Effects of Low-Level Laser Therapy and Chiropractic Care on Back Pain in Quarter Horses.
Abstract: Low-level laser therapy has been used clinically to treat musculoskeletal pain; however, there is limited evidence available to support its use in treating back pain in horses. The objective of this study was to evaluate the clinical effectiveness of low-level laser therapy and chiropractic care in treating thoracolumbar pain in competitive western performance horses. The subjects included 61 Quarter Horses actively involved in national western performance competitions judged to have back pain. A randomized, clinical trial was conducted by assigning affected horses to either laser therapy, chiropractic, or combined laser and chiropractic treatment groups. Outcome parameters included a visual analog scale (VAS) of perceived back pain and dysfunction and detailed spinal examinations evaluating pain, muscle tone, and stiffness. Mechanical nociceptive thresholds were measured along the dorsal trunk and values were compared before and after treatment. Repeated measures with post-hoc analysis were used to assess treatment group differences. Low-level laser therapy, as applied in this study, produced significant reductions in back pain, epaxial muscle hypertonicity, and trunk stiffness. Combined laser therapy and chiropractic care produced similar reductions, with additional significant decreases in the severity of epaxial muscle hypertonicity and trunk stiffness. Chiropractic treatment by itself did not produce any significant changes in back pain, muscle hypertonicity, or trunk stiffness; however, there were improvements in trunk and pelvic flexion reflexes. The combination of laser therapy and chiropractic care seemed to provide additive effects in treating back pain and trunk stiffness that were not present with chiropractic treatment alone. The results of this study support the concept that a multimodal approach of laser therapy and chiropractic care is beneficial in treating back pain in horses involved in active competition.
Copyright © 2019 Elsevier Inc. All rights reserved.
Publication Date: 2019-12-10 PubMed ID: 32067657DOI: 10.1016/j.jevs.2019.102891Google Scholar: Lookup
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- Journal Article
- Randomized Controlled Trial
- Veterinary
- Research Support
- Non-U.S. Gov't
Summary
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This research paper investigates the effectiveness of low-level laser therapy and chiropractic care in treating back pain in highly active competitive horses. It finds that both treatments can decrease back pain and stiffness, and when used together they have complimentary effects.
Research objective and study design
- The researchers aimed to scrutinize the clinical effect of low-level laser therapy and chiropractic treatment in relieving thoracolumbar pain in competitive western performance horses. There were doubts about sufficient evidence supporting the use of laser therapy in this context, which led to this investigation.
- A randomized clinical trial was undertaken involving 61 Quarter Horses actively participating in national western performance competitions who were experiencing back pain. They were randomly assigned to either laser therapy, chiropractic, or a combination of both treatment groups.
Study parameters and methods
- Several outcome parameters were used to measure the effects of the treatments. These included a standard visual analog scale (VAS) of perceived back pain and dysfunction, comprehensive spinal examinations assessing pain, muscle tone, and stiffness, and mechanical nociceptive thresholds along the horse’s dorsal trunk. The nociceptive threshold measurements helped determine changes in the horse’s sensitivity to pain before and after treatment.
- Repeated measures with post-hoc analysis were employed to discern differences across treatment groups.
Findings and outcomes
- Low-level laser therapy noticeably decreased back pain, stiffness, and epaxial muscle hypertonicity which refers to excessive tension in the lower back muscles. Moreover, the combined chiropractic and laser therapy treatment also produced similar reductions in pain and stiffness with additional significant decreases in the severity of epaxial muscle hypertonicity.
- Chiropractic treatment alone didn’t result in significant changes in back pain, muscle hypertonicity, or trunk stiffness. Yet, it improved trunk and pelvic flexion reflexes. Flexion reflexes are automatic responses away from potentially harmful stimuli.
- When laser therapy and chiropractic care were employed in conjunction, they offered additional effects in treating back pain and trunk stiffness which were not found with chiropractic treatment by itself.
Summary and conclusion
- This study provides support for the notion that using a combined approach of low-level laser therapy and chiropractic care can be advantageous in addressing back pain in actively competing horses.
- The trial’s outcomes could help veterinarians and trainers in deciding suitable treatment modalities for horses with back pain, thus influencing their overall performance and welfare.
Cite This Article
APA
Haussler KK, Manchon PT, Donnell JR, Frisbie DD.
(2019).
Effects of Low-Level Laser Therapy and Chiropractic Care on Back Pain in Quarter Horses.
J Equine Vet Sci, 86, 102891.
https://doi.org/10.1016/j.jevs.2019.102891 Publication
Researcher Affiliations
- Gail Holmes Equine Orthopaedic Research Center, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO. Electronic address: Kevin.Haussler@colostate.edu.
- Scone Equine Hospital, New South Wales, Australia.
- Equine Sports Medicine, LLC, Pilot Point, TX.
- Gail Holmes Equine Orthopaedic Research Center, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO; Equine Sports Medicine, LLC, Pilot Point, TX.
MeSH Terms
- Animals
- Back Pain / therapy
- Back Pain / veterinary
- Chiropractic
- Horse Diseases / radiotherapy
- Horses
- Low Back Pain / veterinary
- Low-Level Light Therapy / veterinary
- Manipulation, Chiropractic / veterinary
Citations
This article has been cited 8 times.- Pilati N, Pressanto MC, Palumbo Piccionello A, De Angelis Corvi F, Beccati F. Impinging and Overriding Spinous Processes in Horses: A Narrative Review. Animals (Basel) 2025 Sep 13;15(18).
- Patricio CR, Winter GHZ, Garbade P. Spinal articular dysfunction is common in athletic horses. Equine Vet J 2025 Sep;57(5):1357-1362.
- Zielińska P, Soroko-Dubrovina M, Dudek K, Ruzhanova-Gospodinova IS. A Preliminary Study of the Influence of High Intensity Laser Therapy (HILT) on Skin Surface Temperature and Longissimus Dorsi Muscle Tone Changes in Thoroughbred Racehorses with Back Pain. Animals (Basel) 2023 Feb 22;13(5).
- Millis DL, Bergh A. A Systematic Literature Review of Complementary and Alternative Veterinary Medicine: Laser Therapy. Animals (Basel) 2023 Feb 14;13(4).
- Zielińska P, Soroko-Dubrovina M, Śniegucka K, Dudek K, Čebulj-Kadunc N. Effects of High-Intensity Laser Therapy (HILT) on Skin Surface Temperature and Vein Diameter in Healthy Racehorses with Clipped and Non-Clipped Coat. Animals (Basel) 2023 Jan 6;13(2).
- Maldonado MD, Parkinson SD, Story MR, Haussler KK. The Effect of Chiropractic Treatment on Limb Lameness and Concurrent Axial Skeleton Pain and Dysfunction in Horses. Animals (Basel) 2022 Oct 19;12(20).
- Haussler KK, Hesbach AL, Romano L, Goff L, Bergh A. A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine. Animals (Basel) 2021 Sep 24;11(10).
- Haussler KK. Pressure Algometry for the Detection of Mechanical Nociceptive Thresholds in Horses. Animals (Basel) 2020 Nov 24;10(12).
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