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Animals : an open access journal from MDPI2020; 10(2); doi: 10.3390/ani10020203

Generation of Domains for the Equine Musculoskeletal Rehabilitation Outcome Score: Development by Expert Consensus.

Abstract: Outcome measures (OMs) are a requirement of professional practice standards in human and canine physiotherapy practice for measurement of health status. Measures such as pain and functional capacity of specific regions are used to track treatment impact and can be used to develop optimal management strategies. To achieve comparable patient care in equine physiotherapy, OMs must be incorporated into practice; however, no reliable and valid OMs exist for equine rehabilitation. This study utilised the experience and opinion of a panel of experts working in the equine rehabilitation sphere to gain consensus on the core areas (domains) to be included in a model, to lead to an OM scale for horses undergoing rehabilitation. The Delphi method and content validity ratio testing was used to determine agreement with domains reaching the critical value required for inclusion. The expert panel agreed on ten domains to be included in the OM scale: lameness, pain at rest, pain during exercise, behaviour during exercise, muscular symmetry, performance/functional capacity, behaviour at rest, palpation, balance and proprioception. An OM with these domains would provide a holistic objective assessment tool which could be used by equine rehabilitation professionals in clinical practice.
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Publication Date: 2020-01-25 PubMed ID: 31991716PubMed Central: PMC7070405DOI: 10.3390/ani10020203Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The researchers in this study seek to develop a reliable system, guided by expert consensus, for measuring the outcomes of equine rehabilitation. This system is necessary for ensuring consistent and optimized care in equine physiotherapy.

Research Context

  • Outcome measures (OMs) are standards used in human and canine physiotherapy to assess aspects like pain and functioning capacity. These indicators offer insights into the effectiveness of treatments and can guide the development of improved care strategies.
  • Despite their importance in other physiotherapy fields, there is currently no valid and reliable OM for equine rehab.
  • This study aims to develop such an OM by leveraging the expertise and opinions of professionals in the equine rehabilitation field.

Research Methodology

  • A panel of experts was assembled for this research, composed of individuals with significant experience in equine rehabilitation.
  • The researchers used the Delphi method, an iterative survey technique designed to achieve expert consensus, to agree on the primary areas (or “domains”) of focus for an equine OM.
  • To ensure that each domain was not only agreed upon but also substantive, content validity ratio testing was used. This statistical test helps determine whether each domain reached the level of agreement required for inclusion in the model.

Research Findings

  • The expert panel settled on ten domains to be included in the equine OM. These were lameness, pain at rest, pain during exercise, behaviour during exercise, muscular symmetry, performance/functional capacity, behaviour at rest, palpation, balance and proprioception.
  • These domains collectively provide a comprehensive tool for assessing rehabilitation outcomes in horses.
  • Once developed and implemented, this system can enhance the quality of care in equine physiotherapy by promoting more objective and measurable therapy outcomes.

Cite This Article

APA
Tabor G, Nankervis K, Fernandes J, Williams J. (2020). Generation of Domains for the Equine Musculoskeletal Rehabilitation Outcome Score: Development by Expert Consensus. Animals (Basel), 10(2). https://doi.org/10.3390/ani10020203

Publication

Animals : an open access journal from MDPI
ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 10
Issue: 2

Researcher Affiliations

Tabor, Gillian
  • Equestrian Performance Research Group, Hartpury University.
Nankervis, Kathryn
  • Equestrian Performance Research Group, Hartpury University.
Fernandes, John
  • Equestrian Performance Research Group, Hartpury University.
Williams, Jane
  • Equestrian Performance Research Group, Hartpury University.

Conflict of Interest Statement

The authors declare no conflict of interest.

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This article has been cited 5 times.
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