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Equine Annular Ligament Lesion (Enhance Ligament Healing (Therapeutic…
Equine Annular Ligament Lesion
Enhance Ligament Healing
Therapeutic Ultrasound
3MHz
0.2-0.5 W/cm2 (subacute)
1:1 / 1:2 Pulse Ratio
0.1-0.3 W/cm2 (acute)
1:3 / 1:4 Pulse Ratio
Gel treatment area for conduction
Keep ultrasound head in constant and full contact with the body (i.e. hold at 45 degree angle.
Move head in parallel direction to the fibre arrangement of the annular ligament to encourage correct fibre alignment. Constant slow contact, always keeping treatment head moving.
Once inflammation has subsided
Massage
Cross- fibre
Friction
Cryotherapy
Ice
10-20 minutes
Boots
Equine Spa
Whilst inflammation/heat is present
Increase Weight-bearing (LF)
Weightshifting Exercises
Lateral Weight Shifts (Shoulder Rocks) towards LF
Week 1
3-5 repetitions
Hold 5 seconds
Week 2
5 repetitions
Hold 5 - 10 seconds
Leg Lifts
Week 3
Lift RH
5 repetitions
Hold 5 seconds
Week 4
Lift RF
5 repetitions
Hold 5 Seconds
Circling/Weaving Exercises
Large, Wide Circles
During in hand walking/lunge
On left rein
Inside limb increased weight bearing
3-4 x week
3-5 minutes
Weeks 1-2
Hard ground - reduce strain upon soft tissues
Labrynth
Week 3
3-4 x week
10 repetitions/circuits
Serpentines
10 minutes
3-4 x week
Week 2
Home Management
Bedding depth and distribution
Feeding from floor
Address Compensatory Issues
Home Management
Feeding from floor
Pain Relief
PEMFT
200/C
10 minutes
4 x day
7 x week
Phototherapy
Laser Trigger Points
Up to 8J/cm2
Hypertonicity/Adhesions
Massage
Effleurage
Minimum 5 minute warm up
Warm down
Petrissage
Myofascial Release
Roller
Tools
Lifting
Return to Function
Terrain/Surface Work
Mendez-Angulo et al (2014)
Different surfaces affect ROM of joints. A varied surface will enhance proprioception and may prevent surface specific types strain
Once healing is complete
Ridden Work
Gradually reintroduce ridden work
Dynamic Mobilisation Exercises
Lateral Stretches
Neck Flexion (between carpus)
Neck Extension
3-5 repetitions
3-5 x week
2 x day
Tabor (2015
de Oliveira et al. (2015)
Stubbs et al. (2011)
