Pain

Daglish, Jodie; Mama, Khursheed R.

doi:10.1016/j.cveq.2015.12.005

Cited by 14 publications

(5 citation statements)

References 78 publications

(85 reference statements)

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“…A narrative review on rehabilitation assessment and interventions described exercise as one of the most frequently used interventions [ 33 ]. It described essentially the same dynamic mobilization, core training, and balancing exercises as the previous review [ 32 ] and also recommended exercise at different gaits and speeds, spiraling in and out on circles, changes of gait and speed, use of gradients to selectively load hind or forelimbs, jumping, poles, and unstable footing.…”

Section: Resultsmentioning

confidence: 99%

Equine Rehabilitation: A Scoping Review of the Literature

Atalaia

Prazeres

Abrantes

et al. 2021

Animals

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Injuries to the locomotor system are a common problem in athletic horses. Veterinarians address these injuries using appropriate medical, surgical, and pharmacological treatments. During or after recovery from the initial injury, horses may be treated for functional locomotor deficits using specific rehabilitation techniques aimed at restoring full athletic performance. This study reviews the literature to identify which rehabilitative techniques have been used most frequently in horses over the past 20 years, the protocols that were used, and the outcomes of the treatments in naturally occurring injuries and diseases. Publications were identified using keyword selection (Equine Athlete OR Equine OR Horse) AND (Rehabilitation OR Physiotherapy OR Physical Therapy). After removing duplicates and screening papers for suitability, 49 manuscripts were included in the study. The majority of publications that met the inclusion criteria were narrative reviews (49%) in which the authors cited the relatively small number of published evidence-based studies supplemented by personal experience. Observational/descriptive studies were also popular (35%). Randomized control trials accounted for only 10%. The most frequently reported rehabilitation techniques were exercise, electrotherapy, and hydrotherapy. The findings highlight the need for further information regarding type of intervention, parameterization, and outcomes of equine rehabilitation in clinical practice.

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Section: Resultsmentioning

confidence: 99%

Equine Rehabilitation: A Scoping Review of the Literature

Atalaia

Prazeres

Abrantes

et al. 2021

Animals

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“…Atrophy of the paravertebral muscles is consistently related to back-pain in the opinion of veterinarians (according to 79% of respondents to the last survey) since it reflects a reduced function, providing information on the presence of pain and underlying lesions [ 19 ]. The role of epaxial muscles in the spinal stabilization and stiffen has been analyzed in several studies in the last decade [ 2 , 3 , 20 , 21 ] and secondary atrophy of longissimus dorsi and multifidus muscles has been described in horses suffering from pain localized to thoracolumbar region [ 9 , 20 , 22 , 23 ]. Therefore, in respondents' experience, the evaluation of the muscular system could be highly suggestive of spinal pathology.…”

Section: Discussionmentioning

confidence: 99%

“…Manual therapies have been applied to horses treating musculoskeletal diseases [ 7 , 35 , 40 , 41 ]. Osteopathic manipulations [ 21 ], kinesiotherapy and acupuncture [ 42 ] are perceived as good auxiliary treatments by our respondents. Despite the efficacy of extracorporeal shock wave therapy relieving deep muscular pain at the level of the back has been demonstrated [ 43 ] our study suggests its perceived efficacy by equine clinician is still moderate.…”

Section: Discussionmentioning

confidence: 99%

Two Multicenter Surveys on Equine Back-Pain 10 Years a Part

Riccio¹,

Fraschetto

Villanueva

et al. 2018

Front. Vet. Sci.

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Despite back-pain being a common cause of poor performance in sport horses, a tailored diagnostic workflow and a consolidated therapeutic approach are currently lacking in equine medicine. The aim of the study was to assess the evolution in the veterinarian approach to diagnose and treat back-pain over a 10 years period. To investigate this topic, two surveys were addressed to equine veterinarians working in practice throughout Europe 10 years apart (2006 and 2016). The answers were organized in an Excel dataset and analyzed. There were 47 respondents in 2006 and 168 in 2016, from 8 European Countries. The main reasons for examining horses with back-pain were poor performance (76%), behavioral issues (68%), and lameness (50%). When assessing back pain, 97% of respondents applied careful digital pressure over paravertebral muscles, 90% of them used digital back mobilization, and 69% was detecting areas of localized heat. The use of diagnostic analgesia to confirm the source of pain was rarely employed. Radiography and ultrasonography were the most frequent diagnostic imaging modalities used to investigate the causes of back-pain in both surveys. Obtaining a definitive diagnosis in horses with back-pain is considered challenging due to the reduced accessibility of the area and the variability in the pain manifestations. Corticosteroids injections were used for local treatments by 80% of respondents in 2006 and 92% in 2016. Recently, ultrasonography has been extensively used during the injections of the vertebral articular facets and sacroiliac joints region. The use of complementary therapies was restricted to a low percentage of respondents in the first survey (20%) but it increased over the decade. In 2016, a wider percentage of respondents considered osteopathy (40%), kinesiotherapy (29%), and acupuncture (22%) when treating back disorders compared to 2006. The structural differences of the two surveys did not enable a direct data comparison. Based on the results of this surveys, however, veterinarians should be sensitized to the back-pain problems and seek to integrate findings from clinical research studies in their daily practice.

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“…Die druckalgometrische Untersuchung ist grundsätzlich keine sehr präzise Untersuchung, da beispielsweise Gewöhnungseffekte eintreten und die Reaktionen der Pferde auf das Algometer sehr von der momentanen Gemütslage abhängen 24 . Dennoch kann die Beurteilung der nozizeptiven Schwelle in Kombination mit weiteren klinischen Untersuchungen im Verlauf der Rehabilitation hilfreich sein, um den Fortschritt beurteilen zu können 25 .…”

Section: Trainingunclassified

“…Eine erfolgreiche Rehabilitation setzt eine akkurate Diagnose voraus, um darauf abgestimmte Rehabilitationsmaßnahmen wie beispielsweise Training, Kryotherapie und manuelle Therapien auszuwählen 39 . Es wird empfohlen, dass mit der Rehabilitation, also der Wiederherstellung der körperlichen Funktion, bereits in den ersten Tagen nach der initialen Therapie begonnen wird 25 . Tierärztinnen und Tierärzte sind dazu angehalten, eng mit entsprechend geschulten Therapeutinnen und Therapeuten zusammenzuarbeiten und ein individuelles Programm für jedes betroffene Pferd zu entwickeln 114 .…”

Section: Fazitunclassified