Routine equine physiotherapy

Tabor, Gillian

doi:10.1111/eve.12940

Cited by 6 publications

(8 citation statements)

References 20 publications

(18 reference statements)

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“…Gait analysis by eye is a quick and inexpensive outcome measure but with low reliability due to subjective inter-and intraclinician variability. 23 The human eye is very good at identifying patterns from innately variable repetitive events. Rewatching a recorded motion maximises pattern recognition of subtle gait changes, therefore reducing variability between practitioners.…”

Section: Discussionmentioning

confidence: 99%

“…Gait analysis by eye is a quick and inexpensive outcome measure but with low reliability due to subjective inter‐ and intraclinician variability 23 . The human eye is very good at identifying patterns from innately variable repetitive events.…”

Section: Discussionmentioning

confidence: 99%

“…Tabor et al 5 The use of outcome measures in equine rehabilitation Tabor et al 5 Generation of domains for the equine musculoskeletal rehabilitation outcome score: development by expert consensus Tabor et al 16 Routine equine physiotherapy Tabor 23 Physiotherapy optimising result Tanner et al 10 Evaluation of construct and criterion validity for the 'Liverpool Osteoarthritis in Dogs' clinical metrology instrument and comparison to two other instruments Walton et al 14 Biomechanics of rehabilitation (rehabilitation and physical therapy) Weigel et al 28…”

Section: Papermentioning

confidence: 99%

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Reporting outcome measures in veterinary physiotherapy with particular reference to the treatment of canine and equine joint cases in the UK

Brookes,

Payne,

Lea

2024

Veterinary Record

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BackgroundOutcome measures are extensively used within human physiotherapy, but a widely accepted issue in veterinary physiotherapy is that outcome measures lack sufficient evaluation and standardisation in terms of how they are implemented. This cross‐sectional study aimed to provide clarity on (1) the current selection of outcome measures in canine and equine physiotherapy and (2) investigate external influences on outcome measure selection, including comparative literature availability, professional memberships and background.MethodsA structured scoping literature review consolidated current understanding and limitations. This informed a survey of qualified veterinary physiotherapists (n = 40). The statistical analysis comprised descriptive statistics.ResultsKey observations included (1) a lack of difference in outcome measure application between veterinary physiotherapists with and without a human physiotherapy background, (2) enhanced outcome measure utilisation by registry body members and (3) an overall skew towards subjective, rather than objective, outcome measure use.LimitationsThe study was limited by the absence of a defined veterinary physiotherapist population and subsequent convenience sample size.ConclusionThe apparent skew towards subjective outcome measures highlights objective outcome measure underutilisation and the need for a more extensive evidence base. In conclusion, there is a need to develop comprehensive professional development resources promoting the use of repeatable outcome measures such as goniometers and the Liverpool osteoarthritis scoring.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Papermentioning

confidence: 99%

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Reporting outcome measures in veterinary physiotherapy with particular reference to the treatment of canine and equine joint cases in the UK

Brookes,

Payne,

Lea

2024

Veterinary Record

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“…In case CAVM treatment is performed, effective communication between owner, veterinarian and therapist is crucial. For more evidence‐based modalities, such as physiotherapy, effective communication between all parties has been put forward as a fundamental, important component of health care in horses 20 …”

Section: Discussionmentioning

confidence: 99%

Flemish equine veterinarians' perceptions on the use of and client communication about complementary and alternative veterinary medicine

Keller,

Hudders,

Decloedt

2023

Equine Veterinary Journal

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BackgroundComplementary and alternative veterinary medicine (CAVM) is increasingly popular in horses. As CAVM usage could have risks, client–veterinarian communication about CAVM is crucial.ObjectivesEvaluating equine veterinarians' attitude towards CAVM, their CAVM usage and veterinarian–client communication about CAVM.Study designCross‐sectional study.MethodA telephone survey was conducted among equine veterinarians providing ambulatory care on a daily or weekly basis. The first section of the survey included questions about the veterinarians' attitude towards CAVM and their CAVM usage. The second section focused on veterinary–client communication about CAVM.ResultsWhen herbs are included as CAVM modality, 83% of the participants applied CAVM. Nighty‐eight percent had already communicated with horse owners about CAVM and 81% agreed to be open to talk about CAVM. However, 95% agreed that sometimes CAVM usage takes place without disclosure to the veterinarian. The majority of participants communicated about CAVM on a weekly (40%) or daily (22%) basis, most often in person during consultations (99%) or via phone (32%). The median percentage of conversations about CAVM initiated by the owner was 50% (range 50%–80%). When the veterinarian initiated the conversation, this was usually by mentioning it as a treatment option, mostly in addition to conventional treatments. Some participants directly asked about CAVM use in the information‐gathering phase.Main limitationsA convenience sample was used due to lack of data on the number of equine veterinarians in Flanders. Potential favourability bias with higher participation of veterinarians interested in CAVM.ConclusionEquine veterinarians generally had a positive attitude towards CAVM use, although this depended on the specific modality. Veterinarian–client communication about CAVM occurs frequently in ambulatory care. An open dialogue with horse owners about CAVM is important to provide information about CAVM and thus enable them to make informed decisions concerning CAVM usage, together with their veterinarian.

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“…Physiotherapy is recommended for a number of equine musculoskeletal conditions such as overriding dorsal spinous processes and thoracolumbosacral pain, soft tissue injuries such as ligament and tendon injuries and osteoarthritis [1,2]. However, the degree of detail regarding the specific physiotherapy interventions, such as for treatments including manual therapy [3], electrotherapy [1] or exercise therapy [4,5], either individually or in combination, varies between publications ranging from trials, often with low subject numbers to clinical review papers.…”

Section: Introductionmentioning

confidence: 99%

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

Tabor

Nankervis

Fernandes

et al. 2020

Animals

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Simple Summary: Within rehabilitation, measurements taken before, during and after treatments are used to judge patient progress and the effectiveness of prescribed treatments. To know which measurements to use for a given health condition, practitioners must have knowledge of what should be measured, which measurement tools are available and accurate, alongside what they intend to measure. Composite outcome measures (OMs) are tools which use grouped measurement tests to monitor patient progress; they have been tested for a variety of human and canine conditions but none have been designed or tested for use in physical rehabilitation in horses. This study asked leading equine veterinarians, physiotherapists and researchers which measures should be included in an OM for use in the rehabilitation of horses. Using a process to evaluate agreement, ten areas of measurement were included in the final model: lameness, pain at rest, pain during exercise, behaviour during exercise, muscular symmetry, performance/functional capacity, behaviour at rest, palpation, balance and proprioception. Existing reliable tests used to measure these areas were evaluated and potential new measures discussed and now should be taken forward to testing as a composite outcome score to see if they are effective in measuring effectiveness of treatment.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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Routine equine physiotherapy

Abstract: Weeren, P.R., Pfau, T., Rhodin, M., Roepstorff, L., Serra Braganc ßa, F. and Weishaupt, M.A. (2017) Do we have to redefine lameness in the era of quantitative gait analysis? Equine Vet. J. 49, 567-569.

Cited by 6 publications

References 20 publications

Reporting outcome measures in veterinary physiotherapy with particular reference to the treatment of canine and equine joint cases in the UK

Reporting outcome measures in veterinary physiotherapy with particular reference to the treatment of canine and equine joint cases in the UK

Flemish equine veterinarians' perceptions on the use of and client communication about complementary and alternative veterinary medicine

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

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