Return to flip book view

1Animal Therapy Magazine | SPRING 2016M A G A Z I N ESPRING 2016AnimalerapySpecialfeature onHydrotherapyinside

2Animal Therapy Magazine | SPRING 2016Animal 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• Interviews• Product reviewsM A G A Z I N ESUMMER 2015Animal erapyLEARN, GROW AND BE…INSPIREDNETWORKSocial events schedule with wonderful friendship and networking opportunities for youand your colleaguesENJOYA fun festival atmosphere – bespoke outdoor CPD marquees, fresh air, great food and live entertainment99% of last year’s delegates would recommend VET Festival to a colleague10% discount for readers ofAnimal Therapy MagazineEnter code VFATM10 when bookingFEATURING LIVE MUSIC ON BOTH NIGHTSDelegates can attend ANY of the 5 educational streams across the 2 days Greatest choice of lecture subjects including: Orthopaedics Clinical & Surgical, Neurology Clinical & Surgical, Oncology Medical & Surgical, Soft Tissue & Reconstructive Surgery, Minimally Invasive Diagnostics & Surgery, Feline Medicine & Surgery, Emergency & Critical Care, Anaesthesia, Pain Management, Radiology & Advanced Imaging, Nutrition, Rehabilitation, Business Management & MotivationDYNAMIC Ground breaking lectures to stretch your learning and ideas, chosen to be of practical relevance to yourdaily lifeLEARNListen to over 20 globally renowned professionals driving innovation across the industry 95% of last year’s delegates intend to return in 2016 and bring their teamA CELEBRATION OF VETERINARY LEARNINGwww.vetfestival.co.uk#VETfestivalFULL PROGRAMME NOW RELEASED ONLINE10%DISCOUNTFOR READERS OFANIMAL THERAPYMAGAZINESUBSCRIBE NOW FOR YOUR HARD COPY! You can now subscribe to receive a hard copy of our magazine. Our subscribers willget priority posting upon release of eachissue. Annual subscription is just £12 for the 4 issues, individual issues are £3.50 each To subscribe go to the website www.animaltherapymedia.co.ukand follow the links

3Animal Therapy Magazine | SPRING 2016GET IN TOUCH: Hannah Ashton – Editorhannah@animaltherapymedia.co.uk Georgia Keegan – Editorgeorgia@animaltherapymedia.co.uk Beth Lorraine - Sales Manager info@animaltherapymedia.co.ukwww.animaltherapymedia.co.ukWhile every eort has been made to ensure that information is correct at the time of going to print, Animal erapy Media Ltd cannot be held responsible for the outcome of any action or decision based on the information contained in this publication/website. e 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 erapy Media Ltd and/or the authors of the articles within. Permission is only deemed valid if approval is in writing.Front cover: Hydrotherapist Emma with Styles at Doggy Dips.4 CHRC Training9 Canine Amputation14 Hawksmoor18 Doggy Dips20 FMBs21 Abingdon & Witney College22 Equine Pelvic Fractures26 Tony Nevin28 Vet Festival32 Mackeson34 Photizo36 Levi Hunt38 Anna Webb42 Farrier article45 Boots or Bandages?48 Pan African Symposium50 Sherry ScottM A G A Z I N EAnimalerapyWelcome! . . . to the fourth edition of the Animal erapy Magazine. e nal instalment of our rst year and we can not be more thrilled with how we have grown. We have met and spoken to so many fantastic professionals throughout the past year and long may it continue, we have great plans for the future.We must thank our contributors for their support and we areattered and overwhelmedwith the constant ow of fascinating articlessupplied by some very talented professionals. We must also thank our brilliant photographer, Rose, from Daydream Equine Art, who is fantastic and we can’t recommend her highly enough. Huge thanks also goes out to our fabulous designer, Richard from Oaklands who puts up with us as we aim to bring each issue together.Our magazine has made its way to many conferences, shows and events over the past yearincluding BETA, Crus, e London Vet Show, Your Horse Live and Just Dogs Live.2016 is looking to be equally successful and we are proud to be supporting e Vet Festival in June this year. If you are there please do come and say hi! We are also in talks with e London Vet Show and hope to be working closely with them for their show later in the year.Animal erapy Magazine has been created by passionate professionals working in the eld of animal therapy. New products and techniques are being discovered every day and as such this publication is the ideal place for education, product launches, reviews, success stories, case studies, testimonials and much more. Anyone working within the industry will know that therapists learn something new with every case. For this reason we encourage professionals from every eld to get in touch to share their experiences, discuss techniques and promote products they believe in. So, if you have a story to tell or information to share please get in touch . . .ISSUE 4 - SPRING 2016Issued QuarterlyCONTENTS

4Animal Therapy Magazine | SPRING 2016HYDROTHERAPYCHRC Traininge role of integrative practice to include hydrotherapy and veterinary physiotherapy for senior dogs with locomotive disorders by Barbara Houlding GradDipPhys, MScVetPhys, MCSP, FIRVAP and Danielle Pountain RVN, Dip HE CVN, Dip AVN, Cert SA Hydrocontinued overleafIntroduction ere are currently 8.5 million dogs kept as pets in the United Kingdom (PFMA 2016). Continued advances in veterinary medicine, preventative healthcare and nutrition are resulting in greater longevity, with approximately 48% of the population considered to be in their senior life stage (Metzger 2005). As pets age there are a number of predictable deleterious physiological changes that occur as tissues lose elasticity, muscle tone lessens, bones decrease in density, immune function diminishes, vital organs become less ecient and cognitive function declines (Fortney 2012). ese age related changes do not result in disease per se, however chronic cellular degeneration can aect pharmacokinetics and the patients’ ability to maintain homeostasis (Fortney 2012). One of the most common reasons senior pets are presented to the veterinary surgeon is owner concern with regards to their pets’ loss of ability to maintain their independence and perform activities of daily living. ese alterations in patient activity and behaviour are frequently a consequence of painful and degenerative locomotive disorders, which have a negative impact on senior dogs emotional state, motivation and quality of life. (Fox & Millis 2011, Flecknell & Waterman-Pearson 2000). e prevalence of osteoarthritis (OA) in the dog is high with conservative estimations suggesting 20% of the adult canine population are aicted (Marshall et al, 2009); conversely there is a paucity of data examining the incidence in aged patients. e management of causes of chronic pain such as OA in senior dogs is oencomplicated by co-morbidities, many of which may alter drug disposition, bioavailability and clearance, making the pharmaceutical management of chronic pain potentially challenging (Dowling 2005, Metzger 2005). Subsequently, as we aim for a multimodal approach, small animal therapists are becoming an increasingly important part of the multidisciplinary team (MDT). erapists are tasked with reducing pain, improving movement eciency and functional activities, such as toileting and rising aer rest or exercise.Pathophysiology of OAOA is a self-perpetuating degenerative condition aecting synovial joints, characterised by deterioration of articular cartilage (Johnston 1997) and resulting in pain and physical disability (Marshall et al, 2009). e loss of cartilage results in abrasion of the bones articular surfaces against one another, exposing subchondral bone resulting in micro fracture, remodelling, chronic inammation, and joint pain (Renberg 2005). is degenerative condition can aect one or several of the joints of young and old dogs alike (Renberg 2005). Johnston (1997) discusses OA development to be a result of either an abnormal force on a normal joint or a normal force on an abnormal joint; suggesting it may occur as a consequence of developmental, acquired and degenerative orthopaedic disease.Certain breeds have a higher predisposition to develop OA, such as many of the giant breeds, Labrador Retrievers, Golden Retrievers and German Shepherd Dogs however it may develop in any breed (Watson 2014). As presenting signs can vary it is considered one of the most underdiagnosed conditions in dogs (Epstein et al 2015) and many older animals may go undiagnosed as slowing down and diculty rising are too oen considered an inevitable consequence of ageing. PainPain is dened as “actual or potential damage to tissues, that results in a negative emotional or sensory experience” (Mathews et al 2014) and it can have signicant deleterious eects on physical and emotional wellbeing (Epstein et al 2015). e identication of pain in the dog has been historically challenging and subjective, however there are now numerous validated assessment and scoring systems available to aid the practitioner. It is well recognised that pain associated with OA is insidious in onset and can become all-consuming aecting behaviour and all activities of daily living, including sleep (Grant 2009). In cases of unmanaged chronic pain, hyperalgesia or allodynia may exist secondary to plastic changes in the dorsal horn of the spinal cord; for the owner this would mean a dog would perceive normally innocuous stimuli as painful (Grant 2009).

5Animal Therapy Magazine | SPRING 2016Hydrotherapy Courses & Training The professionals that train professionals Delivered by a team of small animal veterinary physiotherapistsAccredited clinical educators working in the sectorBlended learning programmeProfessional mentoring and supportAccredited course providerPart of CHRC Training groupMulti centred experiencesState of the art facilitiesLevel 5 Diploma in hydrotherapy for small animals: ABC Awards licenced & certicated• Career progression from Level 3 Certicate• Direct entry for veterinary professionals• Part time one year course• Benchmarked at foundation degree level• CHRC Training are sole UK course providerLevel 3 Certicate in hydrotherapy for small animals:ABC Awards regulated & certicated • Part of the minimum requirement to start practice• Fast track course benchmarked at A’ levelstandard• Delivery modied to suit all learningstyles• Audited as excellent across the boardFor more information contact:Course Registrarcourses@k9hydroservices.co.uk www.k9hydroservices.co.ukK9 Hydro Services, Unit 21, The Business CentreEarl Soham, Woodbridge,Suolk IP13 7SAImages: www.canis-photography.com Email: info@canis-photography.com

6Animal Therapy Magazine | SPRING 2016Eective pain management relies upon integration of pharmaceutical and non-pharmaceutical modalities, such as veterinary physiotherapy and hydrotherapy. ere is an ever increasing evidence base for the inclusion of a range of physiotherapeutic interventions in pain management, as more empirical data is published (Epstein et al 2015). Integrative multidisciplinary practice promotes a team approach, helps to strengthen the client – clinician bond and leads to more complete and clinical reasoned pain management decisions (Epstein et al 2015).Environmental changes to aid the senior dog Laminated or tiled oors oer little traction and pets with mobility impairment can nd negotiating these surfaces challenging. Once a dog falls they lose condence, sothe use of non slip rugs or runners to cover these areas is advised. Stair gates to limit access to steps and stairs are useful to ensure elderly dogs limit unnecessary high force loading through their limbs.e location of a dog’s sleeping area should be considered. Areas that may become cold or damp should be avoided in favour of a dry warm indoor environment. A so well-padded bed should be provided. Food and water bowls should be easily accessible. Food stands can be utilised to prevent the need for excessive bending and stretching and abduction of limbs to protect painful or restricted joints. When a dog experiences chronic joint pain, adaptations to gait and posture are made to restrict movement in the painful joint or limb, consequently load bearing alterations are made on other limbs and gait may be uneven or abnormal as alternative muscle groups are recruited for locomotion. is can lead to discomfort, inecient gait and maladaptive patterning in areas away from the joint aected by OA.e therapist should provide appropriate advice on selection, t and use of restraints to assist in directed movements, methods to motivate the animal appropriately and address behavioural changes due to diminishing senses. Specic guidance should be given on exercise type and touch work to re-assure the ageing dog. Weight controlere is currently an obesity epidemic within the UK pet population; with a leading animal charity suggesting as many as 1 in 2 dogs are overweight. e maintenance of an optimum body weight is a critical part of managing a pet with OA (Fox & Millis 2012). Many pets with osteoarthritis experience a decrease in physical activity and therefore energy expenditure. is is rarely met with an accompanying decrease in calorie intake; subsequently intake begins to exceed expenditure and weight gain occurs. is can be a gradual process HYDROTHERAPY

7Animal Therapy Magazine | SPRING 2016KEY WORDS: Integrative, locomotive disorder, movement dysfunction, proprioceptive loss, osteoarthritis, chronic pain, degeneration, senior, veterinary physiotherapy, hydrotherapy, multidisciplinary team, therapeutic handling, elderly, senior.REFERENCES:Dowling, P. M. (2005) ‘Geriatric pharmacology’, Veterinary Clinic of North America: Small Animal Practice, Vol. 35, No. 3, pp. 557-569.Egger, C. M., Love, L. and Dohery, T. (2014) Pain Management in Veterinary Practice, Oxford: Wiley Blackwell.Epstein, M., Rodan, I., Grienhagen, G., Kadrlik, J., Petty, M., Robertson, S. and Simpson, W. (2015) ‘2015 AAHA/AAFP Pain Management Guidelines for Dogs and Cats’, Journal of American Animal Hospital Association, Vol. 51, No. 2, pp 67-84.Flecknell, P. and Waterman-Pearson, A. (2000) Pain Management in Animals, Edinburgh: W. B. Saunders.Fortney, W. D. (2005) ‘Implementing a Successful Senior/Geriatric Health Care Program for Veterinarians, Veterinary Technicians, and Oce Managers’ Veterinary Clinic of North America: Small Animal Practice, Vol. 42, No. 4, pp. 615-852.Fox, S. M. and Millis, D. (2011) Multimodal Management of Canine Osteoarthritis, London: Mason Publishing.Grant, D. (2009) ‘Central sensitisation’s role in chronic osteoarthritis pain’, Veterinary Times, 16th November.Johnston, S. A. (1997) ‘Osteoarthritis: Joint Anatomy, Physiology, and Pathobiology’, Veterinary Clinic of North America: Small Animal Practice, Vol. 27, No. 4, pp. 699–723.Mathews, K., Kronan, P. W., Lascelles, D., Nolan, A., Robertson, S., Steagall, P., Wright, B. and Yamashita, K. (2014) ‘WSAVA Guidelines for recognition, assessment and treatment of pain’, Journal of Small Animal Practice, Vol. 55, No. 6, E10-E58.Metzger, F. L. (2005) ‘Senior and geriatric care programs for veterinarians’, Veterinary Clinic of North America: Small Animal Practice, Vol. 35, No. 3, pp. 743-753.Pet Food Manufacturers Association (2016) Pet Population Statistics. Available at: http://www.pfma.org.uk/pet-population-2016, Assessed on 12 April 2016.Renberg, C. (2005) ‘Pathophysiology and management of osteoarthritis’, Veterinary Clinic of North America: Small Animal Practice, Vol. 35, No. 5, pp. 1073-1091.Watson, T. (2014) ‘Treatment and management of osteoarthritis in dogs and cats’, Veterinary Times, 1st April.and can easily go unnoticed; the therapist should subsequently add body condition scoring to their routine patient examination.Physiotherapeutic interventionsSmall animal veterinary physiotherapy and hydrotherapy are aimed at maximising the movement potential of the individual animal and improving their quality of life. Treatment techniques should be clinically reasoned for each referred patient following assessment of their movement dysfunction, leading to a prioritised problem list and SMART (specic, measurable, attainable, relevant, timely) short and long term goal planning. Re-assessment and the use of relevant outcome measures are useful tools to determine treatment ecacy. Owners should be supported with a specic home programme that is graduated to meet the needs of their dog.In the senior dog with OA, physiotherapy and hydrotherapy are eective strategies for pain management and to address problems such as joint stiness, reduced joint range of motion, muscle weakness, proprioceptive loss, inecient postures and transfers, functional challenges and diminished balance and co-ordination. ese interventions should interlink to the patient’s pharmaceutical treatment, weight management and dietary supplementation. Hydrotherapy and aquatic therapies can provide a proprioceptive enriched experience when applied using therapeutic handling, to positively inuence the patient’s movement and behaviours. Safety of the patient is paramount, with dynamic risk assessment and evaluation of techniques central to practice. is aims to ensure a calm and positive environment where the patient works actively in a condent and focussed manner with the skilled therapist administering hands on control, utilising therapeutic handling at all times. Hydrotherapy treatment techniques may include a range of movement therapies such as motor sequencing, free rhythmical sequencing, alignment techniques, static and dynamic core stability work; aquatic manual therapies such as massage therapies, myofascial release therapies, joint mobilisation techniques and positive behaviour modication techniques.Land based veterinary physiotherapy may include movement therapies, manual therapies, electrotherapies, proprioceptive rehabilitation and a graduated home programme. Successful integration of these strategies to the hydrotherapy programme oers the senior patient the optimum approach to achieve the goal setting and attain successful outcomes, signicantly improving their quality of life.Conclusion It is widely recognised that the best approach to addressing pain and dysfunction associated with chronic musculoskeletal disorders is multimodal, recruiting various members of the MDT (Epstein et al 2015, Fox & Millis 2011, Egger et al 2014) to provide a cohesive and eective treatment programme.Pharmaceutical intervention, nutrition, weight optimisation and a clinically reasoned physiotherapeutic programme to include hydrotherapy, physiotherapy and therapeutic handling will oer a complete and eective management programme for the senior dog with OA.

8Animal Therapy Magazine | SPRING 2016HYDROTHERAPYWe are working for excellence in animal therapy through our registered animal therapistsIAAT exists to provide vets, owners and insurance companies with a register of trained professionals in a number of disciplines:  Physiotherapy Osteopathy Animal Manipulation Massage HydrotherapyIAAT is run by its members, for its members and is committed to providing a professional and proactive association. It is a high profile organisation that boasts a large number of international members. To register as a therapist, or for more information, please contact www.iaat.org.uk(email address to follow) 01844 290545 To register as a therapist, or for moreinformation, please contactwww.iaat.org.ukinfo@iaat.org.uk 01844 290545Visit our website: www.westcoasthydrotherapy.co.ukSince 1988 Westcoast have been the pioneers of hydrotherapy for animal’s!Visit our website: www.westcoasthydrotherapy.co.ukSince 1988 Westcoast have been The lowest Under Water Treadmill with the largest viewing windows in any colourWestC_91mmx135mm.indd 2 01/04/2016 14:55The density of the solid foams is modied according to the size of the bed, a higher density foam being used for larger heavier dogs. In this way, the support offered by the beds is always appropriate to the size and weight of the occupant. These beds are recommended for longer stay surgery and orthopaedic patients, using our clinical PU covers with waterproof fabric and welded seams.Patient Care in the HomeThe Active Recovery Bed may also be sold by the Practice to clients for use at home. Active Recovery Beds for use in domestic environments are offered with hard wearing upholstery fabric covers that are easy clean, waterproof, urine and stain resistance, and antibacterial and come in a wide range of colours.These beds will also benet working dogs, restoring muscles and contributing to alertness, decision making and overall functionality, ensuring that they are maintained in good health and always ready for the next day’s activity.Kennel BedsKennel Beds are combination of high density foam (7.5cm) topped by 2.5cm memory foam, designed for longer stay patients. This deep, supportive bed reduces the risk of bed sores developing, and provides a high quality sleep environment which will reinforce recovery. Kennel Beds can be made to measure and also come in seven standard sizes. The same welded cover fabric is used on the Kennel Bed.100% Designed andmade in the UK.www.bigdogbedcompany.co.uk@info@bigdogbedcompany.co.uk01491 641788All our bed covers are waterproof, antibacterial, antifungal, vapour permeable, urine and stain resistant. All fabrics and foams comply with CRIB 5 re retardancy regulations as a minimum. The weldable PU fabric is certied as meeting Oeko-Tex® Standard 100 for products that come into contact with babies. Antibacterial properties are provided by Santized Clariant Benelux. This fabric may be cleaned using disinfectants used in the health care sector.The Big Dog Bed Company designs and makes stylish, practical dog beds in the UK. The highest quality components and clever construction are combined to provide beds that are robust, good looking and easy care.Why Provide Good Quality Beds in Your Practice?Sleep is a vitally important contributor to animal health, wellbeing and behaviour. In a clinical environment, good quality sleep promotes recovery from surgery and reduces animal stress. General health is maintained at a higher level, contributing to the more rapid return of the animal to their home.The immune system requires good quality rest to function well and muscle repair only takes place when an animal is asleep. Appetite, important to recovery and an indicator of wellbeing, is negatively inuenced by tiredness and poor sleep quality. Physiological activities associated with cell growth and repair are increased during sleep. Hence, the provision of a comfortable sleeping environment for patients will contribute to satisfactory outcomes for practise patients and their owners.The benets of a well rested patient also contribute to the bottom line. An animal that is less stressed will be more cooperative when clinical activities are carried out, allowing these tasks to be completed more rapidly. Complications are minimised where general animal health is maintained and an improved rate of recovery allows patient to be discharged after a shorter stay, freeing up practice space and increasing capacity. The clinical products developed by the Big Dog Bed Company are designed to support excellence in veterinary care and to help in the delivery of the best possible outcomes for patients.80 x 60üü90 x 60üü120 x 60üü105 x 75üü120 x 85üü134 x 95üü145 x 105 üüBed Sizes (cm)Active RecoveryKennel BedsVetinery Pads are made to t practise crates.Made to Measure: All styles of clinical bed are available as a made to measure option.The density of the solid foams is modied according to the size of the bed, a higher density foam being used for larger heavier dogs. In this way, the support offered by the beds is always appropriate to the size and weight of the occupant. These beds are recommended for longer stay surgery and orthopaedic patients, using our clinical PU covers with waterproof fabric and welded seams.Patient Care in the HomeThe Active Recovery Bed may also be sold by the Practice to clients for use at home. Active Recovery Beds for use in domestic environments are offered with hard wearing upholstery fabric covers that are easy clean, waterproof, urine and stain resistance, and antibacterial and come in a wide range of colours.These beds will also benet working dogs, restoring muscles and contributing to alertness, decision making and overall functionality, ensuring that they are maintained in good health and always ready for the next day’s activity.Kennel BedsKennel Beds are combination of high density foam (7.5cm) topped by 2.5cm memory foam, designed for longer stay patients. This deep, supportive bed reduces the risk of bed sores developing, and provides a high quality sleep environment which will reinforce recovery. Kennel Beds can be made to measure and also come in seven standard sizes. The same welded cover fabric is used on the Kennel Bed.100% Designed andmade in the UK.www.bigdogbedcompany.co.uk@info@bigdogbedcompany.co.uk01491 641788All our bed covers are waterproof, antibacterial, antifungal, vapour permeable, urine and stain resistant. All fabrics and foams comply with CRIB 5 re retardancy regulations as a minimum. The weldable PU fabric is certied as meeting Oeko-Tex® Standard 100 for products that come into contact with babies. Antibacterial properties are provided by Santized Clariant Benelux. This fabric may be cleaned using disinfectants used in the health care sector.The Big Dog Bed Company designs and makes stylish, practical dog beds in the UK. The highest quality components and clever construction are combined to provide beds that are robust, good looking and easy care.Why Provide Good Quality Beds in Your Practice?Sleep is a vitally important contributor to animal health, wellbeing and behaviour. In a clinical environment, good quality sleep promotes recovery from surgery and reduces animal stress. General health is maintained at a higher level, contributing to the more rapid return of the animal to their home.The immune system requires good quality rest to function well and muscle repair only takes place when an animal is asleep. Appetite, important to recovery and an indicator of wellbeing, is negatively inuenced by tiredness and poor sleep quality. Physiological activities associated with cell growth and repair are increased during sleep. Hence, the provision of a comfortable sleeping environment for patients will contribute to satisfactory outcomes for practise patients and their owners.The benets of a well rested patient also contribute to the bottom line. An animal that is less stressed will be more cooperative when clinical activities are carried out, allowing these tasks to be completed more rapidly. Complications are minimised where general animal health is maintained and an improved rate of recovery allows patient to be discharged after a shorter stay, freeing up practice space and increasing capacity. The clinical products developed by the Big Dog Bed Company are designed to support excellence in veterinary care and to help in the delivery of the best possible outcomes for patients.80 x 60üü90 x 60üü120 x 60üü105 x 75üü120 x 85üü134 x 95üü145 x 105 üüBed Sizes (cm)Active RecoveryKennel BedsVetinery Pads are made to t practise crates.Made to Measure: All styles of clinical bed are available as a made to measure option.Providing a better bed for your dogTel: 01491 641788 www.bigdogbedcompany.co.uk Big Dog Bed Company, 41 Bradley Road, Nueld, Henley-on Thames RG9 5SG, Oxfordshire· Waterproof, antibacterial covers with welded seams· Pressure relief surfaces for long stay and orthopaedic patients· Items bespoke to the needs of individual practices· Development service for specic physiotherapy equipment needsThe density of the solid foams is modied according to the size of the bed, a higher density foam being used for larger heavier dogs. In this way, the support offered by the beds is always appropriate to the size and weight of the occupant. These beds are recommended for longer stay surgery and orthopaedic patients, using our clinical PU covers with waterproof fabric and welded seams.Patient Care in the HomeThe Active Recovery Bed may also be sold by the Practice to clients for use at home. Active Recovery Beds for use in domestic environments are offered with hard wearing upholstery fabric covers that are easy clean, waterproof, urine and stain resistance, and antibacterial and come in a wide range of colours.These beds will also benet working dogs, restoring muscles and contributing to alertness, decision making and overall functionality, ensuring that they are maintained in good health and always ready for the next day’s activity.Kennel BedsKennel Beds are combination of high density foam (7.5cm) topped by 2.5cm memory foam, designed for longer stay patients. This deep, supportive bed reduces the risk of bed sores developing, and provides a high quality sleep environment which will reinforce recovery. Kennel Beds can be made to measure and also come in seven standard sizes. The same welded cover fabric is used on the Kennel Bed.100% Designed andmade in the UK.www.bigdogbedcompany.co.uk@info@bigdogbedcompany.co.uk01491 641788All our bed covers are waterproof, antibacterial, antifungal, vapour permeable, urine and stain resistant. All fabrics and foams comply with CRIB 5 re retardancy regulations as a minimum. The weldable PU fabric is certied as meeting Oeko-Tex® Standard 100 for products that come into contact with babies. Antibacterial properties are provided by Santized Clariant Benelux. This fabric may be cleaned using disinfectants used in the health care sector.The Big Dog Bed Company designs and makes stylish, practical dog beds in the UK. The highest quality components and clever construction are combined to provide beds that are robust, good looking and easy care.Why Provide Good Quality Beds in Your Practice?Sleep is a vitally important contributor to animal health, wellbeing and behaviour. In a clinical environment, good quality sleep promotes recovery from surgery and reduces animal stress. General health is maintained at a higher level, contributing to the more rapid return of the animal to their home.The immune system requires good quality rest to function well and muscle repair only takes place when an animal is asleep. Appetite, important to recovery and an indicator of wellbeing, is negatively inuenced by tiredness and poor sleep quality. Physiological activities associated with cell growth and repair are increased during sleep. Hence, the provision of a comfortable sleeping environment for patients will contribute to satisfactory outcomes for practise patients and their owners.The benets of a well rested patient also contribute to the bottom line. An animal that is less stressed will be more cooperative when clinical activities are carried out, allowing these tasks to be completed more rapidly. Complications are minimised where general animal health is maintained and an improved rate of recovery allows patient to be discharged after a shorter stay, freeing up practice space and increasing capacity. The clinical products developed by the Big Dog Bed Company are designed to support excellence in veterinary care and to help in the delivery of the best possible outcomes for patients.80 x 60üü90 x 60üü120 x 60üü105 x 75üü120 x 85üü134 x 95üü145 x 105 üüBed Sizes (cm)Active RecoveryKennel BedsVetinery Pads are made to t practise crates.Made to Measure: All styles of clinical bed are available as a made to measure option.Designed for Clinical and Kennel Environments

9Animal Therapy Magazine | SPRING 2016FOR owners, the idea of amputation is oen dicult to accept, however the truth is that most pets adapt very well to having a limb removed. In most cases, amputation is required due to two main reasons: severe trauma or a tumour causing pain in the aected limb. ankfully the surgical techniques used to amputate a limb are highly sophisticated, and this together with a multimodal pain management strategy ensures patients are able to recover quickly.e removal of a limb does however have a signicant eect on the biomechanics of the musculoskeletal system. Evidently, the body weight has to be redistributed between the three remaining limbs; the typical quadruped dog supports 60% of his body weight on the thoracic limbs and 40% on the pelvic limbs. With amputation of a pelvic limb the redistributed weight increases to 74% on the thoracic limbs and 26% supported by the remaining pelvic limb. With amputation of a thoracic limb the weight is redistributed to an additional 17% loading on the remaining thoracic limb and an additional 13% of the body weight shared between the pelvic limbs. is absence of a fourth limb, means a greater amount of force is directed through the limbs, leading to increased impact, potential wear to the joints, and increased articular and muscular strain within the three remaining limbs. Dog’s with an amputated limb adopt various compensation mechanisms to allow them to be ambulatory, and there are some key dierences between those with thoracic limb amputations and those with pelvic limb amputations. Because the compensatory movements are not necessarily ecient - age, body condition and breed have a signicant eect on the development of pathology in myofascial tissue, joints and the spine associated with the altered gait and structural support. Pelvic limb amputationPelvic limb amputation is believed to have a considerable impact on both balance and locomotor function. To compensate for the missing pelvic limb, amputees demonstrate various adaptations within the kinematics of the vertebral column. You will start to see lateral exion of the vertebral column and postural changes with the remaining pelvic limb being placed closer to the thoracic limb of the same side. Head and neck movement can also become exaggerated to aid propulsion.As the animal stands, the remaining pelvic limb acts as a strut, and must remain in a position farther under the trunk to maintain stability and aid initial propulsion. As a consequence, owners start to see exion of the lumbosacral region (hunching of the lower back) and asymmetrical vertebral movement. All these changes are inevitable but can easily be managed with therapy.With regards to the limb kinematics, studies have found only one signicant change in comparison to the normal quadrupeds. Pelvic amputee dogs demonstrate an increase in the range of motion of the tarsal (hock) joint within the remaining pelvic limb. is compensation is thought to maximize the elastic recoil within the calcaneal tendon and associated muscles such as the gastrocnemius and semitendinosis. is increased movement in the remaining pelvic limb absorbs the increased body weight that it now supports, however this does place excessive strain on the so tissue structures of the remaining limb and increases the impact on the joints.Thoracic limb amputatione compensation strategies for thoracic limb amputations primarily involve the pelvic limb on the same side and the remaining thoracic limb. Increased loading and forces applied to the remaining limbs increases the likelihood of the development of osteoarthritis and joint dysfunction. In comparison to the gait of a quadruped, the remaining thoracic limb contributes signicantly more to the braking function and less to propulsion. is places a greater demand on the joints and so tissue structures of the remaining thoracic limb and means the neighbouring pelvic limb is signicantly more susceptible to acute and chronic injuries.Like pelvic limb amputees, thoracic limb amputees have shown to increase the range of motion of the carpus (wrist) joint. ere is also a risk of hyperextension in the stance phase giving the appearance of joint collapse. Furthermore the pelvic limb demonstrates increased joint range of motion in the hip and stie joint.Unsurprisingly, gait and posture are altered and the change in vertebral column kinematics will have a long-term impact for the amputee as it Physiotherapy for the Canine Amputeeby Laura Batten PgDip (Vet. Phys.) MNAVPcontinued overleaf

10Animal Therapy Magazine | SPRING 2016 AIMS MODALITIES REMEDIAL EXERCISEControl Pain • Laser • Cold therapyEnhance wound healing • LaserReduce inammation • Cold therapyEnsure safety in mobilising • Assisted standing – use of a sling or peanut ball • Slow lead walking + slingReduce compensatory muscle • Massagesoreness • Stretching, • Pulsed Electromagnetic eld therapy (PEMF) • Heat therapyImprove balance • Slow lead walking, • Dynamic weight shifting exercises • Wobble board • Limb liftsRestore normal passive range of • Passive range of motion movement mobilisation exercises • HydrotherapyMuscle re-education – normalize • Massage,muscle tone and balance • Stretching • HydrotherapyReduce secondary complications • Laser joint - marginsfrom compensatory gait • Massage • Stretching • Mobilisations • HydrotherapyAssist functional return to activities • Ramps for getting into and out of vehicles Improve proprioception • Slow lead walking on varying surfaces • Digital awareness bands • Varying surfacesImprove core stability • Wobble cushion • Slow lead walking • Dynamic weight shifting exercises • Limb liftsIncrease muscle strength • Hydrotherapy • Underwater treadmill • Wobble cushionIncrease cardiovascular tness • Hydrotherapyand stamina • Underwater treadmillCONSIDERATIONS FOR THE TRIPEDAL PATIENT• Reduce/maintain low weight – obesity places excessive strain on already compromised joints• Raise water and food bowl• Consider home oor surface – place runners on hardwood/laminate oors etc.AREAS OF CONCERN IN THORACIC LIMB AMPUTEES• Joints in the remaining thoracic limb• Hip and stie joint of the remaining pelvic limbs• Epaxial muscles of the trunk• Extrinsic muscles of the remaining thoracic limbAREAS OF CONCERN IN PELVIC LIMB AMPUTEES• Joints of the remaining pelvic limb• Gastrocnemius muscle, semitendinosis muscle and quadriceps muscles• Thoracolumbar junction• Epaxial muscles of the trunkCANINE AMPUTEE PHYSIOTHERAPYHYDROTHERAPY10Animal Therapy Magazine | SPRING 2016

11Animal Therapy Magazine | SPRING 2016– CASE STUDY 1 –Name of dog: ArchieAge: 14Breed: Labrador X Border CollieHistory:• Stray dog in Ireland, involved in a road trac accident requiring amputation of his left pelvic limb at approximately 1 year old.• Rehomed as a 2 year old in England.• Has been attending hydrotherapy every 45 weeks since the age of 6.• 2 x 10 minute lead walks• Antiinammatory and pain relief• Joint supplementsObservations – Owner & Assessment:• Sought physiotherapy intervention following recommendation from Hydrotherapist.• General slowing down – only managing 68 steps of ambulation before requiring rest• Noticeably worse in the evenings or after prolonged periods of rest• Typical asymmetrical gait• Increased lateral exion and dorsal lumbar exion of the spine.• Crepitus detected through the left elbow, right carpus and right stie• The right stie exhibited a pain response on exion and extensionplaces increased demands on the muscular control of the trunk. Caring for the Tripedal patient post amputationImmediately following amputation, the dog needs to relearn how to balance and move around safely. Physiotherapy plays a large role in not only the early post-operative period but also longer term – managing the eects of the new asymmetrical gait. One of the important things to remember when assessing and treating the tripedal patient, is that you will never be able to achieve a ‘normal’ gait – the dog’s musculoskeletal system will always be compensating for the missing limb. Core strength is vital for balance and compensation so as are engaged and functional postural muscles.e table on the opposite page outlines the physiotherapy aims and appropriate modalities and exercises for the tripedal patient from day 1 post surgery through to managing the elderly three legged dog.www.vetphysio-uk.comlaura@vetphysio-uk.comABOUT THE AUTHORLaura Batten PgDip (Vet. Phys.) MNAVP, is a Veterinary Physiotherapist based in Hampshire. She graduated from Aberystwyth University in 2011 and completed her postgraduate certicate in Veterinary Physiotherapy with the NAVP at Harper Adams University in 2014. She runs an ambulatory practice covering Hampshire and the Channel Islands treating both horses and dogs.continued overleaf

12Animal Therapy Magazine | SPRING 2016CANINE AMPUTEE PHYSIOTHERAPYHYDROTHERAPY TYPICALWEEKPHYSIOTHERAPY TREATMENTMASSAGE:• Holistic eeurage across whole body• WringingPASSIVE RANGE OF MOTION:full passive range of motion of all joints.STRETCHES: forelimb and hind limb protraction and retraction stretches. 20 second hold 3 repetitions post exercise.PULSED ELECTROMAGNETICFIELD THERAPY:50 BASE 17.5 Hz PHOTOTHERAPY:Provide pain relief to stie joint marginsPLANNED OUTCOMES• Provide full joint movement and articulation to prevent joint oedema and brosis• Maintain blood ow through musculature and joints• Maintain and improve tissue length and bre compliance• Prevent tissue adhesion• Provide pain relief• Improve core stabilityREMEDIAL EXERCISES /HOME PROGRAMMEPASSIVE RANGE OF MOTIONEXERCISESfull passive range of motion of shoulder, elbow, carpus, hip stie and tarsal joints with the dog in lateral recumbancy. 5 repetitions; 2 x /dayMASSAGE AND STRETCHING:2x/dayDYNAMIC STABILISATIONEXERCISE: rock from side to sideELECTRIC BLANKET: Under bed programmed to be turned on 30 mins prior to getting up.SLOW LEAD WALKS:5 minute slow lead walks; 3x/dayHOME ENVIRONMENT:Raise bowls, place runners on tiled/laminate oors, provide ramps where there are stepsGOING FORWARDS: Archie will always need physiotherapy intervention to relieve pain as a result of muscular compensations due to his amputation and to limit the progression of degenerative joint disease. Furthermore, one of the most important roles as a physiotherapist is to support the owner when the time comes to let Archie cross the Rainbow Bridge.TREATMENT PLAN • Disuse muscle atrophy of the left triceps• Disuse muscle atrophy of the right gluteals• Increased tone right quadriceps and gastrocnemiusTreatment & Explanation:Aims1. Maintain joint range of motion2. Reduce pain3. Increase muscle strength4. Maintain/Improve quality of life5. Educate and support ownerOutcome & Feedback:8 months on, Archie is still receiving regular physiotherapy sessions every 2–3 weeks alongside hydrotherapy. The range of motion in the thoracic forelimbs has been maintained and the palpable crepitus has reduced now only palpable in the right elbow. I often detect trigger points / muscle sensitivity at the thoracolumbar junction as a result of the muscular compensation.There is diminishing function in the remaining pelvic limb and signicant stie instability and crepitus present. We are considering a stie brace for support and in an eort to maintain function and quality of life.We are continuing with hydrotherapy however sessions now have shorter swimming periods and longerrest periods.Conclusions & Recommendations:As a care team, Archie’s vet, physiotherapist and owner are regularly monitoring his quality of life. In this case, the implementation of physiotherapy was signicantly delayed and as such the success of any intervention is limited. It is important that as musculoskeletal therapists we educate both owners and vets in order to support these dogs in both the early postoperative period as they adapt to their new gait and in the long term as their bodies compensate for the asymmetrical gait.continued overleaf

13Animal Therapy Magazine | SPRING 2016– CASE STUDY 2 –Name of dog - Finn Age - 2 ½ yearsBreed - Scottish Deerhound cross Irish Wolfhound.HistoryFinn was re-homed in October 2013 and began a very happy life with his new mum, dad and brother Danny, a Great Dane.Soon after his adoption, it was noticed that he had an abnormal gait. He had become very cow hocked, this is where the hocks become very close together, and over time, he became sore through his left hind, especially on hip extension. It was also noted that he had started to scu his hind toes when trotting. Initial veterinary investigation and X Rays revealed hip dysplasia in the left hind limb, however questions remained over the origin of the lameness so Finn was referred to a specialist for further tests where he was diagnosed with a conformational issue in his left femur. In simple terms, his left femur was bent making the leg appear shorter than the right hind. This put extra pressure through his hips and pelvis and caused considerable pain.His rst operation consisted of corrective surgery to straighten the bone. As with all surgery, there is a risk and at his 6 week post op check-up it was discovered that his body was rejecting the plates and infection had set in. The plates were removed and he returned home to recuperate. It was quickly realised that the abnormalities had weakened the bone and with just a small amount of movement and weight bearing the leg broke. He was just squatting to go to the loo! After much discussion, it was decided that a full amputation was the only option in giving Finn a pain free, mobile life.TreatmentJust a few weeks post amputation, Finn started physiotherapy. The aim of the early treatments was to aid soft tissue repair with the use of phototherapy and ultrasound, this works with the body’s natural healing to encourage cell regeneration, ward o supercial infection and reduce scar tissue. In addition, the rest of the body was treated to regain full mobility, range of movement and work through muscle stress for the compensation in the remaining limbs. Various core strengthening and balance exercises were also prescribed for the owners to carry out between treatments.Finn was the perfect patient. Whilst he found some treatments sore, he tolerated it well and appeared to enjoy the sessions. All treatments were carried out at his home as he is far more relaxed there than in a surgery environment.As soon as the stitches were removed and the surgical site was healthy and secure, he began hydrotherapy, starting initially in the water treadmill and soon progressing to the pool.In addition to the therapies and exercises,supportive braces proved invaluable. His owners engineering skills saw them adapt a bike trailer into a stroller and he loves this. They give him free rein to jump in and out at his leisure and this enables them to go on longer walks and give him lots of outdoor stimulation. He has even been to the beach.Ongoing, Finn has hydrotherapy every fortnight and physiotherapy every 4 -6 weeks.

14Animal Therapy Magazine | SPRING 2016CANINE AMPUTEE PHYSIOTHERAPYHYDROTHERAPY

15Animal Therapy Magazine | SPRING 2016SMALL animal hydrotherapy has been around for a number of years predominantly in the form of pools. Over the last 15 years the hydrotherapy eld has evolved to become a professionally recognized industry in the remit of complementary therapy and as a consequence the standards of education have escalated signicantly especially over the last 7 years.Small animal hydrotherapy still remains an unregulated industry however there are two industry associations that assist the training providers to maintain professionalism and clinical standards within the industr y.When Sue Hawkins, Principal of Hawksmoor Training Centre, installed one of the rst hydrotherapy pools in the UK over 18 years ago, uptake from referring vets was scarce. However with perseverance and education vets became more aware of the benets hydrotherapy could oer to their patients. As a consequence Sue devised basic small animal courses as a prerequisite to the rst qualication she wrote in 2008; the Level 3 Certicate in Hydrotherapy for Small Animals.e two accredited qualications now available are robust and detailed, enabling learners to gain the foundations of small animal hydrotherapy treatment, practical application and assessment. is highlights the importance of clinically reasoning their own actions when treating patients.Over the years there has been such a diverse group of learners applying for and completing hydrotherapy courses: individuals who currently work in the animal industry for example kennel owners, Physiotherapists, Veterinary Surgeons and Veterinary Nurses, Canine Massage erapists and also McTimoney Practitioners, who all nd hydrotherapy is a natural progression of their existing businesses. We then see individuals who wish for a complete career change and may have experienced hydrotherapy through treatment for their own dog and become hooked! As all aspects of canine/feline rst aid, basic health checking and anatomy and physiology, plus animal handling both in and out of the pool or treadmill are covered within units of the qualication, this makes it accessible for many learners.In the early days of hydrotherapy the majority of delegates who wished to achieve the qualication arrived with the ambition to set up their own rehabilitation unit. However we have recently seen a signicant increase in the number of learners enrolling onto the qualication, who are working within existing hydrotherapy centres. ere has been a steady rise in the number of primary Veterinary practices and Veterinary Referral Centres installing small animal hydrotherapy equipment, in particular aquatic treadmills and therefore requiring sta to be trained in hydrotherapy or employing qualied hydrotherapists, all of which opens up job opportunities within a wider sector.ere are only two qualications available in hydrotherapy that are registered on the Regulated Qualications Frame (RQF); Level 3 Certicate in Hydrotherapy for Small Animals and Level 3 Diploma in Hydrotherapy for Small Animals. Both of these are regulated by ABC Awards and are available nationally. ere are however many CPD courses or courses that are listed under an awarding bodies quality licensing scheme that are solely for information only and do not hold any credit values or have guided learning hours attached to them. If you are unsure of the status of a course please check the Register of Regulated Qualications found on the Ofqual website http://register.ofqual.gov.uk/Qualication. Courses that are available nationally on the Regulated Qualications Framework will be listed here as a qualication.As the author of the rst qualication in hydrotherapy, Hawksmoor oer both of these qualications on a regular basis throughout the year. Anyone can ‘swim’ a dog but it takes someone who is caring, dedicated and has a passion to learn to become a professional Hydrotherapist and for this reason we believe sound teaching is key to success. We see many learners returning to education and for some this is a daunting prospect. For this reason we only take small groups on the initial introduction course to ensure our learners maximize their learning potential and assessments are carefully planned. Every unit contained within the qualication contains Guided Learning Hours; this is the amount of time learners should expect to spend completing the units to fully achieve all criteria. ese included contact time at the training establishment, so actually being taught, research, pre, intra and post course assessments and tutor support, guidance and feedback throughout the whole process. At Hawksmoor we do not assess learners with an exam at the end of the day or utilizing SMALL ANIMAL HYDROTHERAPY; Where are we now?By Hawksmoor Hydrotherapycontinued overleaf

16Animal Therapy Magazine | SPRING 2016formal question and answer sessions as we believe this can be potentially detrimental to a learners training experience as some learners become anxious at the thought of a formal exam or question and answer session and therefore do not learn to their full potential during the teaching sessions. We therefore assess our learners using post course assignments that they complete aer the course allowing time to utilize study notes, revisit information and additional sources. Each one of our learners receive in depth, developmental feedback for each assignment completed and an Individual mentoring service assists learners that not only in the early phases of qualication but also in the years that follow.e units contained within the Level 3 Certicate are as follows with certain units containing practical sessions which Hawksmoor deliver on a one to one basis in our purpose built hydrotherapy unit:• Introduction to hydrotherapy• Assessing and checking and animals suitability for hydrotherapy treatment• Administering hydrotherapy treatment to small animals• Anatomy and physiology for small animal hydrotherapy• Management of medical conditions in hydrotherapy for small animals• Management of common orthopaedic and neurological conditions in hydrotherapy for small animals• Small animal rst aid for hydrotherapists• e principles of small animal hydrotherapy• Professional practice and multi disciplinary team working• Water management for small animal hydrotherapye Level 3 Diploma in Hydrotherapy for Small Animals can be completed following the Level 3 Certicate to further expand knowledge and clinical assessments of patients broadening a hydrotherapists range of techniques. Oen qualied small animal Hydrotherapists utilize their CPD hours and budget to complete this. Learners must have obtained 29 credits from the units contained in the Level 3 Certicate plus an additional 12 credits in order to achieve Diploma status. e units contained within the Level 3 Diploma are:• Hydrotherapy treadmill therapy for small animals • Disorders of the canine stie joint for hydrotherapists • Canine elbow and hip dysplasia for hydrotherapists • Advanced anatomy and physiology for small animal hydrotherapy • Canine behaviour for small animal hydrotherapy • Practical application of advanced hydrotherapy treadmill treatment techniques for small animals • Advanced hydrotherapy treadmill treatment for small animals • Unlike the Level 3 Certicate where all the units are mandatory, the Level 3 Diploma is comprised of optional units making it versatile for the learner to tailor it to their individual interests and needs. Hydrotherapy is an exciting and newly evolving industry relative to other complementary therapies. ere are many conicting opinions of what contributes to ‘best’ practice and at Hawksmoor we are rm believers that only one dog should be treated in a hydrotherapy pool at any one time. A physiotherapist would not treat more than one patient in the same room at one time, a veterinary surgeon or nurse would not consult with more than one patient so this raises the question of why should hydrotherapists be any dierent? ere are many centres that perform multiple dog ‘swimming’ and we have grave concerns regarding this as we see patients post operatively following cruciate surgery and spinal surgery and if there is more than one dog in the pool or treadmill area there is an increase potential for the patient to become anxious or frightened. is will cause the sympathetic nervous system to cause the ght, ight, fright or fool around response from the patient, causing adrenaline release in to the body and therefore blocking critical pain pathways. is may potentially be of detriment to the patients condition and therefore the patient has undergone unnecessary stress and an unproductive, unsafe hydrotherapy session. One industry Organisation - e Canine Hydrotherapy Association has now banned multiple dog swimming as part of their rigorous quality standards. Hydrotherapy rehabilitation is about providing safe and eective aquatic exercise in a controlled environment. Many dogs enjoy toys as motivation however if used incorrectly this may compromise the safety of the patient so knowing how to use these motivational tools eectively is crucial. If a dog’s mouth or even worse head goes below the water line this is not hydrotherapy! ere are many reputable hydrotherapy centres in the UK today, professionally trained and who are able to provide patients with a high standard of care, clinically reasoning their treatment rationales. It is a thoroughly rewarding career that will become a way of life, complementing existing roles or for some a new career, new business and a new chapter in their lives.HYDROTHERAPY

17Animal Therapy Magazine | SPRING 2016 Hawksmoor Hydrotherapy Training Centre ~ Watling Street ~ Nuneaton ~ Warwickshire ~ CV10 0TQ www.hawksmoorhydrotherapy.com ~ training@hawksmoorhydrotherapy.com Hawksmoor Hydrotherapy Training Centre was established by Sue Hawkins in 2000 and were the sole authors of the first ever qualification in small animal hydrotherapy. Hawksmoor co-authored the re-developed Level 3 Certificate in Hydrotherapy for Small Animals and the new Level 3 Diploma in Hydrotherapy for Small Animals. Hawksmoor are renowned for their individual mentoring service to each learner for as long as they require optimising their learning potential. We believe it is vital to provide continual support to our learners working in the hydrotherapy industry, as it is a continually evolving field of animal therapy. Hawksmoor’s training team has a diverse range of skills consisting of Veterinary Surgeons, Veterinary Nurses, Physiotherapists and Canine Hydrotherapists. This enables learners to access a variety of skills and develop not only their own knowledge and understanding but also their own clinical reasoning skills. Every member of the Hawksmoor team are friendly and approachable allowing you to ask questions to gain the understanding you require to become a competent, professional Hydrotherapist. We therefore offer the highest standard of training for: • Level 3 Certificate in Hydrotherapy for Small Animals • Level 3 Diploma in Hydrotherapy for Small Animals Hawksmoor Hydrotherapy Training Centre ~ Watling Street ~ Nuneaton ~ Warwickshire ~ CV10 0TQ www.hawksmoorhydrotherapy.com ~ training@hawksmoorhydrotherapy.com Hawksmoor Hydrotherapy Training Centre was established by Sue Hawkins in 2000 and were the sole authors of the first ever qualification in small animal hydrotherapy. Hawksmoor co-authored the re-developed Level 3 Certificate in Hydrotherapy for Small Animals and the new Level 3 Diploma in Hydrotherapy for Small Animals. Hawksmoor are renowned for their individual mentoring service to each learner for as long as they require optimising their learning potential. We believe it is vital to provide continual support to our learners working in the hydrotherapy industry, as it is a continually evolving field of animal therapy. Hawksmoor’s training team has a diverse range of skills consisting of Veterinary Surgeons, Veterinary Nurses, Physiotherapists and Canine Hydrotherapists. This enables learners to access a variety of skills and develop not only their own knowledge and understanding but also their own clinical reasoning skills. Every member of the Hawksmoor team are friendly and approachable allowing you to ask questions to gain the understanding you require to become a competent, professional Hydrotherapist. We therefore offer the highest standard of training for: • Level 3 Certificate in Hydrotherapy for Small Animals • Level 3 Diploma in Hydrotherapy for Small Animals Hawksmoor Hydrotherapy Training Centre, Watling Street, Nuneaton, Warwickshire, CV10 0TQ www.hawksmoorhydrotherapy.com training@hawksmoorhydrotherapy.comHawksmoor Hydrotherapy Training Centre was established by Sue Hawkins in 2000, and Sue was the sole author of the rst ever qualication in small animal hydrotherapy.Hawksmoor co-authored the re-developed Level 3 Certicate in Hydrotherapy for Small Animals and the new Level 3 Diploma in Hydrotherapy for Small Animals. Hawksmoor are renowned for their individual mentoring service to each learner for as long as they require optimising their learning potential. We believe it is vital to provide continual support to our learners working in the hydrotherapy industry, as it is a continually evolving eld of animal therapy. Hawksmoor’s training team has a diverse range of skills consisting of Veterinary Surgeons, Veterinary Nurses, Physiotherapists and Canine Hydrotherapists. This enables learners to access a variety of skills and develop not only their own knowledge and understanding but also their own clinical reasoning skills. Every member of the Hawksmoor team are friendly and approachable allowing you to ask questions to gain the understanding you require to become a competent, professional Hydrotherapist. We therefore oer the highest standard of training for: • Level 3 Certicate in Hydrotherapy for Small Animals • Level 3 Diploma in Hydrotherapy for Small Animals

18Animal Therapy Magazine | SPRING 2016 HYDROTHERAPYDoggy Dips Hydrotherapy Case StudiesDoggy Dips provides a purpose built canine hydrotherapy centre based in the South Oxfordshire countryside, conveniently situated for Henley, Reading, Wallingford, Marlow etcThe pool is 7m x 4m which is probably one of the largest pools in this area allowing us to swim any size and breed of dog. The water is constantly heated to 29C and is quality tested 3 times per day.Our sta are trained and our hydrotherapists are qualied and registered with NARCH. All dogs are swum only with veterinary approval and we are accepted by all the main Pet Insurance Companies.The case studies are from Emma – one of our Hydrotherapists. Emma and Styles are also our cover stars this issue!– CASE STUDY 1 –StylesStyles started swimming with us in October 2014. He started hydrotherapy as he had a left femoral head and neck excision and hip dysplasia on the right side. He also had a spinal condition which sometimes caused him some pain.In his rst few sessions we worked very gently with him and began to encourage him to gain a fuller range of motion in his limbs by fully extending and exing his back legs. This was going to help him build up his muscles and support his hips without putting any weight or pressure on his joints.We built up the amount of laps he was doing as his cardiovascular tness also improved.We then started to incorporate gure of eights into his session to help strengthen the muscles around his back, particularly his lumbar section.Since Styles has been swimming, he has built up muscle in his back and hind limbs, and maintained it. He has become a tter dog that enjoys longer walks with his owner and friends, and no longer gets as sti as he used to.His treatment is sadly no longer on-going due to other health concerns.– CASE STUDY 2 –LaraLara started swimming with us in September 2014. She came to us with bilateral hip dysplasia and osteoarthritis in her right hip.Lara was rescued after being used as a breeding bitch, and she had severe muscle wastage in her entire back end.Her owner said to us that when she rst rescued Lara, she wasn’t able to walk very far, couldn’t run, and would have to sit down to rest a lot out on walks. All because of her medical condition and muscle wastage.Her hydrotherapy sessions were taken very gently in the beginning due to these problems.As she got tter and stronger we were able to build up the amount of swimming she could do in the pool.We worked with her to help her loosen up in the pool as she was very sti in her hind limbs. This then helped her gain a fuller range of movement in her back limbs, which, in turn, meant she was able to build up muscle and then maintain it.We also worked on exercises to strengthen her lower back and hip area, which meant she was then able to go out for longer walks with her owner and remain comfortable.Since receiving hydrotherapy, her owners have noticed the positive change in her. She runs and plays with other dogs and she can jump and bound around and fully enjoy her life with her new family.Her treatment is on-going to ensure she maintains the progress she has made, and to keep her t and healthy.LaraStyles and Emma18Animal Therapy Magazine | SPRING 2016

19Animal Therapy Magazine | SPRING 2016 +44 (0)1952 885112 www.HYDROPHYSIO.com sales@HYDROPHYSIO.com The rst choice for canine hydrotherapyTo nd out more about our market leading canine HYDRO PHYSIO hydrotherapy treadmills and their unique features please call us or visit the website for more information.

20Animal Therapy Magazine | SPRING 2016FMBs erapy Systems supplies advanced equine therapy systems and equipment to improve performance and recovery from exercise or injury. Whether you are looking for a rug, leg wraps or laser to help with suppleness and recovery or a water treadmill, spa or combi therapy oor to help with strength and tone, stride length or rehabilitation, this company will be able to provide the most eective and professional system along with unrivalled customer service.e most popular product the company sells is the Activo-Med Combi Pro Rug, and it’s easy to see why. e state of the art rug provides massage and pulsed electromagnetic eld (PEMF) therapy from the horse’s poll to dock, including shoulder and thigh areas. Professional riders such as Charlotte Dujardin, Carl Hester, William Fox Pitt and Scott Brash all use the rugs to support their horses’ performance and recovery from training and competition. e rug is also very popular with rehabilitation centres, physiotherapists and anyone looking to support their horse’s recovery from an injury. How can one rug do all this? e secret lies in the control box and the contents of the rug.e rug contains 19 PEMF spools and 14 massage modules that apply therapy to the horse with easy to use pre-set programmes that can be tailored to suit your horses’ requirements. PEMF uses a range of therapeutic frequencies to promote cell eciency, recovery and repair, and massage gives high support to venous blood ow and the lymphatic system.e control box, complete with the latest micro processor technology, comes pre programmed with a range of therapy combinations to suit dierent types of horses in training at home and competition. e control box has the additional advantage that it does all the work. All the horse’s owner or carer need do is tie the horse up, put the rug on, select the programme and carry on. It’s battery powered so it’s a complete unit without any trailing cables. e Activo-Med Combi Pro can be purchased on its own or with additional pieces of equipment such as Leg Wraps, Laser Systems, Power Pads, Pecdominal Pads and more. It’s available to buy outright, nance can be arranged and the rug can be hired. Second hand systems are also available.In addition to equipment that is put straight onto the horse, FMBs erapy Systems also provides static therapy products such as the Vibro-Combi Floor, Dry Treadmill and new Equine Spa. One popular product in the range of permanent installations is the Water Treadmill.e Activo-Med Water Treadmill can be used to enhance suppleness, strength and tness, and can also be used to support rehabilitation of a number of conditions. Water treadmills can be used for aqua walk and trot training, to increase cardiovascular activity and stride length, as well as improve muscle tone and strength. Not all water treadmills are created equal, so it’s important if you’re looking to install a water treadmill at your premises, or even looking to hire one, that you know what you’re looking for.e Activo-Med version is made using only a high grade stainless steel construction, so it’s robust and built to last, but still benets from fully transparent doors and sides to make viewing a breeze. e front sides of the treadmill are lowered, which allows the horse to move in a natural outline. It can be installed above or below the ground, has been designed to be easy for the horse to walk in and out of and also benets from rapid lling and empting with a customised ltration system. Systems can be created to match your needs, so if you want to incorporate a spa system with salt water, spa jets and a chiller unit too, that’s not a problem. With over 80 equine water treadmill installations completed, the team is perfectly placed to advise on all aspects of the product and also oers full UK back up and servicing plus training an support from an FEI vet with over 20 years experience in researching and working with water treadmills. If you’re not looking to install a treadmill at your yard but still want to use one, contact the team and they’ll tell you where your nearest one is.To nd out more about FMBs Therapy Systems, the Activo-Med Combi Pro Rug or water treadmill, see www.fmbs.co.uk or call 01494 883433.Advance with Activo-Med from FMBs erapy SystemsHYDROTHERAPY

21Animal Therapy Magazine | SPRING 2016 Abingdon and Witney College have now introduced the ABC Level 3 in Small Animal Hydrotherapy to their part time course prospectus. Following the investment into a state of the art hydrotherapy centre on site they have teamed up with the expertise of Woozelbears Hydrotherapy Centre to deliver the course. Woozelbears is a fast growing established company in the industry, initially creating a rst class hydrotherapy centre in Oxfordshire, director Charlotte Pimm started looking for people to work with to share the professional ethos and business acumen that all hydrotherapy centres should possess. In 2015 she found a keen, driven lady with a passion for dogs and they went on to open a second centre in Swindon. e hydrotherapy course is made up of a series of modules and this can be completed in succession or individually over a desired period. is allows exibility for a variety of students and lifestyles, whether a change of career or extra-curricular knowledge. Modules are lectured by a team of industry practitioners; Veterinary Surgeons, Physiotherapists and Hydrotherapists and include topics such as; How does hydrotherapy benet a patient, Anatomy and physiology and how to treat orthopaedic and neurological conditions in the pool and underwater treadmill. Woozelbears treats nearly 200 dogs a week for rehabilitation and it is this collaboration that gives students access to experience real patients within their programmes and hands on practical learning within a small group environment.e College are also oering regular CPD days on topics such as gait analysis using some of the most advanced gait analysis equipment in the world. ere are also rst aid courses and refreshers for current professionals within the industry.For more details on modules oered and to check availability of courses please go to www.abingdon-witney.ac.uk or email enquiries@abingdon-witney.ac.ukAbingdon and Witney College launch level 3 Hydrotherapy Qualication21Animal Therapy Magazine | SPRING 2016

22Animal Therapy Magazine | SPRING 2016EQUINE PELVIC FRACTUREScause compensatory issues throughout the entire body.Whilst the occurrence of a fracture will cause visible atrophy to the hind limb muscles, the introduction of box rest will increase this, and therefore time for proper rehabilitation.FracturesA signicant percentage of bone fractures occur because of high force impact (fall) or stress (repetitive BEING a therapist based in the beautiful Cotswolds I am in the fortunate position to be surrounded by many competition yards encompassing all disciplines. Working within these yards exposes me to many dierent conditions, and 7 years ago when I took my rst steps out as a fully qualied Veterinary Physiotherapist, I had to quickly learn how to treat an array is issues eectively. It was a steep learning curve but thankfully with the support of fantastic vets, working together was a pleasure and also key to achieving the best possible results.Over the years racing has become an industry I am quite heavily involved with, which I love, but comes with challenges from a therapy point of view and one injury I have dealt with on numerous occasions are fractures of the pelvis.As therapists, we frequently come across pelvic misalignment and muscle asymmetry. Typically these can be corrected relatively easily however when we start to see signicant changes it is obvious there is more going on!e subject of fractures has great depth and I don’t profess to be the expert on this topic, they are tricky to diagnose and horses can present very dierently depending on where the fracture has occurred, but I hope this will give you an insight into why they occur and how we can best treat them.e function of the pelvis is to connect the hind limb to the rest of the body, via the spine, as well as provide scaolding to attach the strong engine muscles to. As the two halves are fused together, it works as one and as such, if any part of it is damaged, it can aect the whole back end, lower limb and Understanding and treating Equine Pelvic Fractures by Hannah Ashton, BSc, Dip A Phys, MIAATAcetabulumSacroiliac JointPubic SynthesisPubisIschiumIlliumEquine CareThe pelvis can be identied in 3 parts, the Pubis, the Illium and the Ischium and it is made up of 2 symmetrical halves sitting either side of the scarum.Pubic Synthesis which joins the two halves together.Sacroiliac joint which joins the pelvis to the sacrum (this has minimal movement and is spanned by connective tissue) hence the occurrence of S.I ligament desmitis and arthritisHip joints or acetabulum, which joins the pelvis to the proximal hind limb.action) however, a fracture may also occur due to weakening in the bone.Bones are surprisingly strong, we only have to think about what a horse’s skeleton puts up with (rider weight, kicks, falls etc) and can generally stand up to fairly strong impacts or forces. It is when the force is too powerful, or there is something wrong with the bone that it can fracture.• Fractures can occur within any part of the pelvis with the more frequent aecting the ilium• Fractures to the tuber coxae can initially leave oating bone, this can reattach, but it can reattach to the pelvic wing making the pelvic symmetry appear very dropped despite the main body of the pelvis being aligned! Whilst appearance is o putting, the pelvis can function quite normally, however, in the early stages there is a risk of the sharp edge of the fracture penetrating the skin so minimal movement is vital!• Iliac fractures rarely displace. e horse is generally sound reasonably quickly with an uncomplicated rehabilitation.• Ilial sha fractures are most common aer a fall or while racing. Typically they are very painful with none weight bearing lameness. • Fractures of the pubis and Ischium are relatively uncommon, but can happen during training or if the horse rears and goes over backward.Typically fractures heal well if the correct rehabilitation is followed, with the horse returning to full athletic ability, however, there are certain parts of the pelvis that if fractured or aected in any way will make the prognosis much more guarded!

23Animal Therapy Magazine | SPRING 2016• Fractures to the acetabulum (where the pelvis joins the femur) are more complicated, and there is a greater risk of chronic arthritis developing within the hip joint• Complete fractures will cause the collapse of the pelvis and unsurprisingly prognosis is very poor!• ere is a risk of blood loss should rupturing of large blood vessels occur and should this happen horses can go into shock fairly quickly with mortality being very likely!To understand fractures we need to understand bone.Bone is a complex tissue that is constantly changing. Modelling and remodelling occurs via the process of bone formation and in a healthy adult skeleton this is balanced, securing strong bone.When discussing youngsters we oen talk about fusing of bones in relation to them starting work. Bone fusion is where growth plates convert from cartilage to bone, fusing the epiphysis or bone-end to the diaphysis or bone-sha.When considering what age a horse is ready to begin work, it is common for people to consider only the growth plates around the knee. What we oen don’t realize is that there is a “growth plate” on either end of every single bone, and in the case of the pelvis, which has many “corners” there are multiple growth plates. So ... do you then have to wait until all these growth plates convert to bone? No. But the longer you wait, the safer you’ll be.Growth plates fuse rst from the ground upwards – the growth plate at the top of the con bone is fused at birth while the vertebral column is the last to fuse. Crazy really as that is the part we sit on!Given the 6 - 12 month window in each bone, it would suggest that Above: is is a horse who suered bilateral fractures to his ilium. His atrophy is quite clear! Below: is horse fractured his acetabulum.the bigger the horse the later the development. A 17 hand thoroughbred may not be fully developed until they are 8 years old!Should there be no interruption to maturity, bones will develop in proportion to the rest of the skeleton giving the animal a strong frame to build muscle on. However this balance can be changed during growth, altered exercise, poor nutrition and in response to injury which can leave the bone weak and more likely to fracture.Clinical ndingsFractures most denitely respond better to a multidisciplinary approach. In the early stages, it is the vet that will diagnose. You would imagine a pelvic fracture would instantly mean lameness, but this is not always the case. In some cases we are dealing with bilateral fractures which can be much harder to diagnose! So, we need to interpret what the body is telling us. Tell tail signs include;• Sudden muscle atrophy either aecting both sides or just one.• Indication of pain and guarding of the aected area.• Atypical stance.• Sudden or periodic lameness, stiness, toe dragging, performance issues, loss of power, front end overloading or excessive hanging.• e degree of lameness can be barely lame to none weight bearing.• So tissue swelling.• Tail and anus accidity / unreactive.A veterinarian will conduct limb exion tests, sacroiliac joint blocks, and rectal palpations to assess pelvic motion. If they are able to move the aected leg, by placing a stethoscope over the hip or femur it can be possible to hear crepitus. In some cases it may be necessary to perform a rectal assessment as this can identify further trauma within the pelvic canal.DiagnosticsFurther diagnostic tools include:• Bone Scanning.continued overleaf

24Animal Therapy Magazine | SPRING 2016• A rectal ultrasound probe.• X Ray – X ray is only really feasible in foals. You can X ray more mature horses however, this can only be done with the horse under GA using a high voltage X ray machine which is not readily available to the average practitioner.• Scintigraphy can be a useful tool in locating the general site of an injury. However, it provides little information regarding the detail of the fracture site and associated so tissue damage.TreatmentIt is important that treatment is multidisciplinary as combining the skills of dierent people can bring about the best outcome. It is also vital that the treating vet is consulted at every stage as certain checks will need to be performed to check the fracture is stable enough to progress.First things rst – Pain relief – the animal needs to get comfortable! - Nonsteriodal anti-inammatory drugs and corticosteroid injections will reduce inammation and pain.Box rest - a well bedded box, right up to the door is strongly advised for comfort and cushioning. Should the fracture have been displaced it may be necessary to cross tie the horse for up to 4 weeks. However, long periods of immobility can be detrimental so 4 weeks should really be the maximum they are tied for.Box rest is typically for 2 - 3 months followed by reassessment / re scanTherapy during box restIt is well known that horses are not designed to be stood still for long periods of time and as such there are valuable conservative treatments we can apply to help reduce muscle and bone weakening and keep them as healthy as possible inside and out, as well as mentally!By enlisting the help of a therapist, they can guide you through a rehabilitation programme that will hopefully bring your horse back to the level of performance prior to injury. ere is a range of electrotherapies that will work alongside the body’s natural healing and in some cases they can be le with owners to continue with treatment in between visits. e modalities include Pulsed Electromagnetic erapy, erapeutic Ultrasound, Phototherapy and Electrostimulation.Gentle massage is another very important therapy which will aid circulation, lymphatic drainage and overall muscle health. Controlled exerciseReturn to work must be steady and very gradual. In some cases it may be necessary to administer a light sedation before taking the horse out for the rst time. It must be appreciated that box rest not only causes muscle atrophy but also weakens bone, tendons and ligaments. You should allow 1 month per gait i.e walk for 1 month before moving onto trot etc. is will give the bones and muscle a chance to adapt to the loads. Alongside the therapy and guidance from you vet and therapist, exercises can include:• In-hand walking starting with 10 minutes twice a day increasing gradually each week.• Turn out into a small pen for an hour or so can commence around 4 weeks into lead walking or under advice by vet.• Passive stretches that encourage core strength will be of benet so the horse isn’t over loading the forehand and it can begin to restore its centre of balance. is is where the famous carrot stretches can come into place!Once each gait has been established, the introduction of exercises to increase limb activity can commence. ese can include pole work, raised poles, walking backwards, lateral stepping, changing of bend (gures of eight, serpentines, spiralling a circle in and out), hill work.Once the intensity can be increased, and again upon guidance from the vet, another modality that has shown positive results is the water treadmill. is really encourages hind limb exion, straightness and strengthening.Considerationse surface on which the horse is worked should be taken into consideration. Aer 3 months of box rest, taking them into a deep sand school and walking for 10 minutes could be contraindicative!It is likely shoes would have been removed therefore prescribing walking on a hard surface could cause them to alter their stride due to sore feet rather than pelvic pain!Trotting on roads with weakened muscles will subject the bone to the concussive forces and can also make the animal alter its gait as it proves uncomfortable.Compensatory behaviour may become habit so some degree of re-educating will be necessary. ere is however a ne line between habit and discomfort so should there be any cause for concern the vet must be consulted.Short Pastern Birth – 6 monthsLong Pastern 6 months – 1 year (top and bottom)Cannon Bone 8 months – 1.5 years (top and bottom) Small bones of the knee 1.5 – 2.5 years (top and bottom of each)Radius and Ulna 2 – 3 yearsHumerus 3 – 3.5 yearsScapula 3.5 – 4 yearsHock 4 yearsTibia 3 – 3.5 yearsDistal Femur 3 – 3.5 yearsProximal Femur 2.5 – 3 yearsMajor and 3rd Trochanter 2.5 – 3 yearsPelvis (Tuber Sacrale, Tuber Coxae, Tuber Ischii 3 – 4 yearsVertebral Column 5.5 – 8 yearsEQUINE PELVIC FRACTURES

25Animal Therapy Magazine | SPRING 2016 Setting the Standard in Educational Curriculum ® Train Harder • Recover Quicker Become a... Certified Equi-Taping® Practitioner ® Integrate this fascinating modality into your equine health care practice. Learn the methodology behind the taping and set yourself apart! THE GOLD STANDARD IN EQUINE KINESIOLOGY EDUCATION This course is an intensive two-day certification course held at locations around the world. It is offered exclusively to equine veterinarians, and other equine health care practitioners. Learn the Equi-Taping® method and strategies necessary to be a world-class Equi-Taping® practitioner. BENEFITS OF USE • Increase circulation • Reduce inflammation • Reduce swelling and edema • Decrease muscle spasms • Provide joint support and stability • Support full range of motion • Assist or relax a muscle • Increase proprioception • Release fascia • Calm and relax Register for a course near you at equi-tape.com ABOUT THE COURSE... The Equi-Taping® Methodology, Practitioners Training and Practicum was developed by Equi-Tape® creator and founder Dr. Beverly Gordon. Dr. Gordon has focused much of her professional career on the practical applications of scientific principles to help keep horses sounder and improve equine athletic performance. Our team of educators are highly qualified, trained educators, with extensive practical experience in the Equi-Taping® methodology in both training and injury rehabilitation applications. Our next UK course is scheduled for October 8th & 9th, 2016 Derby Equestrian College, Derbyshire, UK Local inquiries call Georgia Keegan DIP, A, Phys, IAAT at 44-776-646-3099 RSB Animal Health (provider #396) is approved by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) as a continuing education Approved Provider. Equi-Tape® and Equi-Taping® are registered trademarks of The Horse in Motion, LLC and licensed to RSB Animal Health Inc. International copyrights protected. ©RS Bioceuticals 2013. All Rights Reserved. 2013-16 Setting the Standard in Educational Curriculum ® Train Harder • Recover Quicker Become a... Certified Equi-Taping® Practitioner ® Integrate this fascinating modality into your equine health care practice. Learn the methodology behind the taping and set yourself apart! THE GOLD STANDARD IN EQUINE KINESIOLOGY EDUCATION This course is an intensive two-day certification course held at locations around the world. It is offered exclusively to equine veterinarians, and other equine health care practitioners. Learn the Equi-Taping® method and strategies necessary to be a world-class Equi-Taping® practitioner. BENEFITS OF USE • Increase circulation • Reduce inflammation • Reduce swelling and edema • Decrease muscle spasms • Provide joint support and stability • Support full range of motion • Assist or relax a muscle • Increase proprioception • Release fascia • Calm and relax Register for a course near you at equi-tape.com ABOUT THE COURSE... The Equi-Taping® Methodology, Practitioners Training and Practicum was developed by Equi-Tape® creator and founder Dr. Beverly Gordon. Dr. Gordon has focused much of her professional career on the practical applications of scientific principles to help keep horses sounder and improve equine athletic performance. Our team of educators are highly qualified, trained educators, with extensive practical experience in the Equi-Taping® methodology in both training and injury rehabilitation applications. Our next UK course is scheduled for October 8th & 9th, 2016 Derby Equestrian College, Derbyshire, UK Local inquiries call Georgia Keegan DIP, A, Phys, IAAT at 44-776-646-3099 RSB Animal Health (provider #396) is approved by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) as a continuing education Approved Provider. Equi-Tape® and Equi-Taping® are registered trademarks of The Horse in Motion, LLC and licensed to RSB Animal Health Inc. International copyrights protected. ©RS Bioceuticals 2013. All Rights Reserved. 2013-16 Setting the Standard in Educational Curriculum ® Train Harder • Recover Quicker Become a... Certified Equi-Taping® Practitioner ® Integrate this fascinating modality into your equine health care practice. Learn the methodology behind the taping and set yourself apart! THE GOLD STANDARD IN EQUINE KINESIOLOGY EDUCATION This course is an intensive two-day certification course held at locations around the world. It is offered exclusively to equine veterinarians, and other equine health care practitioners. Learn the Equi-Taping® method and strategies necessary to be a world-class Equi-Taping® practitioner. BENEFITS OF USE • Increase circulation • Reduce inflammation • Reduce swelling and edema • Decrease muscle spasms • Provide joint support and stability • Support full range of motion • Assist or relax a muscle • Increase proprioception • Release fascia • Calm and relax Register for a course near you at equi-tape.com ABOUT THE COURSE... The Equi-Taping® Methodology, Practitioners Training and Practicum was developed by Equi-Tape® creator and founder Dr. Beverly Gordon. Dr. Gordon has focused much of her professional career on the practical applications of scientific principles to help keep horses sounder and improve equine athletic performance. Our team of educators are highly qualified, trained educators, with extensive practical experience in the Equi-Taping® methodology in both training and injury rehabilitation applications. Our next UK course is scheduled for October 8th & 9th, 2016 Derby Equestrian College, Derbyshire, UK Local inquiries call Georgia Keegan DIP, A, Phys, IAAT at 44-776-646-3099 RSB Animal Health (provider #396) is approved by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) as a continuing education Approved Provider. Equi-Tape® and Equi-Taping® are registered trademarks of The Horse in Motion, LLC and licensed to RSB Animal Health Inc. International copyrights protected. ©RS Bioceuticals 2013. All Rights Reserved. 2013-16 Setting the Standard in Educational Curriculum ® Train Harder • Recover Quicker Become a... Certified Equi-Taping® Practitioner ® Integrate this fascinating modality into your equine health care practice. Learn the methodology behind the taping and set yourself apart! THE GOLD STANDARD IN EQUINE KINESIOLOGY EDUCATION This course is an intensive two-day certification course held at locations around the world. It is offered exclusively to equine veterinarians, and other equine health care practitioners. Learn the Equi-Taping® method and strategies necessary to be a world-class Equi-Taping® practitioner. BENEFITS OF USE • Increase circulation • Reduce inflammation • Reduce swelling and edema • Decrease muscle spasms • Provide joint support and stability • Support full range of motion • Assist or relax a muscle • Increase proprioception • Release fascia • Calm and relax Register for a course near you at equi-tape.com ABOUT THE COURSE... The Equi-Taping® Methodology, Practitioners Training and Practicum was developed by Equi-Tape® creator and founder Dr. Beverly Gordon. Dr. Gordon has focused much of her professional career on the practical applications of scientific principles to help keep horses sounder and improve equine athletic performance. Our team of educators are highly qualified, trained educators, with extensive practical experience in the Equi-Taping® methodology in both training and injury rehabilitation applications. Our next UK course is scheduled for October 8th & 9th, 2016 Derby Equestrian College, Derbyshire, UK Local inquiries call Georgia Keegan DIP, A, Phys, IAAT at 44-776-646-3099 RSB Animal Health (provider #396) is approved by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) as a continuing education Approved Provider. Equi-Tape® and Equi-Taping® are registered trademarks of The Horse in Motion, LLC and licensed to RSB Animal Health Inc. International copyrights protected. ©RS Bioceuticals 2013. All Rights Reserved. 2013-16

26Animal Therapy Magazine | SPRING 2016ANIMAL OSTEOPATHYTeaching a young dog new tricks Where osteopathy meets personal trainerTHERE are still some people who think that treatment nishes when they leave the clinic. For the majority of animal owners they realise that the journey to full recovery has only just begun. Restoring normal movement patterns, and sequences of movement so that an individual patient can have the freedom to move as nature had intended is the base line we try to work from. In the real world this isn’t always possible, and as with most things, compromise is the order of the day. at said we are always striving to give our patients the best point to start this rehabilitation from.As with treatment programmes, any rehab work needs to be individually tailored to the patient. A recent case was a little more unusual than most that we get to see. Instead of the older dog, or working/agility patient, this one was a juvenile husky. e dog was referred by a vet with decades of experience in musculoskeletal issues to our clinic in Cheltenham, UK where we are lucky to work with another excellent orthopaedic vet. When Shadow arrived with his owners we all sat down and went through his history, lling in any extra material from that which the referring vet had sent. For the purposes of this article the salient points were:• Shadow had only recently been fostered by the couple.• His previous owners kept him in a at without direct access to an exercise area.• Shadow didn’t know how to move properly, that is not as a dog should.• Other than this he was on the cusp on skeletal maturity.On examination the vet and I could see that Shadow lacked any core muscle strength or stability, and couldn’t even stand for long without tiring. When we watched him perform controlled movement exercises he weaved from side to side in the walk, and when encouraged to run, bunny hopped with his hind legs, moving them as a pair. When viewed moving from behind he was on a three track with his hind quarters moving o to the right. His muscling was very underdeveloped, with little in the way of propulsive muscle bulk. He was very alert, playful and interactive, and the vet could nd no actual health issues.Aer this Shadow was passed to me where I started to explain that the wrong muscles were being used for locomotion, and that his core muscles were ineective at this point. It was then that the husband mentioned that he was a personal trainer (for people) and that he’d wanted to speak to me about this very subject.Whilst Shadow made himself comfortable we worked out an initial programme of exercises to support the osteopathic work of reducing the excess stress through his lumbar spine from bunny hopping. It was also decided that, as long as he was doing well that I would only re assess and treat at monthly intervals.e osteopathic work revolved around altering his centre of gravity during locomotion through addressing myo-fascial imbalances through his epaxial musculature, and limb ight. During the hands on work he did show sensitivity over his lumbar spine.Shadow’s owners were then going to work on waking up his gluteal and by Tony Nevin, BSc (Hons) Ost, DO Zoo Ost Ltd

27Animal Therapy Magazine | SPRING 2016quadriceps muscles, as well as multidus by using controlled exercise sessions involving stepping over low obstacles, moving through weave poles, and walking up and down controlled gradients. Finally if this was going well he was also to be encouraged to stand on his hind legs for a few seconds at a time and remain balanced.Being a husky he was easy to stimulate, the only problem we could foresee was if boredom set in.Aer the initial month he returned and the changes were incredible. He had muscle where there hadn’t been any. He also had a lot more self condence and marched into the clinic waiting room and took a seat (see pic).On examination there was now a lack of sensitivity over the lumbar paravertebral muscles.Aer this session it was decided that the exercise part could be stepped up again to include using a cross country jump course situated near to where the couple lived. Although designed for the equine athlete, we were all sure that Shadow would make short work of it. If that went well then he could also be walked along a stream, and even encouraged to jump across it as well.is he did, and even took to balancing on top of some of the horse jumps as part of his core strengthening programme.On the third visit he looked like any other healthy husky. His gait appears normal. He moves on a normal two way track, and is a very strong young dog now. His “trainer” showed the latest part of their routine which involved him doing normal press ups with Shadow stood in front of him with his front paws on his masters shoulders. As each press up was performed Shadow had to balance and maintain his contact without shiing.In a matter of around three months Shadow has changed dramatically, which is just as well as he has probably just about reached skeletal maturity now.People respond much quicker to rehabilitation when they are paired with a physical instructor, and our animal patients do too. By making the sessions fun dogs respond incredibly well. All too oen people think that controlled rehab has to be serious stu. e science is, but the application should be entertaining. Shadow and others like him are testament to this.BIOGRAPHYTony graduated from the European School of Osteopathy in 1988, and took a later degree from the British College of Osteopathic Medicine, graduating in 2010.Within a year of initial graduation he was approached to treat some horses. Liaising with the vet he found that there was a much greater willingness from the vet to work with him compared to the state of play with doctors on the human side back in the late 1980s.Soon Tony expanded his animal work to cover small animal treatment, setting up the rst referral clinic within a vets practice in Gloucestershire, as well as attaching himself to a wildlife hospital, and then several zoo’s and safari parks where he expanded the boundaries of osteopathic medicine to include species hitherto thought to be untreatable with manual medicine.He helped found the Society of Osteopaths in Animal Practice, and was chair for 6 years steering it into the respected organisation that it now is.Along the way he has lectured internationally, is clinical director on the only established MSc in Animal Osteopathy, has had scientic papers published, and is currently working on a comprehensive textbook on animal and bird osteopathy. To date his list of patient species exceeds 300 dierent kinds, many of these he has pioneered the successful treatment of.Contact details:tonynevin@blueyonder.co.ukwww.zooost.comwww.horseost.co.ukTel: + (0)1242 221153Mob: + (0)7831 759339

28Animal Therapy Magazine | SPRING 2016LEARN, GROW AND BE…INSPIREDNETWORKSocial events schedule with wonderful friendship and networking opportunities for youand your colleaguesENJOYA fun festival atmosphere – bespoke outdoor CPD marquees, fresh air, great food and live entertainment99% of last year’s delegates would recommend VET Festival to a colleague10% discount for readers ofAnimal Therapy MagazineEnter code VFATM10 when bookingFEATURING LIVE MUSIC ON BOTH NIGHTSDelegates can attend ANY of the 5 educational streams across the 2 days Greatest choice of lecture subjects including: Orthopaedics Clinical & Surgical, Neurology Clinical & Surgical, Oncology Medical & Surgical, Soft Tissue & Reconstructive Surgery, Minimally Invasive Diagnostics & Surgery, Feline Medicine & Surgery, Emergency & Critical Care, Anaesthesia, Pain Management, Radiology & Advanced Imaging, Nutrition, Rehabilitation, Business Management & MotivationDYNAMIC Ground breaking lectures to stretch your learning and ideas, chosen to be of practical relevance to yourdaily lifeLEARNListen to over 20 globally renowned professionals driving innovation across the industry 95% of last year’s delegates intend to return in 2016 and bring their teamA CELEBRATION OF VETERINARY LEARNINGwww.vetfestival.co.uk#VETfestivalFULL PROGRAMME NOW RELEASED ONLINE10%DISCOUNTFOR READERS OFANIMAL THERAPYMAGAZINECONCEIVED by Professor Noel Fitzpatrick, this year’s VET Festival (Veterinary Education Tomorrow) returns on 3rd & 4th June at Loseley Park, Guildford Surrey with an unrivalled line up of world-class speakers sharing state-of-the-art clinically relevant information and practical advice.What makes the VET Festival dierent to any other conference is that as well as the commitment to deliver the most engaging, and relevant CPD in the UK, the event strives to make education fun and reignite the enthusiasm for learning and passion rst felt when starting out in this wonderfully fullling profession. Following on from last year’s success, the appetite, both in terms of those attending, speaking and those exhibiting from across the veterinary profession, has really grown, but the VET FESTIVAL 2016VET FESTIVALVET Festival’s commitment to deliver the most relevant and innovative CPD in the UK still remains at the heart of the event, with the very best practitioners, visionaries and thought leaders attending from across the world. Every speaker has been chosen for their dedication in driving innovation in veterinary medicine and surgery and their proven passion for the profession. e hand-picked line-up includes esteemed opinion formers from across the USA, Canada and the UK who are veterinary specialists and experts in elds including clinical & surgical orthopaedics, so tissue surgery, medical & surgical oncology, neurology & neurosurgery, minimally invasive surgery & diagnostics, anaesthesia, diagnostic imaging, physiotherapy, sports medicine & rehabilitation, anaesthesia & critical care, nutrition, feline medicine & surgery and practice management & team building.Each lecture stream has been specically organised for maximum impact, with practitioners who are considered to be the best in the world on their subject areas leading the discussion.ere will be a focus onminimally invasive diagnostics and surgeryled by Phillip Mayhew from the University of Davis California and Elise continued on page 30

29Animal Therapy Magazine | SPRING 2016Joining the VET Festival programme are internationally based speakers not available on the usual speaker circuit for primary care clinicians, these include: Dr Kristen Kirkby-ShawSmall Animal Surgeon & Rehabilitation Specialist at Animal Surgical Clinic of Seattle, USAProfessor Michael KowaleskiProfessor of Orthopaedic Surgery at Tufts Cummings School of Veterinary Medicine in Boston Massachusetts, USADr Julius LiptakChief Surgeon in Soft Tissue & Oncology at Alta Vista Animal Hospital in Ottawa, CanadaDr Phillip MayhewAssociate Professor of Small Animal Surgery & Section Chief of Soft Tissue Surgery at UC David School of Veterinary Medicine in California, USADr Joseph Wakshlag Associate Professor of Clinical Nutrition and Sports Medicine/Rehabilitation at Cornell University College of Medicine in New York, USADr Ernie WardFounder of Seaside Animal Care in North Carolina, USADr Russell TuckerAssociate Professor Faculty of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, USAIn addition to overseas speakers, the 2016 conference welcomes thought leaders currently practicing here in the UK, including:Professor Noel FitzpatrickDirector Fitzpatrick Referrals and Fitzbionics, and Professor of Veterinary Orthopaedics, University of Surrey, Surrey, UKDr Tom Harcourt-BrownHead of Department of Neurology, School of Veterinary Sciences, University of Bristol, UKProfessor Nick BaconSenior Surgeon Soft Tissue and Chief of Oncology, Fitzpatrick Referrals, and Professor of Veterinary Oncology, University of Surrey, Surrey, UKDr Paddy MannionSpecialist at Cambridge Radiology Referrals in Cambridge, UKDr Clare RusbridgeChief of Neurology, Fitzpatrick Referrals, and Reader in Veterinary Neurology, University of Surrey, Surrey, UKDr Kelvin KowSenior Consultant in Medical Oncology, Fitzpatrick Referrals, Surrey, UKDr Brian FaulknerVeterinary Clinician, Consultant and Condence Coach, The Colourful Consultancy, Suolk, UKDr Elise RobertsonSpecialistin Feline Practice at Feline Vet Referrals in South East UKDr Laurent FindjiSenior Surgeon Soft Tissue and Oncology, Fitzpatrick Referrals, Surrey, UK

30Animal Therapy Magazine | SPRING 2016Two speakers of particular note from the impressive list are rstly: Dr Kristen Kirkby-Shaw:Kristin is currently a surgeon at the Animal Surgical Clinic of Seattle. Prior to joining ASCS she practiced as a small animal surgeon and rehabilitation therapist at Seattle Veterinary Specialists and The University of Florida Veterinary Medical Center, where she developed the University’s Small Animal Rehabilitation and Fitness Center. In addition to her time in practice, Kristin spent two years in Veterinary Industry, as a Professional Services Veterinarian with Novartis Animal Health and most recently as a Medical Science Liaison with Aratana Therapeutics. She is also an instructor for the Canine Rehabilitation Institute. Her sessions at this years #VET Festival include Veterinary Rehabilitation where she will consider the practical application of modalities with a team approach as well as looking at whether physiotherapy modalities really work or do animals just need rest. In one of her other sessions she will discuss physical rehabilitation for canine athletes as well as physical rehabilitation for neurological diseases for the dog and cat.Secondly, Dr Joseph Wakshlag Dr Joseph Wakshlag received a BS and MS from Montclair State University. He then attended Cornell College of Veterinary Medicine graduating in 1998. He continued his residency training in both pathology and nutrition,as well as receiving his PhD in Pharmacology in 2005.He became a boarded Veterinary Nutritionist in 2008, and more recently became a founding diplomate in the College of Veterinary Sports Medicine and Rehabilitation in 2010. He is currently the Associate Professor of Clinical Nutrition, Sports Medicine and Rehabilitation at Cornell University. His continued obsession with sled dogs has led to research and publications regarding sled dog physiology, metabolism and neurologic disorders. Other research interests revolve around nutrition in obesity and the relationship of nutrition to cancer and cancer cell biology.At the VET Festival this year, Dr Wakshlag will being talking about nutraceuticals as well as feeding and mobility issues for animals.10% OFFfor readers ofAnimal TherapyMagazinesee back page for detailsRobertson will talk about minimally invasive endoscopy techniques in cats whilst Michael Kowaleski from Tus University, Boston, and Noel Fitzpatrick will talk about arthroscopy of Joints. ere will also be a specic focus ondiagnostic imagingwith Russell Tucker from Washington State University sharing his nearly 40 years of experience with radiography, MRI and CT.Canceris a huge area of increased interest in small animal practice currently and will be explored by a world-class team including Julius Liptak, Nick Bacon and Laurent Findji.e growing importance ofpractice management and team-buildingprompted organisers to ask Brian Faulkner from the UK and Ernie Ward from the USA, both internationally recognised leaders in veterinary business training, to set up amini-symposium in management and motivation.e objective is to keep the lectures practical and give delegates information that they can use every day, not just facts and gures.Content and delivery of each of the presentations will remain practical in nature with delegates being empowered with valuable information and insightful advice that isn’t available in textbooks or online that they can share within their practice and apply immediately to their working day.Presentations are held outdoors in marquees as opposed to conventional lecture theatres creating a ‘fresh air’ festival environment that is fun, relaxed and, therefore, much more conducive to learning and networking.e stage is set for the VET Festival 2016 to be even bigger and better and truly engage and inspire those that attend. For nurses, practice managers, vet practitioners and those with particular interest in rehabilitation, the VET Festival guarantees something for everyone so to book tickets or nd out more go to www.vetfestival.co.ukVET FESTIVAL30Animal Therapy Magazine | SPRING 2016 5 Admiralty Way, Camberley, Surrey GU15 3DTTel: 01276 608500 • www.naturalinstinct.comProudly supporting British produce Proud to be sponsors at Vet Festival 2016 The no stress, no mess way to feed raw! Lovingly made by award winning UK Raw Pet Food Manufacturer A variety of high quality natural raw wholesome meals as nature intended Human grade ingredients Veterinary approved Free from artificial additives, colours, preservatives and fillers Friendly and professional advice on raw feedingRichard Doyle Wylie Veterinary GroupFor the last 5 years we have bn working closely with Natural Instinct who provide a range of high-quality, wholesome, complete and balanced raw fds for both dogs and cats. The fd they provide is tested for nutrient levels, which gives us confidence to recommend and se Natural Instinct to our clients.

31Animal Therapy Magazine | SPRING 2016 5 Admiralty Way, Camberley, Surrey GU15 3DTTel: 01276 608500 • www.naturalinstinct.comProudly supporting British produce Proud to be sponsors at Vet Festival 2016 The no stress, no mess way to feed raw! Lovingly made by award winning UK Raw Pet Food Manufacturer A variety of high quality natural raw wholesome meals as nature intended Human grade ingredients Veterinary approved Free from artificial additives, colours, preservatives and fillers Friendly and professional advice on raw feedingRichard Doyle Wylie Veterinary GroupFor the last 5 years we have bn working closely with Natural Instinct who provide a range of high-quality, wholesome, complete and balanced raw fds for both dogs and cats. The fd they provide is tested for nutrient levels, which gives us confidence to recommend and se Natural Instinct to our clients.

32Animal Therapy Magazine | SPRING 2016– CASE STUDY –Meet Mackeson - a 9 year old chocolate Labrador, Mackeson is a pet dog that lives with his owner Ellie. Unfortunately, he suers with a raft of issues, including:• Born with a club foot on his right hind leg (missing toe)• Skin conditions, including one which can cause the body to attack itself• Many dierent allergies (mainly upon contact), such as grass, rye, wheat and pigeon feathers• Spondylosis in the lumbar region which is compressing on his nerves• Cannot feel his 2 back paws (due to nerve damage), so unable to li his front legs, as he will fall over. Ellie has also been told he will eventually be paralysed• Does not use his tail, it just hangs down• Cannot take Metacam for pain relief, due to steroids taken for skin conditionOwner’s PerceptionEllie has owned Mackeson from a puppy and has been managing his issues on a daily basis. She described Mackeson as “grumpy, since the age of 1”, but thought this was due to his issues and part of his personality.Having heard the presentation “Muscular Pain and Its Relationship with Behaviour” presented by Vice Chair of the Canine Massage Guild at Victoria Stilwell’s Bite Prevention Conference, Ellie recognised some of the ‘pain’ signs in Mackeson and enquired how Canine Massage erapy could help.Canine Massage TherapyIt’s fair to say that Mackeson’s treatments were of a more unconventional nature. He likes to hide behind sofas and under tables, so I only typically see Mackeson from behind as his head is usually under a table. Despite being given space and the opportunity to move, Mackeson accepted the massage. Initially, he was only comfortable with 1 hand being placed on the body, but by the 2nd session accepted 2 hands at certain times/places.Mackeson has various muscular issues, including:• Strains – a pull or tear to the muscle where it has over-stretched. ese were found in the Gluteals (butt) and Gracilis (drive) muscles• Trigger points – a taut band within the muscle that result in muscles tiring more quickly and can cause referred pain. ese were located in Mackeson’s Trapezius, the large triangular-shaped shoulder muscle.• Hypertonicity – extreme tension indicating the muscle has been overused and remained in a shortened contracted state. is was Mackeson’s main problem, aecting his Pectoral or chest muscles, from where he was pulling himself along as opposed to driving from the rear; his neck (Cleidocervicalis) and also his lumbar area (Longissimus Lumborum and Iliocostalis Lumborum), the muscles that support the spine.ese muscular issues have accumulated over a long period of time. Some have occurred most likely due to a slip or over-extension of a leg. Others are as a result of Mackeson compensating and using his body dierently.In addition to my professional treatments, Ellie continues to help Mackeson by applying maintenance techniques (as explained by myself).Canine CareMackesonby Jenny Youdan, K9 Elements Massage erapy, Member of Canine Massage Guild 32Animal Therapy Magazine | SPRING 2016

33Animal Therapy Magazine | SPRING 2016How Did Massage Help Mackeson?• Much happier in himself• Wants to go for walks• Trotted, rather than just walkedv• Ran across stone driveway – he’s been carried across it or used neighbours path for months• Stronger hind legs – using both legs and walking faster; jumped in the van instead of being lied• Using his tail• Feeling is returning in his back paws Mackeson’s ImprovementAer only one session, Ellie saw a change:“Mackeson has been SO SO happy today, it isunbelievable!!!We went to walk the other dogs and Mackeson RAN across the STONE DRIVEWAY to the van and JUMPED IN!!! He hasn’t ran, jumped or walked across that driveway in months!”Aer session 2, Ellie saw further progression:“Today he pulled me out of the house, to the neighbour’s driveway and all the way to his walk! So instead of gingerly walking and grimacing, he now runs and pulls whilst using both back legs properly! Your massages are amazing, magic hands! I would like to book another massage for Mackeson as I cannot get over the results. He is doing so well and it makes me cry to see him so happy again. So thank you for all you have done so far, I can’t tell you how much I appreciate it.”Ellie continues to see Mackeson improve:“Mackeson is denitely faster at walking and is using his back legs to walk so is a stronger walker too, we can see him pushing away with his back feet rather than swinging them. e biggest update I have is he can feel his back paws again!! I was clipping his nails and trimming the fur in between his rear pads and he was pulling away when I was touching them like he does with his front feet!! It makes trimming and clipping more awkward again but I am so so pleased he can feel his back feet again, we thought they had gone for good when he lost the feeling in them!”www.k9massageguild.comTail beforetreatment Tail aftertreatment Mackeson’s club foot33Animal Therapy Magazine | SPRING 2016

34Animal Therapy Magazine | SPRING 2016PHOTIZODO you have a niggling muscle issue with your horse? Or maybe aching joints, or a wound that is slow to heal? A damaged ligament which is a major set back in your training schedule? en maybe you too, would benet from some light therapy.I have been massaging horses for 21 years. In October 1995, I stepped out from under Mary Bromiley’s wing at Downs House and set about righting all the muscle problems in any horse in close proximity. We were the rst students in the UK to be awarded the Equine Sports Massage Diploma by ITEC, and as such, we were breaking new ground and making inroads into a path which would become well-trodden 20 years later.I worked anywhere I could nd people open minded enough to want their horses massaging. I spent 3 or 4 years assisting my colleague Belinda Cullen in Lambourn, massaging hundreds of horses for top trainers including Oliver Sherwood, Brian Meehan and Jamie Osborne. Back home in Leicestershire, I built a business from eventers, dressage riders and the all-important leisure rider. I then added a canine qualication to my CV, soon becoming inundated with agility and yball dogs.As time went on and work increased, my joints started to wear out. Massage is a hugely physical activity and horses are a massive mass of muscle. I began to search for tools to help me continue my job and lengthen my career so I could still oer a quality service.Photizo Light erapy e benets and versatility of using eective light therapy in Animal erapy Practiceby Karen Perry and Belinda Gatland ITEC Equine Sports Massage and founder members the Equine Sports Massage Association

35Animal Therapy Magazine | SPRING 2016Having looked at and tried many dierent devices, nothing hit the spot, until I found the Photizo Vetcare. I had already investigated red and infrared light therapy and this device oered all that, it is a simple to use, aordable hand held machine that was designed for normal animal owners to use on their own animals. I was amazed at how easy to use but also eective it was.On buying my rst unit, I was sceptical but it took away the daily pain in my nger joints in one 30 second treatment. Using it on my equine and canine customers, it helped to “soen” and relax muscle tissue, enabling me to work more deeply more quickly. On animals that are ticklish, sensitive or reactive, it can take the place of invasive treatment, especially on girth issues or inner thigh muscles on horses.I have used the Photizo with great success on ligament and tendon injuries, splints, skin rashes and sweat lumps, mud fever, girth sores, muscle pulls and tears, trigger points, hip dysplasia (dogs) and cuts and bruises. e ultimate benet is, I can use it on myself too, from managing arthritis discomfort and RSI, to bruising, burns and tight tendons. I am amazed this winter, that if I treat my awful chilblains once, I don’t have to treat them again for 7-10 days! I am now a reseller for Photizo, oering this amazing little gadget to my customers so they can carry on treating their horses between my visits. It has been a career enhancing device for me.I provided my colleague and long-time friend Belinda Gatland (previously Cullen) who is currently working in Dubai with Photizo Vetcare, and these are her words;I have 4 machines with one on permanent loan in Quarantine and one at Dubai Stables. I use the other two units together, I actually get through horses a bit quicker if I use two at a time. Some horses it has improved hugely, certainly more than I would have on my own. It has a great anti-inammatory eect and I am also having some success with it on atrophied muscle as it seems to give them a kick start. I really believe that some of the horses simply would not have improved so quickly without it.One of the things I love working on are “tricky” horses, when they are not happy and I need to go into deep tissue. What I have found is I can do a good, or better job with the Photizo Vetcare so this makes for happier, more relaxed horses and a safer therapist. e device takes the edge o instantly, and continues doing its work aer I am gone and I feel the horses are getting a lot more out of me. I also use it on trigger points and, in some cases where we know there are inammatory issues, I will literally blast it with the device and the results have been incredible.I have used it on nicks, cuts, wounds, muscles, tendons, curbs, sacroiliac problems (amazing), feet, a broken ischium and broken withers, my own bites and bruises, and my son’s broken foot, which healed amazingly quickly.I can honestly say the Photizo Vetcare has changed my way of work for the better, and is keeping my body going, which is pretty impressive when I am treating 30-40 horses a week!!!www.karenperryanimaltherapy.co.uk

36Animal Therapy Magazine | SPRING 2016Levi HuntFresh from his triumph at the Young Professionals Awards we catch upwith Levi Hunt and talk to him about the importance of straightness.PROFESSIONAL PROFILESUPPLENESS and straightness is everything to me as a rider. Regardless of breed, size, build or conformation, being able to steer, stop, ride forwards and maintain rhythm and balance is essential to ensure your horse is able perform at its best.Whilst training clients or riding, I frequently see and feel issues and frustrations with straightness whether that is in the jumping or dressage arena or out hacking. ose that hack a lot, frequently bend too much to the le, caused by riding with the horses head bent closer to the verge, pavement or hedge side of the road. Oen people don’t even know they are doing it and we can only assume it is a subconscious safety action. Next time you hack, have a look and make a point of changing the bend but keeping the horses body in a straight line. Another key factor in straightness is the trot diagonal. Always sticking to one diagonal can signicantly impact the horses balance and muscle development, so whether you are hot on Valegro’s heels or just enjoying the countryside on a hack, make sure you frequently change your diagonal. I nd working to a 20 – 30 stride pattern ensures I make that change.Like us, horses also have a dominant side and will naturally have an easier side, more noticeable when schooling. I oen nd riders just accept this and work with it. I focus on encouraging the horse and rider to work through this. If you nd, for example, the right rein stier, then change to the le direction and bend him to the fence or wall if you are fortunate to have an indoor school. is stops them from being able to fall through the shoulder as you ask them to give the stier side up. Ensuring your horse works supple and straight will play a signicant part in maintaining soundness. Once straightness becomes habit, the horse will put even weight through all limbs, increase elasticity through the joints, enable even muscle development and provide a balanced, even contact through the rein.I also nd horses that can work evenly are more forward, struggle less with canter strike os, nap and spook less. I would put this down to the rider being able to react better and inuence the contact in a more harmonious way.In summary, you should have a horse that allows you le, right and straight submission to the leg and rein. If he doesn’t it is your responsibility as the rider to work through this. Working closely with your trainer and therapist will be invaluable in achieving suppleness and elasticity.CHECKLIST1. Are you (the rider) straight? Have you seen a therapist recently to assess your posture, alignment and muscle balance?2. Is your horse straight? Have they been checked by a professional recently? 3. Can they ex and stretch laterally and longitudinally?4. Does your saddle t and it is balanced?5. Are your horse’s feet well balanced?6. Have you had your horse’s teeth checked recently?7. Are your stirrups level?8. Do you hold your reins at the same length?9. Is your horse forward?36Animal Therapy Magazine | SPRING 2016PROFILEBased at Abbey Dressage in Tewkesbury, Gloucestershire, Levi runs a busy dressage and show jump training yard. Here he holds regular individual lessons as well as training clinics including pole work, show jumping and dressage test riding. When he isn’t teaching, Levi enjoys competing in tailcoats one day, jumping the next and as a treat, taking his horses and clients to the gallops for a good blow out! In March this year Levi was delighted to become joint winner of the young professional of the year, where, deservedly, his talents have been recognised.Prior to running his own yard, Levi’s wealth of experience includes working with Olympic eventers, pre-training the Waley Cohen’s string of talented racehorses,training Iberian dressage horses and hunting.www.levihunt.co.uk Facebook: Levi Hunt Equestrian Training

37Animal Therapy Magazine | SPRING 2016

38Animal Therapy Magazine | SPRING 2016FOR 10 years I never had a problem with eas despite rarely using a ‘spot-on treatment on Molly my rst Miniature Bull terrier. at all changed when my stray street cat, named Gremlin moved in. Literally overnight we went from a ea never crossing our radar to being an on-going concern and battle with ea prevention a routine xture. e most common ea in the UK is Ctenocephalides felis felis the cat ea. It’s the culprit causing 95% of infestations in the UK. Unlike its cousin, Ctenocephalides canis, the dog ea, cat eas can thrive and multiply using a variety of hosts, not just cats. Whereas the dog ea can only reproduce on dogs or related canines like foxes. e pesky cat ea originated in Africa and is now found worldwide, ranging from warm tropical areas to temperate zones, even with prolonged subfreezing temperatures.It was introduced to Europe when domestic cats were imported during the Crusades.It’s an urban myth that if a dog goes near a hedgehog, it will become infested. Dogs or cats can become accidental hosts of rabbit eas, rodent eas and hedgehog eas. However, these species don’t survive long, and can’t reproduce on dogs and cats. Cats will usually catch a cat ea from other cats. Or they’ll pick them up in the undergrowth where eas eagerly await an opportunity for a tasty snack.Gremlin aged only seven months developed an allergic reaction to a eabite. Before long he’d turned into a threadbare apparition; it was dreadful! Fixing him with the help of our Holistic vet was a long haul. At the rst sign of eas it’s advisable to use a ‘spot-on’ insecticide to minimise the bite potential, and help nip the situation in the bud. I’ve fallen victim to the ea for not acting soon enough. Multiple pet homes should treat ‘everyone’ with a spot on. Although a ea will still bite a pet that’s had a spot-on, that ea will only bite once! Bear in mind that insecticides like prinol or imidacloprid are the most commonly used in ‘spot on’ products. Studies have shown that both these insecticides used in excess can be potential carcinogens. Holistic vets will recommend their use moderation only.Managing Fleas Naturallyby Anna WebbBroadcaster, Author, and Trainer has studied natural nutrition and therapies with the College of Integrated Veterinary erapies (CIVT) Canine Care

39Animal Therapy Magazine | SPRING 2016e same is true with most of the sprays on the market. e added issue is that chemical residues from both spot on’s and sprays will turn to dust particles. Such particles will be inhaled by both people and pets in home, which can present health risks over time.Unfortunately our recently mild and wet winters have propagated eas. Without a cold dry spell to kill them o, we’re seeing eas as an all year round pest.When you consider that only 5% of any eas will be on your pet, the remaining 95% will be nesting in your carpets and home furnishings. e issue is an environmental one. I’ve looked at eas as a problem that won’t just go away. It just needs managing with a strict weekly routine to treat the home environment for prevention as naturally as we can. Vacuuming before a thorough steam (to stimulate eas) over rugs and hard oors is followed by spraying with a non-pesticide spray like FLEE, SWOOSH and Biospotix. ese are silicon based and work by suocating adult eas, eggs, and the larvae. I like to leave the spray for 48 hours before repeating. is way my conscious is clear that our home environment is as ea free as it can be. Cat eas live for about a week. In that time the females will lay approximately 30 eggs a day. Hatching in six-week periods, eas cleverly trick you into thinking they’ve gone, when they haven’t. Fleas are almost indestructible! ey’re extremely well adapted for survival. it is nearly impossible to drown a ea. It’s only by washing pet’s bedding on the hottest setting, and tumble drying immediately aer a wash, that you’ve got a chance of killing the ea. As far back as 200 A.D., Claudius Aelianus reported that eas couldn’t be easily drowned. Fleas have wax-covered cuticles. is outer waxy layer repels water and makes them non-wettable. continued overleafGremlinIt’s likely that this cuticle wax extends into the trachea and prevents water from entering the respiratory system. So they are practically impossible to drown. In one study, seven squirrel eas were dropped in water. Only one died within 24 hours. e others lived up to seven days.It’s claimed that pets fed on a raw diet are less likely to get ea infestations compare to those fed on commercial processed diets. As a raw food feeder I’m aware that dogs fed raw have their bodies fuelled with 100% nutrition to make them healthy and vital. Whilst dogs fed raw can get eas, they are less likely to than those fed a highly processed diet. e reason for this is eas are ‘sugar junkies’. High sugar kibble diets cause severe spikes in blood glucose levels, which attracts eas. is phenomenon can be compared to some people attracting mosquitoes more than others. It is the skin and body chemistry that makes a dierence. e second reason is that eas are attracted to animals with stronger odours and less healthy skin. Anyone who feeds a raw or homemade cooked diet will agree that the “doggy smell” disappears in the vast majority of dogs aer a few weeks of eating wholesome food. is means that raw food is an important part of ea prevention, but it does not prevent eas in all cases.Adding supplements to boost your pet’s immune system like Citrus Paradisi a potent source of Vitamin C. Adding either Dorwest Herbs’ Garlic & Fenugreek tablets or Phyt for Dogs’ “Go Away Ticks & Fleas’ will help to make your pet repellent to the ea from the inside out.Topically there are lots of naturopathic options to try. Interestingly one of the most common uses for (food grade) diatomaceous earth is as anatural insecticide. Diatomaceous earth is composed of tiny organisms known as diatoms, which have the ability to lacerate the exoskeletons of various types of insects and kill them through dehydration.Simply rubbing a generous amount through your dog’s coat, preferably outside; so no one inhales too much of the dust. is will nourish the skin and rid the coat of eas and other exoskeletal-biting bugs like ants, ticks and lice. It’s also very eective to dust into areas in the home like thoroughfares, pet bedding, and furnishings to stop the ea! Plus Diatomaceous Earth can control biting bugs in the garden too by mixing it into your soil.

40Animal Therapy Magazine | SPRING 2016I use a variety of anti-bacterial sprays that also work as skin soothers and repellents. Leucillin uses Hypochlorous (HOCl) to naturally mimic the immune system and control any infection. Herbal solutions like Phyt for Dogs’ skin relief spray combines a potent herbal formula including Geranium, St John’s Wort, Comfrey and Burdock. My Itchy Dog’s CSJ Skinny Spray that’s neem oil based is also very eective as an antibacterial defence and as a deterrent. Regular baths with a natural shampoo infused with lavender, rosemary, and lemon will work as a replant, whilst a product rich in oats will nourish the skin. It’s painful to watch your dog incessantly scratch. Once bitten the itchiness can be unbearable for a dog leading to them literally pulling their hair out in clumps.My Miniature Bull terrier pup, Prudence has been suering from an allergic reaction to eabites. As with Gremlin I’ve boosted her immune system with homeopathy as prescribed by our holistic vet. In addition we’ve treated the symptoms with histamine homoeopathically and used remedies to stop any infection. To stop Prudence self harming and shredding her skin and coat from over scratching. I use Equaeece T shirt. Which are 100% cotton. is four-way stretch, light, cool and so T-shirts oer relief via protection from ‘self harming’ and as a barrier from other environmental irritants like long grasses. Regularly massaging and running Photizo over Prudence’s bald patches where she’s plucked herself is working to restore the skin’s natural health and stimulate hair growth. e holistic toolbox for dealing with eas oers more options than simply applying a ‘spot-on’ every month. Unfortunately cats are magnet for the cat ea. Dogs living with a cat will be more likely to catch a ea. Until an insecticide is invented that stops the ea from biting in the rst place, there’s always a risk of an allergic response. MANAGING FLEAS NATURALLY

41Animal Therapy Magazine | SPRING 2016irritation, dry, itchy, flaky or smelly skin Happy Healthy Pets From The Outside Ininfo@leucillin.co.uk www.leucillin.co.uk 0345 548 9800Proud VIP Sponsors of Noel FitzpatrickspH neutral, non-toxic,100% safe to ears, eyes, sensitive or allergy prone skinCall or email today to find out more aboutLeucillin, the most versatile first aid productavailable, a must have for any animal owner.Winner of PATS Petcare Product 2015, Leucillinis a versatile easy to use solution speciallyformulated for the health and skincare of animals.Leucillin is a new approach to animal healthcare,giving animal owners and petcare professionalsan infection control solution that just works! Totally safe, Leucillin is skin pH neutral, non-toxicand will not sting, even to those with white coats,sensitive or allergy prone skin. Leucillin quicklyrelieves, soothes and calms helping restore goodskin and coat condition.Leucillin is an effective and reliable first aid,sanitizing and skin management tool. Leucillin killsgerms that can cause infection, irritation, dry,itchy, flaky or smelly problematic skin andprovides you with a powerful solution to combatall types of infection.Topical Antiseptic Skincare That Just WorksAnimalTherapy_FPApr16:Layout 1 15/04/2016 15:27 Page 1

42Animal Therapy Magazine | SPRING 2016IT’S been a few days now since you rst noticed that your horse wasn’t quite right and he’s been getting worse each day. You’ve noticed a slight swelling in the aected leg so you wondered whether his lameness might be tendon related but the foot of that leg is warmer and the digital pulse stronger than in the other legs. He’s very reluctant to move now and when he’s standing still he points and rests his foot and sometimes even holds it in the air.Chances are your horse has what is commonly referred to as ‘pus in the foot’, ‘poisoned foot’ or a ‘hoof abscess’, the most common cause of equine foot pain.What is pus in the foot?Infection or sepsis (the presence of harmful bacteria and their toxins) within the sensitive structures of the foot causes localised tissue breakdown which leads to the formation of pus.is process is known as liquefactive necrosis and the pus formed is a cocktail of liqueed tissue debris, dead white blood cells, bacteria and serum.In appearance this pus is yellow/green and runny when newly formed but becomes much darker and thicker as time passes.What causes it?ere’s a long list of reasons why pus might form within the foot. Anything that allows the invasion of ‘foreign’ bacteria can lead to the formation of pus. e list includes (but is certainly not limited to):• A puncture wound through the sole from a sharp object.• Cracked or weak feet that are unable to provide adequate protection for the underlying structures.• A misplaced nail.• Under-running heels which provide the perfect condition for infected (suppurating) corns.• Overdue for trimming or shoeing.• Chronic laminitis when dirt tracks up through the weakened and stretched laminae.Anatomy involved.e specic structures of the foot and their relationships with each other make the presence of pus within the foot more painful than almost anywhere else in the body. To understand this fully it’s helpful to divide the foot into two distinct sets of structures: e insensitive hoof and the dermal or ‘true’ foot.e insensitive hoof:is is made up of the keratinised or epidermal structures. ese are the structures that we’re all visually familiar with.e hoof wall is the strongest and largest of the horn structures and almost completely surrounds the outside of the dermal foot.e white line provides a exible junction between the hoof wall and the next most signicant horn structure, for our purposes at least, the sole. e horny sole is much thicker and stronger than you might imagine and has an important part to play in supporting the internal structures.ese two relatively inexible structures form together what has been referred to as a ‘capsule’ or ‘con’. Eectively they create a box within which the dermal foot is ‘packed’.e last signicant epidermal structure, the horny frog, is much less rigid in the healthy foot and, along with the digital cushion, serves to periodically increase the pressure within the foot as it loads and unloads.e dermal or ‘true’ foot:is refers to all the structures enclosed within the hoof. Relatively thin layers of highly vascular tissue called coria are responsible for producing the overlying horn. Tissues like the digital and coronary cushions are much less vascular while the pedal and navicular bones are peppered with foramina carrying blood vessels. Whole networks of veins known as venous plexi facilitate the squeezing or sucking of blood out of the foot and up the leg.So to understand the severe lameness oen associated with pus in the foot we can think of the hard epidermal hoof capsule (or box) surrounding and enclosing and holding under pressure the internal dermal foot. Any additional pressure caused by the presence of pus will be almost unbearable. And this is exacerbated by the pumping action of the frog and digital cushion – no wonder they don’t want to move! e pressure within the foot will force the pus (along with the devouring bacteria) into the path of least resistance. Consequently a foot abscess can create extensive channels within the foot before releasing.How is it treated?Your vet or farrier will locate the pus with the use of hoof testers, visual A closer look at Pus in the Footby David van den Broek, Registered FarrierEquine Care

43Animal Therapy Magazine | SPRING 2016David van den Broek is a registered farrier working in Oxfordshire and the surrounding area. In the spring of 2014 he passed his diploma of the Worshipful Company of Farriers with distinctions in theory and gained the David Llewellyn award for best written paper. In the spring of 2015 he gained his diploma in equine science. Now, as he works towards his Associateship exams, David is focusing on his particular interest in remedial and corrective shoeing.markers, an infra-red camera or, in particularly tricky cases, radiographs. Once the pus is located a channel will be created to enable complete drainage.And then you get to do your favourite thing in the world – that’s right, poultices! Normally it’s advisable to replace them twice a day (at least for the rst couple of days). I normally advise 2 -3 days of hot poultices and then 2 - 3 days of dry poultices but this can vary signicantly depending on how quickly the pus drains. If your horse will let you then a salt foot bath for 5 minutes before applying the poultice is a really good idea (preferably Epsom salts).When complete drainage has been achieved the hole can be blocked with hoof putty or covered with a pad to prevent re-infection while the horny sole regenerates.Can it be prevented?ere are some sensible precautions that can be taken to reduce the likelihood of your horse getting pus in the foot. Here are some:• Make sure your horse is getting good nutrition and good, consistent hoof care. Strong hooves are the best antidote to abscesses.• Don’t leave the chain harrows in the eld/ménage where your horse is loose!• Even if you didn’t nd it in time for the farrier, nd your lost shoes. ere are 6 sharp nails and a clip out there somewhere ready for your horse to stand on...• Try and avoid riding over inty ground especially if your horse has thin soles.While hoof abscesses can result in severe lameness initially, if treated promptly and consistently the prognosis is extremely good with the horse oen returning to work within 10 days to two weeks. Above: An abscess about a week old. Right: A weak, cracked foot - this is the type of foot most prone to abscesses (and in fact this foot has experienced several).

44Animal Therapy Magazine | SPRING 2016Equestrian HireTRY BEFORE YOU BUYHIRE ICE VIBE COOL THERAPY BOOTSThe Ice Vibe boots are portable rechargeable vibrating boots that help to boost circulation in horse’s legs by creating a massage eect.TRY BEFORE YOU BUY!NEW FOR 2016 HIRE EQUIAMIThe EquiAmi training aid encourages the horse to bring its hindlegs underneath its hindquarters, to lower its head and shorten its frame by developing wither lift.HIRE SPORTZ VIBE MASSAGE RUGThe massage action is gentle enough that it won’t over-work your horse’s muscles, but will eectively reduce muscle tension. NEW VETKIN KINESIOLOGY TAPE UK DistributorEquestrian Hire oer a full back up service on all items hired. Any questions please ask, we are open 7 days a week.07973 284764www.equestrianhire.co.ukHorsecrocz®Protection for Hoof DressingsFive reasons to use Horsecrocz:• Quick and easy to put on and o• Good protection• Flexibility of t• Breathable• Cost07825 286 015For information and stockists visit:www.horsecrocz.co.ukinfo@horsecrocz.co.ukPrices start from just £21!

45Animal Therapy Magazine | SPRING 2016HORSE owners have historically been advised that protection of the distal limb is essential when working horses in order to minimise injuries, particularly for the more vulnerable structures such as the tendons and ligaments.It is now being questioned as to whether this is the correct advice. Injuries to tendons and ligaments are still occurring despite owners using protection so should this subject be re-evaluated?Horse owners generally understand that the structures within the distal limb are exposed and as such they try to protect them in every way possible. is usually includes using leg protection in the form of various boots or bandages. However we oen don’t know which are the best? Are we choosing correctly?When a horse exercises the tendons are required to take weight and absorb concussion, this is known as the loading phase. During the loading and unloading phase the movement is converted into kinetic energy which essentially enables the tendons to do their job. e conversion is not always one hundred percent eective and some of the energy is converted to heat. is is the heat we can feel on the surface of the distal limb aer a horse has undertaken vigorous exercise. Although this heat is sometimes overlooked and not considered a detriment to the horse, it does in fact play a huge part in the health of the tendons.With horses who do not wear limb protection, the excess heat created will disperse naturally however, when we use leg protection, whether it be boots or bandages, the heat is trapped with no way of cooling.Advantages of using Distal Limb Protection during Exercise ere are very few horses that do not wear some type of leg protection when exercising, travelling, stabled and even when turned out in the eld so we investigated exactly what these boots and bandages have to oer.Support • By adding an external wrap to the distal limb it is believed that this Boots or Bandages? by Emma Green, Veterinary Physiotherapistcontinued overleaf

46Animal Therapy Magazine | SPRING 2016 Neoprene Brushing Boot Neoprene Brushing Boots are designed and sold as a distal leg protection against other limb contact and collision with fences etc. These particular boots are advertised as “light and exible, even when wet. With an added strike pad for protection”. There is often no information given regarding the insulation or airow properties of these boots. Leather Tendon Boot Leather Tendon Boots are advertised as long life, elegant looking distal limb protection. With open space at the front they claim to oer some airow, but aim to protect the tendons, specically the supercial and deep digital exor tendons. Fleece Exercise Bandages Bandages are more often used for at work or schooling and are very popular with dressage riders. They claim to oer more support to the structure of the distal limb, and help to enhance the horses’ movements by drawing the attention to the limbs. They can be used on their own, but are quite often used with a cotton pad underneath. For the purposes of the case studies the bandages where used without the extra padding.Air Flow Sports bootsThese boots claim to have been designed to oer extra collision support with its lightweight, hard wearing material. It also claims to be the most breathable boot on the market, specically designed to allow airow around the boot with its ventilated lining, allowing heat to disperse from the leg. InvestigationA small digital data logger was placed on the distal limb within each leg protection. The data logger recorded the temperatures of the tendon area of the distal limb when the horse carried out a set programme of work including walk, trot and canter. They recorded the temperature after an 18 minute workout and an hour after the exercise programme was completed. The horses that were used in the experiment where all of the same breed, age and tness level and each horse wore every type of leg protection during the experiment. ResultsThe bandage showed the most concerning results with the highest recorded temperature of 36.58°C. Leather tendon boots followed. The temperature of the neoprene brushing boot did not increase to an excessively high level however it did continue to increase for a longer period and therefore took longer to cool once the horses exercise had been completed. The sports / airow boot showed a small increase in temperature, but the highest temperature recorded was just 0.68°C above the highest temperature recorded of the bare limb, and quickly began to decrease faster than any other limb protection tested. The Air ow function allowed air to ow through its material resulting in the temperate decreasing quicker than any other boot, mirroring the temperatures recorded on the bare limb.ConclusionAlthough there are signicant advantages to using leg protection during exercise the disadvantages must also be considered. It was clear from the data that the distal limb and tendons increase in temperature when using all types of leg protection, some more than others. It was also noted that tendon temperatures continued to climb for a remarkable 30 minutes after exercise had nished. Therefore if using leg protection it is of great importance to remember to remove the leg protection as soon as possible after exercise has been completed in order for the tendon temperature to decrease to its natural state as soon as possible. By leaving leg protection on after exercise you may increase the chance of damaging the tendon cells due to excessive heating.In conclusion, this study has indicated that a good airow boot is the best option for your horse’s tendons. This boot oers protection from injury, and although distal limb temperatures did increase quickly, they decrease just as quickly and mirror the temperature of the natural bare limb.If you would like further information on this study please contact:www.egreenanimalphysio.co.ukCASE STUDYIn this study we researched and tested the leg protection that is available on the equine market today and is often used by many horse owners. BOOTS OR BANDAGES?

47Animal Therapy Magazine | SPRING 2016oers more support to the limb itself (although this has never been proven). • By using the support it is thought that this will assist in reducing uneven pressure on the limb during movement. • When a hoof strikes the ground, the impact sets o a series of high-frequency vibrations and shock waves through the limb, potentially leading to the development of degenerative joint disease or long bone fractures. Athletic support boots have been produced in an eort to minimize these damaging eects to so tissue structures.Reduce collision damage • Using protection during exercise can minimise the risk of a collision, laceration or cut from either another limb striking into itself or by hitting an obstacle / jumpCosmetic purposes • Many owners will also use boots and bandages to accessories the horse whether they are needed or not. Proprioception• An external wrap can promote limb awareness and make the horses’ movements appear more exaggerated.Disadvantages of using Distal Limb Protection during Exercise Although there are a number of great advantages to using boots or bandage, the disadvantages are not oen thought about. Incorrect tting • Incorrect tting is easily done and can do more harm than good. Uneven pressure on certain parts of the limb can cause strains to the tendons or ligaments.• Incorrect tting can also lead to sores or lesions on the limb and this can easily become infected. Dirt, bacteria and sweat build up• It is very important to make sure that the leg protection is clean each time it is used. Dirt, sweat and bacteria can easily build up causing infection and more than likely inammation.Heat and Airow issues • Due to the elastic energy storage system, loading of the supercial digital exor tendon during high-intensity exercise can cause an increase in temperature in the core of the tendon. • Research shows that if tendon cells are heated to 48°C for 10 minutes, 80% of them die• Collagen breakdown within the tendon initiates inammation. When bres rupture, the digital tendon swells and bows out, thus the term bowed tendon.

48Animal Therapy Magazine | SPRING 2016HEARING of a Zimbabwean local’s ambition to qualify for the Olympics, set about a chain of events that led to the rst ever Pan African Symposium. With the opportunity to travel to America for work, and the impending Olympic Games, Kylie Shepherd - Founder of Equestrian Performance, had to hold the Symposium before April 2016. Hoping for the best, she set about emailing some professionals she had crossed paths with in the UK to determine their interest in travelling to Zimbabwe to take part. Within 3 days, everyone had responded, everyone was SOLD! Five short months later, on March 23rd leading professionals congregated in Harare, Zimbabwe, 2 weeks proceeding Camilla’s announcement of her qualication for the Olympic Dream! Zimbabwe is RIO BOUND!!!e Symposium was aimed at educating professionals and owners alike, to better improve performance across the Southern African Strip. One of the biggest problems Kylie faces in Zimbabwe is the lack of regulation of paraprofessionals which has soured many Veterinarians on the complementary therapies. ere is a complete lack of interaction between physiotherapists, veterinarians, farriers and associated professionals which can be confusing and oentimes counter-productive. P.A.S kicked o with an interactive day for invited professionals at a local racing yard to prepare the delegates for the Symposium, and was then followed by a “meet and greet” at a local Wildlife Sanctuary where two baby elephants were treated to some Osteopathy by Tony Nevin.ere were several key areas that Kylie thought needed to be targeted in Zimbabwe which inspired the selection of speakers opposite.What was learned, what was gained?A general overwhelming sense of realisation seemed to descend the Equine Community in Zimbabwe following the Symposium. e excitement centred around improving performance nationwide was prevalent which was a leading aim of the Symposium.Zimbabwe’s very own Para-hopeful Andrew Philip secured his sponsorship from Equestrian Performance and will be working closely with Craig and Kylie to receive personalised, periodised programs for himself and physiotherapy for his horses in his quest for WEG and e Paralympics. Friendships were forged, professionals nourished and paradigms shied… Zimbabwean Equestrians will now be le to eagerly observe Camilla’s journey to Rio and hopefully begin to develop more Equestrian professionals worldwide.Kindly Sponsored byPutting Africa on the MapTHE PAN AFRICAN SYMPOSIUM

49Animal Therapy Magazine | SPRING 2016Para rider Andrew Philip and his horse Zeus with the P.A.S. teamSIMON DANIELS: Equine Nutritionist and Gastroenterologist BSc (Hons), PhD (Cand)Little knowledge of the Nutritional demands and correct feeding practices was a leading cause of concern that Kylie was conicted by on her return to Zimbabwe. Simon largely disseminated facts about Equine Gut health, metabolic disorders and feeding for Performance. He gave a guest lecture at the University of Zimbabwe’s Veterinary Faculty which was aimed at development and knowledge transfer and kindly organised by a local feed company Profeeds who sponsored his ight.TONY NEVIN: Equine Osteopath BSc (Hons) D.O. OsteopathyDue to the absence of Osteopaths in the country there were many horses who had chronic conditions that Tony was able to treat through Osteopathic techniques. It was fascinating for owners and professionals to be able to watch a leading professional from the UK conduct his treatment sessions under sedation, and it was great to have so much knowledge pooled in such a small community.BEN BENSON: Farrier DipWCFBen was probably one of the most needed professionals in Zimbabwe! With little education and even less continued professional development, farriers are hard-pressed to learn new skills. The most common problem Kylie sees on a daily basis is a broken back hoof pastern axis, asymmetric heel heights, and ares. Ben welcomed the task of heading development sessions for our local farriers and impressed many of Zimbabwe’s local Veterinarians with his exceptional skill.CRAIG BONTHRONE: Strength and Conditioning Coach MSc, BSc (Hons), NSCA, FdScKylie and Craig work closely together in Zimbabwe, assessing both horse and riders for optimal results. Craig is a rm advocate in Sir David Brailsford’s “aggregation of marginal gains” concept and adapts the adage to all his sports specic athlete training. Craig tailors his programs through evidence based research to best enhance a sports specic skill set and improve performance. It’s becoming more commonplace for Equestrian Athletes to incorporate tness programs into their daily regimes and Craig is exceptional in his delivery.JEREMY HUBERT: BVSc, MRCVS, MS Diplomat, ACVSJeremy is a local vet, one we are in fact lucky to have. His extensive career in The USA has lead him to collaborating on more than 30 peer reviewed publications. He is an asset to the country and he spoke with the prowess of a seasoned professional. His focus centred around modalities that are largely unavailable in Africa, despite being used frequently abroad.There were several key areas that needed to be targeted in Zimbabwe which inspired the selection of speakers:

50Animal Therapy Magazine | SPRING 2016ANOTHER famous case referred to me was the big grey gelding “Tigre”. He did more for show jumping on television than any other horse. He was spectacular and brilliant, ridden by Caroline Bradley. He was eventually sold for a great deal of money. e next time I saw him, he had a terrible arthritic knee. We got him sponsored to pay for the cost of trying to repair him and for the rst time, we used pulse magnetic eld therapy (PMF). e excess bone had formed so his movement was restricted (see picture).In the beginning ...by Sherry Scott MBEI could not believe the improvement we were able to make and all the horse magazines produced articles on him and his recovery. e show jumping enthusiasts sent Polo mints – his favourite snack!e knee was always protected when jumping and Tigre had PMF treatment every day followed by stretches. When he was training for the British young riders many fans would come and see him, so much so that tickets were sold so people could come and see this great horse jump. Tigre would land like and arrow and show o his famous backend ip. He enjoyed one last season, going out on top, representing Great Britain in the Young Riders.– PART IV –An extract from her upcoming Biography.

51Animal Therapy Magazine | SPRING 2016Find  Local Canine Massage Guild Member !•InjuryRehabilitation•OrthopaedicConditionSupporte.g.Arthritis/HD•SignsOfAgeing/SeniorDogs•PerformanceConditioningforSportingDogsFor results you can see and Animal PhysiotherapyIs this the career for you?No need to be human physiotherapist rst!We now oer Equine and Canine Massage courses and Super CPDs to compliment and develop your work with animalse College is the longest established animal physiotherapy college in the UK and trains students from around the world.www.tcap.co.uk | call: 01844290545Visit our website and choose from the various courses and CPDs available to help you start a new career or add to your current knowledge of animals.HANNAH ASHTON BSc (hons), Dip A Phys, MIAAT07971 431884 hannah@chhp.co.ukwww.chhp.co.ukAnimal Physiotherapy is used to rehabilitate and maintain health, mobility, function and performance in all animals whether they are your top competitor or your best friendArthritis, Back and Joint Pain - Muscular Pain – Tendonitis - Improve Well-being and Performance - RehabilitationFully Insured Veterinary PhysiotherapistCovering Gloucestershire and surrounding areas.Over 7 years experience working with horses of all disciplines and working, competing and companion dogs

52Animal Therapy Magazine | SPRING 2016LEARN, GROW AND BE…MOTIVATEDNETWORKSocial events schedule with networking opportunities for youand your colleaguesENJOYA fun festival atmosphere – bespoke outdoor CPD marquees, fresh air, great food and live entertainmentLEARNListen to over 20 globally renowned professionals driving innovation across the industry 10% discount for readers of Animal Therapy MagazineBOOK TODAY using code VFATM10Delegates can attend ANY of the5 educational streams Greatest choice of lecture subjects including:Orthopaedics Clinical & Surgical, Neurology Clinical & Surgical, Oncology Medical & Surgical, Soft Tissue & Reconstructive Surgery, Minimally Invasive Diagnostics & Surgery, Feline Medicine & Surgery, Emergency & Critical Care, Anaesthesia, Pain Management, Radiology & Advanced Imaging, Nutrition, Rehabilitation, Business Management & MotivationA CELEBRATION OF VETERINARY LEARNINGwww.vetfestival.co.uk#VETfestivalIn partnership with:Your ticket includes access to VetFest™ Live – Friday 3rd June – music entertainment for delegates & their friends/family10%DISCOUNTFOR READERS OFANIMAL THERAPYMAGAZINE10%DISCOUNTWORLDCLASSCPD