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.
Knudsen O.The paper briefly describes the percutaneous tendon splitting operation as performed in general practice and evaluates its effectiveness on the basis of races run during a 2 year follow-up period. The results are compared with similar figures for normal Standardbred trotters. A higher percentage of horses subjected to splitting of the suspensory ligament failed to remain sound long enough to run more than 10 races during the follow-up period. The percentage of horses returning to racing whose superficial flexor was operated upon was somewhat lower than the control group.
Denny HR.Methods of treating fractures of the olecranon in the horse are reviewed. A further 4 cases are recorded in which the fracture was treated by open reduction and fixation with a heavy duty Venable's plate placed on the caudal aspect of the ulna. Three cases had an oblique fracture through the semilunar notch; this was complicated in one by a fracture of the lateral half of the radial head which resulted in subluxation of the radio-humeral joint. The fracture of the radial head was treated by open reduction and fixation with a lag screw. The fourth case had an oblique fracture of the olecranon j...
White NA, Wheat JD.Proximal tibial epiphyseal fractures in 2 foals were reduced and stabilized by expansion and compression between 2 transversely placed Steinman pins, one on each side of the fracture. A Charnley apparatus or turnbuckles placed between the pins on each side of the fracture provided the mechanical advantage for repositioning the fracture fragments and achieving rigid fixation during healing. A light cast was applied over the fixation apparatus, keeping the limb in an extended position. The cast and fixation apparatus were removed after 4 weeks. The technique allowed rapid healing and adequate am...
Turner AS, Gabel AA.Avulsion fractures of the posteromedial eminence of the 2nd phalanx were repaired, using an ASIF cortex screw in 3 reining Quarter Horses. Within 9 and 11 months, respectively, 2 horses were sound and back in competition as reining horses. The other horse was sound for pleasure class showing at 7 months after surgery.
Jeffcott LB, Hickman J.This paper describes the surgical treatment of 14 horses exhibiting chronic back pain attributed to impaction and overriding of the dorsal spines in the thoracolumbar region. The technique involved the resection of the summits of one or more dorsal spines following midline division of the supraspinous ligament. All the horses returned to full work after a convalescent period of at least four months, and 12 of them showed considerable improvement in their form and performance. A post-surgical complication encountered in one case was the development of new bone on the edge of a resected spine. T...
Dordel HJ.Since November 1973 a riding course has been carried out with six blind adults. Due to the instructional methods the participants were able to ride independently, without an attendant, after only 30 hours. The effects of riding on the blind encompass coordination training and development of muscle strength. Furthermore, riding has a pronounced influence on the circulatory system. This attractive reaction activity provides the person who, as a result of his specific handicapping condition is limited in both the spatial and social fields, with an expansion of his living space and sphere of exper...
Evans JH, Barbenel JC.Tendon normally fulfills its primary role as a flexible force transmitting element very effectively and yet failure of this passive tissue leads to great disability. As a connective tissue its structure is relatively simple and the peculiar helical arrangement of collagen fibres confers highly non-linear as well as time-dependent mechanical properties. Functional significance cannot be attributed to any facet of mechanical response until the physiological pattern of loading is established. In particular the rate of deformation and the minimum force experienced by tendon in normal locomotion ha...
Cheney JA, Liou SY, Wheat JD.Abstract
The high incidence of lameness in thoroughbred racehorses in California led to a study which indicated a relationship between track hardness and the percentage of occurrence of lameness. One type of lameness is due to a longitudinal fracture of the foreleg cannon bone (third metacarpal). A study was made to obtain the compressive strength of cannon bonein vitro due to single and cyclical loading, and material properties of bone material in the longitudinal and transverse directions in the bone. A theory for the interaction of bone-marrow fluid with the longitudinal compression predic...
Hanie EA, Sullins KE, White NA.The results of 31 intracortical dorsal metacarpal stress fractures in 28 horses following unicortical osteostixis were reviewed. The incidence was predominately in the middle third of the lateral aspect of the left metacarpus, and males were affected more commonly. Approximately half of the surgical procedures were performed with the horse in the standing position. The mean times to return to training and racing were 4.25 and 6.9 months respectively. There was no correlation between time taken to return to racing and position of surgery. Complications experienced included lack of suture remova...
Dutton DM, Honnas CM, Watkins JP.To determine the outcome of horses with suprascapular nerve injury treated with stall rest alone. Methods: Retrospective case series. Methods: 8 horses. Methods: Information on signalment, history, limbs affected, severity of lameness, degree of muscle atrophy, gait abnormalities, and results of radiography and electromyography was obtained from medical records. All horses were treated with stall rest. Follow-up information on severity of lameness, gait abnormalities, degree of muscle atrophy, time between injury and resolution of gait abnormalities, and outcome was obtained during reexaminati...
Godoy VM, Oliveira NFOE, Paretsis NF, Silva SCD, Souza AF, De Zoppa ALDV, Corrêa RR.This report describes the combination of two surgical fracture repair techniques and the postoperative management of a mandibular diastemal fracture in a two-year-old mare. The mare was referred to a veterinary hospital with a laceration over the body of the right mandible. Radiographic assessment revealed two mesial fracture lines involving the second premolar tooth and a ventrally displaced bone fragment. The mare was treated under general anesthesia and the fracture was corrected using open reduction and plate fixation. A 3.5 mm narrow 15-hole locking compression plate with seven locking ...
Wood AK, Sehgal CM, Reef VB.In a feasability study, a technique for constructing 3-dimensional sonographic images of the superficial digital flexor tendon (SDFT) was established in 6 clinically normal horses and applied to 7 horses with injured SDFT. Two-dimensional B-mode sonographic images were recorded on videotape as the sonographic transducer was manually moved along the palmar aspect of the metacarpal region. Selected videofields were digitized, and 3-dimensional images were constructed, using a computer work station and dedicated software program. The 3-dimensional images were of high quality and presented qualita...
Ratcliffe TOC, Robinson P, Rosanowski SM.To evaluate and compare the prognosis for Thoroughbred racehorses to return to galloping and racing with injuries to the palmaroproximal metacarpus diagnosed with MRI. Methods: 29 flat racing Thoroughbreds at the Hong Kong Jockey Club that underwent MRI between 2014 and 2022. Methods: Clinical, radiographic, ultrasonographic, and MRI reports were collected from veterinary clinical records, and these were combined with training and racing data. Horses were categorized on the basis of MRI diagnosis: (1) proximal suspensory ligament (PSL) involvement only, (2) PSL and concurrent proximal third me...
Ruff JH, Tufts S, Robertson J, Horne C, Schnabel LV, Jacobs C.To compare palpation and ultrasound scores of effusion of the medial femorotibial and femoropatellar joints of horses. Methods: 40 horses (80 stifles) were evaluated over a 12-week period. Methods: Horses > 1 year of age without history of stifle disease were enrolled from September to December 2022. Palpation of right and left medial femorotibial and femoropatellar joint compartments was performed. Amount of effusion was scored by a board-certified large animal surgeon, a third-year large animal surgery resident, and an equine sports medicine intern. Effusion of right and left medial femoroti...
Qin Z, Guo Z, Wang J.This study aimed to evaluate the impact of three equine therapy approaches on gross motor function in children with cerebral palsy. Unassigned: The studies were retrieved from PubMed, Web of Science, Science Direct, and the Cochrane Library, in accordance with the style commonly found in scientific journal publications:(1) peer-reviewed articles written in English; (2) experimental or quasi-experimental; (3) three Equine Therapy Interventions as experiment's independent variable; (4) children with cerebral palsy; and (5) measurement of outcomes related to Gross Motor Function. Unassigned: The ...
van Veggel ECS, Vanderperren K, Selberg KT, Bergman HJ, Hoogelander B.This study evaluates the change in an MRI of the proximal metacarpal region in a group of sport horses that returned to work. This retrospective analysis evaluated 18 limbs represented by 17 horses. Results: The hyperintense signal within the dorsal collagenous part of the proximal suspensory ligament (PSL) on T1W/T2*W GRE sequences decreased or stayed the same in the majority of cases. The hyperintense STIR signal within the dorsal collagenous part of the PSL resolved in the majority of the patients, and the third metacarpal bone (McIII) hyperintense STIR signal resolved in all patients. The ...
Jobst ID, Zsoldos RR, Licka TF.Equine physiotherapy commonly includes basic exercises such as walking backward (BW) and voluntary lifting of single limbs (SLL), but trunk movements during these have not been studied. In order to compare the trunk kinematics during BW and SLL with forward walking (FW), nine horses were measured in FW, BW and during SLL triggered by tactile cue. Kinematics were obtained from skin markers captured by ten high-speed video cameras. Trunk angles were calculated in sagittal and horizontal planes from withers, dorsal to spinous processes of the 16th thoracic vertebra (T16), 2nd and 4th sacral verte...
Puccetti M, Pilati N, Beccati F, Denoix JM.To describe the clinical diagnosis, ultrasound findings, and outcome of 11 endurance horses with injuries to the serratus ventralis thoracis (SVT) or serratus ventralis cervicis (SVC) muscle. Methods: 11 endurance horses competing in medium- to high-level competitions and presenting with lameness caused by injuries to the SVT or SVC muscle, as confirmed by ultrasonography. Methods: Physical examinations revealed swelling caudal to the shoulder region associated with dorsocranial displacement of the scapula and edema of the ventral thorax for horses with SVT injuries. Swelling cranial to the sc...
Giusto G, Gandini M.The return to performance after colic surgery is crucial for competition horses. While studies have investigated racehorse performance following colic surgery by analysing racing participation and earnings, this approach does not apply to showjumping horses, leaving a gap in the literature regarding their objective performance evaluation. Objective: To assess the short- and long-term survival and return to performance in showjumping horses after colic surgery. Methods: Retrospective case series. Methods: Medical records of horses with acute colic requiring surgical treatment were analysed, and...
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...
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...
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...
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...
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...
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.
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...
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, ...
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...
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...
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...
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...
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...
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...
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...
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...
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...
Pluim M, Frippiat T.Polyacrylamide gel is increasingly used in equine veterinary medicine for osteoarthritis and other joint disorders. This study aimed to document the indications, treatment protocols, rehabilitation plans, outcomes, and satisfaction with intra-articular polyacrylamide gel in horses, as reported by equine veterinarians. An online questionnaire was distributed to practitioners through the European and American Colleges of Veterinary Sports Medicine and Rehabilitation mailing lists, social media, and direct contact. Of 197 respondents, 160 completed the survey, forming the basis for the descriptiv...
Quam V.Inflammation plays a role in acute and chronic equine tendon/ligament injury; anti-inflammatories are often indicated. Local corticosteroids provide consistent and profound short-term effects on pain and inflammation across species. However, there is no demonstrated benefit in the long term, and complications can occur. Alternative biologic anti-inflammatory treatments are available and should be used in horses at risk of complications. Nonetheless, corticosteroids remain an affordable and effective anti-inflammatory that, with continued research, may be indicated on a case-by-case basis as pa...
