What is Animal Physiotherapy

Animal Physiotherapy is an allied health profession, recognized by the Ministry of Health, Welfare and Sport (VWS) in the Netherlands. The profession is carried out by qualified human physiotherapists who have passed a two-year postgraduate degree in Animal Physiotherapy. In Belgium the 'Belgian Association for Certified Animal Physiotherapists' (BACAP) attempts to seek a formal recognition in the near future.

The animal physiotherapist focuses on the musculoskeletal system, aiming to relieve pain, restore normal function, and enhance performance and well-being. I am a huge advocate of the multi-disciplinary team approach to equine rehabilitation; most notably in tandom with the veterinarian. Every horse is given an individual approach, whether the treatment is preventive or curative. The treatment does not only focus on the specific injury, but also on the impact of the injury on the overall musculoskeletal system.

Indications

  • stiffness, shortened stride
  • avoiding contact with the bit
  • difficulty with lateral movements
  • difficulty with tempo changes
  • difficulty with collection
  • not controllable / steerable
  • problems with jumping

 

  • not travelling straight
  • head shaking
  • refusals, bucking, rearing
  • lack impulsion
  • sensitivity during brushing, saddling, and cinching
  • saddle slip

 

  • poor posture of the rider
  • often stumble, poor balance
  • holds tail crooked
  • tilt of the head
  • picks up the wrong lead
  • behavior change
  • performance change

Indications

  • stiffness, shortened stride
  • avoiding contact with the bit
  • difficulty with lateral movements
  • difficulty with tempo changes
  • difficulty with collection
  • not controllable / steerable
  • problems with jumping
  • not travelling straight
  • head shaking
  • refusals, bucking, rearing
  • lack impulsion
  • sensitivity during brushing, saddling, and cinching
  • saddle slip
  • poor posture of the rider
  • often stumble, poor balance
  • holds tail crooked
  • tilt of the head
  • picks up the wrong lead
  • behavior change
  • performance change

Physical examination

During the initial consultation, a medical record is established and an extensive clinical examination is performed. After this, a physiotherapy diagnosis is conducted. If it qualifies for treatment, a concrete treatment plan is developed. When conditions are untreatable, the horse is referred to a specialist vet for further veterinary examination. It is also possible that after a veterinarian’s diagnosis, they may refer the horse to an animal physical therapist for further physiotherapy support.


  • History: When taking an extensive clinical history, the goal is to document the disorder: origin, cause, progression, history,...
  • Static observation: Gathering information about any visible functional defects and other abnormalities such as swelling, muscle atrophy, scarring,...
  • Dynamic observation: Composed of gait analysis tracking straight, lunging, and when necessary under saddle. Assessment of weight-bearing on the limbs, gait, and mobility of the spine and pelvis.
  • Palpation: To detect pain, temperature, swelling and other deformities.
  • Functional examination: The following aspects are assessed with active and passive tests: pain, joint mobility, muscle strength, muscle tone, and muscle length. If necessary, a further neurological examination is conducted. This assesses the functioning of the brain, spinal cord, and nerves through functional tests.

Treatment

  • joint problems (osteoarthritis, pain/swelling/stiffness in joints, ...)
  • ligament and tendon injuries
  • asymmetric or reduced muscle
  • back problems
  • lameness

 

  • fractures
  • post-surgery
  • neurological problems such as ataxia
  • obesity
  • welfare of the older horse
  • tack assessment

 

  • wound healing
  • training regiment for rehabilitation or preparation for competition
  • technical riding problems
  • prevention

Treatment

  • joint problems (osteoarthritis, pain/swelling/stiffness in joints, ...)
  • ligament and tendon injuries
  • asymmetric or reduced muscle
  • back problems
  • lameness
  • fractures
  • post-surgery
  • neurological problems such as ataxia
  • obesity
  • welfare of the older horse
  • tack assessment
  • wound healing
  • training regiment for rehabilitation or preparation for competition
  • technical riding problems
  • prevention

Methods

  • Info and advice: Info and advice relating to the entire management (health, exercise, nutrition, ...) around the horse is discussed whether or not in consultation with other specialists such as vet, farrier, saddle fitter, trainer and dentist.
    Goals :
    • improve recovery
    • prevent reinjury
  • Massage: : Massage is a very useful tool in animal physiotherapy. With different types of massage techniques or equipment, it will add pressure to soft tissues such as the skin, muscles and tendons.
    Goals :
    • pain relief
    • increase blood circulation
    • increase removal of fluids and waste
    • reduce muscle tension
    • prevent adhesions
  • Manual therapy: Manual therapy consists of passive joint mobilization and joint manipulations carried out by the physiotherapist.
    Goals :
    • pain relief
    • increase joint mobility
  • Physical therapy: Physical therapy consists of treatment methods in which a device increases physical stimuli.
    • Electrostimulation - applications: pain (acute / chronic) / muscle atrophy / nerve damage / osteoarthritis
    • Ultrasound - applications: pain (acute / chronic) / fractures / scar tissue / muscle and tendon injuries
    • Laser therapy - applications: pain (acute / chronic) / (open) wounds / muscle and tendon injuries / trigger points
    Goals :
    • pain relief
    • reduce inflammation
    • promote tissue repair
  • Active therapy: Active therapy consists of (guided) active movements of the horse. Examples include carrot stretches, hand walk exercises, exercises on the lunge line with or without lunging tack, and training under saddle.
    Goals :
    • improve mobility
    • muscle strength
    • stability
    • coordination
    • endurance

Payment

  • Cash payment on location or by bank transfer
  • Billing deadline: see invoice terms
  • Data for transfer: Account number IBAN BE 56 0017 0595 7588 - BIC GEBABEBB