rehabilitating the lame horse (stubbs)

My Horse University and eXtension’s HorseQuest welcome you to this live Webcast.

REHABILITATING THELAME HORSE

Narelle StubbsB.Sc(PT), M.AnimSt (Veterinary Physiotherapy), PhD candidate

McPhail Equine Performance CenterMichigan State University

MEET OUR PRESENTER:

Narelle StubbsMcPhail Equine Performance Center

Michigan State University

Facilitator NameMichigan State University

Question facilitator: Dr Ann Rashmir

Nicole Rombach

• Rehabilitation and Physical Therapy• Assessment and treatment techniques• Research• Exercises• Performance Enhancement• Principles of Conditioning

KEEPING YOUR HORSE “FUNCTIONALLY” SOUND

Muscle imbalancesBiceps Femoris

Sport specific injuries

SPORT HORSES: NEVER INJURY FREE! MANAGEMENT +++++++++

Osteoarthritis DJDMuscle trauma

TEAM WORK= SOUNDNESS

BEIJING OLYMPICS 2008

PHYSICAL THERAPY AND REHABILITATION• Human medical field – PT plays an essential role in all aspects

of medicine and sports: musculoskeletal, neurological, cardiopulmonary, pre-post surgery, acute care , injury prevention and performance– from paediatrics to geriatrics to elite athletes

• Advancements in veterinary medicine, surgery, orthopaedics and sport sciences have highlighted a need for these services and professionals trained in (veterinary) allied health including physiotherapy and rehabilitation

WHAT IS PHYSICAL THERAPY• PT’s provide a functional assessment to identify pain or

loss of function caused by a physical injury, disorder or disability

• Physiotherapeutic techniques are utilised to reduce pain, improve movement and restore normal muscle control for better motor performance and function

• Assessment-reassessment is essential during the treatment process and outcomes are measured objectively e.g. range of motion, muscle bulk or symmetry, pain scores, kinematic and kinetic analysis

• Veterinary patho-anatomical diagnosis is vital, along with medical management

THE HORSE-RIDER UNITThe AthleteSports Medicine

FUNCTIONAL ASSESSMENT-TREATMENT TECHNIQUES

MANUAL THERAPY

ELECTROTHERAPY

WARM DOWN AND CRYOTHERAPY

(COLD THERAPY)

Taping Rehabilitation and performance enhancement

•Conditioning the sport horse•Environmental factors•Tack•Sport specific training•Sport specific injury prevention

REHABILITATION AND SOUNDNESS

•Warm up•Cool down•Graduated exercise program•Evaluate your horse regularly

Soundness

REHABILITATION AND INJURY PREVENTIONPRINCIPLES OF CONDITIONING

DOMSDelayed onset muscle soreness

•Graduated work program•Weekend warrior syndrome•Cross training•Training v’s competition environment and climate

RESEARCH Equipment includes: •Motion Analysis system•Force plates (x6)•Noraxon EMG system•Pliance saddle pressure pad•Other customised equipment, such as rein tension sensors for making measurements of horses and riders

RESEARCH ON SADDLE FIT

Areas of interest are the effects of asymmetrical weight distribution of a rider, effects of locomotion at different gaits on saddle fit, and the comparison between different types of saddle pads

MOTION ANALYSIS

Canter Pirouette

canter pirouette top view slow.wmv

Motion Analysis and Force Plate Analysis

Active Exercise Therapy Methods in Treatment, Prevention and

Rehabilitation of Equine Spine- Related Disorders

To determine the effects on the kinetics and kinematics of the horses limbs, habituation, cross-over effects and interlimb coordination

The effect on proprioception and motion: Tactile stimulation of the pastern and coronet in the horse

NO JANGLES

JANGLES (55 GRAMS)

DYNAMIC STABILITYCore Muscle Exercises

Mobility, Stability, Strength=SOUNDNESS

Treatment Rehabilitation

Injury Prevention Performance Enhancement

Ballistic muscle activity versus preparatory, postural, dynamic stability muscle activity

The effect of box restAdvances in human sports medicine and training related to specific core exercises

THE HORSE’S CORE

• Neck muscles

• Hypaxial (abdominal

sublumbar muscles)

• Epaxial muscles

• Pelvic stabilizer muscles

DYNAMIC MOBILIZATION EXERCISESTo determine the range of spinal motion in different horses over time, muscle development of the back and abdomen over time, and the effect on conformation

•Motion analysis, still photography and real-time ultrasonography are used to measure these changes

Rehabilitation techniques

The effects of a 6-month physiotherapy exercise program on the mobility of the equine spine

MOBILITY AND STABILITY

Chin to Chest Chin to Knees Chin to Fetlocks

Mobilization with movement: nothing is forced

skull 1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 2 3 4 5 60

10

20

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90

Cervical

Degrees

Thoracic Lumbar

sacrum

Extension andFlexion (in vitro)

MOBILISATION-INDIVIDUAL VARIATION

LATERAL BENDING coupled with flexion and rotation

65

43

21

18

17

16

15

14

13

12

11

10

98

76

54

32

17

65

43

21

sku

ll0 10

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Cerv

ical

Deg

rees

Th

ora

cic

Lu

mb

ar s

acru

m

Motion analysis

MOBILITY

Magic lateral stretching 1 leg lifted top view.wmv

ULTRASONOGRAPHY

Long-term exercise program

Muscle development

Abdominal musclesBiceps FemorisDeep Epaxial muscles

External abdominal

oblique

Internal abdominal

oblique

Transversus abdominis Rectus

abdominis

Combined rounding responses

Thoracic Lumbar Pelvis

Core strengthening combined exercises

Balancing/stability exercises Destabilisation techniques: weight shifts

Pelvic stability: Biceps femoris

- EMG studies (unpublished)

MUSCLE FACILITATION TECHNIQUES

Rehabilitation after injury, prevent injury

and enhance performance

How these exercises affect

strength and stability

Rehabilitation and soundness=

happy horses and riders=

SUCCESS

QUESTIONS

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UPCOMING WEBCASTS

Equine Emergency First AidApril 20, 2010 | 7pm ET

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