International Survey Regarding the Use of Rehabilitation Modalities in Horses

To define which biologic, electrophysical and other modalities are used in horses for injury or performance issues, a questionnaire regarding 38 modalities was distributed to eight veterinary groups. A total of 305 complete or partial responses were obtained from over 10 geographic regions; 75.4% fr...

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Main Authors: Janine M. Wilson, Erica McKenzie, Katja Duesterdieck-Zellmer
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-06-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fvets.2018.00120/full
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author Janine M. Wilson
Erica McKenzie
Katja Duesterdieck-Zellmer
author_facet Janine M. Wilson
Erica McKenzie
Katja Duesterdieck-Zellmer
author_sort Janine M. Wilson
collection DOAJ
description To define which biologic, electrophysical and other modalities are used in horses for injury or performance issues, a questionnaire regarding 38 modalities was distributed to eight veterinary groups. A total of 305 complete or partial responses were obtained from over 10 geographic regions; 75.4% from private equine practice or regional private equine referral hospitals, 14.1% from university teaching hospitals or satellite clinics, 8.2% from private mixed animal practice, and 2.3% from veterinary rehabilitation centers. The majority of respondents were located in the USA (60%), Europe (25.6%), and Canada (5.6%). Respondents reported working with athletic horses primarily in the disciplines of hunter-jumper (26.9%), dressage (16.0%), and pleasure riding (14.7%), followed by Western riding, track racing, and eventing. Warmbloods (39.7%) were the predominant breed presenting to respondents, followed by Thoroughbreds (20.3%) and Quarter Horses (17.3%) ahead of other breeds. All 38 modalities were used by respondents. The 10 most prominently utilized were controlled hand walking (97.3%), therapeutic shoeing (96.1%), ice (95.2%), compression bandaging (89.5%), platelet rich plasma (PRP; 86.5%), therapeutic exercises (84.3%), interleukin-1 receptor antagonist protein therapy (IRAP; 81.4%), stretching (83.3%), and cold water hydrotherapy (82.9%). Heat (77.6%), massage (69.0%), and acupuncture (68.3%) were also commonly utilized. The least prominently used modalities were hyperbaric oxygen therapy (9.4%), cytowave (8.3%), and radiofrequency (6.4%). Injectable modalities (IRAP, PRP, mesotherapy, stem cells) were almost solely administered by veterinarians; other modalities were variably applied by veterinarians, technicians, veterinary assistants, farriers, physical therapists, trainers, and other entities. A total of 33% of respondents reported working collaboratively with physical therapists on equine patients. Findings indicate that a broad range of invasive and non-invasive modalities are used in equine patients to address a variety of rehabilitation and performance needs, and that personnel with varying levels of expertise are involved in their administration. This suggests that further investigation to better define the delivery, efficacy and any negative effects of many of these modalities is important.
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spelling doaj.art-f832a050121f45859b40525ee995e4da2022-12-22T03:47:18ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692018-06-01510.3389/fvets.2018.00120359629International Survey Regarding the Use of Rehabilitation Modalities in HorsesJanine M. Wilson0Erica McKenzie1Katja Duesterdieck-Zellmer2Oregon Equine, Damascus, OR, United StatesDepartment of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, OR, United StatesDepartment of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, OR, United StatesTo define which biologic, electrophysical and other modalities are used in horses for injury or performance issues, a questionnaire regarding 38 modalities was distributed to eight veterinary groups. A total of 305 complete or partial responses were obtained from over 10 geographic regions; 75.4% from private equine practice or regional private equine referral hospitals, 14.1% from university teaching hospitals or satellite clinics, 8.2% from private mixed animal practice, and 2.3% from veterinary rehabilitation centers. The majority of respondents were located in the USA (60%), Europe (25.6%), and Canada (5.6%). Respondents reported working with athletic horses primarily in the disciplines of hunter-jumper (26.9%), dressage (16.0%), and pleasure riding (14.7%), followed by Western riding, track racing, and eventing. Warmbloods (39.7%) were the predominant breed presenting to respondents, followed by Thoroughbreds (20.3%) and Quarter Horses (17.3%) ahead of other breeds. All 38 modalities were used by respondents. The 10 most prominently utilized were controlled hand walking (97.3%), therapeutic shoeing (96.1%), ice (95.2%), compression bandaging (89.5%), platelet rich plasma (PRP; 86.5%), therapeutic exercises (84.3%), interleukin-1 receptor antagonist protein therapy (IRAP; 81.4%), stretching (83.3%), and cold water hydrotherapy (82.9%). Heat (77.6%), massage (69.0%), and acupuncture (68.3%) were also commonly utilized. The least prominently used modalities were hyperbaric oxygen therapy (9.4%), cytowave (8.3%), and radiofrequency (6.4%). Injectable modalities (IRAP, PRP, mesotherapy, stem cells) were almost solely administered by veterinarians; other modalities were variably applied by veterinarians, technicians, veterinary assistants, farriers, physical therapists, trainers, and other entities. A total of 33% of respondents reported working collaboratively with physical therapists on equine patients. Findings indicate that a broad range of invasive and non-invasive modalities are used in equine patients to address a variety of rehabilitation and performance needs, and that personnel with varying levels of expertise are involved in their administration. This suggests that further investigation to better define the delivery, efficacy and any negative effects of many of these modalities is important.https://www.frontiersin.org/article/10.3389/fvets.2018.00120/fullsports medicinetendonligamentperformanceexerciserehabilitation
spellingShingle Janine M. Wilson
Erica McKenzie
Katja Duesterdieck-Zellmer
International Survey Regarding the Use of Rehabilitation Modalities in Horses
Frontiers in Veterinary Science
sports medicine
tendon
ligament
performance
exercise
rehabilitation
title International Survey Regarding the Use of Rehabilitation Modalities in Horses
title_full International Survey Regarding the Use of Rehabilitation Modalities in Horses
title_fullStr International Survey Regarding the Use of Rehabilitation Modalities in Horses
title_full_unstemmed International Survey Regarding the Use of Rehabilitation Modalities in Horses
title_short International Survey Regarding the Use of Rehabilitation Modalities in Horses
title_sort international survey regarding the use of rehabilitation modalities in horses
topic sports medicine
tendon
ligament
performance
exercise
rehabilitation
url https://www.frontiersin.org/article/10.3389/fvets.2018.00120/full
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