibration therapy (WBV) has been used in both horses and humans to alleviate pain and strengthen muscles. A recent study showed worsening back pain following a 30-minute session of WBV; however, the immediate effects of WBV were not evaluated. The purpose of this study was to assess the immediate effects of whole-body vibration therapy on horses with back pain after a single session of WBV. Objective: The objective of the current study was to determine the immediate effects on mecha...
Comparison Between Inertial Sensor and Video-Based Detection of Spatiotemporal Limb Movement Parameters During Equine Swimming. Equine swimming is increasingly used for injury prevention and rehabilitation, but objective analysis of movement during swimming remains limited compared to land-based locomotion. Spatiotemporal parameters are essential for evaluating therapeutic outcomes, yet capturing these parameters is technically challenging due to difficulties in observing limb motion in water. Inertial sensors, already widely applied in equine science, offer a promising solution for measuring swimming kinematics objectively. The objective of this study was to evaluate the reliability of inertial sensors placed on equin...
Efficacy of an Oral Chondroprotective Joint Supplement on Stride Length and Gait Symmetry in Aged Geldings with Chronic Lameness. Oral joint supplements (OJSs), specifically those containing glucosamine and chondroitin sulfate, are some of the most popular feed additives fed by horse owners. However, evidence of the efficacy of these nutraceuticals in vivo is lacking. To investigate the impacts of an OJS on equine lameness, 40 geldings (18 ± 7 yr) with chronic lameness and AAEP lameness grades between 2 and 4 (as scored by a veterinary sports medicine and rehabilitation specialist) were enrolled in the study. Horses were stratified by lameness grade, BCS, and weight, and then randomly assigned to receive a placebo powde...
Objective gait analysis methods for assessing movement asymmetry in the equine patient. To demonstrate the uses, data interpretation, and limitations of objective gait analysis methods in equine practice. Unassigned: Teaching and client-owned horses. Unassigned: Informed owner consent was obtained for all animals used in the making of this technical tutorial video. Primary literature relevant to this video was reviewed from January 2016 to January 2026. Images and data were collected from teaching horses and client-owned horses. Unassigned: Objective gait analysis provides accurate and repeatable data on the locomotion of a horse; however, inaccuracies may occur, especially in ca...
Progressive structural and functional change in horses: a conceptual framework for systemic equine (patho-)physiology. A wide range of locomotor, postural, and behavioral pathophysiology in horses-often grouped under terms such as Topline Syndrome, Myofascial Dysfunction, or Poor Posture Syndrome-lack a coherent systemic explanation. These presentations share reduced performance, stability, and resilience, yet are commonly managed through isolated symptom-focused interventions. To address this gap, we propose progressive structural and functional change (PSF) as a systemic framework describing progressive reorganization processes within the equine body that link fragmented pathological domains into a coherent ...
Effect of a single session of Equine Assisted Physical Therapy on postural stability in children with Down syndrome. Equine Assisted Physiotherapy (EAPT; formerly known as hippotherapy) is known to improve functional mobility, gross motor skills, and postural stability in individuals with Down syndrome (DS). However, it may be challenging to implement as a long-term intervention. The aim of the current study was to assess whether even a single session of EAPT can have effect on postural stability in children with DS. Methods: Nine children with DS underwent a single session of EAPT. Postural stability before and immediately after the EAPT session was assessed with the bipedal stance (variability of lower tru...
An overview of the benefits of animal-assisted interventions in medical and therapeutic contexts for human health: cognitive mechanisms, sensory perception and welfare considerations. Animal-assisted interventions (AAIs) are programs that incorporate animals as a therapeutic factor to improve human well-being. To date, these programs have been associated with significant physical and physiological benefits to human health. Animals have been incorporated as monitoring companions, such as diabetes-alert and seizure-alert dogs. Moreover, animal therapy for people with mental health issues, physical impairments, or autism spectrum disorders has shown social and communicative benefits. Although AAIs are proposed as a complementary treatment approach to humans with mental health ...
