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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.
Magnetic resonance Imaging for diagnosing and managing deep digital flexor tendinopathy in equine athletes: Insights, advances and future directions.
Equine veterinary journal    May 2, 2025   doi: 10.1111/evj.14508
Scharf A, Acutt E, Bills K, Werpy N.Deep digital flexor (DDF) tendinopathy is a significant cause of lameness and poor performance in equine athletes with substantial implications for their return to athletic performance. Magnetic resonance imaging (MRI) is increasingly integrated into the diagnostic workup of horses with foot pain and has revolutionised the diagnosis and management of these injuries. This review discusses the principles of MRI in the context of deep digital flexor tendon (DDFT) injury, comparing high-field and low-field systems and highlighting the clinical relevance of technical parameters, including field str...
Standing repair of long frontal plane fractures of the proximal phalanx in UK Thoroughbred racehorses: A retrospective analysis of 13 fractures.
Equine veterinary journal    April 30, 2025   doi: 10.1111/evj.14521
Findley JA, Bladon BM, O'Neill HD.Sagittal plane fractures of the proximal phalanx (P1) are commonly observed in the UK Thoroughbred racehorse, with the technique and outcome following standing lag screw fixation widely reported. Long frontal plane P1 fractures propagating from the central third of the proximal articular surface occur less frequently, with information concerning repair methods and outcomes currently lacking. Objective: To describe a surgical technique for standing lag screw fixation of long frontal P1 fractures and report on post-operative performance in a UK Thoroughbred population. Methods: Single centre ret...
Standing repair of short frontal plane fractures involving the dorsoproximal articular surface of the proximal phalanx in six Thoroughbred racehorses.
Veterinary surgery : VS    April 26, 2025   Volume 54, Issue 5 1009-1015 doi: 10.1111/vsu.14265
Drahonovska A, Bladon BM, O'Neill HD.To describe a technique and report outcomes for internal fixation of short frontal-plane fractures involving the dorsoproximal articular surface of the proximal phalanx (P1) in standing horses. Methods: Short case series. Methods: Six Thoroughbred racehorses with short, frontal plane fractures involving the dorsoproximal P1. Methods: All fractures were located in the hindlimb. Horses presented with moderate lameness and marked effusion of the affected metatarsophalangeal joint. Fractures had a medial bias extending from the central aspect of proximal P1 to involve the dorsomedial prominence. F...
Spondylosis in Horses: Clinical Features, Diagnostic Imaging Findings, Treatment and Outcome in 13 Horses.
Veterinary medicine and science    March 20, 2025   Volume 11, Issue 2 e70196 doi: 10.1002/vms3.70196
de Secondi C, Cantatore F, Marcatili M, Biggi M, Withers J, de Zani D, Zani D.Back pain is a debilitating condition hampering horses' athletic careers. Thoracic spondylosis (TS), a known cause of back pain, leads to osteophytes formation across intervertebral joints. In horses, TS is poorly reported, with anecdotal signs and response to treatment. To report clinical presentation, diagnostic imaging findings, treatment and outcome in horses with TS. The clinical records of horses diagnosed with TS between 2010 and 2023 were reviewed. Signalment, clinical and imaging findings, treatment, and outcome were analysed. Thoracic spondylosis was graded from 1 to 5. Grades, concu...
Evaluating Pelvic Floor Dysfunction in Female Horse Show Jumpers Using the Australian Pelvic Floor Questionnaire.
Medical science monitor : international medical journal of experimental and clinical research    March 16, 2025   Volume 31 e946830 doi: 10.12659/MSM.946830
Cygańska AK, Giżewska B, Zdunek K.BACKGROUND Pelvic floor dysfunction (PFD) significantly reduces quality of life. During horseback riding, the movement of the horse's back affects the tension of the pelvic floor muscles. This study aimed to compare reported symptoms of pelvic floor dysfunction in women with past, current, and no history of horse show jumping. MATERIAL AND METHODS We examined 160 women (age 23.69±3.96 years). The cohort group consisted of 74 women training currently and training in the past, and a control group of 86 women not practicing horseback riding. The study used the original questionnaire and the Aust...
Severity, distribution and postoperative therapy are not predictors of return to work in western performance horses with stifle chondromalacia.
Veterinary surgery : VS    March 9, 2025   Volume 54, Issue 5 831-839 doi: 10.1111/vsu.14196
Esselman AM, Johnson SA, Hague BA, Frisbie DD.(1) To evaluate the ability of western performance horses diagnosed with chondromalacia to return to performance; Specifically, the relationship between the grade of chondromalacia and the horses' ability to resume work; (2) To determine the impact of postoperative therapy on clinical outcomes. Methods: Retrospective case series. Methods: Horses (n = 34). Methods: Records of western performance horses with lameness localized to the stifle that underwent subsequent arthroscopy with chondromalacia as the most significant diagnosis were reviewed. Chondromalacia was surgeon-graded as slight, m...
Equine Distal Limb Wounds: Economic Impact and Short-Term Prognosis of Non-Synovial Versus Synovial Lesions in Southern Germany.
Veterinary sciences    March 1, 2025   Volume 12, Issue 3 doi: 10.3390/vetsci12030205
Albanese V, Straticò P, Fischer H, Petrizzi L.Injuries to the distal limb are common in horses. The clinical aspect of the lesions is variable based on the structures that are involved. Synovial structures as well as tendons and/or ligaments may be involved in such injuries, affecting treatment modalities and costs, and prognosis. This retrospective study compares wounds involving synovial structures to wounds without such involvement in terms of treatment duration and costs, and prognosis. Synovial wounds were much more expensive to treat and carried a lower prognosis. Involvement of tendons and/or ligaments in the wounds resulted in mor...
Therapeutic potential of mesenchymal stem cells transplantation on traumatic facial nerve paralysis in two horses.
Veterinary research communications    February 25, 2025   Volume 49, Issue 2 118 doi: 10.1007/s11259-025-10692-1
de Oliveira Ferreira LV, Maia L, de Andrade DGA, da Costa Kamura B, de Carvalho M, Amorim RM.Cell-based therapy has emerged as a promising strategy for treating peripheral nervous system (PNS) injuries across different species. However, there is a scarcity in the literature regarding the transplantation of mesenchymal stem cells (MSCs) for treating PNS injuries in horses. This report aims to describe the therapeutic potential of equine MSC transplantation in two horses with chronic traumatic facial nerve paralysis. Both horses presented with lip ptosis and right deviation of the nostril and upper lip, being clinically diagnosed with left facial nerve paralysis. Due to the refractorine...
In vivo effects of cold therapy and bandaging on core temperatures of equine superficial and deep digital flexor tendons.
Veterinary surgery : VS    February 25, 2025   Volume 54, Issue 3 470-477 doi: 10.1111/vsu.14235
McCarthy RD, Ordóñez HJ, Semevolos SA.To compare core temperatures of superficial and deep digital flexor tendons (SDFT, DDFT) during application of a compression cooling system versus ice boots and during subsequent lower limb bandaging. Methods: Experimental study. Methods: Paired forelimbs of six sedated horses. Methods: Thermocouples were placed in the core of SDFT and DDFT of both front limbs of each horse. A compression cooling system was applied to one front limb and an ice boot was applied to the other front limb for 60 min and then removed for 60 min. Standing bandages were then applied to both front limbs for 60 mi...
The Use of an Air-Inflated Pillow for Assisted Recovery After General Anaesthesia in Horses: A Preliminary Study.
Animals : an open access journal from MDPI    February 15, 2025   Volume 15, Issue 4 doi: 10.3390/ani15040564
Vandaele Z, Van den Broeke C, Merchiers A, Schauvliege S.Different assisted recovery techniques have been developed to enhance the safety and quality of equine recoveries. This case series evaluates the recovery of horses using an air-inflated pillow (Equi-lift®). With owner consent, the following data were collected from 19 horses undergoing open castration and 21 horses where a difficult recovery was anticipated: age, bodyweight, procedure, anaesthetic protocol, time required for proper positioning in the Equi-lift®, time to extubation, time to standing, number of attempts to stand, number of stimuli, behaviour during recumbency/first attempts, ...
Heart rate variability responses of horses and veterans with post-traumatic stress disorder to ground-based adaptive horsemanship lessons: a pilot study.
Translational animal science    February 12, 2025   Volume 9 txaf019 doi: 10.1093/tas/txaf019
Rankins EM, Faremi BE, Hartmann K, Quinn A, Posada-Quintero HF, McKeever KH, Malinowski K.Heart rate variability (HRV) can be measured as an indicator of autonomic nervous system (ANS) balance and thus, stress and affective arousal. Mixed results have been reported in the limited literature addressing the effects of equine-assisted services (EAS) on HRV in the human and horse participants. The aims of the present study were to determine the effects of ground-based adaptive horsemanship (AH) lessons on veterans' and horses' HRV during weekly lessons as well as veterans' resting HRV outside of lessons. Veterans with post-traumatic stress disorder (PTSD) were randomly assigned to 8 w...
Return to Athletic Activity of a Shetland Pony Mare with Coxofemoral Luxation Treated by Femoral Head Ostectomy.
Animals : an open access journal from MDPI    February 10, 2025   Volume 15, Issue 4 497 doi: 10.3390/ani15040497
Carnevale L, Tagliabue T, Rabbogliatti V, Bona R, Cavallier F.Femoral head ostectomy is considered a salvage procedure in the treatment of chronic coxofemoral joint luxation in small equids. Permanent lameness of varying degrees, largely depending on the animal's weight, and potential contralateral limb deformity may occur. The purpose of this study was to report the outcome of a small equid that, despite undergoing a femoral head ostectomy for a chronic coxofemoral joint luxation, was able to return to being ridden by children and to athletic activities. Methods: An 8-year-old Shetland pony mare (180 kg) was presented for a chronic right hind limb lamen...
Treatment of traumatic disruption of the suspensory apparatus in Thoroughbred racehorses at risk of proximal interphalangeal joint subluxation using a locking compression-distal femur plate for double arthrodesis.
Veterinary surgery : VS    February 3, 2025   Volume 54, Issue 3 439-452 doi: 10.1111/vsu.14219
Orozco Lopez D, Garcia-Lopez JM, Carpenter R, Bras JJ, Richardson DW, Ortved KF.To describe the outcome of metacarpophalangeal (MCPJ) and proximal interphalangeal joint (PIPJ) arthrodesis using a locking compression-distal femur plate (LCP-DFP) in Thoroughbred racehorses with traumatic disruption of the suspensory apparatus (TDSA) at risk of PIPJ subluxation. Methods: Multicenter retrospective study. Methods: Twenty-six Thoroughbred racehorses. Methods: Records of Thoroughbred racehorses with TDSA that had undergone MCPJ and PIPJ arthrodesis using an LCP-DFP at three referral hospitals between 2020 and 2024 were reviewed for inclusion. The preoperative data collected incl...
Therapeutic Exercises for Rehabilitation of Muscle Injury.
The Veterinary clinics of North America. Equine practice    January 31, 2025   Volume 41, Issue 1 213-225 doi: 10.1016/j.cveq.2024.11.011
King MR, Colla S.Successful rehabilitation of muscle injury requires a comprehensive understanding of the injury process, healing phases, and resources to be employed. The initial phase is characterized by acute inflammatory signs, followed by the regenerative and remodeling phases. Therapeutic exercises can be utilized in all 3 phases, progressing from isometric exercises to aquatic therapies. The classification and phase of injury and the individual response to the applied therapies will guide the progression of the therapeutic exercises through the rehabilitation program.
Factors associated with time to return to horse racing following a clavicle fracture in jockeys competing in Great Britain: A review and analysis of medical records.
PloS one    January 23, 2025   Volume 20, Issue 1 e0317724 doi: 10.1371/journal.pone.0317724
Newton LJ, Dobbin N, Goodwin P, Crampton JS.Competitive horse racing is the second largest sport in Great Britain by spectator attendance, employability, and revenue. It is a lucrative yet hazardous sport, with high injury rates, particularly from falls. Clavicular fractures are one of the most common injuries reported, yet their management, especially regarding return to racing, is under-researched. The purpose of this study was to explore the factors associated with the time to return to competition following a clavicular fracture in jockeys competing in Great Britain. Methods: This review of medical records utilised data from the Bri...
The Value of a Modified Posterior Thigh Flap with Z-Plasty for Reconstruction of Ischial Tuberosity Pressure Ulcers: A Retrospective Single Center Analysis.
Life (Basel, Switzerland)    January 22, 2025   Volume 15, Issue 2 146 doi: 10.3390/life15020146
Stumpfe MC, Horch RE, Müller-Seubert W.Pressure ulcers are a persistent and growing challenge in modern medicine, with prevalence rates ranging from 3.4% to 32.4% globally. Demographic changes suggest an increasing number of patients at risk, emphasizing the need for effective prevention and advanced treatment strategies. These ulcers, particularly stages III and IV, often require surgical intervention due to severe tissue damage. Among the surgical options, the Posterior Thigh Flap has emerged as a reliable fasciocutaneous flap, frequently referred to as a "work-horse flap", for defect coverage in the ischial region. To improve ou...
Description and Analysis of Horse Swimming Strategies in a U-Shaped Pool.
Animals : an open access journal from MDPI    January 13, 2025   Volume 15, Issue 2 195 doi: 10.3390/ani15020195
Gaulmin P, Marin F, Moiroud C, Beaumont A, Jacquet S, De Azevedo E, Martin P, Audigié F, Chateau H, Giraudet C.Aquatic training has been integrated into equine rehabilitation and training programs for several decades. While the cardiovascular effects of this training have been explored in previous studies, limited research exists on the locomotor patterns exhibited during the swimming cycle. This study aimed to analyze three distinct swimming strategies, identified by veterinarians, based on the propulsion phases of each limb: (S1) two-beat cycle with lateral overlap, (S2) two-beat cycle with diagonal overlap, and (S3) four-beat cycle. 125 underwater videos from eleven horses accustomed to swimming wer...
Effectiveness of acupuncture for equine laminitis: Systematic review and meta-analysis.
Veterinary world    January 9, 2025   Volume 18, Issue 1 60-66 doi: 10.14202/vetworld.2025.60-66
Fikri F, Purnomo A, Maslamama ST, Purnama MTE.In the past 20 years, acupuncture has been utilized as an alternative therapy for equine laminitis despite a lack of clinical evidence to support its effectiveness. Information from previous studies needs to be evaluated holistically to verify the effectiveness of acupuncture. This meta-analysis aimed to comprehensively investigate the effectiveness of acupuncture as a treatment for laminitis in horses. Unassigned: A total of 7 studies out of 145 were selected in the PubMed, Scopus, Cochrane Library, and ProQuest databases using the keywords "equine laminitis," "acupuncture," "horses," and "la...
Muscle Rehabilitation Techniques and Prevention of Injury.
The Veterinary clinics of North America. Equine practice    January 8, 2025   S0749-0739(24)00103-2 doi: 10.1016/j.cveq.2024.11.010
King MR, Colla S.Rehabilitation following muscle injury is critical in restoring the equine athlete to full function. Rehabilitation protocols should be tailored to each patient's global functional assessment, taking into account sports-specific demands, goals for return-to-performance, and overall prognosis. Rehabilitation protocols are often designed to modulate pain, enhance repair, improve proprioception, increase flexibility, restore muscle strength, joint range-of-motion, and neuromotor control. This article will review mechanisms of muscle injury, various physical modalities commonly employed in the reh...
Effects of Hippotherapy and Horse-Riding Simulators on Gross Motor Function in Children with Cerebral Palsy: A Systematic Review.
Journal of clinical medicine    January 6, 2025   Volume 14, Issue 1 283 doi: 10.3390/jcm14010283
Ortega-Cruz A, Sánchez-Silverio V, Riquelme-Aguado V, Alonso-Perez JL, Abuín-Porras V, Villafañe JH.: Cerebral palsy (CP) can have a negative impact on gross motor function. Conventional hippotherapy and horse-riding simulators (HRS) have shown promising results on gross motor function in populations with neurological disorders. This review aims to update the knowledge on the effectiveness of hippotherapy on gross motor function in children with CP. : A search was conducted in Academic Search Ultimate, CINAHL, Medline complete, and PEDro covering publications between 2012 and 2022. Two authors identified studies that met the inclusion criteria; a third author resolved discrepancies. Studies ...
Emotional and Motor Improvements in Children With ADHD Following Equine-Assisted Occupational Therapy.
OTJR : occupation, participation and health    December 24, 2024   Volume 46, Issue 1 23-32 doi: 10.1177/15394492241307843
Helmer A, Delore E, Bart O.Attention deficit/hyperactivity disorder (ADHD) is characterized by inattention, hyperactivity, and impulsivity, as children may present developmental and chronic impairments in cognitive-emotional and sensory-motor aspects. This study examined the changes in self-efficacy, muscle tone, and mood following a single session of Equine-Assisted Occupational Therapy (EAOT) within Attention Skills Therapy (ASTride) intervention, designed to improve emotional and cognitive functions. Notably, 31 children diagnosed with ADHD aged 6-12 (mean age 10.06) years. A preliminary study of pre- and post-single...
Prevalence of Lower Back Pain and Risk Factors in Equestrians: A Systematic Review.
Sports (Basel, Switzerland)    December 19, 2024   Volume 12, Issue 12 doi: 10.3390/sports12120355
Duarte CR, Raimundo A, Sousa JP, Fernandes O, Santos R.This systematic review aimed to determine the prevalence of lower back pain (LBP) in equestrian athletes (EAs) and identify associated risk factors. Following the PRISMA guidelines, observational studies published between 2004 and 2024 in English, Portuguese, Spanish, and German were included. The review identified relevant studies through the Web of Science, EBSCO, MEDLINE, and SCOPUS (last search performed on 30 October 2024), yielding 14 studies with a total of 4527 participants. The question format for the included studies specified the population as equestrian athletes, the exposure as eq...
Promoting mental health in military veterans. Methodology and evaluation tools in a pilot study involving an Equine-Assisted Intervention.
Rivista di psichiatria    December 9, 2024   Volume 59, Issue 6 298-305 doi: 10.1708/4386.43838
Military veterans exposed to stressful or traumatic events may experience adjustment difficulties in the post-deployment period, developing a high risk of mental health-related issues. Promising complementary practices such as Equine-Assisted Therapy (EAT) are now widely used, although standardized protocols are missing. The present study aimed to develop an EAT standardized intervention. Methods: A total of 16 veterans were enrolled for the study (11 veterans for the EAT group and 5 veterans for the control group). The EAT lasted 9 months and both a quantitative (State-Trait Anxiety Inventory...
Effectiveness of Equine-Assisted Activities and Therapies for Children with Autism Spectrum Disorder: An Update.
Children (Basel, Switzerland)    December 8, 2024   Volume 11, Issue 12 1494 doi: 10.3390/children11121494
Zoccante L, Sabaini S, Bonatti SM, Rigotti E, Lintas C, Marconi M, Zaffanello M.Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition requiring personalised therapeutic approaches. This study evaluated the effectiveness of Equine-Assisted Activities and Therapies (EAATs) in 86 children with varying ASD severity levels (levels 1-3). Methods: Vineland Adaptive Behaviour Scales and the Parenting Stress Index were used. Between May 2022 and October 2023, participants completed 20 weekly sessions of 45 min each, tailored to their individual needs. Results: Children with level 3 ASD demonstrated greater challenges in communication (level 1: 67.1 ± 29.0 vs. l...
Performance of Warmblood horses following tenoscopic desmotomy of the main part of the accessory ligament of the superficial digital flexor tendon for treatment of tendinopathy: 62 cases.
Equine veterinary journal    December 5, 2024   doi: 10.1111/evj.14437
Blatter M, Chapman HS, Heinzel-Gutenbrunner M, von Plato G, Rijkenhuizen A.Desmotomy of the accessory ligament of the superficial digital flexor tendon (AL-SDFT) has been described for the treatment of superficial digital flexor tendon (SDFT) tendinopathy in Thoroughbred and Standardbred racehorses, and in event horses. To our knowledge, the outcome of this procedure has not been described in a population of warmblood horses. Objective: To report on the outcome of treatment of SDFT tendinopathy in warmblood horses using tenoscopic desmotomy of the main part of the AL-SDFT. Methods: Prospective observational case series. Methods: All 62 horses included in the case ser...
Clinical insights: Current progress in multidisciplinary management of soft tissue surgical cases.
Equine veterinary journal    October 4, 2024   Volume 56, Issue 6 1088-1091 doi: 10.1111/evj.14417
Barnett T, Epstein K, Southwood L.No abstract available
Electromyographic and behavioral analysis of horses submitted to medial patellar desmotomy.
Veterinary research communications    September 21, 2024   doi: 10.1007/s11259-024-10548-0
da Silva NV, Bernardino Júnior R, Nomelini QSS, Pereira GF, Delfiol DJZ, Nogueira GM.The passive stay apparatus works by blocking flexion of the knee and tarsus joints in the horse, preventing muscle fatigue. During ambulation, if this mechanism fails to release, the animal will present upward fixation of the patella, which in severe cases, can only be treated by medial patellar desmotomy (MPD). The objective of this study was to investigate the possible electromyographic and behavioral changes, after the impairment of the passive stay apparatus, in horses who have undergone MPD surgery. Five horses presenting dorsal fixation of the patella underwent electromyographic measurem...
Effects of hippotherapy on motor function of children with cerebral palsy: a systematic review study.
Italian journal of pediatrics    September 19, 2024   Volume 50, Issue 1 188 doi: 10.1186/s13052-024-01715-9
Cerebral palsy includes a spectrum of neurodevelopmental disorders caused by brain damage, leading to impairment of movement, posture, and balance for a lifetime. There are many therapeutic interventions for cerebral palsy. One of them is hippotherapy, an alternative physical therapy. It is a type of equine-assisted activity and therapy where children with cerebral palsy and motor function skills interact with a horse. We aimed to study the effects of hippotherapy, as an alternative therapy, on the motor function of children with cerebral palsy. We performed a review of the latest literature o...
EFFECTS OF DIFFERENT SHOEING CONDITIONS ON EQUINE CERVICAL AND BACK KINEMATICS DURING WALKING AND TROTTING ON A SOFT SURFACE.
Journal of equine veterinary science    September 12, 2024   105194 doi: 10.1016/j.jevs.2024.105194
Caure S, Dendauw P, Thesee L, Villedey E, Malinvaud A, Cousty M, Prie V, Horan K, Weller R.There is a paucity of scientific data on the effect of shoeing on equine neck and back kinematics during locomotion over commonly used sand training surfaces. A better appreciation of how alterations at hoof-ground interface influence equine upper body movements is relevant for improving horse's health and performance. Our objectives were to determine the effects of different shoeing conditions on equine neck and back kinematics at walk and trot in straight line over sand. Two-dimensional kinematic video analysis was performed under seven shoeing conditions: front feet shod with aluminum shoes...
Characteristics of equestrian accidents and injuries leading to permanent medical impairment.
BMC sports science, medicine & rehabilitation    September 4, 2024   Volume 16, Issue 1 184 doi: 10.1186/s13102-024-00973-8
Stigson H, Klingegård M.Equestrian sports, also referred to as equestrianism, is practiced all over the world and a popular leisure activity in Sweden. Equestrianism is the country's second-largest youth sport, and previous studies indicate that accidents are common in equestrianism. However, few previous studies have examined acute equestrian injuries leading to permanent medical impairment (PMI). Methods: By using nationwide insurance data comprising all injured equestrians registered in the Swedish Equestrian Federation, the aim was to analyse characteristics of equestrian accidents and particularly injuries leadi...