CASE

STUDIES

ÉTUDES

DE CAS

Below are a few case studies to show the importance of a whole horse approach. We will be adding to them as we encounter new interesting cases. We hope you enjoy going through them and welcome any questions or comments. 

Vous trouverez ci-dessous quelques études de cas qui démontrent l'importance d'approcher le cheval dans son ensemble. Nous y ajouterons au fur et à mesure que nous rencontrons des cas intéressants. Nous espérons qu'elles vous plairont. 

High/low or forelimb disparity

6-months case study - 8yo quarter-horse gelding

Left front hoof (low foot):

- dorsal wall angle went from 35° to 47° (average 55°)

- heel angle went from 25° to 42° (goal 55°)

- collateral groove depth went from 25mm to 30mm (15-30mm)

- sole depth went from 10mm to 20mm (10-20mm)

 

Right front hoof (high or club foot):

- dorsal wall angle went from 60° to 50° (55°)

- heel angle went from 60° to 50°

- collateral groove depth went from 40mm to 30mm (15-30mm)

- sole depth went from 25mm to 20mm (10-20mm)

Diet and environment did not change, however you can see on the pictures that he put weight on. Horn quality would have improved further and faster with a diet change. He would have also benefited from dentistry.

He benefited from bodywork, including LLLT and kinesiotaping. He was really tight in his hindquarters, and obviously had uneven muscling and muscle tone in his front end. 

He was also exercised 1-2 times a week on the ground to improve his symmetry, but he was not ridden during the case study. The groundwork also improved his ability to relax.

Disparité des antérieurs, ou high/low

Étude de cas de 6 mois - hongre quarter-horse de 8 ans

Antérieur gauche (pied bas) :

- l'angle de la paroi est passé de 35° à 47° (moyenne 55°)

- l'angle des talons est passé de 25° à 42° (but 55°)

- la profondeur des lacunes est passée de 25 mm à 30 mm (20-30 mm)

- la profondeur de sole est passée de 10 mm à 20 mm (10-20 mm)

Antérieur droit (pied haut/pied bot) : 

- l'angle de la paroi est passé de 60° à 50° (55°)

- l'angle du talon est passé de 60° à 50° (but 55°)

- la profondeur des lacunes est passée de 40 mm à 30 mm (20-30 mm)

- la profondeur de sole est passée de 25 mm à 20 mm (10-20 mm)

La diète est l'environnement n'ont pas changé, cependant on peut voir sur les photos qu'il a pris du poids. La qualité de corne se serait davantage améliorée, et plus rapidement, avec une meilleure diète. Il aurait aussi bénéficié de soins dentaires.

Il a bénéficié de bodywork, incluant du laser froid et des bandes de kinésiologie. Il était très tendu dans son arrière-main, et avait évidemment une musculature et un tonus musculaire très inégal au niveau de l'avant-main.

Il était travaillé au sol 1-2 fois par semaine pour améliorer sa symétrie, mais il n'a pas été monté pendant l'étude de cas. Le travail au sol a également amélioré sa capacité de relaxation.

Founder

6-months case study - 18yo miniature donkey

Left front:

- hoof length went from 130mm to 65mm

- both hoof walls deviated to the outside, with the medial wall and bar covering the sole and frog

Left hind: 

- collateral groove depth went from 50mm to 15mm (average 15-30mm)

- sole depth went from 40mm to 10mm (10-20mm)

- dorsal wall length went from 85mm to 55mm

He had a downhill conformation, which put even more strain on his front legs. His skin and coat were in poor condition but they improved in less than a month thanks to mineral balancing of his diet. 

Getting rid of all the extra hoof material made it much more comfortable for him to walk - and even trot! As a result, he moved a lot more and lost some weight in the process. 

Fourbure aiguë

Étude de cas de 6 mois - âne miniature de 18 ans

Antérieur gauche :

- la longueur du pied est passée de 130 mm à 65 mm

- les deux parois du pied déviaient vers l'extérieur, la paroi médiale recouvrant la sole et la fourchette

Postérieur gauche :

- la profondeur des lacunes est passée de 50 mm à 15 mm 

(moyenne 15-30 mm)

- la profondeur de sole est passée de 40 mm à 10 mm (10-20 mm)

- la longueur de la paroi dorsale est passée de 85 mm à 55 mm

Il avait une conformation descendante, ce qui mettait encore plus de stress sur ses antérieurs. Sa peau et son poil étaient en mauvaise santé mais ce sont améliorés en moins d'un mois grâce à une diète mieux équilibrée au niveau minéral.

Après s'être débarrassé de toute la corne superflue, il était beaucoup plus confortable pour lui de marcher - et même trotter! Par conséquent, il se déplaçait beaucoup plus et a donc perdu du poids. 

Laminitis 

6-months case study - 18yo gelding with Cushing's and hock arthritis

Left front:

- hoof length went from 140mm to 130mm (average 130mm)

- collateral groove depth went from 20mm to 30mm (15-30mm)

- sole depth went from 12mm to 20mm (10-20mm)

- hoof width went from 140mm to 125mm (130mm)

We adjusted his diet. He wore padded hoof casts for about 10 weeks after removing the shoes (two sets at 5-week intervals). He benefited from a tailored exercise program and bodywork to improve his posture - mostly to strengthen his core and help him better carry his riders. The veterinarian prescribed some Previcox for his arthritis, which also helped him move a lot better. 

Fourbure chronique

Étude de cas de 6 mois - hongre de 18 ans atteint de Cushing's et d'arthrose du jarret

Antérieur gauche :

- la longueur du pied est passée de 140 mm à 130 mm (moyenne 130 mm) 

- la profondeur des lacunes est passée de 20 mm à 30 mm (15-30 mm)

- la profondeur de sole est passée de 12 mm à 20 mm (10-20 mm)

- la largeur du pied est passée de 140 mm à 125 mm (130 mm)

Sa diète a été ajustée. Il a porté des plâtres avec mastic pour sabots pendant 10 semaines (2 poses à 5 semaines d'intervalle). Il a bénéficié d'un programme d'exercices personnalisé et de bodywork pour améliorer sa posture - renforcement du tronc pour mieux porter ses cavaliers. Le vétérinaire lui a aussi prescrit du Previcox pour son arthrose, ce qui l'ai aidé à bouger plus confortablement.

Underrun heels

Here are a few examples of underrun heels that straightened thanks to balanced hoof care.

Ideally, the heel angle should be the same as the dorsal wall angle, and as the pastern bones. It's worth noting that the hoof-pastern axis will vary depending on how the horse is standing for the picture. 

Most of these horses used to be shod. They all wore some type of hoof protection when coming out of shoes (hoof boots, hoof casts, etc.).

Talons fuyants

Voici quelques exemples de talons fuyants redressés grâce au parage holistique.

Idéalement, l'angle des talons devrait être le même que celui de la paroi dorsale, et du paturon. Attention, l'axe sabot-paturon peut varier selon la posture du cheval lors de la photo.

La plupart de ces chevaux ont été ferrés pendant un certain temps. Nous nous sommes assurés de garder leurs pieds protégés à la sortie des fers (hipposandales, plâtres, etc.).

12yo thoroughbred mare with high/low syndrome

The heel angle went from 20° to 45° in 1.5 months/2 trims, and the dorsal wall angle went from 40° to 45°.

Since this mare is also high/low, her owners exercised her specifically to improve her symmetry, which helped straighten the heel.

She wore hoof casts with packing for the first 6 weeks, then continued to padded hoof boots and is now barefoot.

Jument pur-sang de 12 ans avec disparité des antérieurs

L'angle des talons est passé de 20° à 45° en 1.5 mois/2 parages, et la paroi est passée de 40° à 45°. Comme cette jument est également high/low, ses propriétaires l'ont travaillée spécifiquement pour améliorer sa symétrie, ce qui a aidé à redresser son talon.

Elle a porté des plâtres avec mastic pour sabots pour les 6 premières semaines, puis des hipposandales, et est maintenant pieds nus.

20yo gelding with ringbone

The heel angle went from 10° to 40° in 3 months, while his dorsal wall went from 50° to 55°.

He wore padded hoof boots for the first 6 weeks because he had thrush and we needed access to his hoof. Then he no longer tolerated them so he switched to hoof casts with packing for 6 weeks, and he is now barefoot. 

Hongre de 20 ans avec formes phalangiennes

L'angle du talon est passé de 10° à 40° en 3 mois alors que sa paroi dorsale est passée de 50° à 55°. 

Il a porté des hipposandales pour les 6 premières semaines car il avait une pourriture de la fourchette qui nécessitait un traitement régulier. Comme il ne les tolérait plus, nous sommes passés aux plâtres avec du mastic à sabots pour 6 semaines. Il est maintenant pieds nus.

8yo grade gelding 

The heel angle went from 30° to 50° in 5 months (his dorsal wall angle is 50°). His heel angle now matches his dorsal wall angle.

He wore hoof casts with packing for the first 6 weeks, then switched to padded hoof boots. His feet are small relatively to the size of his body, so he now lives barefoot but wears hoof boots for riding. 

He also benefited from dentistry, bodywork and osteopathic work as his lower back was very tense/in spasms.

Hongre de 8 ans race inconnue

L'angle de son talon est passé de 30° à 50° en 5 mois (sa paroi dorsale est à 50°). L'angle de son talon est désormais le même que celui de sa paroi dorsale. 

Il a porté des plâtres avec mastic pour sabots pendant les 6 premières semaines, pour passer ensuite à des hipposandales avec pads. Ses pieds sont petits par rapport à la taille de son corps, donc il vit pieds-nus et portes des hipposandales pour le travail.

Il a également profité de soins dentaires, bodywork et soins ostéopathiques car son bas du dos était très tendu/en spasmes.

Wear patterns

The way a horse wears it hooves tells us a lot about how the horse moves and loads its feet and limbs. The analysis of wear patterns is a useful tool in determining what techniques might help the horse. 

A balanced horse should wear its feet evenly - excluding conditions such as arthritis. Any change in the wear patterns indicates that the horse is changing the way it moves - positively or negatively. 

Usure des sabots

La façon dont un cheval use ses sabots nous donne beaucoup d'informations sur la locomotion du cheval. L'analyse des schémas d'usure est un outil essentiel pour déterminer quelles techniques pourraient aider le cheval.

Un cheval équilibré devrait user ses sabots de façon homogène - sauf conditions permanentes telles que l'arthrose. Tout changement dans les schémas d'usure indique que le cheval change de locomotion - positivement ou négativement. 

This horse had an injury (likely affecting one of his collateral ligaments). He did not get regular trims after his injury. His injury changed his gait; he was loading and wearing his outside wall, but not his toe nor his inside wall. This is the progress he made over 6 weeks and 2 trims. After the first trim he was able to load and wear his hoof much more evenly.

This horse had an injury (likely affecting one of his collateral ligaments). He did not get regular trims after his injury. His injury changed his gait; he was loading and wearing his outside wall, but not his toe nor his inside wall. This is the progress he made over 6 weeks and 2 trims. After the first trim he was able to load and wear his hoof much more evenly.

This horse has DSLD, a degenerative condition affecting the ligaments. These horses tend to have long toes/negative plantar angles in the hind feet, which makes their condition even more uncomfortable. 

As you can see on the first picture, his hoof was also contracted, with a weak digital cushion, and migrated forward. Finally, he was loading and wearing his hoof unevenly.

The second picture was taken pre-trim, 6 months later. We were able to improve this horse's gait and posture through trimming, bodywork, dentistry and groundwork, thus improving his wear patterns.

This horse has DSLD, a degenerative condition affecting the ligaments. These horses tend to have long toes/negative plantar angles in the hind feet, which makes their condition even more uncomfortable. 

As you can see on the first picture, his hoof was also contracted, with a weak digital cushion, and migrated forward. Finally, he was loading and wearing his hoof unevenly.

The second picture was taken pre-trim, 6 months later. We were able to improve this horse's gait and posture through trimming, bodywork, dentistry and groundwork, thus improving his wear patterns.

This mare was landing toe-first so intensely that she wore through her metal shoe. She has some arthritis in her lower leg that made her uncomfortable, and I believe the shoe made it worse.

Due to her altered gait and poor posture, she had intense spasms in her shoulder. She was compensating a lot on her other foot, which had become long and underrun. 

She wore hoof boots for a couple months and benefited from osteopathic and a dental work. She is now barefoot and her gait and posture are overall symmetrical. 

This mare was landing toe-first so intensely that she wore through her metal shoe. She has some arthritis in her lower leg that made her uncomfortable, and I believe the shoe made it worse.

Due to her altered gait and poor posture, she had intense spasms in her shoulder. She was compensating a lot on her other foot, which had become long and underrun. 

She wore hoof boots for a couple months and benefited from osteopathic and a dental work. She is now barefoot and her gait and posture are overall symmetrical. 

Posture rehabilitation

Horses spend most of their time up on their legs - be it standing or moving. Our domestic horses can spend 22 hours a day standing in one spot.

The posture that is most energy saving for the horse is to be standing square, with each hoof at a corner of a virtual rectangle. The stay apparatus can only be engaged when the forelimbs are vertical. For more information read this.

It is not uncommon for domestic horses to stand with their front feet underneath themselves. This is usually a compensatory posture - they're trying to alleviate pain in the back of their hooves for example - or can be caused by poor hoof conformation - long toes and underrun heels.

Any abnormal posture when standing will alter the gait and the wear patterns of the hooves. It will also cause some spasms in muscles that are overused by these postures.

Réhabilitation de la posture

Les chevaux passent la majorité de leur temps sur leurs pieds - statiques ou en mouvement. Nous chevaux domestiques peuvent passer jusqu'à 22 heures debout au même endroit.

La posture qui consomme le moins d'énergie pour le cheval est de se tenir ''carré'', avec un pied à chaque coin d'un rectangle imaginaire. Le mécanisme de blocage des membres ne peut fonctionner que si les antérieurs sont verticaux. 

De nombreux chevaux domestiques se tiennent avec leurs antérieurs ''sous eux''. Cette posture est généralement compensatoire - ils essaient par exemple de soulager de la douleur à l'arrière de leurs pieds - mais elle peut aussi être causée par des sabots déséquilibrés - pinces longues et talons fuyants.

Toute posture anormale va altérer l'allure du cheval et l'usure des sabots. Elle va également causer des spasmes dans les muscles qui sont trop sollicités par ces déséquilibres.

A common compensatory posture is keeping the forefeet close together. This is often caused by pain in the front feet, and/or a saddle that is too tight at the shoulders. It causes muscle spasms in the shoulders.

This horse's posture improved by changing the saddle, bodywork and trimming along with hoof protection. He also got exercised regularly to strengthen his core and help him carry his riders more efficiently. 

A common compensatory posture is keeping the forefeet close together. This is often caused by pain in the front feet, and/or a saddle that is too tight at the shoulders. It causes muscle spasms in the shoulders.

This horse's posture improved by changing the saddle, bodywork and trimming along with hoof protection. He also got exercised regularly to strengthen his core and help him carry his riders more efficiently. 

© 2016 by Anne-Charlotte de Chavanes and 710JOHN for RAJAT REHAB. Tous droits réservés. Photos by ALICE CHICHE

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