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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.
Incomplete fracture of the talus secondary to maladaptive stress remodeling in a horse.
Journal of the American Veterinary Medical Association    June 14, 2019   Volume 255, Issue 1 102-108 doi: 10.2460/javma.255.1.102
Katzman SA, Spriet MP, Beck BR, Barrett MF, Hendrickson DA.A 6-year-old Quarter Horse gelding used for barrel racing was evaluated for acute onset of non-weight-bearing lameness of the left hind limb following strenuous exercise. Nuclear scintigraphic imaging revealed focal increased radiopharmaceutical uptake centrally within the left talus. Subsequent standard radiographic and ultrasonographic examinations of the tarsus failed to identify the cause of the increased radiopharmaceutical uptake; however, the lameness was definitively localized to the tarsocrural joint by intra-articular anesthesia. Subsequent MRI sequences of the left tarsus revealed a...
Intermediate patellar ligament desmopathy often occurs in conjunction with other stifle abnormalities. Hoaglund EL, Barrett MF, Daglish J, Contino EK.Intermediate patellar ligament (IPL) desmopathy is a relatively uncommon injury previously reported to have a poor prognosis for return to athletic activity. There is little documentation of the clinical and ultrasonographic features, clinical significance, and outcome for return to work following IPL injury in horses. The aim of this retrospective descriptive study was to describe the clinical and ultrasonographic features of IPL desmopathy, its association with other injuries of the stifle, and outcome for return to work following injury. Forty-two stifles with an ultrasound diagnosis of IPL...
Outcomes following physical therapy incorporating hippotherapy on neuromotor function and bladder control in children with Down syndrome: A case series.
Physical & occupational therapy in pediatrics    May 20, 2019   Volume 40, Issue 3 247-260 doi: 10.1080/01942638.2019.1615601
Moriello G, Terpstra ME, Earl J.: The objective of this case series was to document gross motor function, gait parameter, and bladder control outcomes following physical therapy incorporating hippotherapy in children with Down syndrome (DS). : Four children between three and five years of age received eight-weekly physical therapy sessions incorporating hippotherapy. Outcome measures included the Gross Motor Function Measure-88 (GMFM-88), parental perception of function during every day activities, spatiotemporal parameters of gait and bladder control. : Total change scores on the GMFM-88 exceeded the standardized response m...
Evaluating the effectiveness of therapeutic horse riding for children and young people experiencing disability: a single-case experimental design study.
Disability and rehabilitation    May 13, 2019   Volume 42, Issue 26 3734-3743 doi: 10.1080/09638288.2019.1610083
Martin RA, Taylor WJ, Surgenor LJ, Graham FP, Levack WMM, Blampied NM. Therapeutic horse riding aims to improve the health of children and young people experiencing disability; however, its benefits across a range of health domains, particularly the impact on participation outcomes, are not well known. This research evaluated to what extent there was a change in riders balance, functional performance, social responsiveness, quality of life and participation outcomes as a result of therapeutic horse riding. A multiple-baseline across participants ( = 12) single-case experimental design, with randomly allocated baseline phase lengths, quantitatively evaluated ...
Epiglottopexy for the treatment of epiglottic retroversion in 2 horses.
Veterinary surgery : VS    May 7, 2019   Volume 48, Issue 5 820-824 doi: 10.1111/vsu.13232
Curtiss AL, Parente EJ.To report an epiglottopexy technique for the treatment of epiglottic retroversion (ER) in 2 horses. Methods: Case report. Methods: A 2-year-old thoroughbred gelding and a 6-year-old standardbred gelding, both with ER. Methods: Epiglottic retroversion was diagnosed via exercising endoscopic examination in both horses. Epiglottopexy technique was performed in both cases. Results: Both horses returned to previous racing class within 1 year after surgery. Repeat exercising endoscopy of 1 horse 6 months postoperatively revealed resolution of the ER. Conclusions: Epiglottopexy should be consider...
Standing myotomy to treat fibrotic myopathy: 22 cases (2004-2016).
Veterinary surgery : VS    April 8, 2019   Volume 48, Issue 6 997-1004 doi: 10.1111/vsu.13209
Noll CV, Kilcoyne I, Vaughan B, Galuppo LD.To report the clinical and diagnostic findings associated with fibrotic myopathy, describe the surgical procedure for standing fibrotic myotomy and report postoperative outcomes. Methods: Retrospective study. Methods: Twenty-two horses. Methods: Records were included if a clinical diagnosis of fibrotic myopathy was based on clinical and/or ultrasonographic examination and the horse was treated with myotomy of the affected muscle. Records were reviewed for signalment, preoperative findings, perioperative complications, and outcomes. Follow-up also included a phone survey of owners. Results: Qua...
A Thoroughbred racehorse with a unicortical palmar lateral condylar fracture returned to training 14 days after surgery: a hypothesis on the role of a single bone screw on crack propagation.
Journal of equine science    April 3, 2019   Volume 30, Issue 1 7-12 doi: 10.1294/jes.30.7
Brown HR, Peloso JG, Werner WC, Mecholsky JJ, Cohen ND, Vogler JB.A 2-year-old Thoroughbred racehorse had LF lameness that began post high-speed exercise and persisted for two days before the horse once again became sound. Diagnostic analgesia localized the lameness to the LF distal metacarpus, and a standing MRI identified a unicortical condylar fracture. A single 5.5 mm cortical screw was placed in lag fashion. The horse began hand walking at 14 days, racetrack jogging at 30 days, and racing at 5 months after the day of surgery. Placement of a single lag screw ahead of the tip of the crack in unicortical condylar fracture may be useful for reducing the rec...
Functional electrical stimulation following nerve injury in a large animal model.
Muscle & nerve    March 25, 2019   Volume 59, Issue 6 717-725 doi: 10.1002/mus.26460
Cercone M, Jarvis JC, Ducharme NG, Perkins J, Piercy RJ, Willand MP, Mitchell LM, Sledziona M, Soderholm L, Cheetham J.Controversy exists over the effects of functional electrical stimulation (FES) on reinnervation. We hypothesized that intramuscular FES would not delay reinnervation after recurrent laryngeal nerve (RLn) axonotmesis. RLn cryo-injury and electrode implantation in ipsilateral posterior cricoarytenoid muscle (PCA) were performed in horses. PCA was stimulated for 20 weeks in eight animals; seven served as controls. Reinnervation was monitored through muscle response to hypercapnia, electrical stimulation and exercise. Ultimately, muscle fiber type proportions and minimum fiber diameters, and RLn...
(Horseback) Riding into the Sunset. Re: “Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review”-Reply.
PM & R : the journal of injury, function, and rehabilitation    March 12, 2019   Volume 11, Issue 3 327-328 doi: 10.1002/pmrj.12076
Hilliere C, Collado-Mateo D, Villafaina S, Duque-Fonseca P, Parraça JA.No abstract available
Ultrasonic debridement with stem cell therapy of suspensory branch desmitis in an equine patient.
Open veterinary journal    March 12, 2019   Volume 9, Issue 1 54-57 doi: 10.4314/ovj.v9i1.10
Kamineni S, Ruggles A, Ashfaq H.Ultrasonic debridement as a treatment for tendinopathy and desmitis is a relatively new approach in orthopedic surgery. Previously only used in limited cases, this procedure shows promise for treating ligament-bone and tendon-bone interface injuries. We present a case study of a 2-yr-old thoroughbred male horse, unable to train due to recalcitrant symptoms after extensive conservative management of suspensory branch desmitis. It was then treated with ultrasonic debridement and concurrent manubrial stem cell autograft injection, to treat the ultrasound visualized lesion. Post-surgically, the pa...
The Translation of Movement From the Equine to Rider With Relevance for Hippotherapy.
Journal of equine veterinary science    February 28, 2019   Volume 77 125-131 doi: 10.1016/j.jevs.2019.02.017
Donaldson MC, Holter AM, Neuhoff S, Arnosky JA, Simpson BW, Vernon K, Blob RW, DesJardins JD.Although horseback riding is a well-established means of rehabilitation therapy for a variety of human patients, there are few data on the biomechanical relationships between horse and rider during such hippotherapy. We simultaneously tracked the movements of a horse with several different novice riders, under conditions similar to hippotherapy, to evaluate whether horses pass the same motion to different riders while being lead at a walk. Riders were outfitted with a goniometric data collection system that recorded the angles of flexion and extension and lateral bending of the thoracic and lu...
Equine-related eye injury: a case report of globe rupture and vision loss in a post-stroke hippotherapy patient.
American medical student research journal    February 12, 2019   Volume 5, Issue 1 110-113 doi: 10.1016/j.ajo.2008.10.017
Chang LY, Chang SM, Andrews L, Saeedi O.Hippotherapy has recently emerged as a horse-based rehabilitative therapy to improve balance, coordination, and strength in patients with a wide range of medical conditions. Although several studies have demonstrated its effectiveness in restoring balance and gait in patients who have suffered cerebrovascular accidents (CVA), few studies have reported on adverse events associated with the treatment. Methods: This case report describes a female post-stroke patient who fell from a horse during a hippotherapy session. She suffered a closed right zygomaticomaxillary complex fracture and ruptured g...
[… and Riding as Well? Case Report about the Treatment of an Infant with Unresponsive Wakefulness Syndrome].
Die Rehabilitation    February 11, 2019   Volume 59, Issue 1 48-53 doi: 10.1055/a-0835-2990
Steppacher I, Kissler J.There is a growing number of children surviving birth complications with severe, multiple disabilities. Unfortunately, this is not paralleled by equal growth in knowledge about adequate therapeutic approaches. Some publications showed that Hippotherapy could, under certain circumstances, be a very useful complimentary therapy for a range of disabilities. But it remains unclear if riding could even help a quadriplegic individual with multiple brain damage and tracheal ventilation. Methods: In this case study we examined the effect of horse riding on the mobility of joints and heart rate in a li...
Research trends in equine movement analysis, future opportunities and potential barriers in the digital age: A scoping review from 1978 to 2018.
Equine veterinary journal    February 3, 2019   Volume 51, Issue 6 813-824 doi: 10.1111/evj.13076
Egan S, Brama P, McGrath D.Since Muybridge's 'horse in motion', researchers in the equine movement analysis field continue to improve objective analysis and performance monitoring while ensuring representative data capture. However, subjective evaluation remains the primary method of equine gait analysis in the applied setting, despite evidence highlighting the unreliability of this approach. Objective: To map research trends, limitations and opportunities across the diverse equine gait analysis literature. Methods: Joanna Briggs Institute and Cochrane systematic scoping review. Methods: Search terms were chosen based o...
Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial.
Journal of sport rehabilitation    January 25, 2019   Volume 29, Issue 2 179-185 doi: 10.1123/jsr.2018-0252
Kim T, Lee J, Oh S, Kim S, Yoon B.A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Methods: A randomized controlled trial. Methods: Community and university campus. Methods: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Methods: The exercises were performed for 30 minutes, 2 days p...
The Effect of Core Abdominal Muscle Rehabilitation Exercises on Return to Training and Performance in Horses After Colic Surgery.
Journal of equine veterinary science    January 25, 2019   Volume 75 14-18 doi: 10.1016/j.jevs.2019.01.001
Holcombe SJ, Shearer TR, Valberg SJ.We conducted a retrospective cohort study to test the hypothesis that performing 4 weeks of core abdominal rehabilitation exercises (CARE) postoperatively would be safe and associated with faster return to training and improved performance after colic surgery. Performance horses that recovered from colic surgery performed by the same surgeon and survived ≥ 1 year from 2008 to 2017 were included. Data were obtained from a review of medical records. Information about the horses' rehabilitation and performance was obtained from owners/trainers. Data from horses that completed a 4-week CARE pr...
(Horseback) Riding into the Sunset. Re: “Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review”.
PM & R : the journal of injury, function, and rehabilitation    January 18, 2019   Volume 11, Issue 3 325-326 doi: 10.1002/pmrj.12075
No abstract available
Hippotherapy in Rehabilitation Care for Children With Neurological Impairments and Developmental Delays: A Case Series.
Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association    December 18, 2018   Volume 31, Issue 1 E14-E21 doi: 10.1097/PEP.0000000000000567
Kraft KA, Weisberg J, Finch MD, Nickel A, Griffin KH, Barnes TL.This report assesses functional mobility in children with neurological impairments and documented gross motor delays, before and after receiving either hippotherapy or standard outpatient physical therapy (PT). This is a case-series report using data previously collected for a discontinued randomized controlled trial, in which participants received hippotherapy or standard outpatient clinic PT for a 12-week treatment period. Results demonstrated both subjective and objective functional mobility improvements after treatment in participants receiving hippotherapy and standard outpatient PT, as d...
Specificity and variability of trunk kinematics on a mechanical horse.
Human movement science    November 30, 2018   Volume 63 82-95 doi: 10.1016/j.humov.2018.11.007
Goodworth AD, Barrett C, Rylander J, Garner B.As perturbation training is gaining popularity, it is important to better understand postural control during complex three-dimensional stimuli. One clinically relevant and commonly used three-dimensional stimulus is found in hippotherapy and simulated hippotherapy on a mechanical horse. We tested nine healthy participants on a horse simulator, measured head and trunk kinematics, and characterized data in time (root-mean-square and variability) and frequency (amplitude spectra, gains, and phases) domains. We addressed three fundamental questions: 1) What is the specificity of postural responses...
Use of a locking compression plate for equine proximal interphalangeal joint arthrodesis: 29 cases (2008-2014).
Journal of the American Veterinary Medical Association    November 20, 2018   Volume 253, Issue 11 1460-1466 doi: 10.2460/javma.253.11.1460
Sakai RR, Goodrich LR, Katzman SA, Moorman VJ, Leise BS, Kawcak CE, Galuppo LD.OBJECTIVE To describe clinical use of a locking compression plate (LCP) for proximal interphalangeal joint (PIPJ) arthrodesis in horses and compare outcomes for horses that underwent the procedure as treatment for fracture of the middle phalanx (P2) versus other causes. DESIGN Retrospective case series. ANIMALS 29 client-owned horses. PROCEDURES Medical records of 2 veterinary teaching hospitals from 2008 through 2014 were reviewed to identify horses that underwent PIPJ arthrodesis of 1 limb. Signalment, surgical, and outcome-related variables were recorded. Owners were contacted from 1 to 6 y...
Rationale and pre-clinical evidences for the use of autologous cartilage micrografts in cartilage repair.
Journal of orthopaedic surgery and research    November 6, 2018   Volume 13, Issue 1 279 doi: 10.1186/s13018-018-0983-y
Viganò M, Tessaro I, Trovato L, Colombini A, Scala M, Magi A, Toto A, Peretti G, de Girolamo L.The management of cartilage lesions is an open issue in clinical practice, and regenerative medicine represents a promising approach, including the use of autologous micrografts whose efficacy was already tested in different clinical settings. The aim of this study was to characterize in vitro the effect of autologous cartilage micrografts on chondrocyte viability and differentiation and perform an evaluation of their application in racehorses affected by joint diseases. Methods: Matched human chondrocytes and micrografts were obtained from articular cartilage using Rigenera® procedure. Chond...
Equine Wound Management: Bandages, Casts, and External Support.
The Veterinary clinics of North America. Equine practice    October 17, 2018   Volume 34, Issue 3 557-574 doi: 10.1016/j.cveq.2018.07.010
Eggleston RB.Successful management of equine wounds relies on knowledge of the stages of wound healing, factors that can alter those stages, how healing stages can be manipulated, and adherence to the principles of wound healing. Challenges that complicate wound management include the inability to immobilize and/or confine equine patients, and maintain a clean environment during the critical initial stages of healing. Because of these challenges, the equine practitioner relies heavily on bandaging and external coaptation techniques to successfully treat and manage wounds. The type of bandage used is dictat...
A qualitative exploration of post-acute stroke participants’ experiences of a multimodal intervention incorporating horseback riding.
PloS one    September 20, 2018   Volume 13, Issue 9 e0203933 doi: 10.1371/journal.pone.0203933
Pohl P, Carlsson G, Bunketorp Käll L, Nilsson M, Blomstrand C.Multimodal rehabilitation interventions delivered in late phase of stroke recovery involve physical (motor and sensory), social, and cognitively challenging activities. Horseback riding can be incorporated within such interventions, leading to meaningful long-term improvements when applied to individuals with moderate levels of disability. There is a lack of research illuminating stroke survivors' experiences and perceptions of horseback riding in the context of multimodal interventions. To explore stroke survivors' experiences of participation in a multimodal group-based intervention that inc...
A possible mechanism of horseback riding on dynamic trunk alignment.
Heliyon    September 11, 2018   Volume 4, Issue 9 e00777 doi: 10.1016/j.heliyon.2018.e00777
Funakoshi R, Masuda K, Uchiyama H, Ohta M.The study aimed to clarify the regularity of the motions of horse's back, rider's pelvis and spine associated with improvement of rider's dynamic trunk alignment. The study used a crossover design, with exercise using the horseback riding simulator (simulator hereafter) as the control condition. The experiments were conducted at Tokyo University of Agriculture Bio-therapy Center. The sample consisted of 20 healthy volunteers age 20-23 years. Participants performed 15-min sessions of horseback riding with a Hokkaido Pony and exercise using the simulator in experiments separated by ≥2 weeks. S...
Gene Therapy Using Plasmid DNA Encoding VEGF164 and FGF2 Genes: A Novel Treatment of Naturally Occurring Tendinitis and Desmitis in Horses.
Frontiers in pharmacology    August 31, 2018   Volume 9 978 doi: 10.3389/fphar.2018.00978
Kovac M, Litvin YA, Aliev RO, Zakirova EY, Rutland CS, Kiyasov AP, Rizvanov AA.This clinical study describes the intralesional application of the plasmid DNA encoding two therapeutic species-specific growth factors: vascular endothelial growth factor (VEGF164) and fibroblast growth factor 2 (FGF2) in seven horses to restore naturally occurring injuries of the superficial digital flexor tendon (SDFT) (tendinitis) and in three horses with suspensory ligament branch desmitis. Following application all horses were able to commence a more rapid exercise program in comparison to standardized exercise programs. Clinical observation and ultrasonic imaging was used to evaluate th...
Pancarpal and partial carpal arthrodesis with 3 locking compression plates in 6 horses.
Veterinary surgery : VS    August 22, 2018   Volume 47, Issue 5 692-704 doi: 10.1111/vsu.12916
Curtiss AL, Goodrich LR, Rossignol F, Richardson DW.To report the outcome of horses after pancarpal or partial carpal arthrodesis with 3 locking compression plates (LCP). Methods: Case series. Methods: Six horses ranging in age from 8 months to 16 years and weighing 227-580 kg with severe carpal pathology including acute fractures, chronic osteoarthritis, and chronic angular limb deformity. Methods: Pancarpal or partial carpal arthrodesis was performed with 3 LCP. Autologous cancellous bone grafts were used in 5 of 6 cases to facilitate joint arthrodesis. Results: External coaptation was maintained for 4 to 6 weeks after surgery. Radiographic...
Rehabilitation of an Adolescent Equestrian Athlete With a History of Multiple Concussions: A Case Report Describing an Adapted Return-to-Sport Protocol.
The Journal of orthopaedic and sports physical therapy    July 27, 2018   Volume 48, Issue 12 934-942 doi: 10.2519/jospt.2018.8214
Gunter KB, Shields CJ, Ott SD, Coronado RA.Equestrian riding is a sport with a high risk of concussion. Currently, the literature guiding rehabilitation for concussions in equestrian athletes is limited, especially for directing return to sport. In this case report, a 14-year-old female equestrian athlete presented to physical therapy following her third concussion in 3 years. Her primary complaints were headaches, dizziness, difficulty concentrating, light sensitivity, and neck pain. On examination, the patient demonstrated reproduction of symptoms during testing of the vestibular-ocular reflex, showed a 3-line symptomatic loss on the...
Alterations in body lean angle in lame horses before and after diagnostic analgesia in straight lines in hand and on the lunge.
Veterinary journal (London, England : 1997)    July 18, 2018   Volume 239 1-6 doi: 10.1016/j.tvjl.2018.07.006
Greve L, Pfau T, Dyson S.Altered body lean has been subjectively observed during lungeing in lame horses. The objectives were to quantify the influence of lameness on body lean in trot on the lunge and to investigate the influence of improvement in lameness on the differences in body lean between reins. Thirteen lame horses were trotted in straight lines and lunged on a 10m-diameter circle on both reins before and after lameness was subjectively substantially improved by diagnostic analgesia. A global position system-aided inertial measurement unit attached to the tubera sacrale quantified body lean. Differences betwe...
Getting Back on the Horse: Sport-Specific Return to Play in Rodeo Athletes After Concussion Injury.
Journal of athletic training    July 11, 2018   Volume 53, Issue 7 657-661 doi: 10.4085/1062-6050-310-17
Wicklund A, Foster SD, Roy AA.  Despite a high incidence of injury in their sport, rodeo athletes have been underrepresented in the concussion literature. No standard postconcussion protocols are available across rodeo organizations for evaluating fitness to return to competition. Objective:   To review the literature on concussion in rodeo, examine published guidelines, and offer an active return-to-play (RTP) protocol specific to rodeo athletes. Background:   Unique barriers complicate the management and treatment of rodeo athletes with concussion, such as the solo nature of the sport, lack of consistent access to ...
Short-Term and Long-Term Effects of Riding for Children with Cerebral Palsy Gross Motor Functions.
BioMed research international    July 8, 2018   Volume 2018 4190249 doi: 10.1155/2018/4190249
Žalienė L, Mockevičienė D, Kreivinienė B, Razbadauskas A, Kleiva Ž, Kirkutis A.. To evaluate the effects of riding for beginners (short-term) and advanced (long-term) riders with cerebral palsy on their whole mobility. The study involved 15 subjects (two girls and eleven boys). The subjects were aged from 3 to 19 years (8.73 years ± 5.85). All of the subjects had been diagnosed with a spastic form of cerebral palsy. The duration of the participation differed as follows: the advanced subjects had been riding for 1-4 years (2.66 years ± 1.16), while the beginners have been riding for two weeks (10 sessions). Group I (advanced riders) consisted of eight subjects (7 boys a...
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