Therapeutic Modalities Employed to Restore Reduced Cervicospinal Range of Movement in Horses and Their Limitations
DOI:
https://doi.org/10.12970/2310-0796.2020.08.01Keywords:
Horse, cervical spine, mobilisation, physiotherapy, ROM.Abstract
The importance of establishing and maintaining full or normal range of movement in articulated joints for both athletic endeavours and a general health viewpoint had been recognised for some time. Specific therapeutic modalities had been established with the aim of both restoring joint range of movement where reductions were recognised and maintaining range following in particular orthopaedic procedures. At the same time barriers to restoring range such as pain, patient anxiety and anatomic mass in larger species had been recognised. Horse’s with longer term, more severe reductions in range were also more difficult to mobilise. It was then important to select treatment modalities that were appropriate for these variations in presentation. Longer standing loss of range of movement with associated severe stiffness in lower cervical and upper thoracic vertebral joint complexes of equids, was a presentation which was best treated with cervical vertebral mobilisation under anaesthetic. Post treatment standing and ridden flexion exercises were advised to assist in maintaining newly acquired range.
References
Salter RB, Simmonds DF, Malcolm BW, Rumble EJ, MacMichael D, Clements MD. The biological effect of continuous passive motion on the healing of full-thickness defects in articular cartilage. J Bone Joint Surg 1980; 62(8): 1232-51. https://doi.org/10.2106/00004623-198062080-00002
Salter RB. The biological concept of continuous passive motion of synovial joints. The first 18 years of basic research and its clinical application. Clin Orthop Relat Res 1989; 242: 12-25. https://doi.org/10.1097/00003086-198905000-00003
Vanwanseele B, Lucchinetti E, Stussi E. The effects of immobilization on the characteristics of articular cartilage: current concepts and future directions. Osteoarthritis and Cartilage 2002; 10(5): 408-419. https://doi.org/10.1053/joca.2002.0529
Haussler KK. Review of manual therapy techniques in equine practice. Equine Vet Sci 2009; 29(12): 849-869. https://doi.org/10.1016/j.jevs.2009.10.018
Colles CM, Nevin A, Brooks J. The osteopathic treatment of somatic dysfunction causing gait abnormality in 51 horses. Equine Vet J 2014; 26(3): 148-155. https://doi.org/10.1111/eve.12122
Riccio B, Fraschetto C, Villanueva J, Cantatore F, Bertuglia A. Two Multicenter Surveys on Equine Back-Pain 10 Years a Part. Front Vet Sci 2018; 5: 195. https://doi.org/10.3389/fvets.2018.00195
Gomez Alvarez CB, L’ami JJ, Moffat D, Back W, Van Weeren PR. Effect of chiropractic manipulations on the kinematics of back and limbs in horses with clinically diagnosed back problems. Equine Vet J 2008; 40(2): 153-159. https://doi.org/10.2746/042516408X250292
Haussler K. Joint Mobilization of the Cervical Region. In Proc. AAEP 360 Pain in the Neck (Fort Collins, CO) 2016; 24-26.
Ahern TJ. Cervical vertebral mobilisation under anaesthetic (CVMUA) a physical therapy for the treatment of cervicospinal pain and stiffness. J Equine Vet Sci 1994; 14(10): 540-545. https://doi.org/10.1016/S0737-0806(06)81638-2
Ahern T. Physiotherapy for animals. In : Maitland’s Vertebral Manipulation. Melbourne: Butterworth Heinemann 2001; pp. 428-33.
Clayton HM, Kaiser LJ, Lavagnino M, Stubbs NC. Dynamic mobilisations in cervical flexion: Effects on intervertebral angulations. Equine Vet J Suppl 2010; 38: 688-94. https://doi.org/10.1111/j.2042-3306.2010.00196.x
Ahern TJ. Laminar corial hyperaesthesia in chronic forelimb lameness. J Equine Vet Sci 1995; 15(11): 460-463. https://doi.org/10.1016/S0737-0806(06)81811-3
Ahern T. Equine veterinarian and researcher. Horse neck mobilisation. 2005. http://www.drtomahern.com/Dr_Tom_ Ahern.com/Videos.html
Ahern TJ. Pain of spinal origin (PSO). Centaur 1992; IX: 6- 17.
Sleutjens J, Cooley J, Sampson S, Wijnberg I, Back W, van der Kolk J, Swiderski C. The Equine Cervical Spine: Comparing MRI and Contrast‐Enhanced CT Images with Anatomic Slices in the Sagittal, Dorsal and Transverse Plane. Eq Vet J 2014; 46: 74-84. https://doi.org/10.1111/evj.12267_146
Veraa S, Bergmann W, Weijnberg ID, Back W, Vernooij H, Nielen M, van den Belt AM. Equine cervical intervertebral disc degeneration is associated with location and MRI features. Vet Radio Ultrasound 2019; 60(6): 696706. https://doi.org/10.1111/vru.12794
Haussler KK, Pool RR, Clayton HM. Characterization of bony changes localized to the cervical articular processes in a mixed population of horses. PLOS ONE 2019; 14: e0222989. https://doi.org/10.1371/journal.pone.0222989
VanderBroek A, Stubbs NC, Clayton HM. Osseous pathology of the synovial intervertebral articulations in the equine thoracolumbar spine. J Equine Vet Sci 2016; 44: 67-73. https://doi.org/10.1016/j.jevs.2016.05.015
Veraa S, Bergmann W, Wijnberg ID, Back W, Vernooij H, Nielen M, van den Belt AM. Equine cervical intervertebral disc degeneration is associated with location and MRI features. Veterinary Radiology and Ultrasound 2019; 60(6): 696-706. https://doi.org/10.1111/vru.12794
Bergmann W, Bergknut N, Veraa S, Gröne A, Vernooij H, Wijnberg ID, Back W, Grinwis GCM. Intervertebral Disc Degeneration in Warmblood Horses: Morphology, Grading, and Distribution of Lesions. Vet Pathol 2018; 55(3): 442-452. https://doi.org/10.1177/0300985817747950
Dyson S, Busoni V, Salciccia A. Intervertebral disc disease of the cervical and cranial thoracic vertebrae in equidae: eight cases. Equine Vet Edu 2019. https://doi.org/10.1111/eve.13125