Otake Osteopathy

Otake Osteopathy Osteopathy for people and animals, based in Marotiri, Taupo. Hands on bodywork from qualified Osteo

17/09/2023

Why we should ride young horses forward and down...

It is a commonly accepted training principle that we should encourage young horses to have a low head carriage. But why is this?

The muscles of the horses back are still immature at 3,4 and even at 5 years old. This is a combination of being developmentally (age related), and physically immature, in the sense that they lack the muscle condition which comes from years of training-induced exercise. Of course the maturity of their muscles will come naturally with time, and as we work them through groundwork and under saddle. But how can we get to this point, while protecting these fundamentally weak muscles and avoiding musculoskeletal injuries further down the line?

By utilising the passive ligament mechanism, we can allow the horse to support the back and carry the weight of the rider with very little muscular effort. This allows the epaxial muscles of the back to be free to perform their primary functions in movement, rather than acting as weight lifters.

The passive ligament system of the back is primarily composed of, well ligaments, the nuchal and supraspinous ligament to be exact.

The nuchal ligament is a strong, collagenous structure, originating at the extensor process of the occiput (the back of the skull), forming attachments to the cervical vertebrae, before inserting on the spinous process of the fourth thoracic vertebrae. Here the nuchal ligament broadens in the region of the withers, before continuing as the supraspinous ligament running along the top of the spinous processes of the thoracic and lumbar vertebrae and terminating in the sacral region of the spine.

This creates an inverse relationship between the position of the head and neck and the balance between flexion and extension of the spine.

Generally speaking, lowering the head induces flexion in the thoracic region (the back is lifted) and conversely, raising the head creates extension in the thoracic region (the back hollows/drops). This is because the elongation of the strong and elastic nuchal ligament created when the head is lowered, creates a forward traction on the high spinous processes of the withers, and travels through the supraspinous ligament to lift the thoracic region of the spine. Comparatively, shortening of the ligament raises the head.

This system has provided an evolutionary advantage to the horse, as while they are grazing, the weight of the thorax and abdomen is supported passively by the ligament with very little muscular effort over long periods of time (up to the 16-19 hours per day they can spend grazing in the wild). Equally, because of the stored elastic potential energy in the liagement when it is stretched for the head to be at ground level, the horse can quickly raise its head to gallop away at the first sign of a predator.

Furthermore, lowering of the head and neck, stretching downwards and forwards, straightens out the natural S curve of the horse's spine. This lifts the bottom of the S curve, the cervico-thoracic junction and the ribcage, which creates lightness in the forequarters when the horse is moving. Further back, flexion in the thoracic region, increases the spacing between the dorsal spinous processes as the most dorsal aspect of the spine is stretched out. This posture is particularly therapeutic for horses with kissing spines.

In fact, the degree of flexion of the back is most marked between the 5th and 9th thoracic vertebrae, but is also significant between the 9th and 14th. Consequently, the arching and lifting of the back takes place directly under the saddle and therefore works to support the rider.

This is particularly useful in young horses; it allows the young horse, whose muscles are not mature enough to carry the rider, the chance to support its back and lift the weight of the rider by moving the head-neck axis rather than using active muscle contraction.

This means that the horse can use its muscles solely for movement; creating a loose, swinging back, free of tension, and suppleness in the gait.

Here we have the opportunity for us to slowly develop and condition the epaxial musculature of the young horse. Which will create a foundation of strength and suppleness of the back and the core to support more advanced movements later in their career.

Comparatively, if this system is not used, and the young horse is pulled into a shortened outline, it is the Longissimus Dorsi muscle which takes up the role of supporting the weight of the rider. But theLongissimus Dorsi is not designed for weight carrying, it is primarily a movement muscle.

Muscles act in the direction through which their fibres flow; the Longissimus Dorsi works in the horizontal plane, originating in the sacral and lumbar region of the spine and inserting through the lumbar, thoracic and ending in the cervical region. The Longissimus Dorsi primarily acts to extend and stabilise the entire spine, while also acting unilaterally to induce lateral flexion of the back. You can see the Longissimus Dorsi in action when watching a horse moving from above; the large muscle contracts alternately on each side of the back in the rhythm of the gait to stabilise the movement.

Once the Longissimus Dorsi is required to lift the weight of the rider, the muscle becomes blocked and stiff. Muscles are designed to work through a process of contraction and relaxation; held too long in contraction (to carry the weight of a rider, or support a shortened outline) and the Longissimus Dorsi will fatigue. This will lead to muscle spasm and pain within the muscle. Not only will the horse lose the strength to carry the rider, but they will also lose the natural elasticity of the back which will reduce the fluidity of their gaits.

Over time with greater overuse and fatigue, the Longissimus Dorsi muscle will atrophy, requiring the recruitment of other muscles, such as the Iliocostalis, to take up the role of stabilising the back and supporting the weight of the rider. Other muscles which are equally not designed for weight lifting. And so the cycle continues and the performance of the horse suffers.

With this knowledge in mind, we can understand why it is so essential to make use of the passive ligament system, by striving for that forward and down head carriage. Furthermore, that we also allow our young horses regular breaks, working on a loose rein to allow our horse to come out of the outline, stretch out, and reduce the risk of fatigue.

I always marvel at the intricately designed systems of energy conservation to create efficiency in the horse's way of going. It is our role as a rider to have an awareness of and make use of these systems; to allow our horses to go in the most efficient and beneficial way for them possible, upholding their standard of welfare.

Image credit: Tug of War, Gerd Heuschmann

Very well said from a colleague whose technical explanations far exceed my own!!
11/07/2023

Very well said from a colleague whose technical explanations far exceed my own!!

I’m not the tallest drink of water, but Daisy … one of my taller ladies! Such a class act and so respectful … beautiful ...
31/01/2023

I’m not the tallest drink of water, but Daisy … one of my taller ladies! Such a class act and so respectful … beautiful soul ❤️

Great food for thought ...
22/09/2022

Great food for thought ...

FLASHBACK TO THE FUTURE: Neuropathic changes in equine laminitis pain

https://www.pure.ed.ac.uk/ws/portalfiles/portal/8395473/Neuropathic_changes_in_equine_laminitis_pain.pdf

Although this article was published in the distant past (2007), it bears a great deal of relevance to us from a neurological point of view.
Here are some of the most ⚡️findings shared in this article:

⚡️ Laminitic horses displayed quantifiable pain behaviours - this is NB - changes in behaviour are an indication of pain!! In this case, frequent forelimb lifting and spending time in the back of the stall 🤕

⚡️the lateral digital nerve of laminitic horses shows DISTINCT morphological changes to the myelinated and unmyelinated nerve fibres innervating the hoof - these included
🔸a reduction in the number of fibres,
🔸disruption of the axon sheath,
🔸abnormalities in the shape of surviving axons
🔸an accumulation of myelin debris
🔸a reduction in the total nerve area
🔸and more......

⚡️within the Dorsal Root Ganglion (DRG) at C8, the neuronal injury marker ATF-3 is selectively expressed in the sensory neurons that innervate the forelimb, at much higher concentrations than normal...

⚡️there is a distinctive pattern of Neuropeptide Y (NPY) expression in the sensory nerves within the DRG of C8
🔸this points to an immunoreactivity of NPY in C8 of laminitic horses

WHY does this matter to us, when we don't necessarily treat these cases??

💭It matters, because these changes in the nervous system make laminitic pain hard to control.
💭it matters, because this mechanical pathology now becomes a neurological pathology and deficit.
💭it matters, because these horses matter.
Their rehabilitation matters.
Their lives matter.
And we need to be a part of that whenever we can 💚

Thank you to Amie Hesbach for pointing us towards this article during your and Gillian Tabors lecture series on Neuroplasticity in the Equine patient 💚

Makes sense eh! 😜😊
15/09/2022

Makes sense eh! 😜😊

Controversial post alert-

It’s that time of year again…..when for reasons best known to themselves, folk begin referring to-and sharing-charts and diagrams, to tell us how to rug up our horses.

The thing with horses is that they are INDIVIDUALS. Just like we are.

Eg. I live with my husband. He is hairy. I am not. He has normal blood pressure. I have low blood pressure. He thinks that warm weather conditions are the work of Satan. I think that cold weather conditions are actual legitimate torture.
He gets annoyed when I put the heating on. I get annoyed when he moans about the heating being on. He says he can’t understand why I am always so cold. I say that he should consider a full clip, which would solve his thermostatic difficulties. In the winter, I wear many clothes. And he wears a T-shirt. Even if it’s snowing. If I wore a T-shirt in the snow, I would die of hypothermia. If he wore a thermal vest, two jumpers, a heated gilet, three pairs of socks and a ski jacket in the snow, he would die of hyperthermia. Know thyne own self, and all that.

Horses are not one bit different.

If your horse feels the cold, put a rug on. If the horse is still cold, either put another rug on, or use a warmer rug instead. If your horse runs hot, then use a lighter rug. If you don’t want to use rugs, that’s your business. If you do want to use rugs, that’s also your business. All we have to do is make sure that the basic needs of our horses are met, as per their individual requirements.

No chart can take the place of some good old fashioned common sense.

A great differential! Please read 😊
01/07/2022

A great differential! Please read 😊

A really good read for those who have kissing spine concerns ... as a vet of mine once put it, horses don’t walk on thei...
10/06/2022

A really good read for those who have kissing spine concerns ... as a vet of mine once put it, horses don’t walk on their xrays! ❤️

Hey everyone, get behind a great cause and check out this year’s Canter for Cancer auction! Two sessions with Otake Oste...
06/06/2022

Hey everyone, get behind a great cause and check out this year’s Canter for Cancer auction! Two sessions with Otake Osteopathy in there, plus a tonne of other goodies 😍

A super, very informative post from the ever talented and very dedicated Jo Stutton Equine Osteopath! Also some great ti...
14/11/2021

A super, very informative post from the ever talented and very dedicated Jo Stutton Equine Osteopath! Also some great tips here for basic saddle fit checking ... read, learn and enjoy! ❤️

Very well worded!!!
06/09/2021

Very well worded!!!

We are still hearing from patients/clients on occasion that they have been told that their horse's hip/s is/are “out of alignment". ⁣⁣
⁣⁣
This is disappointing considering all the evidence (and basic anatomy) suggests that this is⁣
a). impossible to feel with your hands on a horse ⁣
and ⁣
b). can't happen unless the hip is actually dislocated, which would be a medical emergency in which your horse would not still be walking around!⁣
⁣⁣
The picture of the skeleton shows the hip joint labelled as number 54. It's also known as the coxo-femoral joint. You can see here just how deep it is. It is essentially the thigh bone attaching onto the pelvis.⁣⁣

In the top right picture, a really big muscle of the hindquarters, the biceps femoris (seen on the bottom right) has been removed. Clearly this is a very big muscle! As labelled by the picture, the hip joint is still actually underneath all the muscle just next to this space, the bone you can see next to the hip joint is part of the top of the thigh bone and the pelvis.⁣⁣

As you can see, it would be pretty much impossible to feel the hip joint through all of that muscle and be able to not only feel if it is "out" (I've never quite understood what the means, where exactly has it gone??), but even more difficult to put said out of place hip joint, back into place with your hands!⁣⁣

Some people incorrectly call the hip the bony prominence on the outside of each hindquarter the “hip or point of hip”. This is actually part of the pelvic bone, and it’s just as incorrect to say that this is out of alignment. This area is not a joint, it’s bone. There can be anatomical differences in shape or position of this bone from side to side, either due to normal variations or from trauma such as a fracture, however it’s not an alignment issue that can “popped” back into place.

The same argument goes for the sacroiliac joint (the main joint of the pelvis) as it does for the hip joint. It’s around 10cm below the skin surface and covered by large muscle also. If you speak to your vet they’ll inform you it’s an extremely difficult area to image given how deep set it is within the body. It also only moves a few degrees, and as it’s a main stabilising area of the body our horses would be in real trouble if their pelvis’ were simply “popping out” of place and were malleable enough to be put back in by a human!
⁣⁣
Please ensure that any therapist treating your horse (or yourself for that matter) properly explains to you what they are doing and why based on sound clinical reasoning and research. ⁣
⁣⁣

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