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1 Animal Therapy Magazine | ISSUE 19Rehabilitationof the Peroneus Tertius muscle in the dressage horseVET Festival insightsMental Health – think before you make that commentJoint Health for your petYour ex-racehorse is actually a catwalk modelISSUE 19M A G A Z I N EAnimalerapy“Coltherd Racing” know and appreciate daily how lucky they are to have Spot kicking his stable door again and creating havoc amongst his stablemates when he heads out for his daily walks. Read the full article inside on page 8.

10Animal Therapy Magazine | ISSUE 19and due to odema the treatment was subthermal. Each treatment session lasted 20 minutes. Horse was not in work at this time and he was turned out to a grass paddock 24 hours a day.Immediate reduction in swelling and reduction in heat in joint noted during each 20 minute session. This swelling did not recur in the period between treatments. After 3 sessions there was no remaining swelling or heat and a small region of scar tissue palpable at site of injury.Horse was re-examined 6 weeks after the initial course. Overall appearance of knee much improved. On palpation of the knee there was a little soft swelling over the injury site, negligible compared to initial examination. No heat present. Hair had re-grown over the accessory carpal bone. Horse is currently sound and back to jumping and full work in the run up to the start of the eventing season.DISCUSSIONINDIBA is a monopolar, closed circuit radiofrequency treatment with a xed frequency of 448kHz, and no limit to depth of treatment on tissues. INDIBA aects tissues in three ways, namely; Biostimulation, Vascularisation and Hyperactivation. Treatment would be expected to reduce swelling after injury, increase oxygenation of cells and tissues and stimulate cell metabolism. INDIBA technology has over 300 scientic references and is indicated in rehabilitation and pain management. It can be applied in acute, sub acute and chronic stages of injury.Knee joint infections are a potentially fatal or career ending injury. They can result in septic arthritis with the result of persistent lameness. However, researchers evaluated racehorses with joint infections and outcomes are usually good with aggressively treated horses with quickly found injuries: 85% survived and 56% returned to racing. Although there is no way of knowing for sure if the swelling on this horses knee would have negatively impacted upon his soundness upon returning to full work, his owner is also delighted with the cosmetic outcome. It should also aid monitoring the knee for increased heat and swelling over the event season. This case would increase my condence in recommending this treatment with an animal whose career would be limited by a cosmetic blemish like this, ie: show horses.The Use of INDIBA Radiofrequency Therapy to assist in the rehabilitation of an equine knee joint, post joint infectionINTRODUCTIONA 15 year old, 17hh, IDxTB, 3* event horse sustained a puncture wound to his o fore knee, during the XC phase at a competition. First aid was administered by a veterinarian on site and he arrived at a Veterinary hospital within 3 hours of the initial injury.Infection was present in the joint by the following morning. Knee joint was ushed with large quantities of saline and IV antibiotics. Horse was discharged from hospital with sterile dressings and bandages, an oral antibiotic and NSAID regime. He had 6 weeks of box rest, followed by 6 weeks of paddock rest prior to resuming exercise. Treatment successfully cleared the infection, however a large amount of swelling remained over the anterior aspect of the joint.CASE STUDYHorse was an existing patient for any musculoskeltal issues picked up during the course of his training and competing. Horse examined 9 weeks after the injury. On observation of his near fore there was a large amount of swelling over the anterior aspect of the knee and some scarring from bandage pressure point remaining over the accessory carpal bone. On palpation the swelling was soft and boggy with some heat present. Non tender to light or rm palpation. Horse was sound at walk and trot in a straight line on rm footing.Due to his age owner was keen to try and reduce the swelling and get him back to work and competition as soon as possible.A Short course of 3, weekly INDIBA treatments was trialled. Capacitive and resistive treatment modes were employed TISSUE HEALING & ELECTROTHERAPYby Faye Flood B.Sc(Hons)CHIRO M.I.V.C.A. Faye is based in Trim, County Meath, Ireland and covers the surrounding areas treating horses, dogs and humans. You can follow her on facebook - Faye Flood chiropractic.10 Animal Therapy Magazine | ISSUE 19

11 Animal Therapy Magazine | ISSUE 19www.indibaanimalhealth.com• Rehabilitation• Pain management• Faster recovery• Injury prevention• Improve performanceNew era ofAnimal Rehabilitationwww.indibaanimalhealth.com• Rehabilitation• Pain management• Faster recovery• Injury prevention• Improve quality of lifeNew era of Animal Rehabilitation

12Animal Therapy Magazine | ISSUE 19JOINT HEALTHHow to manage your pet’s joint healthMAINTAINING optimum joint health for your pet is essential to ensure they lead a happy and healthy life with you. Poor joint mobility can make it hard for your pet to perform simple daily tasks such as, getting a comfortable night’s sleep or being able to bend down to their food bowl. There are a number of reasons why your pet might be suering from poor joint health, including old age, being overweight, or if they have suered an injury. Although joint problems are more often seen in older pets, younger pets can also develop stiness. During the winter months, joint discomfort can appear more pronounced, as cold and damp weather can aggravate joint conditions. It is especially important to support and protect your senior pets, or if they have suered any broken bones, as these might be more sensitive to the cold and wet conditions. Manage their weight – excess weight can put pressure on joints. If your pet is overweight, aim to reduce their calorie intake to minimise the load on the joints. Speak to your vet before putting your pet on a diet or changing their food as they will be able to advise on a healthy weight for your pet. Keep up with an exercise routine – it is important that your pet still gets regular exercise to avoid stiness and muscle wastage. Try to avoid long walks for your dog and make sure you take them for several, short walks throughout the day. Diet – feed your pet a good quality diet. To do this you may need to reassess their food and consult a veterinary professional who can recommend the best diet for their needs. Raise your pet’s water and food bowls if they nd it dicult to bend down to eat.Looking out for signs of when your pet may be struggling will help monitor their condition. Some common signs of joint problems include:• Pets may rest more following exercise and show signs of stiness and lameness. • Your dog or cat may have an inability to perform certain tasks, such as jumping into the car or onto furniture.• Your pet’s joints may become swollen or warm.• They may bite at irritating and painful joints.• Your pet may become irritable or aggressive due to painful joints, especially when handled. • They may seek out warm spots around the house to help soothe sore joints.Comfort – keep your pet warm, avoid cold damp windy conditions which can aggravate joint pain. Provide a cosy warm bed with enough room to nd a comfortable position to sleep in. Carpeting can also help increase traction. Try to limit stair use and jumping on or o furniture.Pain relief – your vet may prescribe medication to reduce the inammation and provide pain relief. A natural alternative is Boswellia Extract, which acts as a natural anti-inammatory, helping to reduce the dose of other medications and preventing potential side eects.Alternative therapies – to increase circulation and mobility you could consider using other therapies such as physiotherapy and hydrotherapy. Natural supplements – consider using a natural pet supplement, such as nutraquin+, which is fast acting and contains the highest quality and purest natural ingredients including Boswellia extract, Chondroitin Sulphate and Glucosamine HCL. nutraquin+ can help to maintain optimum joint function in dogs, cats and horses, whilst supporting the natural systems that control inammation.Consult your vet – speak to your vet if you are concerned about your pet’s joint health. Regular vet visits will ensure your pet’s condition can be monitored frequently and that you receive the best up-to-date advice. Find out about nutraquin+ by visiting the nutravet website at www.nutravet.co.uk/nutraquin To help manage your pet’s joint health, there are some positive things you can do, which include:

13 Animal Therapy Magazine | ISSUE 19How to manage your pet’s joint health Find your local stockist at www.nutravet.co.ukSupport British manufacturingnutraquin+ provides fast acting natural joint support to aid & soothe stiff joints. ✓Fast acting (4-7 days)✓Soothes stiff joints✓Aids mobility & flexibility✓Supports joint structure✓Helps to maintain your pet’s quality of life by maintaining optimum joint health✓Supports the natural systems that control inflammation ✓Available for dogs, cats & horses View our extensive natural range at www.nutravet.co.ukDoes your pet have stiff joints?Fast acting support for joints & mobilitynutraquin+ is available exclusively from veterinary practices where you can purchase over the counter without a prescription, even if your pet is not registered at the practice.

14Animal Therapy Magazine | ISSUE 19APART from maybe the obvious comparisons of; long legs, elegant walk, ability to look amazing even when in slightly weird clothing, the nobility and poise shown by them.However the main reason that your ex racehorse is a catwalk model is the fact that they both turn le! At the bottom of the runway a model will “T turn’ to the le, and look over their le shoulder for their photo look (le exion if you will) and walk away in a straight line. Your ex racer is very similar, for which I found out with mum whilst on board Mister Glum at a riding Club qualier in 2010 on grass. Whilst warming up Glum he would happily turn le and feel comfortable on the le rein, both in his balance and his ability to ride in all three gaits. turning right, on the other hand, was met with; running From RaceHorse to Dressage HorseTHOROUGHBRED DRESSAGEby Louise RobsonYour Ex Racehorse is actually a Catwalk Fashion model!backwards, rearing, spinning and just general upset. As the years progressed on we trialled many things and the only way for Glum to feel comfortable and happy on grass was to stud him up all round, and then turning right and right exion was no longer an issue. As my retraining years have increased I have always found the ex racers to be more balanced and easier on the le rein compared to the right. e majority of horses and clients that I meet all have this common struggle. e right canter and turning. e le canter is easily achieved in comparison to the right canter. e balance and straightness is easier to achieve on the le rein. If right canter is achieved then there is usually the feeling of quarters in, a faster, more uncontrollable pace and sometimes a break back into the trot quicker than anticipated. So how do we get your ex racehorse to be more like Zoolander-the fashion model feel more comfortable turning right at the end of the runway, able to achieve the right over the shoulder look (right exion) and walk away in a straight line without the quarters or shoulders leading in one direction or another?ere are a few ways to approach this, or to adapt into your training to help re address what your ex racehorse sees as ‘normal balance’ which is to be in slight le exion (so, short in the neck to the le and long in the neck on the right hand side) and down a bit on the le shoulder and slightly, almost propped up on the right shoulder. is can be seen in photo A - Dubai Prince in the early days of his retraining. Even being slightly hollow, you can see the le exion to the inside and how the le shoulder is lower than that of the right.I would always start anything on the rein the horse feels most comfortable on, which for most is the le rein. I would start by riding a square and on the corners being able to focus on being able to bring the outside foreleg around the inside hind to ensure that you're turning the shoulders from your outside rein and that the hindlegs aren't swinging out.On the straight I would concentrate on being able to make small poll exions, so to start addressing which way your horse nds it easier to give and relax and which way they nd harder. You want to be able to move the poll from the middle, to the slight right, back to the middle, to the slight le, back to the middle without the position of the legs (which should be walking in a straight line) changing. It sounds a lot easier than it actually is. I would start in walk and progress through the paces as the ease of the exercise becomes better.A

15 Animal Therapy Magazine | ISSUE 19continued overleafIf your horse wobbles, which they will inevitably do, then correct by asking your horse to calmly walk forward, rather than getting into a side to side question, which may lead to your horse backing o the leg. You will nd when you ask for right exion that your horse may drop the pole or fall to the le. What you are looking for is being able to achieve slight right exion on the le rein, to encourage your ex racer to feel more comfortable about right exion before you head onto the right rein. You can do this exercise on the long reins to start with before performing under saddle if you and your ex racer feel more comfortable with this.Sometimes adding the rider and their imbalances can aect your ex racers ability to feel like they're able to do something. Baited stretched can also aid with all exion and its worth asking your Physio about these exercises. On the right rein, the weaker one, I would take the conversation away from what you may call ‘the obvious.’e temptation is to sightly hold your horse up with your right hand (which usually feels like it is on the wither to help prop your horse up and you daren’t move it away from the neck otherwise they feel like they will fall to the inside.) I would concentrate on your ‘square’ riding and again, focus on the outside foreleg turning around the inside hind, rather than trying to continually push your ex racer o your right leg. e reason they are slightly leaning on your right leg is for support because the right hind is weaker and not wanting to be in a supporting role.It also starts to address your slightly quarters in right. Instead of pushing the right hind away, think, can I position the le fore in line with the right hind. On the right rein, it usually feels harder to steer your ex racer, mainly because the shoulders are pointing to the outside, which gives the feel of quarters in right. In all three paces I would always think about positioning the le fore in line with the right hind to correct that ‘quarters in’ feeling, which will ultimately lead to a straighter horse. (More ‘Zoolander’) Another approach, which can help with straightness, is being able to achieve a better right canter strike o and maintain the right canter lead. e frame of your horse can have a bigger impact on the way your approach the ability to turn continued overleafBand manoeuvre your ex racer than you may realise. e ‘sprinter frame’ thoroughbreds are normally smaller, shorter coupled and generally a little powerhouse. e rib cage/space for a saddle is generally a lot smaller than that of a NH stamp horse who is longer in the frame and has a bigger ribcage. e smaller the ribcage, the less space to allow bend and ow to come through the body of the horse. e ‘sprinters’ struggle more on the circles and can appear to be throwing themselves around more. e NH stamps nd circles a lot easier, but the lateral work a little harder as everything is a bit further apart and connection can be a bit more of an issue. Lateral work with the sprinters is the best way to achieve lateral bend and ow through their bodies. e lateral work helps open up the shoulders, expanding the space between their front legs to allow the back legs to come through. As can be seen in Photo B of Princes Trust in le canter. His frame is small and compact. Finding a way that he can truly release through the body is dierent for him than the larger horse like Saint Gregoire in Photo C due to the length of frame. C

16Animal Therapy Magazine | ISSUE 19For the sprinters a good way to help achieve and cement the correct canter strike o is to leg yield from the quarter like to the track and as you nish the leg yield to the fence ask for the canter transition to the inside. You have helped activate and place the inside hind under the body, ready for the rst stride strike o. To achieve a good leg yield always think of being able to ride a diagonal line with etc front legs so your ex racer keeps on thinking forward, rather than them falling over towards the fence. So for example, imagine you come up the centre line at A and we are looking for a right canter strike o. Position the front legs on the diagonal line towards H and ride that diagonal line (from C it would be F). Once you feel securely on that line, as the hindlegs to step across from your inside leg towards the track, keeping your front legs moving forward towards the corner marker. If at any point the front legs come o that diagonal line, use your outside leg to straighten and go forward. If your ex racer just falls to the side your are not engaging the inside hind ready for the strike o, but only loosing the control and probably balance of the shoulders. ink of your leg yield as a turn on the forehand in motion. THOROUGHBRED DRESSAGEFor the NH/longer framed horse teaching them quarters in, ultimately leading to travers, will help give them somewhere for their hindleg to step to and encourage the activation of said hindleg. e canter motion of a croup high ex racer can sometimes over push the balance from the back end onto the front end. By being able to put the shoulders and hindlegs on dierent lines, it allows for the legs to go somewhere so your ex racer feels like they can still move forward without the feeling of standing on themselves. To teach quarters in, you can slightly position your ex racer with their head to the fence of the area and think almost outside shoulder in, positioning the outside hind in line with the inside fore. (is can be done both ridden an inhand) By being able to put the hindlegs slightly to the inside with encourage the exion of the hock, which, hopefully will begin to encourage the ‘sit’ moment behind, but it will also help create suppleness of the lower back behind the saddle, which is sometimes where our ex racers can brace themsleves, or shut down as they're naturally weaker there. Once in the right canter, both ‘stamps’ of horses may nd maintaining the canter quite dicult, and may feel a little bit short in the neck, quick and almost a bit ‘motorbike’-esque. With both types, I would encourage the shoulder fore positioning down the quarter line (so they don't feel like the arena fence is blocking them in) and slowly pushing that positioning over and across into a leg yield. e leg yield in the canter will encourage the separating of the hindleg so your ex racer doesn't get wider behind and therefore losing the jump of the canter, which will make turning even harder. I would do small bouts of good quality, in balance and a happy horse canter, rather than going and going and going, which will only lead to soreness and mis understanding. Build upon each time you ask, achieve and maintain the canter, but only stride by stride. As you can see in photo C of Saint Gregoire. Achieving a balanced, uphill canter, let alone on the right rein takes time and your horse nding the ability to be able, to understand and feel comfortable in their work. e shoulder fore, with the leg yielding will help with the straightness, exion and feeling of ability for your horse to be able to move dierent parts of the their body separately, without tension, which will help them become more balanced and able to be both; a catwalk model and Zoolander. Dates for your DiaryAnimal Therapy Magazine is one of a kind. The publication’s sole aim is to inform professionals and owners of current and pioneering treatments and techniques. Featuring interviews with top professionals in the eld, real life case studies and up-to-date news and reviews, Animal Therapy Magazine is a must have for anyone involved with animals; whether that is in a professional capacity, pet owner or both. • Quarterly publication• Circulated nationwide• Online version• Targeted audience and distribution• Course and CPD information• Editorials written by highly regarded industry professionals• Case studies• Professional proles• Product reviews• Interviews Don't forget to keep a close eye on our website for press releases, articles and hot off the press industry informationAnimalerapySUBSCRIBE NOW You can subscribe to read our online copy for just £10 per year.Further information can be found on our website animaltherapymedia.co.uk

17 Animal Therapy Magazine | ISSUE 19Why Trade-Up From Class III Technology?Contact Georgina Macphail // georginam@litecure.com CompanionAnimalHealth.com // 01646 603878 / 07970370925Laser Trade-Up ProgramGet the best of both worlds with a Companion LaserWith treatment power ranging from 0.5 to 15 W, the CTX gives you the capabilities of both a Class III and a Class IV laser in a single system. The versatility you want with the outcomes you demand.» NEW Canine Study Reveals Ideal Target Dose for Elbow Arthritis of 10-20 J/cm2 CTX THERAPY LASER15 WattsContact Companion TodayGet Your Custom Trade-Up QuoteOffer Expires May 30th, 2020For a limited time, Companion is offering a combination trade-up and leasing program. You can transition to the latest laser technology for just over £7 per day, without any initial capital outlay! Trade in your old laser and save. Transition to the latest technology by May 30th, 2020Visitwww.companionanimalhealth.com/page/laser-therapy to learn more about the technological advances.®

18Animal Therapy Magazine | ISSUE 19 by Michaela Noonan, Yoga Teacher at VET Festival and Fitzpatrick ReferralsWhat’s the Deal with Wellness?VET FESTIVAL“WELLNESS”. It’s a very fashionable word right now. Festivals are celebrating it. Celebrities are extolling it. Gwyneth Paltrow is a physical embodiment of it. But remove the hashtag and there is so much more to this topic that our industry needs to delve into. The reason why we need to talk about “wellness” in the Veterinary industry is simple: in this industry, at various points throughout our career, we are not very well. At all. Far from it. Let’s contextualise.A dog walks into your practice. She pads into the consult room and sinks down to the oor. You have met this dog before. She is usually a young, Diagnostic criteria pass across your mind but you keep coming back to the thing that seems glaringly obvious to you; this dog is “unwell”. She is overworked, stressed, has not been receiving her hydrotherapy and has forgotten the joy of chasing a ball without a care in the world. Her physical and emotional needs are not being met. She is being asked to pour from an empty cup. You tell your concerns to the owner and wonder how this conclusion wasn’t obvious to them too. But how many of us look at ourselves on a regular basis, with our collection of aspirations, expectations and emotional baggage, and see the problem as clearly as we would in one of our patients?eervescent, gentle Golden Retriever who works locally as a therapy dog. But in the consult room today she is sti and lethargic and goes to nip you when she has tired of the examination. Her once beautiful coat is now dull and greasy. Her owner proudly tells you the dog has been working every day for a month. On a side-note, it is mentioned that she has not been getting her prescribed hydrotherapy sessions for an old injury and there has been minimal time to play with her favourite ball. The owner is here due to concerns regarding the dog’s seeming depression, diminishing coat quality, and general malaise.18 Animal Therapy Magazine | ISSUE 19

19 Animal Therapy Magazine | ISSUE 19 Book your place at VET Festival 2020 today. Visit: www.vetfestival.co.uk for more information.Readers get an exclusive 15% o with code ATM157-8 June 2019 | Loseley Park, SurreyVETERINARY EDUCATION TOMORROWThe fact is, we are not seeing our own problems clearly. Or if we are, we do not know what to do about them. According to the Merck Animal Health Veterinary Wellbeing Study1, we have virtually all been this Golden Retriever coming into work at some point. Burnt out. Reactive. Depressed. Not functioning at our best. The dierence between these two scenarios, however, is that a patient coming in with these symptoms will prompt concern in the minds of those treating it. But all too often, these same symptoms amongst employees in this industry are considered to be fairly normal and part and parcel of a very worthwhile vocation, some even wearing “busyness” and “burnout” like a badge of honour.Of those studied, 79% of veterinary professionals reported anxiety, panic attacks, compassion fatigue, burnout or depression in the past year. Serious psychological distress was reported to hit veterinary professionals under the age of 45 far more frequently than those further on in their careers. And most staggeringly of all, 25% of the 20,000 veterinary professionals asked had thought about suicide at some point. Twenty ve per cent. That is ve thousand.Five thousand of our colleagues have contemplated suicide. If that number is representative across the industry, this is a deeply troubling thought.Sadly, almost 2% of these respondents had attempted suicide. To give life to that statistic, that is 400 of our colleagues. From this study alone, that gives us 400 reasons to expand our discussion of “Wellness” within our industry. And not in a “celebrity, fad, buzzword, hashtag” kind of way. We need to “work up” this problem like we would one of our patients and then take responsibility for it. Both as individuals and an industry as a whole. We all know the old classic ingredients for “wellness”: sucient sleep, a good diet, regular exercise. But how do we address the more intangible aspects of our human condition in the workplace? Our emotions, our thought processes, our perspectives? How do we deal with things like depression, compassion fatigue, even suicide? In an attempt to address these issues, Vet Festival 2020 will be exploring topics of the mind, heart, body and soul in our established Wellness Stream, and oering practical wellbeing workshops in our on-site Wellness Hub. But we know the solution to these problems will not come from talking AT you. So we want to speak WITH you. Therefore, please come and join our discussion on Wellness at Vet festival 2020. If 79% of us are at some point coming into work like a burnt out therapy dog, we cannot serve our patients and clients to the best of our abilities. And therein lies the great contradiction of a caring profession; in order to care about others, you have to care about yourself. Please come and join our discussion this June. We need you.REFERENCES1. John O. Volk BS; Ulrich Schimmack PhD; Elizabeth B. Strand PhD, LCSW; Linda K. Lord DVM, PhD; Colin W. Siren BA. Executive summary of the Merck Animal Health Veterinary Wellbeing Study. 2018; Vol. 252, No. 10, Pages 1231-1238. doi: 10.2460.Delegate feedback from VET Festival 2019:"Fantastic CPD and networking opportunities. Great to see a combination of vets, nurses and physios" Physiotherapist"Informative, comprehensive rehab CPD Days"Physiotherapist"Excellent learning in a great environment"Hydrotherapist"Fast paced, exciting and relevant content from extremely knowledgable speakers"Osteopath19 Animal Therapy Magazine | ISSUE 19

2Animal Therapy Magazine | ISSUE 19Supply and Service of Medical Devicestrimbio offers a vast range of products all at very competitive pricesAnimal Therapy Products Vetkin-Tape® Kinesiology Tape A robust tape with good ventilation. Vetkin-Tape® has 25% increased adhesiveness to other tapes. It is 20% larger than Human tapes and gives maximum results for animals.Anatomical ChartsEquine and Canine Skeleton or Muscular charts with German, English and Latin text. 50cm x 70cm printed on 200gsm art paper, with attachable plastic rods for hanging.£6.25 +VAT£13.95 +VATExtra Large Wobble CushionThis large wobble cushion (55cm dia.) is ideal for animals as £36.95 +VATNEW Digital Vet H-WaveThe new Vet H-Wave has been upgraded with xed and adjustable frequencies, a backlit screen and a lighter battery. The Vet H-wave uses a signal £1750.00 +VATIntelect Mobile Ultrasound with Pro Carry BagThis unit is ideal for animal therapy where the unit can be powered by battery whilst in its carry bag, and be protected from the elements. Call for latest pricing offerHand Held LaserA hand held system that does not require protective glasses and runs off standard AA batteries. The unit is extremely hard wearing, portable and effective within supercial and soft tissue injuries.Intelect Mobile Laser PackagesThese packages are ideal for all Animal Therapy Practicians as we can mix and match the probes & clusters to suit the required eld of treatment.Neurotrac Sports Muscle StimA dual channel muscle stim unit which has 15 preset programmes and the option to store 3 of your own custom programmes.£69.95 +VATBiomag 2 Base UnitThe Biomag 2 unit has a range of frequencies offering a range of treatment options from soft tissue injuries, fracture repair enhancement and pain relief.Prices start from £495.00 +VATthat is natural to the body. It emulates the H wave form found in nerve signals and therefore enables greater and deeper penetration of a low frequency current, whilst using signicantly less power than other machines.£295.00 +VAT2 limbs can be easily placed on the cushion, for balance and proprioception work.01403 597597 www.trimbio.co.uk sales@trimbio.co.ukCall for latest pricing offeranimal therapy ad 10 19 artwork.indd 1 10/10/2019 11:54

20Animal Therapy Magazine | ISSUE 19THOR, the beloved pet of Sophie and Kyle, is 4 year old Czech Wolfdog x Belgian Malinois. One of his greatest joys is walking in the woods and playing with his sister, Belle, so when he stopped wanting to play, and started slowing down on his walks, Sophie was rightly concerned. In addition to changes in his gait and posture, she noticed:• Intermittent lameness to his right foreleg • A general look of discomfort when walking• Pulling up and stopping when walking• He had started to ‘waddle’• He was sitting with his back legs to the side, which he’d not done beforeNext StepsA visit to the vet revealed no orthopaedic issues so Thor’s issues were veterinary diagnosed as muscular in origin – and likely to get worse if not addressed. Because he’s still such a young dog Sophie wanted to guard against a worsening of his condition as he got older and, not keen to put him on painkillers, she decided to investigate a complementary therapy approach.Sophie and Thor Discover Clinical Canine MassageWhen she contacted me, Sophie had already heard good reports about the treatments oered by comprehensively trained Canine Massage Guild therapists. As students we undergo intensive study for two years and must be procient in four disciplines of canine massage as well as the Lenton Method™ (currently the subject of clinical trials at two major universities), a three-pronged approach that incorporates advanced palpation skills, BodyMapping, and ‘The 7 Protocols’, a unique set of myofascial release techniques for long-lasting results.During the TreatmentBefore his rst treatment Sophie told me that Thor liked to dget, generally didn’t sit still for long when being groomed and could nd touch challenging. She was apprehensive of how I would cope if he didn’t settle for me, a common concern of many owners who consider bodywork for their dogs. However, as part of our training we learn to work with our canine clients in positions they are comfortable with and this forms a bond of trust that enables the therapy to take place. Sophie’s concerns of Thor not settling were put to rest when he began to relax during the rst treatment. In fact, the session ended with him falling fast asleep once the most uncomfortable areas had been treated. We started the rst treatment with an in-depth consultation about Thor’s medical history, his diet, any supplements he was taking and how and when his issues presented. I then spent time assessing Thor and palpating his muscles. It was at this point that the story started to unravel...During this initial process it was obvious that Thor had multiple areas of myofascial pain with associated fasciculations and local twitch responses. Several muscle groups were showing signs of hypertonicity and he displayed poor range of movement in his right foreleg in both passive and active extension. TreatmentsIt is contrary to the Canine Massage Guild’s ethos to continue to treat a dog that is showing no sign of improvement. In fact, we say that the dog should start to show improvements within 1-3 sessions or will be referred back to the vet with this type of results driven treatment. There was no danger of that in Thor’s case, however. Visible signs of improvement were seem after just his second session. During his treatments, I used specic myofascial release techniques from the Lenton Method to release painful, bound muscles and fascia to not only promote correct movement but also to reduce, and hopefully, eliminate, the pain.Clinical massage is a bespoke therapy - we don’t follow a routine - and it is important to remember that techniques suitable for one dog may not be for another. Many dogs are very co-operative and Thor presented me with the areas he wanted treated. We then progressed easily through the rest of the session to address all areas of injury and dysfunction.The ResultsAfter just 3 sessions, Sophie said, “Thor has been suering with a daily limp which would appear intermittently throughout the day on his front right shoulder for a few years now, but after his second session with Louise it not only disappeared but it hasn’t come back since, even when running and chasing squirrels! I really feel like I’ve got my boy back!”Bringing Back Thor’s ThunderBy Louise Skelton, Home Counties Clinical Canine Massage Therapy & Member of the Canine Massage GuildCANINE MASSAGE GUILD20 Animal Therapy Magazine | ISSUE 19

21 Animal Therapy Magazine | ISSUE 19Put the spring back in your dog’s step withResults you can see & your dog can feel in just 1-3 sessionsAre you seeing any of the following:• Lameness / limping / stiffness• Difculty going up or down stairs• Performance issues in sporting dogs• Orthopaedic conditions: Arthritis, Hip Dysplasia• Problems getting in / out of the car• Slowing down or disinterested in walks• Hopping or skipping on back legs • Slowing down before their time• Gait or posture irregularities• Neck / back / shoulder issues• Reluctant to be handled• Biting or nibbling hind limb / wrists• Change in behaviour: snappy, depressed• Crying pain or yelping• Nerves or anxietyProudly assisting Sparsholt & Winchester universities with the world’s rst ever clinical trials on clinical canine massage therapy.@www.Visit our website for more information and to find your local therapist today! The results of the clinical canine massage sessions include:• Thor no longer limps on his foreleg• Has been able to exercise normally• His gait irregularity Sophie referred to as ‘waddling’ has stopped• He sits how he used to and not with his legs to the side• He is signicantly happier in himself• He has started playing with his sister again• He nds it easier to settle and is more relaxed around the house• He enjoys his walks and no longer pulls up when he is runningThor continues to have maintenance treatments with me and is loving his unrestricted life again. Sophie is amazed how relaxed he is during treatment and went on to say, “Louise is fantastic! She makes Thor feel very comfortable and gives him the choice of treatment location and position. It’s amazing to see them actually work together, and how she continually reads meaning in his interactions to make it as comfortable as possible for him. I still can’t believe the results!! I was feeling at a real loss before this and now I’ve got my dog back. I’d wholeheartedly recommend this therapy to any owner who has concerns about their dog’s mobility and quality of life”.As a former Rugby professional I received regular massage throughout my career to keep me performing at my peak so, really, it shouldn’t continue to amaze me how quickly and dramatically a dog responds to clinical canine massage, but it still does. To see a young dog like Thor who was struggling and becoming old before his time have his life turned round and get his zest back within a few treatments is humbling. Being able to make such a huge dierence to not only the life of a dog but their owner is a real honour. This is truly the most rewarding career.The Lenton Method is currently being trialled by Winchester University and Sparsholt University in the world’s rst ever clinical trials in canine massage therapy. The ocial online register of Clinical Canine Massage Therapists can be found at www.k9-massageguild.co.uk 21 Animal Therapy Magazine | ISSUE 19

22Animal Therapy Magazine | ISSUE 19Rupture of the peroneus tertius (PT) element of the equine hindlimb reciprocal apparatus is not common and the outcome of rehabilitation is not well documented in the literature. is case presents a dressage horse that had an acute lameness, localised with imaging, to the region of the tarsus and subsequently diagnosed with a severe rupture of the PT. e rehabilitation timeline is reported and discussion given to the exercise programme which, for this horse, resulted in a successful return to previous levels of training after one year.Keywords: Peroneus Tertius; Reciprocal Apparatus; Rehabilitation; EquineIntroductione horse has evolved from a cursorial prey species that was required to travel many miles a day to forage, nd water and avoid being eaten (Hampson et al., 2010). Despite being domesticated this incredible species retains both passive stay apparatus (Budras et al., 2012) and energy saving mechanisms to be able to locomote with incredible eciency and speed. Humans have been able to use these adaptations to their advantage, especially in the modern day sports horse. Speed is achieved both through the use of elastic recoil of the exor tendons and the catapult action of the biceps brachaii (Wilson et al., 2003). e energy requirements of gait is aided in the hindlimb by the reciprocal apparatus, which is the arrangement of the peroneus (bularis) tertius (PT) muscle and the supercial digital exor tendon along with gastrocnemius, generating exion of the hock when the stie is in exion and hock extension when the stie extends (Budras et al., 2012). During movement when the hindlimb is exed to protract the limb, the hoof is required to be lied clear of the ground and then placed ready for stance. e hip exes along with exion of the stie, via activity of biceps femoris and the reciprocal apparatus subsequently exes the hock. As the lower leg needs to be brought forwards under the body before being placed on the ground, the stie extends, via activation of tensor fascia lata and the quadriceps. In response the hock extends, the limb is straightened and the stride achieved (Hodson et al., 2001).Only a few research papers have been published regarding the specics of the reciprocal apparatus. Anecdotally, even experienced equine veterinary surgeons rarely see an injury to this structure. Keonig et al. (2005) report a case series of PT ruptures with a variety of causes from falling to laceration. e exact location of the injury did not aect return to previous levels of work in the 23 horses described and 78.3% did manage to successfully rehabilitate aer a median period of 16 weeks box/Peroneus Tertius Rupture in a Dressage Horseby Gillian Tabor, Hartpury University stall rest. If the horse was racing at the time of injury it was less likely to return to this level of work and ve horses were euthanized due to persistent lameness. e authors highlight the need to evaluate PT healing by ultrasonography before returning a horse to exercise (Keonig et al., 2005).CASE HISTORYA nine year old warmblood gelding was found in his eld non-weight bearing on one hindlimb and in obvious signs of pain (Gleerup et al., 2015). is owner immediately called a veterinary surgeon and managed to move the horse very slowly out of the eld. e lameness suggested a fracture initially but none was found. e horse was only toe-touch weight bearing at this point so they were referred for assessment to the nearest equine hospital and were subsequently diagnosed with a tear of the peroneus tertius at the level of the talocural joint (gure 1).REHABILITATIONFigure 1: Ultrasound scan of the distal portion of peroneus tertius in the left hindlimb. Hypoechoic and areas of bre disruption are evident.

23 Animal Therapy Magazine | ISSUE 19continued overleaf10th April Date of injury and prescribed three months complete box rest.17th May At the request of the veterinary surgeon and owner, a four week course of daily laser treatment was commenced (810mn, 200mW single LASER probe, 1 minute continuous frequency, on 2 rows of eight points, 2 cm apart).1st July Started hand walking for three minutes, twice a day which was slowly increased over next few months up to 30 minutes, twice a day in walk.29th July Re-assessment at the equine hospital and ultrasound scan showed evidence of tissue healing. To exclude concurrent joint injury the tarsus was radiographed which showed no bone involvement.15th October Started horse walker 30 minutes, twice a day. Slowly increasing up to 40 minutes.13th December Re-assessment at the equine hospital and re scan which showed further improvement and agreement to increase exercise but this was not commenced until early 2017 due to bad weather.Early the following year Started ridden exercise, walking on at roads for ½ hour day and continued with ½ hour on walker. e road walking was increased to one hour per day over the following month. 4 Weeks Later Continuation of ridden work and given turnout in a very small paddock. Hill work started at walk and short periods of trot on at roads included. Slowly built up walk and trot duration, increasing distance on hills until working 1 ½ hour per day. is included more work aimed to replicate schooling e.g. as described by the owner “on bridle, exing, stretching, more engagement and lateral work”.April Started ridden work in arena including lunging and basic work. Slowly increasing hind limb loading with selection of exercises and full daily turnout. Photographs taken of stie and hock range of motion (gures 2 & 3).Summer All set to return back to competition!Figure 2: Passive retraction of the right hindlimb demonstrating intact reciprocal apparatus. Hock extension is limited when the stie is exed.Figure 3: Passive retraction of the left hindlimb demonstrating abnormal reciprocal apparatus. Hock extension is increased despite stie exion.

24Animal Therapy Magazine | ISSUE 19Discussionis case study reports on a successful recovery from a severe injury to the so tissue in the hindlimb of this horse. e use of repeated imaging supported the prescription of exercise in this instance, as the veterinary surgeon was condent to allow rehabilitation, ie progress from box rest, based on the scan results (Keonig et al. 2005). Overall the total time to return to ridden work was faster than initially discussed with the veterinary surgeon, with a period of months ‘in the eld’ being expected aer the rst period of connement. However, as the owner had recently undergone spinal surgery followed by physiotherapy they were keen for the rehabilitation to be more active than only based on arbitrary time frames. e owner took the horse, at their own expense, for repeated imaging which documented the healing and allowed progression of exercise.Initially when the walking started aer the box rest the owner reported him to be quite weak and sti at the beginning of this part of this rehabilitation phase, therefore the rate of increase to the duration of walking was slow. At regular intervals during the exercise programme the horse was assessed for any compensatory epaxial muscular pain. Chronic hindlimb lameness can result in changes to spinal kinematics (Avarez et al., 2008) which potentially predisposes to altered muscle use and overuse of weak muscles could cause pain similar to delayed onset muscle soreness (DOMS) (Guo et al., 2017). Where muscle pain was found this was treated with reex inhibition (Wakeling et al., 2006) and so tissue massage.Consideration was given to the inuence of neuromuscular fatigue and pain on proprioception (Röijezon et al., 2015) especially aer the period of box rest and the initial injury. erefore it was discussed that proprioception may be reduced, not just in the injured leg but in the whole horse, although it should be noted that this was not measured in any objective manner. Occasionally the horse would stumble on the rst steps from his box but this was not consistent and was not seen during exercise. e initial walking was completed on a rm surface and then progressed to hand walking in an arena, which were the two surfaces that this horse was to be expected to be ridden on. Walking on the same surfaces, in preparation for work on them during faster ridden work, was specically included for proprioceptive training.e altered range of motion of the le hock (gure 3) persisted despite increased exercise and this was visible during gait assessment, as an increase in retraction during le hind stance phase in hand. However this was not observed by the equestrian coach during dressage training or felt by the rider. Potentially when the muscles involved in hindlimb protraction were more active during ridden work the increase in hock extension was not present. Unfortunately the horse was not assessed ‘under saddle’ during the physiotherapy visits.A progression to the exercise programme could have been the use of poles for further challenging proprioception, although currently there is no evidence for this eect, only for increasing limb exion (Brown et al., 2015). It should be noted that although a course of laser was carried out, this was completed at the request of the veterinary surgeon and owner, and no supporting literature was found. e laser manufacturer provided guidelines for parameter setting but again there was no evidence for these provided.In conclusion, this case was successful due to a diligent owner who funded repeated imaging, plus had the time to carry out a slowly progressive exercise programme. In total the time to rehabilitate to full return of function was approximately one year and this timeframe must be considered in future cases.REFERENCESAlvarez, C.G., Bobbert, M.F., Lamers, L., Johnston, C., Back, W. and Van Weeren, P.R., 2008. The eect of induced hindlimb lameness on thoracolumbar kinematics during treadmill locomotion.Equine veterinary journal,40(2), pp.147-152.Brown, S., Stubbs, N.C., Kaiser, L.J., Lavagnino, M. and Clayton, H.M., 2015. Swing phase kinematics of horses trotting over poles.Equine veterinary journal,47(1), pp.107-112.Budras, K.D., Sack, W.O., Rock, S., Horowitz, A. and Berg, R., 2012.Anatomy of the Horse. Schlütersche.Gleerup, K.B., Forkman, B., Lindegaard, C. and Andersen, P.H., 2015. An equine pain face.Veterinary anaesthesia and analgesia,42(1), pp.103-114.Guo, J., Li, L., Gong, Y., Zhu, R., Xu, J., Zou, J. and Chen, X., 2017. Massage alleviates delayed onset muscle soreness after strenuous exercise: a systematic review and meta-analysis.Frontiers in physiology,8, p.747.Hampson, B.A., de Laat, M.A., Mills, P.C. and Pollitt, C.C., 2010. Distances travelled by feral horses in ‘outback’ Australia.Equine Veterinary Journal,42, pp.582-586.Hodson, E., Clayton, H.M. and Lanovaz, J.L., 2001. The hindlimb in walking horses: 1. Kinematics and ground reaction forces.Equine Veterinary Journal,33(1), pp.38-43.Koenig, J., Cruz, A., Genovese, R., Fretz, P. and Trostle, S., 2005. Rupture of the peroneus tertius tendon in 27 horses.The Canadian Veterinary Journal,46(6), p.503.Röijezon, U., Clark, N.C. and Treleaven, J., 2015. Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions.Manual therapy,20(3), pp.368-377.Wakeling, J.M., Barnett, K., Price, S. and Nankervis, K., 2006. Eects of manipulative therapy on the longissimus dorsi in the equine back.Equine and Comparative Exercise Physiology,3(3), pp.153-160.Wilson, A.M., Watson, J.C. and Lichtwark, G.A., 2003. Biomechanics: a catapult action for rapid limb protraction.Nature,421(6918), p.35.REHABILITATIONEquineHartpury UniversityHartpury, Gloucester GL19 3BEwww.hartpury.ac.ukHartpury is a specialist educational provider located in Gloucestershire with more than 3,600 college and university level students studying postgraduate and undergraduate degrees, A-levels and diplomas in the areas of sport, equine, animal, agriculture and veterinary nursing.

25 Animal Therapy Magazine | ISSUE 19IF you make it to the end of this blog give yourself a gold star. This is important right now. I’ve been watching (whilst biting my tongue) recently as online criticism in Equestrian sports has grown. I’m not too young to remember the only way to reference a horse and rider was to: • Buy a magazine (which was £1.20 when I started buying it, expensive then ... little did I know) • Press the red button (the BBC’s sports specic TV option to those outside the UK). • Read a book or watch a video (now the Patey hats and 90s music seems so dated). • Or go to a show or demo in person.In all the above examples, what was shown was often rehearsed, prepared and edited. Giving people in the spotlight chance to generally show the best version of whatever it is they were doing. (I’d pay money to watch the bloopers)People competing didn’t have that luxury and they also didn’t have anything like the camera exposure we have grown accustomed to over the last 10 years.When I started competing and coaching I never felt an anxiety for either myself or from my peers/clients about destructive criticism. Fast forward a few years and WHOAAAH how things changed. I now couldn’t name any discipline across equestrian spectrum at any level from the bottom to top where riders aren’t worried about the repercussions of a less than perfect picture or video making its way onto the internet.This isn’t all bad, when someone records a lesson I coach or lms me riding, it makes me instinctively ask myself “Levi, can you justify what you are doing?” I nd that a healthy thing to ask myself every day (the answer is of course yes every time, you’re perfect baby ).But the dark side to this permanent recording of every moment, be it at home, in the warm up or the competition ring is a fear, a fear that those imperfect moments can be singled out and frozen in time. Taken out of context and used to strengthen someone’s agenda and narrative.We aren’t special, this isn’t a unique Equestrian issue, it’s happening everywhere. Who takes a picture of themselves at 6.30 in the morning with bed hair, bags under their eyes and posts it online? Or writes a status mid argument with their partner over who’s turn it is to empty the dishwasher ... not many of us! We all prefer to show the better version of ourselves and our lives.This ability we now have to capture and share other people’s imperfect moments is paralysing many of us to share anything through fear and repercussion.Of course we don’t live in Utopia, there is ignorance and mistreatment, but I think the worst thing you can do to a sport that thrives on learning is create a culture where people are afraid to look imperfect or ask for help. When we become paralysed to show anything less than seamless, we are living in an online fairy tale where every moment of our riding life is a front cover photo.We all know it isn’t a fairy tale so I so I’ll get real and post an unfortunate picture followed by another with 0.6 seconds dierence. (See above).The rst has his mouth open, swishing tail and head tilt, the second he is settled in the mouth and in the outside rein. Something I am working on all the time (shock horror, the outside rein helps!) ... The rst picture if taken out of context could be made to look totally dierent to the majority of the test, just remember that.A picture can say a thousand words, but is that picture truly representative? Levi’s Blog#NobodyisPerfect #InaworldwhereyoucanbeanythingBEKINDLEVI HUNTLevi Hunt - Grand Prix International Rider for Great Britain, British Dressage Young Professional of the year 2016, Regional British Dressage Team Trainer, UKCC3 CoachLevi regularly runs clinics up and down the country. You can contact him via his facebook page - Levi Hunt Equestrian or through his PA - Nicky on 07771 61002725 Animal Therapy Magazine | ISSUE 19

26Animal Therapy Magazine | ISSUE 19TONY NEVINOwners of animals, especially horses, will oen pressure a therapist to treat the areas of raised sensitivity, and some will even keep pointing out how sensitive it is by prodding it!Obviously we want to keep our clients happy, but I think all too oen we fail to properly explain what is going on. Very few horse or dog owners appreciate how much knowledge is required to read movement and locomotor patterns of animals (or themselves!). ey desperately want us to cast an eye over the patient and then point to the single joint or muscle that is the holy grail of the problem (apologies if a religious connotation oends). Too oen I have been asked this question, only to see my animated explanation of the entire movement patterns, myofascial tension lines, and altered limb loading dismissed with an owner reinforcing their conviction as to the origin of the problem by pushing the irritated tissues again just to prove their point.It is at this stage that I might wish I could ask them to stand on one leg for the duration of the treatment. Not as a punishment, but to demonstrate how their own body has to adapt around an asymmetric loading and force structure throughout their entire body. Aer a short while I would then get them to stand normally, and ask them to move about and let me know where they feel any fatigue or aching of muscles and joints. e reply would be that the hip muscles ache a bit on the leg they were standing on. But then so do their abdominal, shoulder, neck, and possibly jaw muscles. I would then want to pose the question “which ONE would you like me to treat.”is light-hearted approach might stir their interest and awaken their curiosity as to how living beings adapt to trauma and musculoskeletal issues. To be fair, owners shouldn’t have to understand what we do. However it is in their best interests to understand their animal’s requirements and general wellbeing. erefore I passionately believe that we all need to do more to explain how our patient’s bodies adapt around injuries and strains.Research has shown that the body will start to create compensatory changes to the entire musculoskeletal system within two hours of an injury. If this is to be taken seriously, then we should Treating the patient, not the symptomsOsteopathy, the Zoo Ost Ltd wayby Tony Nevin, BSc (Hons) Ost, DOALL of us, as therapists, will at some point be faced with the dilemma of being expected to treat a patient in a way that will only address the most obvious symptoms being presented, even though our clinical knowledge will read the biomechanical picture of the patient and realise that the symptoms are being caused by un-natural forces being subjected to certain joints and supporting structures. ese structures will most likely be sensitive to palpation, or prodding, and tend to get lots of people excited as they feel they have found the problem. Many therapists will be tempted to focus on these areas, and will generally get short-term improvements, as they oer temporary relief to these aected structures.

27 Animal Therapy Magazine | ISSUE 19only treat the immediate area within this short time frame. Aer two hours we must take into account how the individual patient has altered tissue states throughout its entire body.is is where the fun part of our job comes into it’s own. We get to play detective. Oen this is compounded by the fact that the patient (especially if it is a horse) may have more than one compensatory pattern, acting almost like the layers of an onion. Generally when faced with these cases I will have to work through the most recent pattern rst and then carry on layer aer layer. is clearly takes several sessions and needs to be discussed with owners and trainers before commencing; as to start removing protective patterns of movement could be detrimental if treatment were to be curtailed prematurely.I think it is extremely important to explain what we think the patient has done, how they have adapted around the issue, and what is most likely to benet them treatment wise. We also need to be realistic with matching their expectations to the likelihood of helping the patient. Again this is especially so with horse owners.If a horse has been adapting around a problem for most of its life, it is less likely to make a full return to normal movement and function, than one that has been struggling for, say 10-20% of its life.From our perspective I think we need to continually remind ourselves how each species or breed we treat should move, and what their conformation should be at each stage of their natural lives.We also need to create material and platforms (such as this magazine) to better educate animal owners and trainers as to what happens during injury, how a patient innately reacts to create a compensatory pattern that still allows it to move around and perform functions to its best ability, and also explain what we hope to achieve with our treatments, and importantly how we are going to try to achieve this, and what the treatment program will likely involve as well as the likely changes the patient will exhibit throughout this whole process. continued overleaf

28Animal Therapy Magazine | ISSUE 19The definitive guide for animal therapists Animal Osteopathy A comprehensive guide to the osteopathic treatment of animals and birds Hardback 478 pages Beautifully illustrated RRP £120 Osteopaths Tony Nevin and Paolo Tozzi and veterinarian Chris Colles have gathered a team of experts to deliver a beautifully crafted book for osteopaths and all therapists working with animals and birds. Highly illustrated and very well organised, chapters include The dog, The cat, Small furries, The horse, Livestock, Reptiles, Birds, Small wildlife and exotics, and Megafauna. Coverage includes:  Approaches to patient care  Specifics of taking a detailed case history  Use of supporting diagnostics  Observation  Palpation  Structuring a treatment programme suitable for each species 10% off! Use code Nevinat10 at www.handspringpublishing.com We also need to push harder to be allowed to treat the patient as a whole, rather than its symptoms. is is where our working relationship with veterinary surgeons and other para-professionals is critical. If the people referring the patients to us don’t understand what we do, then how can we expect owners and trainers to. e days of telling owners that an animal’s pelvis is “out” are over. Anyone using such dreadful ways of describing an animal’s problem should devote time to educating themselves as to the mechanisms of injury and compensatory patterns – a great topic for some of our upcoming CPD! Let’s kick o the new decade with a fresh approach to how we communicate our work. It should be a walk in the park ... if only!TONY NEVINTony Nevin, BSc (Hons) Ost, DO is Clinical Director on the MSc Animal Osteopathy programme, run through the McTimoney College of Chiropractic, Oxon. He also lectures nationally and internationally; runs unique wildlife workshops; and is a prolic writer, presenter and broadcaster. His radio show “The Missing Link” on Corinium Radio is the only one of it’s kind and is rapidly gaining a loyal listenership. You can catch his earlier shows, and specialist podcasts by following his Mixcloud page titled Tony Nevin.For more than 6 years he chaired the Society of Osteopaths in Animal Practice (SOAP) before it rebranded and became the Association of Animal Osteopaths (AAO).For more information contact Tony at +44 7831 759339. www.zooost.com www.horseost.co.uk www.coriniumradio.co.uk www.mixcloud.com/tonynevin

29 Animal Therapy Magazine | ISSUE 19OVER the past few years there have been a number of changes regarding regulation of the animal health professions. Katie Lawrence, board member of the Animal Health Professions’ Register (AHPR) answers some of the commonly asked questions around regulation and provides some guidance on how to become a regulated practitioner. There are potential changes to the Law that could aect animal health professionsCurrently, under the Veterinary Surgeons Act 1966, only a registered veterinary surgeon is permitted to provide treatment to an animal; however there is an exception to this law which allows for non-veterinary surgeons (described as unqualied persons) to treat animals. This exception is the Veterinary Surgery (Exemption) Order 2015. One of the allowances under this exemption is treatment with “physiotherapy” which the Royal College of Veterinary Surgeons interprets as all kinds of manipulative therapy. Therefore, all practitioners treating animals with manipulative therapies in the UK must comply with this law and must only work with the consent of the treating Veterinary Surgeon. However, this Exemption Order and laws relating to treatment of animals by ‘unqualied persons’ is under review.In early 2016, the UK government department for environment, food and rural aairs (Defra) asked the Royal College of Veterinary Surgeons (RCVS) to take the lead on a review of exemptions; the Exemption Orders & Associates (EOA) working party was formed. This party has proposed a reform of the current law which would specify that those permitted to practice “physiotherapy” would be associate members of the RCVS. In a nutshell, that means in the future there is a high likelihood that to treat animals with “physiotherapy” (remembering the RCVS denition of this) the practitioner would need to be registered with the RCVS as an associate.What does this have to do with AHPR and how are they involved? As an industry grows there is a natural progression of regulation. Industry associations have, over the past 20 + years, developed and improved the standards of training, code of conduct, CPD requirements etc. The next logical step is voluntary independent regulation and ultimately full compulsory regulation. AHPR is an organisation which provides voluntary regulation in advance of compulsory regulation (in the form of the proposed RCVS associates register). AHPR are in discussion with the RCVS who are supportive of the idea of a voluntary regulatory body before the possible move to full regulation. AHPR has very rigorous policies and procedures in place which have been developed in alignment with the RCVS and Professional Standards Authority (PSA) models of regulation. AHPR represents its registrants and continues to liaise with the RCVS through forthcoming changes to the Law and regulation as it evolves.Am I eligible to apply for registration? The short answer is yes. If you are a working therapist and the denition of your therapy falls under one of our subgroup categories then you are eligible to apply. Depending on your training and experience there are dierent routes of application. Successful applicants will be fully assessed by AHPR as competent to practice. The extent of this assessment is dependent on your previous training and experience. Should I still be part of my professional interest group?Yes! The professional interest groups and associations have worked with the training organisations and have been the drivers for this change. They have represented you as members throughout the whole development process and continue to do so. AHPR is not a membership organisation but an independent voluntary regulator. It is important to recognise the dierence. Your association provides the opportunity for you to be part of a supportive community of fellow professionals where you can network and share best practice with each other. AHPR regulates you as a practitioner and provides recognition and validation that you meet the highest standards of practice and conduct. What are the subgroups and when do the grandfathering windows close?Currently, there are AHPR subgroups for Animal Chiropractic and Manipulation, Animal/Veterinary Physiotherapy, Animal Sports Therapy and Massage and Small Animal Hydrotherapy. If you oer an evidence based practice which does not fall under any of these categories, you are welcome to apply to form a new subgroup. We guide new subgroups through the process of setting their industry standards and competencies. The grandfathering windows are open for two years from the launch of the subgroup. Please contact your relevant representative through the website for specic dates but the rst window to close is the Veterinary Physiotherapy (VP) subgroup on the 1st April 2020. Therefore, if you are a VP who has not taken an AHPR accredited route of training and you want to apply for registration, you must do so before this cut o date. After this date the only way to access the register as a VP will be via one of the accredited training routes (unless you are from outside the UK). For further information and contact details please visit www.ahpr.org.uk. Alternatively, you can contact Katie directly on vetphysio@ahpr.org.uk Industry Regulation Update ANIMAL HEALTH PROFESSIONS REGISTER29 Animal Therapy Magazine | ISSUE 19

3 Animal Therapy Magazine | ISSUE 19GET IN TOUCH:Hannah Ashton – Editorhannah@animaltherapymedia.co.ukGeorgia Keegan – Editorgeorgia@animaltherapymedia.co.ukBeth Lorraine - Sales Manager info@animaltherapymedia.co.ukDonna Boddie - Account Manager donna@animaltherapymedia.co.ukTony Nevin - Podcasts and Research tony@animaltherapymedia.co.ukM A G A Z I N EAnimalerapyISSUE 19Issued Quarterlywww.animaltherapymedia.co.ukWhile every eort has been made to ensure that information is correct at the time of going to print, Animal Therapy Media Ltd cannot be held responsible for the outcome of any action or decision based on the information contained in this publication/website. The publishers or authors do not give any warranty for the completeness or accuracy for this publication’s content, explanation or opinion. No part of this publication and/or website may be reproduced, stored in a retrieval system or transmitted in any form without prior written permission of Animal Therapy Media Ltd and/or the authors of the articles within. Permission is only deemed valid if approval is in writing.Front cover image: Captain Redbeard Dalston (Spot) ridden by Sam Coltherd. Photo by Martin Scott.Welcome! As we welcome in a new decade, the animal therapy industry continues to progress all the time. Whilst it's an exciting industry to be part of, we are more and more noticing claims by companies about their products but sometimes without any clinical evidence. It is so easy to believe the hype so we strongly advise you ask for the scientic proof before investing in time and money. ere are some amazing devices out there so make sure you spend your money on the right ones.As always, we are heading to Loseley Park in June for the brilliant VET Festival (information on the back cover) ey have yet again expanded their rehabilitation stream and as ever they have amazing speakers, so we strongly advise you get some of your CPD hours here. We hope the man himself Noel Fitzpatrick makes a quick recovery from his recent fall and will be there on stage rocking the night away!We hope you enjoy this issue and welcome to all our new online subscribers.Many thanksTeam Animal erapyLeucillin ____________________________________ 5The Recovery Box ____________________________ 6INDIBA Case Studies __________________________ 8Managing your Pet's Joint Health ______________ 12Racehorse to Dressage Horse _________________ 14Vet Festival 2020 ____________________________ 18Canine Massage Guild _______________________ 20Rupture of the peroneus tertius _______________ 22Levi’s Blog _________________________________ 25Tony Nevin: Animal Osteopathy _______________ 26AHPR - Industry Regulation Update ____________ 29The Ethics of Riding _________________________ 30Photizo ___________________________________ 33CONTENTS

30Animal Therapy Magazine | ISSUE 19The Ethics of Riding RIDER COACHINGDespite a long history of being ridden, many horse riders and animal professionals are all too aware of a number of ethical considerations concerning working a horse. With more than 40 years experience of the equine sector, Mary Frances BHSII &BHS.SM, from Moorcroft Equine Welfare Centre, shares her view on how it is vital to consider the ethical position of working or riding a horse. C1THOSE of us who spend time with horses, or make a living from them, have an inherent duty to strive to ensure a soundness in the animal at all times. Riding can sometimes have a negative eect but solid foundation work backed up with good physiotherapy will enhance each horse’s health, helping him or her thrive. Horses are by nature very giving, and forgiving, and so maintaining the correct duty of care will ensure that the horse can enjoy their work at all times, without any pain or discomfort - as is so oen the case. As part of this process the role of the physiotherapist is vital. Good feedback can be obtained, muscle health can be closely monitored and any veterinary work can be backed up with the right support and valuable treatments.Ultimately each horse knows how to be a horse. It’s the rider who needs to learn how to be a rider. Horses have a level of intelligence and intuition that they are rarely given enough credit for. And in an ideal world the only people who should strive to become riders are those who truly love and respect the horse. A knowledgeable, empathic and responsible rider with the right approach will never trouble, put out of balance or break down a horse. He or she will enhance its natural movement, develop its paces and suppleness and respect its freedom to move whilst being ridden so that the horse can develop and maintain better muscles and progress in strength. is will undoubtedly result in a better personality in the horse; he or she will be happier to work and more condent.continued overleaf

31 Animal Therapy Magazine | ISSUE 19CASE STUDY In 2019, Moorcroft welcomed a nine year old bay gelding to the Centre (image 1). The horse arrived tired and overworked, and very depleted of both condition and muscle – with no top line muscle at all. Any horse carrying a rider must have some top line muscle in order to work under the weight of the rider comfortably. The horse’s back was sore and tight, and he was experiencing a great deal of pain in the longissimus dorsi in particular.Physiotherapy was employed after an initial assessment to alleviate pain and increase the blood supply to depleted muscles so they could begin to repair and allow the thoracic spine to lift (image 2). After this initial work, we carefully long-reined the horse (example in image 3) ensuring that his thoracic spine was encouraged to stretch and open and reduce tightness and pain. A 20 mins walk session approximately ve days a week initially was sucient, especially given the good quality of stretching through the back which was achieved at each session. The important point to understand here is that it is the quality of the work achieved that is important to good muscle development and health rather than the length of time the muscles work. It can sometimes be counterproductive if overdone – a very common mistake, we nd, when teaching others. Each horse is dierent, so experience and good feel lets you know when it is time to stop. Continued eective therapeutic long-reining ensured the development of good quality muscle through the thoracic area, in a bid to ensure a comfortable riding life in the future for this horse.After correct treatment/rehabilitative work undertaken over 6 months the result was a happy, comfortable horse who now enjoys his ridden work (image 4).342

32Animal Therapy Magazine | ISSUE 19RIDER COACHINGWhen considering riding, it is important to note that the horse has no concept of what his or her potential is – whether a dressage horse, an eventer or a racehorse – and nor does he or she actually care. Many in the equine sector spend a great deal of time assessing young horses’ potential and taking advice from ‘experts’ in order to seek out a horse with the most potential. And not always correctly! Most horses move beautifully and have the ability and the willingness to allow riders to sit on their backs and move with them whether that are galloping, performing dressage moves, jumping or striving to perform any other discipline. Yet it is the responsibility of the rider to ensure that they are well enough equipped with the skills to enhance and care for the horse they are riding, regardless of the activity. All correct riding should be therapeutic and should always enhance the strength, balance and paces of the horse. is in turn will promote the horse’s well-being and enjoyment of his or her work, thereby developing a true partnership of harmony – always a joy to watch. All correct riding should therefore enhance and develop soundness. Training techniques in any discipline that result or cause any form of breakdown to the horse’s physique have no place in correct or honest horsemanship.ere are 2 basic essential commitments for trainers and riders; each which has respect and welfare of the horse at its heart:1 To ‘rebalance’ the horse under the added weight of the rider and its equipment, allowing the horse to develop the strength it needs to carry the rider initially (not an innate skill). is is a never-ending process for any rider or trainer who wishes to succeed.2 Later on, when strength is increased and the horse’s skills and understanding develop, it is essential to continue rebalancing under the added weight of the rider as more is asked and expected. Consistent help and monitoring from a good animal physiotherapist is an essential part of this journey.The Moorcroft team is based in Slinfold, West Sussex and includes Mary Frances BHSII &BHS.SM, Kate Akers (MVetPhys) RAMP, Lianne Bird BHSAI S.M. and Amy Klimek.Mary Frances, Lianne Bird & Kate Akers32 Animal Therapy Magazine | ISSUE 19

33 Animal Therapy Magazine | ISSUE 19SINCE Photizo Vetcare launched in 2013 its popularity has soared amongst Animal Physiotherapists, Vet Nurses, Vets and complementary practitioners nationwide. e Vetcare’s success in practice has encouraged research in the eld of LED sourced red and near infrared Phototherapy.Apart from Photizo Vetcare’s success at oering pain relief and promoting healing across a host of musculoskeletal conditions, it also succeeds in healing wounds. Another aspect is its ability to release dopamine and oxytocin, and lower heart rate. Animal/Veterinary Physiotherapist, Harriet Kitcat of PhysioMyDog specialises in holistic hands-on treatments on dogs covering in and around Frome, Somerset & Woking, Surrey. Treating every dog as an individual Harriet tailors her Physiotherapy treatments with Acupressure, Massage, Myofacial release, Reiki and integrates therapeutic equipment such as Photizo Vetcare where appropriate.Her inspiration to change careers to become an Animal/Veterinary Physiotherapist came aer her own dog, Jenson a Golden Retriever, needed rehabilitation aer TPLO surgery for a partial tear of his cruciate ligament.Harriet explained: “Back then with Jenson I was a regular dog owner who wanted to do the best for my dog. I noticed how much Jenson benetted from physiotherapy and hydrotherapy sessions. His overall demeanour changed, lameness became more subtle, his back less roached, and he generally moved with more ease. is observation coupled with my thirst for knowledge inspired me to learn more. I became a Canine Massage erapist originally to help Jenson, which led to becoming a qualied Animal/Veterinary Physiotherapist so I could help more dogs move and feel better.”Sadly Jenson passed away aged ve, but he le a legacy. Harriet is determined to spread awareness on what owners can do to help their dogs. Factors such as weight control, diet, exercise management and other therapies such as physiotherapy can help successfully manage conditions such as Osteoarthritis.It’s a team eort with the owner, vets and therapists working together, as well as anyone else involved on a day to day basis with the dog, such as other family members, dog walkers etc. When integrating Photizo Vetcare as a complementary tool into Harriet’s hands-on treatments, apart from noticing that she can work deeper into aected areas, Harriet has also noticed a calming eect. She explained: “one of the side eects of Photizo is its ability to help relax dogs. I was intrigued by this consistent eect that helps initially during a treatment, which led me to conduct a research project for a deeper understanding of how by combining therapeutic equipment and massage can inuence conservative management of elbow Osteoarthritis in dogs, both physically andpsychologically.” e objective of this study was to investigate theimpact of therapeutic massage and Photizo Vetcare’s LED sourced red and near-infrared light therapy on dogs diagnosed with elbow Osteoarthritis. By measuring their elbow passive range of motion to see how the dogs’ movement improved and their heart rate to see how this improved their wellbeing.Harriet’s study focussed on three Labradors and three Golden Retrievers all over two years old, weighing between 20-40 KG.Every dog and owner participated under veterinary consent having been diagnosed with elbow Osteoarthritis, but not operated on.Some cases were not on any medication, whilst others had been taking pain relief for two months or more. Importantly every dog maintained its normal diet and routine during the research period and didn’t take part in any other forms of therapy ie hydrotherapy.Exercise was prohibited an hour prior to the treatment sessions, and Harriet ensured that the environment for treatment remained the same for each dog. Study highlights the eects on dogs with Elbow Osteoarthritis combining therapeutic massage with Photizo Vetcareby Anna Webb on behalf of Photizo VetcareBroadcaster, Author, Trainer has studied natural nutrition and therapies with the College of Integrated Veterinary erapies (CIVT)continued overleafPHOTIZO33 Animal Therapy Magazine | ISSUE 19

34Animal Therapy Magazine | ISSUE 19PHOTIZO e dogs were divided into two groups, and each dog benetted from three sessions lasting around an hour, spaced seven days apart.Group One began with combined Photizo Phototherapy and Massage, whilst Group Two used Photizo Phototherapy only. e three sessions were distinctly recorded and comprised: Session One- measurements only; Session Two- Photizo Phototherapy and Massage or Phototherapy only; Session three - both groups had Massage only.Before and aer each treatment session details of the individual’s heart rate and passive range of motion (elbow extension and exion) were recorded.Additionally, owners completed daily questionnaires to grade how their dogs were moving and feeling on a day to day basis. e results were very interesting. Each dog showed improvement but the Massage Only sessions showed a bigger reduction in heart rate resulting in improved wellbeing and the Massage and Phototherapy combined sessions revealed greater improvements in the passive range of motion, resulting in improved movement. Whilst both groups saw a larger reduction in heart rate from Massage Only sessions, there was also a signicant reduction from both the combined Photizo Vetcare and Massage session, and the Vetcare only sessions. Harriet explained: “I was so happy to see how every single dog benetted from the sessions and some of the results were amazing. Some dogs saw over 30% improvements in their range of motion and reduction of heart rate of up to 25%. Looking at the individual results some preferred and benetted from massage only and others improved more from the combined use of Photo and massage. It was interesting to see individual results as overall patterns.e owners also reported great improvements, which was heart warming. ey were asked to grade their dogs before and aer sessions and all of them noticed positive changes in their dogs’ movement and wellbeing. Typically, the dogs were more playful, getting up and moving around more, had more energy and wanting to sleep less. e owners were happier and so were the dogs! Whilst this is a small-scale study, it certainly underlines the power of massage and Photizo applying red & near-infrared light working to successfully manage osteoarthritis.”Ruth Milner, MD of Photizo’s sole UK distributor added: “Studies on dopamine release and oxytocin eects on animals are currently extremely limited. However, there are many anecdotal reports from practitioners and animal guardians who have denitely observed how Photizo has a positive calming eect on animal patients, especially when it is initially applied to painful or tense area, so it is ideal to use prior to and combine with manual therapies.Studies like Harriet’s are vital and although there has been extensive peer-reviewed research on physiological eects, we know there is still a lot to learn about the expanding eld of photobiomodulation (particularly on the calming eects). PBM is the term that describes the chain of bio-chemical reactions stimulated by an evidence-based dose of red and near-infrared light”.Whilst this study is the rst of its kind on Photizo Vetcare’s potential to reduce stress by lowering heart rates in dogs, it oers insight into the potential of integrating Photizo’s Vetcare that’s not only limited to physical conditions, but to help psychologically too. To learn more about Photobiomodulation, Danetre Health’s Phototherapy 1-day CPD course will help any animal health practitioner or enthusiast with working or performance animals to get up-to-date about the published research and facts on PBM. For more information about 2020 course dates, check out the events page on www.danetrehealthproducts.com or email info@danetrehealthproducts.com.For more information on Photizo Vetcare: www.danetrehealthproducts.com/For more information about this study and Harriet Kitcat: www.physiomy.dog/

35 Animal Therapy Magazine | ISSUE 19Faster, natural healing and pain reliefA non-invasive treatment tool for numerous acute & chronic conditionsIdeal for pet owners to use at home for• Wounds• Musculoskeletal injuries• Swelling/inammation• Arthritis or joint dysplasia pain• Bruising plus many moreExclusive discounts for animal practitionersInterested in becoming a Photizo Reseller? Call us nowon 01327 310909 Order now online at:www.danetrehealthproducts.com• Highly effective• Simple to use• RechargeableDanetre Health Products LimitedBroad March, Long March Industrial Estate, Daventry, Northamptonshire NN11 4HE 01327 310909  info@danetrehealthproducts.com PhotizoUk  PhotizoUk

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43 Animal Therapy Magazine | ISSUE 19

44Animal Therapy Magazine | ISSUE 19

5 Animal Therapy Magazine | ISSUE 19LEUCILLIN is an eective and reliable rst aid, sanitizing and skin management tool. Leucillin kills germs that can cause infection, irritation, dry, itchy, aky or smelly problematic skin and provides you with a powerful solution to care for all types of skin. It is the most versatile skincare product available so we are sharing some of our favourite uses with our 14 reasons why we love Leucillin! 1 Clipper Rash or clipper burn often from clipping away excessive matting, resulting in inamed, sore skin, often presenting after the dog has left the salon. Spraying the skin liberally after a groom with Leucillin instantly soothes and calms the skin, Leucillin acts quickly to kill pathogens dramatically reducing the likelihood of infection occurring, happy dog, happy client!2 Tear Staining, “gunky” eyes, grubby beards and pink paws, Leucillin is completely safe to eyes and can be licked! Excessive tear production often associated with a yeast imbalance results in a discolouration of the hair. Using Leucillin as an eye cleanser or ush, kills bacteria and yeasts. Applying daily will lighten the staining and the coat regrowth comes through its natural colour!3 Delicate Skin Leucillin active ingredient is cleverly the very same chemical your pets own white blood cells create to kill infecting pathogens within their own bodies meaning that Leucillin is recognized and accepted by the body as its own! It can safely be applied to all skin types including ears, eyes and mouth.4 Cuts, Nicks and Scratches, if discovered underneath matting or during a chipping o, Leucillin can be applied straight away. Leucillin works on contact so the potential of infection to occur is removed, skin is instantly and visibly calmed.5 Great for Allergies and paw chewing, Leucillin works in harmony with the body’s own defense mechanism and eectively calms the autoimmune system, it is instantly 14 Reasons to Love . . . Leucillinsoothing and calming to the skin and kills secondary infection caused by itching, chewing and scratching. 6 Fast Acting Leucillin is ecacy tested in NHS laboratories, in recent tests Leucillin achieved a class leading 99.99999% (Log7) or maximum measurable reduction in bacteria, meaning Leucillin works so fast it kills pathogens on contact!7 All breeds, skin & coat types Leucillin can be safely used on all skin types and also your feline clients. For brachycephalic breeds, Leucillin is a safe eective daily cleaner for skin folds, keeping those wrinkles and delicate tissue around eyes, clean, clear, smell and infection free. 8 No Staining Leucillin is a unique solution, it’s clear so will not stain your pets coat or your furnishings! Leucillin does NOT contain any oils, surfactants, perfumes, steroids, alcohols or antibiotics. 9 Functional Design We have a quiet spray system to minimise any fear that a loud or strange sound could cause nervous animals. It has a locking mechanism making transporting your bottle leak proof and with it’s 360 degree trigger function you can use the sprayer upside down to help with those tricky to reach areas on your pets such as elbows, beards or bottoms!10 The Best Insurance In the worst case scenario should an accident occur, Leucillin is the best emergency aid as a wound wash, ushing the injury straight away before taking the animal LEUCILLINLeucillin RRP50ml Leucillin Dropper £4.99150ml Leucillin Spray £7.50250ml Leucillin Spray £9.99500ml Leucillin Spray £14.99for veterinary attention insures the animal is protected again ant harmful pathogens that could cause infection.11 Natural Leucillin cleverly uses the active Hypocholrous (HOCl), a natural chemical to the mammalian body, it is passed by the Organic Soil Association, is environmentally friendly breaking down to a safe saline solution, is not tested on animals and is vegetarian and vegan friendly!12 Easy add on sale Leucillin is also an excellent additional sale after a groom as an easy to use tool for your customers to care for the skin, ears and eyes of their pet between grooms. Leucillin is cost eective, has great margins, small minimum orders and free promotional literature. 13 Additional sanitiser Leucillin can also be used to sanitise tables, crates, bowls, toys and beddings, its high ecacy formula kills harmful pathogens on contact whilst being conveniently completely safe not needing to be rinsed o or wiped down before the next client.14 Versatile and safe Leucillin is skin pH neutral, non-toxic and a non-irritant, making it the perfect user friendly solution for professionals and their customers, it’s so safe that even the youngest family members can help care for their pet! To nd out more about Leucillin or to become a stockist please call today or visit www.leucillin.co.uk or Facebook page: www.facebook.com/leucillin Email: info@leucillin.co.ukTel: 0345 548 9800A Groomer’s

6Animal Therapy Magazine | ISSUE 19www.cognitivecanineco.co.ukCrate rest or restricted exercise is an important part of recovery from a wide range of conditions, but it can be stressful for dogs and challenging for owners. If owners are struggling to keep their dogs calm and relaxed, they’re less likely to comply with advice which can ultimately impact a successful recovery.When a dog has an injury, illness or surgery followed by a period of crate rest or restricted exercise they’re likely to have experienced psychological, environmental and physical stressors. While acute stress has immediate benets to recovery, chronic stress can negatively impact a range of body systems.Alongside the physical impacts, stressed dogs can show a range of behaviours such as barking, whining, hyperactivity and destructive behaviour which can be challenging for owners to manage. When dogs become stressed in the crate, owners often see relieving their dog’s immediate distress to be more benecial to their dog’s wellbeing than the long term benets of crate rest and therefore not fully comply with advice. The Recovery BoxResearch has shown that providing enrichment to animals during a period of recovery relieves stress, anxiety and depression, decreases perception of pain, promotes wound healing and can even decrease overall recovery time. Environmental enrichment has been shown to lower resting levels of stress hormones such as corticosterone and adrenaline, and this decrease has well known benets on the immune, gastrointestinal and cardiovascular systems. The benets to the dogs’ physical and mental wellbeing helps to ensure that they’re calm and relaxed throughout their recovery. When dogs are happy, owners are happy too and much more likely to comply with any advice given, giving the dog the best possible chance of recovery.Our referral scheme allows veterinary practices, physiotherapists and other pet professionals to oer the box to their clients without having to carry any stock. If you’d like more information on the ways we can work together to support your clients please email: hello@cognitivecanineco.co.uk or visit our website: www.cognitivecanineco.co.ukThe Recovery Box has been created to support dogs that require crate rest, restricted exercise or have a long term condition aecting their mobility or quality of life. The box supports both owners and pet professionals so that they can work together to provide the dog with an optimum environment for recovery. Along with enrichment and calming products, the box includes our crate rest survival guide. Created in collaboration with a range of experts, the guide covers:• An introduction to stress and dog behaviour• A step by step guide to crate training to ensure it’s a positive experience• Muzzle training and why this may be benecial in even the friendliest of dogs• A step by step guide to a wide range of enrichment activities and brain games suitable for the crate• A step by step guide to training activities that require minimal movement.

7 Animal Therapy Magazine | ISSUE 19Our members are highly skilled in providing physiotherapy care for animals. We work as part of the multi-disciplinary team which is involved with the care and welfare of animals. Members are graduates of university validated BSc or PgD/MSc Veterinary Physiotherapy courses.NAVP members must fulfil certain requirements including CPD, they must carry Professional Liability Insurance and practice in line with the Associations regulations and standards of practice. FOR FURTHER DETAILS PLEASE CONTACT:info@navp.co.ukwww.navp.co.ukPromoting Excellence in Veterinary Physiotherapy Physiotherapy equipment - Tabletop mattresses Waterproof, antibacterial kennel beds - Specialist beds for arthritic dogs www.bigdogbedcompany www.bdbco.vet info@bdbco.vet 01491 818460

8Animal Therapy Magazine | ISSUE 19ON April 6th 2019 Captain Redbeard (Spot) succesfully started and nished The Grand National at Aintree, blemish and injury free.On November 30th 2019 Captain Redbeard’s racing career was suddenly ended by a massive, catastrophic rupture of the Supercial Digital Flexor Tendon (SDFT) whilst racing at Newcastle. His Jockey and part owner, Sam Coltherd, pleaded with trackside Vets to allow the family to bring Spot home. Now back in The Borders, and unable to bear weight, he remained in a Robert Jones Bandage designed to immobilise and potentially stabilise his serious injury, but happy to be in his own stable and yard.On December 12th his rst scan showed so much inammation and damage to the SDFT, that it had forced the underlying Deep Digital Flexor Tendon to have to move to the side. The treating Vets (Cheviot Vets, Kelso) were able to push their ngers into the tendon which had no denition, structure or resistance. The hope for his owners was that he may, at best, be eld sound in a year or so. 6 weeks post injury, the vets established that Spot could have the bandage size reduced and conrmed he was a little more stable. I was asked to treat the tendon with INDIBA twice a week for one month. I applied treatment directly over, and distal to the tendon whilst also treating the Supercial exor muscle above. The reduction in inammation after only a couple of applications was incredible. Although obviously still warm to touch, being able to give Spot the 448kHz directly to his cells, with no heat, was I believe the key to moving this forward so quickly and not compromising its repair by overheating it and upsetting even more,the collagen bres and tenocytes. With hand temperature tests on the tendon, I could increase or decrease the amount of warmth I felt was suitable on that particular visit, whilst never compromising on the 448kHz.Rehabilitation of the Supercial Digital Flexor Tendon using INDIBA Radio Frequency and Physiotherapyby Sarah Robinson, Phys Dip Dist (IAAT). Sarah Robinson is the founder of Equine Physio UK, is based in Jedburgh / The borders of Scotland / England and covers surrounding areas.TISSUE HEALING & ELECTROTHERAPY

9 Animal Therapy Magazine | ISSUE 19To further add to Spot’s injury, he also had a painful sore on his shin which was suocating and growing under the pressure of his support bandage for the SDFT. With advice from the INDIBA Clinician I treated distally to the wound to help accelerate its healing. A couple of days later the wound had stopped looking so angry, was drying up and the inammation surrounding it had gone.Spot was now loading on the limb, his support bandages removed and small daily walks were possible, vital to the repair of the tendon. There was no dropping of the fetlock and the tendon felt harder and more dened. On 7th February I gave him his last treatment of the course and he was re scanned 3 days later. The results are almost unbelievable. The connective tissues have started to repair on mass and the inammation, whilst still there distally, is much reduced. Spot is now walking daily, under very controlled conditions, and I will do two further treatments over the upcoming month. What astounded myself, his owners and the Vets has been the rapidity of the repair. Tendons are notoriously slow, messy and lazy to rebuild, and Spot managed to all but obliterate his. Only 8 weeks of time has passed from his rst demoralising scans in mid December 2019 to these recent ones on 10th February 2020. They speak for themselves. My input totalled 8 treatments covering one month. Impressive results we have all agreed. “Coltherd Racing” know and appreciate daily how lucky they are to have Spot kicking his stable door again and creating havoc amongst his stable mates when he heads out for his daily walks. www.equinephysiouk.co.ukScans above and below: First scan was 12th December. Second scan was 10th February which was post one months worth of INDIBA. The scans show 12th December as top half and 10th February as bottom half.