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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.
Severe tear of the collateral sesamoidean ligament in a horse.
The Veterinary record    December 13, 2006   Volume 159, Issue 24 818-820 
Jacquet S, Coudry V, Denoix JM.No abstract available
Deep digital flexor tendon shortening as a treatment for distal interphalangeal joint hyperextension in a 2-year-old mare.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    December 5, 2006   Volume 19, Issue 4 250-254 
Kelmer G, Kramer J.Shortening of the deep digital flexor tendon was performed by tenotomy, overlapping and anastomosis. The procedure was performed on a two-year-old Quarter Horse Mare with distal interphalangeal joint hyperextension with subluxation and metatarsophalangeal joint hyperextension. These problems originated from damage to the digital flexor tendons, presumably due to previous distal limb trauma. The procedure markedly improved the mare's level of comfort, degree of ambulation and limb conformation. Two years following surgery the mare was comfortable at pasture.
Physiotherapy applied to the horse: a review.
Equine veterinary journal    November 28, 2006   Volume 38, Issue 6 574-580 doi: 10.2746/042516406x153247
Buchner HH, Schildboeck U.No abstract available
Treatment of chronic proximal suspensory desmitis in horses using focused electrohydraulic shockwave therapy.
Schweizer Archiv fur Tierheilkunde    November 2, 2006   Volume 148, Issue 10 561-568 doi: 10.1024/0036-7281.148.10.561
Lischer CJ, Ringer SK, Schnewlin M, Imboden I, Fürst A, Stöckli M, Auer J.The objective of the present clinical report was to investigate the short- and long-term outcomes of chronic proximal suspensory desmitis (PSD) treated with Extracorporeal Shockwave Treatment (ESWT). Fifty-two horses with chronic PSD in the forelimb (34 cases) or hindlimb (22 cases) were included in the study. Three horses had lesions in both hindlimbs and one in both forelimbs. The origin of the suspensory ligament was treated every three weeks for a total of three treatments using 2000 impulses applied by a focused ESWT device (Equitron) at an energy flux density of 0.15 mJ/ mm2. This treatm...
Standing surgical repair of propagating metacarpal and metatarsal condylar fractures in racehorses.
Equine veterinary journal    September 22, 2006   Volume 38, Issue 5 423-427 doi: 10.2746/042516406778400664
Russell TM, Maclean AA.Repair of spiral and long diaphyseal metacarpal and metatarsal fractures under anaesthesia can be problematic and associated with a high incidence of complications, including fracture propagation necessitating euthanasia. Objective: To report on a practical repair technique for which general anaesthesia is not required. Methods: Thirteen racehorses with a spiral/propagating condylar fracture had the fracture repaired using local anaesthesia and sedation, without the need for general anaesthetic. Results: Ten of the horses returned to training and 8 raced again. Two horses were retired directly...
Outcome of desmoplasty and fasciotomy for desmitis involving the origin of the suspensory ligament in horses: 27 cases (1995-2004).
Journal of the American Veterinary Medical Association    August 3, 2006   Volume 229, Issue 3 407-412 doi: 10.2460/javma.229.3.407
Hewes CA, White NA.To determine outcome of percutaneous ultrasound-guided desmoplasty with simultaneous fasciotomy for proximal suspensory desmitis (ie, desmitis of the origin of the suspensory ligament) in horses that have not responded to stall rest. Methods: Retrospective case series. Methods: 27 horses. Methods: Medical records of horses with proximal suspensory desmitis treated by means of desmoplasty with fasciotomy were reviewed. Follow-up information was obtained through telephone conversations with owners and trainers of the horses or by examination of horses at the hospital. Results: 23 of the 27 (85%)...
What is the likelihood that a horse treated for septic digital tenosynovitis will return to its previous level of athletic function?
Equine veterinary journal    July 27, 2006   Volume 38, Issue 4 337-341 doi: 10.2746/042516406777749155
Smith LJ, Mellor DJ, Marr CM, Mair TS.Septic digital tenosynovitis is a serious problem in the horse, with a poor prognosis being reported for recovery. Objective: The occurrence of septic digital tenosynovitis would significantly reduce the likelihood of a horse returning to its previous level of athletic function. Methods: Medical records of 90 horses treated for septic digital tenosynovitis were reviewed. Data retrieved included age, sex, location of inciting cause of sepsis, time from onset of clinical signs to presentation for treatment, and whether the horse survived to be discharged. Long-term outcome was determined through...
Is equine therapy useful in the treatment of eating disorders?
Eating disorders    July 26, 2006   Volume 11, Issue 2 143-147 doi: 10.1080/10640260390199325
Cumella EJ.No abstract available
Force platform evaluation of lameness severity following extracorporeal shock wave therapy in horses with unilateral forelimb lameness.
Journal of the American Veterinary Medical Association    July 5, 2006   Volume 229, Issue 1 100-103 doi: 10.2460/javma.229.1.100
Dahlberg JA, McClure SR, Evans RB, Reinertson EL.To measure alterations in lameness severity that occur following use of extracorporeal shock wave therapy (ESWT) in horses with naturally occurring unilateral forelimb lameness. Methods: Nonrandomized clinical trial. Methods: 9 horses with unilateral forelimb lameness. Methods: Force platform gait analysis was performed prior to administration of any treatments (baseline) and after use of local anesthesia to eliminate the lameness. Extracorporeal shock wave therapy was then administered, and gait analysis was repeated 8 hours later and then daily for 7 days. Results: Compared with the baseline...
The evaluation of extracorporeal shock wave therapy on collagenase induced superficial digital flexor tendonitis.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    July 1, 2006   Volume 19, Issue 2 99-105 
Kersh KD, McClure SR, Van Sickle D, Evans RB.Extracorporeal shock wave therapy (ESWT) is being used to treat desmitis and tendonitis in horses. This paper compares the clinical, ultrasonographic and histological characteristics of ESWT treated collagenase induced superficial digital flexor tendon (SDFT) lesions, versus untreated controls. This blinded study utilizes six mature, healthy horses where bilateral forelimb SDFT lesions were induced. One forelimb was treated while the other served as an untreated control. Three shock wave treatments were administered at three week intervals. At weekly intervals, ultrasonograms were used to meas...
Detection of an epidermoid cyst in the foot of a horse by use of magnetic resonance imaging.
Journal of the American Veterinary Medical Association    June 21, 2006   Volume 228, Issue 12 1918-1921 doi: 10.2460/javma.228.12.1918
Sanz MG, Sampson SN, Schneider RK, Gavin PR, Baszler TV.CASE DESCRIPTION-A 4-year-old Quarter Horse stallion was evaluated because of a 10-month history of moderate (grade 3/5) left forelimb lameness (detectable during trotting over a smooth, hard surface). CLINICAL FINDINGS-No abnormalities were detected in either forelimb via palpation or application of hoof testers; however, lameness was eliminated after administration of a palmar digital nerve block in the left forelimb. Whereas radiography and ultrasonography did not identify any left forelimb foot abnormalities, magnetic resonance (MR) imaging revealed a circumscribed soft tissue mass in the ...
[Mini-invasive distraction technique for treatment of severe ankle and foot deformities secondary to ischemic contracture of the leg].
Zhonghua wai ke za zhi [Chinese journal of surgery]    June 21, 2006   Volume 44, Issue 8 547-550 
Qin SH, Sun L, Zheng XJ.To explore the Ilizarov mini-invasive distraction technique for the treatment of severer ankle and foot deformities secondary to ischemic contracture of the leg. Methods: Based on the tension-stress low of Ilizarov, a serial of adjustable three dimensions external distractive instrument was developed in our department. From April 2002 to March 2004, 8 patients with ankle and foot deformities secondary to ischemic contracture of the leg induced by trauma and fracture were treated with the distractive instrument. Of them, 4 patient were male and 4 female, aged from 13 to 31 years with an average...
Radical surgical resection of locally invasive oro-cutaneous tumors in the buccal region of 2 horses.
Veterinary surgery : VS    June 8, 2006   Volume 35, Issue 4 319-323 doi: 10.1111/j.1532-950X.2006.00150.x
Lykkjen S, Strand E, Haga HA, Lie KI.To report treatment and wound healing after radical surgical mass excision in the equine buccal region. Methods: Clinical case reports. Methods: An 11-year-old Warmblood gelding and a 9-year-old Norwegian Trotter gelding. Methods: Large tumoral masses were removed from the buccal region by radical electrosurgery, creating large defects into the oral cavity. Wound ultimately healed by second intention. Results: Buccal defects in both horses healed well by second intention without tumor recurrence. Conclusions: Locally invasive tumors involving the cheek region of the horse can be successfully t...
Effect of defocused CO2 laser on equine tissue perfusion.
Acta veterinaria Scandinavica    May 26, 2006   Volume 47, Issue 1 33-42 doi: 10.1186/1751-0147-47-33
Bergh A, Nyman G, Lundeberg T, Drevemo S.Treatment with defocused CO2 laser can have a therapeutic effect on equine injuries, but the mechanisms involved are unclear. A recent study has shown that laser causes an increase in equine superficial tissue temperature, which may result in an increase in blood perfusion and a stimulating effect on tissue regeneration. However, no studies have described the effects on equine tissue perfusion. The aim of the present study was to investigate the effect of defocused CO2 laser on blood perfusion and to correlate it with temperature in skin and underlying muscle in anaesthetized horses. Differenc...
Influence of electrode placement on effective field strength in the superficial digital flexor tendon of horses.
American journal of veterinary research    May 3, 2006   Volume 67, Issue 5 845-849 doi: 10.2460/ajvr.67.5.845
Lin YL, Moolenaar H, van Weeren PR, van de Lest CH.To determine the relationship between the output of an electrical treatment device and the effective field strength in the superficial digital flexor tendon of horses. Methods: Cadaver horse forelimbs without visible defects (n = 8) and 1 live pony. Methods: Microcurrents were generated by a microcurrent electrical therapy device and applied in proximodistal, dorsopalmar, and mediolateral directions in the entire forelimbs, dissected tendons, and the pony with various output settings. Corresponding field strengths in the tendons were measured. Results: A linear relationship was detected betwee...
Initial clinical impressions of the U.C. Davis large animal lift and its use in recumbent equine patients.
Schweizer Archiv fur Tierheilkunde    March 28, 2006   Volume 148, Issue 3 161-166 doi: 10.1024/0036-7281.148.3.161
Pusterla N, Madigan JE.The U.C. Davis Large Animal Lift (LAL) is a lightweight sling developed to help lift horses in clinical and rescue situations. Here we report on its first use in 16 recumbent horses with neurologic, muscular and musculoskeletal disorders. For each horse, history, sedation, ease and time of LAL application and hoisting, standing ability, LAL tolerance and outcome were recorded. The LAL was easily and safely applied in all horses in less than five minutes and the procedure was well tolerated with minimal to no sedation. While 10 horses were able to stand in the LAL after being hoisted, 6 horses ...
Noninfected tenosynovitis of the digital flexor tendon sheath: a retrospective analysis of 76 cases.
Equine veterinary journal    March 16, 2006   Volume 38, Issue 2 134-141 doi: 10.2746/042516406776563350
Smith MR, Wright IM.Until recently, the pathogenesis of noninfected tenosynovitis of the digital flexor tendon sheath (DFTS) has been considered obscure. With the advent of tenoscopy some inciting causes have been described, but to date few cases with a precise diagnosis have been reported. Objective: Tenoscopic surgery enables accurate diagnosis and facilitates treatment of noninfected tenosynovitis of the DFTS. Methods: The case records of all horses with noninfected tenosynovitis of the DFTS admitted to a referral clinic over a 7-year period were evaluated retrospectively. Follow-up information was obtained by...
Three-dimensional kinematics of the distal forelimb in horses trotting on a treadmill and effects of elevation of heel and toe.
Equine veterinary journal    March 16, 2006   Volume 38, Issue 2 164-169 doi: 10.2746/042516406776563260
Chateau H, Degueurce C, Denoix JM.Comprehensive understanding of the 3-dimensional (3D) kinematics of the distal forelimb and precise knowledge of alterations induced by dorsopalmar foot imbalance remains incomplete because in vivo studies performed with skin markers do not measure the actual movements of the 3 digital joints. Objective: To quantify the effects of 6 degree heel or toe wedges on the 3D movements of the 4 distal segments of the forelimb in horses trotting on a treadmill. Methods: Three healthy horses were equipped with ultrasonic markers fixed surgically to the 4 distal segments of the left forelimb. The 3D move...
Tissue expansion.
Techniques in hand & upper extremity surgery    March 7, 2006   Volume 7, Issue 1 7-11 doi: 10.1097/00130911-200303000-00003
Heitmann C, Levin LS.Tissue expansion in the upper extremity is a valuable technique with expanding indications and expected outcomes. The primary indications are coverage problems after trauma, but the technique is also applicable to defects caused by treatment of hemangioma, nevi, tattoos, or hypertrophic scars as well as correction of unstable tissue or as an alternative to free tissue transfer. The advantage of expansion-specifically, match in tissue texture and retention of sensibility-may be more important in the hand and upper extremity than in other areas. The inevitable capsule that forms around the expan...
[Do hoof cracks represent a superficial hoof-problem?].
Schweizer Archiv fur Tierheilkunde    March 3, 2006   Volume 148, Issue 2 55-63 doi: 10.1024/0036-7281.148.2.55
Fürst A, Kummer M, Lischer C, Bertolla R, Auer J, Geyer H.Fifty-four horses with hoof cracks were referred to the Equine Hospital of the University of Zurich, for treatment. The horses were admitted because of lameness or other symptoms caused by the cracks. Deep or complicated quarter cracks were the most common type of cracks diagnosed. Poor conformation and abnormal hoof shape were the most important causes of hoof crack development, whereas injury to the coronary band was a less frequently encountered cause. Effective treatment of this problem includes corrective shoeing, removing horn from the weight-bearing surface as well as from the crack wit...
Therapy for osteoarthritis in the horse – how do we know that it works?
Veterinary journal (London, England : 1997)    January 24, 2006   Volume 171, Issue 1 9-10 doi: 10.1016/j.tvjl.2005.02.003
Clegg PD.No abstract available
Arthroscopic diagnosis and treatment of intra-articular insertional injuries of the suspensory ligament branches in 18 horses.
Equine veterinary journal    January 18, 2006   Volume 38, Issue 1 10-14 doi: 10.2746/042516406775374243
Minshall GJ, Wright IM.Clinical association between the branches of insertion of the suspensory ligament (SL) and metacarpophalangeal (MCP) and metatarsophalangeal (MTP) joints has been reported. However, there has been no assessment of the lengths of the SL branches which are subsynovial with respect to the joints or reports of involvement of the MCP/MTP joints in injuries of the SL branches. Objective: To establish proportions of SL branches subsynovial with respect to the MCP/MTP joints and report clinical and arthroscopic findings in horses with desmitis of SL branches identified as having an articular component...
Spine fractures caused by horse riding. Siebenga J, Segers MJ, Elzinga MJ, Bakker FC, Haarman HJ, Patka P.Retrospective study and review of literature. Objective: Study of demographic data concerning spinal fractures caused by horse riding, classification of fractures according to the AO and Load Sharing classifications, evaluation of mid-term radiological results and long-term functional results. Methods: A review of medical reports and radiological examinations of patients presented to our hospital with horse riding-related spine fractures over a 13-year period; long-term functional follow-up is performed using the Roland Morris Disability Questionnaire (RMDQ-24). Results: Thirty-six spine fract...
An exploration of German and British physiotherapists’ views on the effects of hippotherapy and their measurement.
Physiotherapy theory and practice    January 7, 2006   Volume 21, Issue 4 219-242 doi: 10.1080/09593980500321143
Debuse D, Chandler C, Gibb C.Hippotherapy (Greek hippos = horse) is a specialised physiotherapy treatment that makes use of the horses' unique three-dimensional movement impulses at a walk to facilitate movement responses in patients sitting on the horse's back (Strauss, 2000). Despite a substantial body of anecdotal and clinical evidence for its benefits, research evidence for hippotherapy is sparse. This questionnaire survey was the first study in a series of investigations exploring the views of physiotherapists and people with cerebral palsy who use hippotherapy. These investigations, in turn, form the basis from whic...
Osteochondral graft fixation using a bioresorbable bone cement.
Journal of biomechanics    January 4, 2006   Volume 39, Issue 15 2887-2892 doi: 10.1016/j.jbiomech.2005.10.007
Changoor A, Hurtig MB, John Runciman R.Multiple osteochondral grafts can be used to resurface large joint defects in both humans and horses. In humans, immediate postoperative weight bearing can be prevented, however in the equine, it is unavoidable. Early weight bearing can create detrimental graft micromotion. The aim of this study was to investigate the role of a bioresorbable cement in improving the initial stability of multiple osteochondral graft repairs of large subchondral cystic lesions in the horse. Configurations employed for filling a 20mm diameter cylindrical defect included: (A) twelve 4.5mm diameter grafts with cemen...
Investigation of the immediate analgesic effects of extracorporeal shock wave therapy for treatment of navicular disease in horses.
Veterinary surgery : VS    December 14, 2005   Volume 34, Issue 6 554-558 doi: 10.1111/j.1532-950X.2005.00087.x
Brown KE, Nickels FA, Caron JP, Mullineaux DR, Clayton HM.To measure the acute analgesic properties of extracorporeal shock wave therapy (ESWT) in horses with navicular disease using objective ground reaction forces (GRF). Methods: Prospective study. Methods: Nine client-owned horses with unilateral forelimb lameness caused by navicular disease. Methods: Horses were trotted at 3 m/s over a force plate to record pre-treatment GRF of the lame and contra-lateral forelimbs. After ESWT of the lame limb, applied with a radial unit to each of the frog and heel bulb areas with 1500 pulses at 4 bar and 10 Hz, GRF measurements were repeated at 15 minutes and 2...
Evaluation using hoof wall strain gauges of a therapeutic shoe and a hoof cast with a heel wedge as potential supportive therapy for horses with laminitis.
Veterinary surgery : VS    December 14, 2005   Volume 34, Issue 6 630-636 doi: 10.1111/j.1532-950X.2005.00023.x
Hansen N, Buchner HH, Haller J, Windischbauer G.To evaluate using strain gauges, a hoof cast with heel wedge, and a therapeutic shoe with unsupported toe for their effectiveness in redistribution of load from the dorsal hoof wall. Methods: In vitro biomechanical study. Methods: Twenty forelimb specimens. Methods: Rosette strain gauges were placed on the dorsal and lateral hoof wall of 20 normal shaped hooves. Limbs were loaded vertically using a tensile testing machine with a 1 Hz sinusoidally cycling load up to 3000 N during 15 seconds. Mean values of principal strain and direction at 2500 N load were calculated for 3 experimental conditio...
Treatment of a second carpal bone fracture by removal under ultrasonographic guidance in a horse.
Veterinary surgery : VS    December 14, 2005   Volume 34, Issue 6 662-667 doi: 10.1111/j.1532-950X.2005.00103.x
Piccot-Crézollet C, Cauvin ER.To report an unusual 2nd carpal bone (C2) slab fracture and its treatment, using an ultrasonographically assisted, minimally invasive arthrotomy technique, for fragment removal. Methods: Case report. Methods: An 11-year-old crossbred Warmblood gelding. Methods: A bone fragment, spanning the height of C2, identified on the palmaromedial aspect of C2 was demarcated intraoperatively using ultrasonographically guided needles and removed by arthrotomy. Results: Fracture fragment removal was achieved using a small, ultrasonographically guided arthrotomy. The horse has become sound after treatment an...
Equine rehabilitation therapy for joint disease.
The Veterinary clinics of North America. Equine practice    November 22, 2005   Volume 21, Issue 3 599-vi doi: 10.1016/j.cveq.2005.08.002
Porter M.The principles of physical rehabilitation therapy can be applied to the horse to provide a reduction in discomfort and dysfunction associated with the various forms of joint disease. Physical agents,such as ice, heat, electricity, sound, light, magnetic fields, compression, and movement, can be used by the rehabilitation therapist to attempt to control pain, reduce swelling, and restore optimal movement and function in the affected joint. The equine therapist's attention is focused not only on the affected joint but on the body as a whole to manage secondary or compensatory problems.
New surgical treatments for osteochondritis dissecans and subchondral bone cysts.
The Veterinary clinics of North America. Equine practice    November 22, 2005   Volume 21, Issue 3 673-vii doi: 10.1016/j.cveq.2005.07.005
Fortier LA, Nixon AJ.Osteochondritis dissecans (OCD) and subchondral bone cysts (SBCs) occur commonly and at many different locations in equine limbs and can lead to secondary osteoarthritis when left untreated. Depending on the location and extent of the lesion, arthroscopic surgical debridement may be an effective treatment for returning a horse to athletic soundness. In many cases, however, additional techniques to improve the healing response in bone and cartilage are needed so as to preserve articular function. Methods for improving cartilage repair (ie, restoration of damaged cartilage)or regeneration (ie, r...
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