Issue 5 : simplebooklet.com

3Animal Therapy Magazine | SUMMER 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: Fiona Doubleday. Photo: Richard Dunwoody.OSTEOPATHY FEATURE4 Tony Nevin8 Phoebe Bolton12 Fitzpatrick Referrals16 Donna Boddie19 Photizo20 Anna Webb23 Footfalls26 Working together34 Katie Currell36 Canine Massage Guild38 Therapaw40 Streamz42 Sherry ScottM A G A Z I N EAnimalerapyWelcome! One year on!When we launched the magazine a year ago, we were told, if you can survive your rst year you are doing well. Well, we did, and are delighted that we continue to grow every day.Last month we were proud to be media partners to the Vet Festival. It was a brilliant event with some amazing speakers, and whilst we learnt lots, there was also the festival element which kept it relaxed and great fun. We would highly recommend this to anyone in the Veterinary, professional and therapeutic professions. Watch out for news on dates for 2017.Since then, we have been asked to work with the London Vet Show, another huge compliment for us and we can not wait for the event in November. We have discount codes available to our readers so make sure you quote those when booking your tickets.As always, we have been out and about, sharing the magazine with like minded people. Vet Festival, Dog Fest, various CPD’s, training seminars and AGM’s are just a few of the events we have attended and the magazines always y out of our hands. We are also heading to BEVA in September which we are really looking forward to. Alongside our subscribers and online readership we are always looking at attending events that will give our clients maximum exposure, so if you have an event coming up, please let us know and I am sure we can make it mutually benecial.So, here’s to another great year, we have so much to look forward to and can’t wait to share our fabulous content with you.ISSUE 5 - SUMMER 2016Issued QuarterlyCONTENTS

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4Animal Therapy Magazine | SUMMER 2016THE rst documented evidence of osteopaths treating animals seriously in the UK date from just aer the Second World War, although there is anecdotal talk of it originating with the birth of osteopathic medicine with the indigenous American peoples.It’s not until the late 1980’s that the rst courses emerged to guide would be osteopaths along the path of animal care. Due to the provisions specied by e Veterinary Surgeons Act 1966, only properly trained graduates of osteopathic medicine can then go on to treat animals, and only via veterinary referral of each animal.It was during this exciting era in osteopathic history that two prominent gures came forward to provide such training, Stuart McGregor and Anthony Pusey. Both developed their respective courses, oering an introduction into this fascinating area of work. Stuart developed his into a 10 month foundation course, whilst Anthony pursued a more formal approach and managed to attain university validation for the rst ever Post Graduate Diploma in Animal Osteopathy, which very quickly transformed into the MSc Animal Osteopathy. Sadly, just aer the rst intake on the full Masters course, Anthony passed away. It was at this point that Tony Nevin became the new course clinical director, and he has successfully steered through a steady ow of graduates over the last 10 years.Stuart too is in the process of attaining university validation for his course, and there are others springing up as the profession expands.Around the same time that the original MSc was being validated a small core of osteopaths set up the Society of Osteopaths in Animal Practice (SOAP).e aims were to provide structured e Zoo Ost Limited approach by Tony Nevin, BSc (Hons) Ost, DOTraining and support for Animal Osteopathycontinued overleafOSTEOPATHY

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6Animal Therapy Magazine | SUMMER 2016OSTEOPATHYsupport for any osteopath wishing to work in animal practice, as well as regular continuing professional development (CPD) training. e society had the backing of the General Osteopathic Council (GOsC) from its inception, and due to his hard work and dedication it was decided that Anthony Pusey would be the chair of this voluntary group.Following his early passing Tony Nevin was voted in as the new chair, where he continued to steer the profession for a further 6 years to a point where it was punching well above it’s weight, gaining recognition from the likes of BEVA, ACPAT, and the Worshipful Company of Farriers to name just a few. Its remit was always to support, rather than police, its members.Following this six year stint as chair, Tony stood down to allow new blood in. He took the opportunity to expand the ongoing work of his company Zoo Ost Ltd., which was rapidly taking over all of his time.Zoo Ost not only provides clinics treating small and large animals, as well as separate human clinics, but has been pioneering in applying osteopathic treatment to a vast array of exotic and wild species of animals and birds. To this end it has always provided seminars and workshops oering quality CPD for osteopaths, physiotherapists, and chiropractors. ese have expanded to provide a natural addition to the MSc course, ensuring that animal osteopaths have access to the latest aspects of clinical research, and treatment protocols.Latterly it has also provided bespoke lecture days for the International Association of Animal erapists (IAAT), which Tony joined to further integrate with other paraprofessionals.Zoo Ost is the only company that can provide specialist courses in the safe handling and treatment protocols for wildlife and exotics, as well as the complex subject of treating the chronic equine patient using veterinary sedation.e most exciting of the training courses have involved trips to Europe, Africa and the Far East where delegates have been introduced to unique experiences treating raptors, elephants, rhino, and girae to name a few.Internationally the company has set up several ongoing training partnerships and support packages.Within the osteopathic profession there is now a proliferation of animal courses emerging, as this area of osteopathy expands. 70 years of animal osteopathy, as we know it, goes before us. at’s something we should all be proud of, and moving forward in this time of political uncertainty, we must ensure that we don’t allow our profession to become fragmented and isolated.Each of the manual therapies has so much to oer. Over the years Zoo Ost has worked with many colleagues from all of the major manual therapy professions, and continues to do so. is is an area of manual medicine that can show the human side of the professions that integration can work, does work, and needs to work ... for the benet of the patient.e wheel was invented long ago, but look how it has progressed. Education and open communication between the allied professions is ensuring animal based therapy is at the cutting edge of modern day veterinary care.Zoo Ost Ltd is proud to be a part of this international community, and will continue to provide continuing training to back up the clinical and research work it carries out on a daily basis.

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7Animal Therapy Magazine | SUMMER 2016VET FESTIVAL 2017 SAVE THE DATE!We are delighted to announce that next year’s VET Festival will take place on 9-10 June 2017 at Loseley Park, Surrey. www.vetfestival.co.ukA CELEBRATION OF VETERINARY LEARNING20179-10 June 2017 Loseley Park,SurreyNew for 2017:• Internal Medicine stream which will cover the themes of Emergency & Critical Care, Endocrinology, Cardiology, Reproduction, Respiratory and Small Furries • Dedicated stream for Rehabilitation will join the established streams focussed on Orthopaedics, Neurology, Oncology and Soft Tissue, Nursing and Management and Motivation.Want to work with Animals?We are a recognised and accredited course provider with courses designed specically to enhance career and employment prospects working with animals. We have 3 new courses designed for careers working in the Animal Therapy sector:Canine First Aid courseThe AIM Awards Level 2 Award in Skills for Emergency Care for Dogs (RQF) is a regulated qualication providing Theory AND Practical Training aimed at learners who wish to or who are working in the canine industry.Canine Massage CourseThe Canine Massage Diploma Level 3 course covers types of massage, massage techniques and care plans.Animal Hydrotherapy Course The ABC Awards Level 3 Certicate in Hydrotherapy for Small Animals is a regulated qualication that has been developed with the overall aim being to prepare learners for a career working as an Animal Hydrotherapist.Contact us for free careers and training adviceTel: 0208 626 9646www.animal-job.co.uk• Wounds - inc. bites & stings• Infected wounds• Musculoskeletal Injuries - muscle, tendon, ligament, cartilage & joints• Stiff joints• Elbow & Hip Dysplasia• Arthritis• Deep Tissue Bruising• General Bruising• Acral lick granulomas• Abscesses• Inflammation / Swelling• Haematomas• Skin Conditions• Stress Fractures• Mastitis• Acute & Chronic Pain01327 310909www.photizo.co.ukA non-invasive treatmenttool promotes faster natural healing and pain relief.Ideal for wounds andmusculoskeletal injuries

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10Animal Therapy Magazine | SUMMER 2016When I rst saw Tilly, I noticed that when she was being lunged she was very tight in the shoulders and she pulled herself along with her front legs rather than carrying the weight behind. When I was assessing her, her shoulders felt sti and her neck muscles were rock solid, she was also quite asymmetric behind – her le leg was stepping underneath but her right was not. By giving Tilly a full assessment it was clear from her muscle development that Tilly found it more dicult to do right canter, right half pass and would be much less supple and submissive on the right rein. erapists are trained to read and understand muscle development and as such we can interpret it’s abilities and restrictions. Your horse’s body doesn’t lie; it can only do so much. In this instance, the rider, Julia asked to be treated as well. As I took her history she revealed how, like most riders, she suered from back pain. She mainly experienced it on the le hand side of her lower back, but also felt tension across the top of both her shoulders. She said her right leg oen felt weaker than the le and she has suspected this was why Tilly found the right rein more dicult. Julia was rotated le in her pelvis and thoracic region and collapsed her le rib cage. is caused a lot of muscle tightness in her le shoulder and neck as the muscles were trying to hold her shoulder up to prevent it from dropping in the same way as her ribcage had. So what does this mean?Julia’s tendency is to lean le, weight bare into her le stirrup and then collapse her upper body. As she is rotating le, her right shoulder and right hip will be carried further forward, thus reducing her ability to sit in her right seat bone and making it much more dicult to open her body to the right – which is mirrored by Tilly who was also stier on this side. “It’s really important for the rider to understand where they are weak and unstable, so they have an idea about how to correct it” Phoebe BoltonOSTEOPATHYAbove: Red lines = painful muscles, trapezius (top) and quadratus lumborum (bottom). Arrows show the direction of rotation in the thorax and pelvis.Notice how everything leans left.

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11Animal Therapy Magazine | SUMMER 2016Her le lower back is having to work very hard to “anchor” the rest of her body. When a muscle is persistently activated it fatigues and becomes painful, due to the lack of bloodow and oxygen. When this happens repeatedly, the muscle remains sore constantly and the body starts to adapt and change how it moves to try and accommodate this. is causes an antalgic posture, where the body is moving in a dierent way because of pain. You can clearly see how this aects their dressage performance. My main aim with all treatments is, rstly, to educate the rider about what their body is doing. So many riders are unaware of their weaknesses and asymmetries and this leads to all kind of problems. Awareness of the body helps the rider to understand why they have been experiencing problems and why its important to x them. Secondly, I want each person to take away something which they can do to help themself. With Julia, I focused on getting her pelvis and thorax straighter. e psoas muscle starts on the front of the lumbar vertebrae, runs through the pelvic region and attached onto the front of the pelvis and hip. When the pelvis is twisted, this muscle is oen short and tight. In this case the right psoas muscle needed to be released and stretched as it was pulling the right hip forward.I then focused on her hamstring and glute tension, as well as her slightly rotated spine and shoulder blades. Although osteopaths do manipulate the joints if needed, I typically nd that so tissue work and stretches make up the majority of my treatment, for the horse as well as the rider.When treating I am always thinking about the anatomy and how one muscle connects and relates to another. is concept of “muscle chains” is becoming more and more popular and refers to the musckuloskeletal system, which is that all muscles are connected. As a result, the psoas muscle merges into the hip exor which merges into the quadriceps which merges into the patella tendon as it runs through the knee and so on. is allows you to “track” the tension through dierent chains and muscular slings in the body creating a pattern which you can try to unravel through treatment and exercises. It is important, though, to strengthen alongside relaxing. is helps the body remain stable and maintains a better posture for longer. So, once Julia had had her treatment, we went through a variety of dierent exercises which she could do to maintain her body in a good position. My rider strength and conditioning programme contains 5 sessions where we work on balance, strength, exibility, endurance and core control. e riders use stretchy resistance bands at home to make the exercises more dicult, alongside an exercise booklet which is tailored to their exact problems. At the start when Julia squatted, she was leaning to the le and only using her le leg – much like how she rides! For her, the main thing was to practice getting an equal feel on the ground with each foot when she was stood still. When she started to go into a squat, I told her to imagine she had a rein in her right bum cheek which was trying to pull that side of her back. As you can see, her pelvis levels out completely and she is able to activate her right glute and leg muscles correctly. If she has just been told to squat to improve her leg strength, she would have done more damage but repeatedly practicing this bad, twisted position. One of the other things Julia had to learn was how to balance on one leg – without letting her upper body and ribcage collapse le. Although she though she could stand on her right leg ok, she was so twisted in her upper body that again, practicing this without doing it correcly, would have cause several problems. Teaching Julia how to stand up tall and ‘lightly’ – like a ballet dancer not a army ocer, really helped consolidate her new, upright posture. She le feeling lighter, with several exercises to work on and a clear picture in her mind about how she was standing and moving, and how best to avoid falling back into bad habits. I was delighted to hear that at her dressage lesson the week later her instructor couldn’t believe how much she’d improved and how straight she was sitting!Julia and Tilly are not an exceptional cases. ese types of problems are typical of lots of riders and their horses! For this reason I nd the joint treatment of horse and rider to have hugeley positive results. Repeatedly riding asymetrically is one of the leading causes of rider back pain and also drastically hampers your and your horse’s performance. If you would like to ask anything regarding this article or any treatment reIated questions please get in touch. You can email me at rider@pb-equestrian.co.uk or nd more information on my website www.pb-equestrian.co.uk or facebook page www.facebook.com/riderstrengthandconditioning Left: Julia’s pelvis twisted to the left as she squats – right hip more forward, more pressure on left leg. Right: Julia’s pelvis straight as she squats – thinking about pulling the right rein in her bum backwards

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12Animal Therapy Magazine | SUMMER 2016What rst attracted you to becoming a veterinary physiotherapist?From a young child I had always wanted to be a vet. A spinal problem with my horse led to me seeking the help of a ‘back man’. I was fascinated watching him work and started to research how to become a physio/osteopath/chiropractor. I learnt about ACPAT (e Association of Chartered Physiotherapists in Animal erapy) and in order to become a Chartered Physiotherapist and work with animals, I rst had to undertake a BSc (Hons) in Physiotherapy. Following a 3 year degree, I began work as a human physiotherapist within the NHS setting. I le the NHS 3 years later and embarked on post Fitzpatrick ReferralsIn conversation with Fiona Doubleday, Rehabilitation Team Leader at Fitzpatrick ReferralsCover StoryTop: Fiona Doubleday with patient Oakley on the wobble cushion Above: Fiona with patient Pip. All photos by Richard Dunwoodygraduate training through ACPAT and qualied as a Chartered Veterinary Physiotherapist. Initially I set up my own business treating equine, canine and feline cases at the homes and stable yards of owners. During this time, I met Professor Noel Fitzpatrick and I began treating some of his cases either at home or at his clinic. In 2007, Noel oered me the opportunity to come and work for him at his new centre in Eashing, Surrey. During my time at Fitzpatrick Referrals, I have had the opportunity to treat a variety of complex orthopaedic and neurological cases with physiotherapy and hydrotherapy. Four years ago, I became Rehabilitation Team Leader and this has added another dimension to my role. What is the thing you like most about your role and why?I mostly enjoy the diversity working at Fitzpatrick Referrals brings. No two days are the same and I thrive on facing new challenges on a daily basis. e combination of my clinical and administrative roles adds to a busy but interesting day. Our rehabilitation department has now grown to include 14 team members, and working in such a team with the same aim of returning patients to a pain-free functional life is so rewarding.Share some insight into your day-to-day role at Fitzpatrick Referrals.Within my dual role, my time is divided between seeing a busy caseload plus looking aer my team. I can see up to 10-14 cases per day. No two patients are the same so each treatment program is varied. is is the fun part - being presented with a patient and working out our treatment goals and how we are going to achieve them. Our treatment approach in physio is a combination of ‘hands on’ therapies, electrotherapy and exercise therapy. We also implement

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13Animal Therapy Magazine | SUMMER 2016hydrotherapy programs that work alongside our physiotherapy plans. I am currently based in outpatients but we also have team members that work purely in our acute inpatient setting.Introduce us to your team. What are the dierent roles at the practice?Our rehabilitation team comprises of 7 Chartered Physiotherapists that are all ACPAT registered. We utilise the skills of two of the physios in inpatients, and two continue the care over the weekend. e rest of the physio team is based in outpatients. ey treat our ‘in house’ cases along with any direct referral work. We also have a 7 strong team of hydrotherapists who are all ABC Level 3 trained and CHA members. We work well as a team with one single vision: to deliver world-class rehabilitation treatment for every patient entrusted into our care and to reassure worried families by providing hope and healing in equal measure. at is why each and every member of the rehabilitation team is not just chosen on academic and clinical excellence, but also because of their compassion. We treat each and every animal as if it was our own, and understand how important it is to maintain a high level of communication with all parties, including the patient’s family, clinicians as well as our own rehab team. What sets Fitzpatrick Referrals apart from other rehabilitation services?At Fitzpatrick Referrals, we sincerely want to deliver unrivalled levels of compassion, expertise and care for every patient that comes through our doors. To ensure we give the very highest level of care, our rehabilitation centre has the most advanced facilities including a hydrotherapy pool, underwater and land treadmill, muscle stimulation, laser therapy, shockwave therapy, an outdoor exercise therapy arena and a visiting acupuncturist. We have the latest facilities because technology is changing all of the time – it is the future and essential in delivering eective treatment. Some of our surgical modalities are not available anywhere else in the world; so establishing suitable rehabilitation protocols for these cases is really rewarding. Seeing the results for such patients is truly fullling.continued overleafA patient preparing for the under-water treadmillPhysiotherapist Charlotte doing laser therapy on patient MurphyPhysiotherapist Sam performing muscle stimulation on patient Seamus

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14Animal Therapy Magazine | SUMMER 2016We are also in the fortunate position as a department of being able to oer a 7 day a week physiotherapy service. is means our in-patients receive a continuity of care which ultimately expedites successful outcomes. Our hydrotherapy service is also extensive covering 6 days a week including evening clinics and an early bird session so clients can visit before work. We strive to ensure we always deliver genuine value for our clients and patients. We maintain our strong family values as an independent company and always will be driven by the needs of our patients. Fitzpatrick Referrals will always be about patient welfare and giving our patients all of the options available. Our patients are at the very centre of what we do and rehabilitation is so important in their recovery process in order so they can go back home and live a fullling quality of life. As a developing and ever progressing department, we enjoy taking on new challenges and welcome all new cases that we see. Of late we have been involved with Fitzpatrick Referrals’ new venture FORWARD, which looks to oer a comprehensive and timely approach to the care and rehabilitation of competition and working dogs.What are some of the typical cases/patients you see? Have you noticed a pattern?We commonly see spinal cases – both surgical and non-surgical. Each case presents with some common signs but at the same time, no two cases are the same. Our ultimate aims are to return the patient to a life where they can function appropriately. If a normal return to function is not achievable, then as problem solvers we attempt to put in place adaptive measures to make the patient’s life as easy as possible. Oen the spinal cases are rehabilitated with a combination of physio and hydro. Each individual patient program is constantly monitored and progressed as necessary. Fitzpatrick Referrals performs some techniques not available elsewhere and we specialise in 3D printed custom implants. is means no two cases are the same, but we commonly treat regular surgeries such as THR (Total Hip Replacement), TPLO (Tibial Plateau Levelling Osteotomy) and elbow osteoarthritis patients. Whilst we are mindful of the patient’s diagnosis, as therapists we are also concerned with the eect that the patient’s condition has had on the rest of their body and we address any associated compensatory gait and postural changes. We embrace a holistic approach.FITZPATRICK REFERRALSPhysiotherapist Sam with patient Awesome using a peanut ball Hydrotherapist Amie with patient Dexter in the hydrotherapy pool

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15Animal Therapy Magazine | SUMMER 2016 To nd out more about the Fitzpatrick Referrals rehabilitation service, please visit www.tzpatrickreferrals.co.uk/services/rehabilitation/The FORWARD Symposium explores in detail the most common musculoskeletal conditions that aect agility, working and performance dogs. In 2016 Dr Chris Zink, Natasha Wise and Professor Noel Fitzpatrick covered key areas including rehabilitation, veterinary medicine and surgery for the training and preparation of the competition dog. They also advised on the best options for treatment and rehabilitation following injury to bring your dog back to competition condition.The next FORWARD Symposium will be on either the 4th/5th February 2017. A DVD of the highlights of the 2016 FORWARD Symposium will be available soon. To nd out more information, and for date conrmation please visit www.facebook.com/tzforward– CASE STUDY – What has been your most memorable patient?I remember each and every patient for dierent reasons, but Pip the cat specically stood out to me because I was in the fortunate position to be involved in the rst TKR (Total Knee Replacement) in a cat. Pip was the most gracious cat when it came to implementing his physio program. He never complained and took everything in his stride. It was such a delight to see him progress from not using the leg to gently loading it to walking normally and then nally being able to be a true cat and climb a tree. Each step was a small step and it took time to get there, but with the extensive eort also put in by his family and the hydrotherapy team, we achieved the desired goal of him living the life of a normal cat.Do you have any key advice for the families of recovering patients?Whatever diagnosis is made for a patient and whatever their current status is, the key to eective rehabilitation is early intervention. Many physiotherapeutic treatments in the initial stages are quite simple but equally vital at preventing secondary complications. As discussed earlier, normal movement and function is key to providing a successful outcome.What do you think are the most interesting things happening in veterinary rehabilitation right now? And what is the future of veterinary rehabilitation?Since 2000, the post graduate training for a Chartered Physiotherapist has been to either undertake a Diploma or MSc in Veterinary Physiotherapy. is brings an exciting progression of the profession from a research point of view. ere are many more opportunities for Physiotherapists to prove that their work in the veterinary eld is having a positive eect. e advent of the American College of Sports Medicine and Rehabilitation also heralds a new era of vet-physio cross pollination of eort and understanding. Professor Noel Fitzpatrick was the rst orthopaedic specialist in the UK to gain this prestigious qualication.Fern showing o her winning rosette after qualifying at DogFest 2016.Name of dog: FernAge: 7Breed: Border CollieHistory: Following a time of poor performance in agility competitions, Fern was diagnosed with hip dysplasia of her right hind leg when she was 4. Fern went on to have a THR of her right hind at Fitzpatrick Referrals. She was referred for physiotherapy 3 days post operatively.Observations: Initial observations included poor limb loading, soft tissue swelling, muscle wastage and an abnormal gait pattern.Treatment: Fern was treated using soft tissue techniques, laser to promote healing, careful stretches and ROM (Range of Movement), muscle stimulation and a progressive exercise plan. Her owner was given extensive advice re how to implement her plan at home and how to perform daily exercises that would in time strengthen her leg. Outcomes: After 3-4 months, Fern was much stronger and had regained a more symmetrical gait pattern. We began to carefully introduce basic agility type physio exercises. These were progressed appropriately until we were able to suggest that Fern starts low level competing. Fern hasn’t looked back and despite a couple of other musculoskeletal issues getting in the way, she has gone from strength to strength. Fern is now back to competition level - she qualied for the nals at DogFest in June.

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16Animal Therapy Magazine | SUMMER 2016From Veterinary Nurse to Animal Physiotherapistby Donna Boddie RVN, Dip A Phys, D32/33, PTLLS, CCAS a school leaver the world is your oyster. With a bit of grit and determination you can be whatever you want to be, yet through education there are many paths opened up to you and choosing that correct path may sometimes be the tricky bit!I feel incredibly lucky that at 17 I knew what I wanted to be. A Veterinary Nurse. With some research and numerous phone calls I found a very supportive training practice, and this is where it all began!Unlike many further education courses, Veterinary Nursing has various ways of learning. Whether you learn better being hands on or feel you need more of a class room environment, there are courses to suit everyone. Due to my learning style the practice encouraged me to do what was then the residential learning program. I began my study linked to the Berkshire college of Agriculture and this particular course entailed: 9 months in practice, 3 intensive months of full time study, a further 9 months in practice and then a nal 3 months full time study. ere were 2 written papers and practical exams. ose students that felt intensive classroom learning was not best suited to their learning style were able to do the day release course while working in practice.Since qualifying there have been many changes to the Veterinary Nursing profession. Unfortunately the “protect the title” did not go through parliament last year, but in my eyes would have been a positive step forward. Across the pond the American Veterinary Technicians are looking to change their title to Veterinary nurse and more nurses are completing further education and specialising than ever before. Nurses run or in some cases own their own practices and overall our work is receiving greater recognition.Whilst I love and am very proud to be a Veterinary Nurse, in 2008 I started researching into furthering my education and skills. I wanted to feel I could oer more to my four legged patients. I had always been interested in Animal / Veterinary Physiotherapy so looked into this further. I found courses but was told you can only be an Animal Physiotherapist if you rst qualify as a human Physiotherapist. I found it odd that I would have to train on people rst, especially when this is not the case for any other animal or veterinary profession. So I did more research and was delighted to learn that there were in fact courses available to people like me, people who have worked with animals through their career so far.For me animals come rst, I understand them and have spent the last 2 decades working with them. ere are many recognised routes into animal physiotherapy. Like in Veterinary nursing there are diploma and degree options. Some people chose to become a human physiotherapist before further training to work on animals. Others have studied and worked with animals in one way or another (Vets, Veterinary Nurses, professional trainers, therapists, Animal / Equine science graduates etc) and then nd a suitable course for them.I completed a diploma in Animal Physiotherapy through e College of Animal Physiotherapy. I chose this route as it enabled me to continue working alongside studying. It took me 2 years to complete and consisted of 10 modules and research with 3 unit exams (including anatomy and physiology, neurology, behaviour, electrotherapies, biomechanics, injuries and rehabilitation and much much more), 20 compulsory practical days, a dissertation and then wrapping up with a nal written and practical exam. As Veterinary Physiotherapy has become more popular, alongside e College of Animal Physiotherapy there are other courses that have become available, each with a slightly dierent course layout suiting various learning needs. If you want to look further into training to be a Veterinary Physiotherapist have a look at the associations listed opposite who can advise you on the right course.PROFESSIONAL PROFILE

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17Animal Therapy Magazine | SUMMER 2016I strongly believe the route you take does not aect your ability to be a good Animal Physiotherapist, just that you have qualied in a dierent way. Let’s be honest, you can be educated to the hilt, but if you can’t handle an animal safely, achieve positive results, and build trusting relationships with your two and four legged clients, Vets and other professionals, you will never make a good therapist! No matter which route taken, all therapists MUST:1. Work under Veterinary referral (e Veterinary Surgeons Act 1966 and Veterinary Surgery ABOUT MEI am a Registered Veterinary Nurse and Animal Physiotherapist. I run my own Small and Equine mobile physiotherapy business, i’m the in-house physio at Milford Veterinary Hospital in Surrey, and oer clinics at The Vet in Morden Surrey.I am registered with IAAT – International Association of Animal Therapist and have also become a committee member as I am passionate about spreading the word about training and helping good quality therapists. I have also recently started training students attending The College of Animal Physiotherapy.I have had a full and diverse nursing career, working in general small animal practice, multi discipline referral centres and emergency and critical care. I also have the pleasure of working in Australia and volunteering through animal charities while on my travels.I have been a head nurse, involved in training and assessing for the NVQ and clinical coach for current studies. I have worked with exotics, thrived on ECC, rotated through dierent specialised disciplines in referral and all the while I was looking for my niche.I keep up to date with my RVN (Registered Veterinary Nurse) qualications and attend CPD for both my RVN and Animal physiotherapy registrations.I am very proud of my achievements and have worked hard to gain qualications, perfect my skills and expand my knowledge. I love what I do so continued learning is an absolute pleasure for me.I would like to encourage us all to work together for the sake of our patients and keep on learning – there are so many fantastic opportunities out there and at the end of the day everyone is working in this industry as they have a passion for animals.(Exemptions) Order 1962 all animal physiotherapy is carried out under veterinary referral)2. Have professional insurances 3. Carry out CPD4. Remain professional to others at all times International Association of Animal Therapistswww.iaat.org.ukNational Association of Veterinary Physiotherapistswww.navap.co.ukInstitute of Registered Veterinary and Animal Physiotherapistwww.irvap.org.ukAssociation of Chartered Animal Therapistwww.acpat.org

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18Animal Therapy Magazine | SUMMER 2016We are working for excellence in animaltherapy through ourregistered 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 andis committed to providing a professional andproactive association. It is a high profile organisation that boasts a large number of international members.To find a fully qualified and insured therapist please use our postcode search on our website: www.iaat.org.ukTo register as a therapist, or for more information, please contact: info@iaat.org.uk or 01844 290545Animal 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.e Puppy Massage DVD ocial launch!By Donna Wills RVN PGC A Phys MIAAT MASSVAPwww.animalphysiotherapy.org.ukDonna Wills of Animal Physiotherapy Ltd has lmed a puppy massage DVD! It was in celebration of her company’s 10 year anniversary. Its purpose is to share knowledge and teach owners basic massage techniques in the comfort of their own home, with an easy visual lm. This complements the work of any musculoskeletal therapist.Donna was a successful Kickstarter this time last year, when she crowd funded for the DVD. This was a great way to fund a project as it ensures people are excited about the project before it even begins! She had all sorts of backers and many were vets and physios. The lm was then produced and it is due for its ocial launch at Paws in the Park on 20th August 2016. Braybrooke Park, Makepiece Road, Bracknell, RG12 2HG. 11-3.30.The Puppy Massage DVD has had huge support and has been backed by TV Vet Paul Manktelow, who has even put his face on the front. The president of the BVNA also gave a glowing 5-star review.The DVD is a step by step guide to doing simple full body massage. There is behavioural advice that has been provided by behaviourist Kris Glover so that it is used correctly for stress situations. Its aim is to teach owners how to handle their dogs condently from nose to tail, and everything in between. When this is started at a young age the dog gets used to this and will be better when handled by other people like the vet, therapist or groomer. It is also a great basis for the owner as they now know some massage, so if the dog ever needs other musculoskeletal therapy later in life then the owner has a basic knowledge that the therapist can build on for home therapy plans. Of course this DVD is not limited to only the young, it’s great for any age. We all know the many benets of massage, so these go without saying, but on top of that, this is a great bonding tool to create the most relaxed, loving bond and a condent dog.So many owners want to do home massage, and it’s important to show them how to do it safely and eectively. as many owners worry about doing it wrong. In many years of providing physiotherapy to animals, Donna has seen how much dogs respond to a good relaxing massage. For owners it’s a little bit of Zen in the middle of modern life. They can build their condence in time and not under pressure but when life allows it. It’s a great tool for your rehabilitation box too.The Puppy Massage DVD is available to buy from 20th August but you can pre-order on www.animalphysiotherapy.org.uk/puppy-massage-dvd so you get yours on release day! For more details or to become a stockist, then email donna@animalphysiotherapy.org.uk

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19Animal Therapy Magazine | SUMMER 201601327 310909www.photizo.co.ukA non-invasive treatmenttool promotes faster natural healing and pain relief.Ideal for wounds andmusculoskeletal injuries• Wounds - inc. bites & stings• Infected wounds• Musculoskeletal Injuries - muscle, tendon, ligament, cartilage & joints• Stiff joints• Elbow & Hip Dysplasia• Arthritis• Deep Tissue Bruising• General Bruising• Acral lick granulomas• Abscesses• Inflammation / Swelling• Haematomas• Skin Conditions• Stress Fractures• Mastitis• Acute & Chronic PainTHE Photizo® light therapy concept brings a proven and highly eective non-invasive treatment modality into the hands of anyone caring for or working with an animal to accelerate natural healing and pain relief. erapeutic eects of low-level laser have been well researched and eects proven from numerous studies. e use of laser devices still remain in the realm of veterinary health practitioners due to high cost and training required to use laser safely. In contrast, since the 1990’s use of LED technology in veterinary and clinical practice and by consumers has established both the safety and eectiveness of LED light. Following the success of NASA LED research and published recommended doses from WALT (World Association of Laser erapy) the Photizo® Light erapy devices have been specically developed with high output LEDs to ensure a fast delivery of an eective evidence-based dose light therapy.Photizo® Vetcare, launched in 2013, is specically for use on animals and a growing number of animal health practitioners now use the Photizo® Vetcare device as part of their own treatment toolkit. Many practitioners prefer the convenience of a pocket-sized rechargeable treatment tool with the advantage of being able to treat a larger surface area with LED diodes. e aordability and simplicity of the Photizo® Vetcare means many practitioners also recommend their clients use it because the healing and pain relief benets are maximised with daily application throughout rehabilitation. ere is no other device in the UK like Photizo® Vetcare which delivers a simple, one-touch, 31 second pre-programmed dose of highly benecial red and infrared wavelengths with pulsed frequency light. Photizo® Vetcare is therefore a cost eective modality for use in veterinary practice by all the sta for treatment of post-surgical wounds and injuries while an animal is hospitalised. e reality is that anyone who has daily responsibility for an animal undergoing a rehabilitation programme can apply the light therapy and help to play a part in the recovery process or it can be used proactively to help with muscle recovery aer active work.For more information contact Ruth Milner, Danetre Health Products LtdT: 01327 310909info@danetrehealthproducts.com www.danetrehealthproducts.comPhotizo® Vetcare Light erapy oers an eective alternative to therapeutic laserPHOTIZO

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20Animal Therapy Magazine | SUMMER 2016IN yogic terms Prahna, or the breath, is the energetic force that keeps us youthful and vibrant. In our modern world the quality of the air we breathe, like the food we eat and the water we drink is being compromised by a host of chemical, biologic and physical contaminants. Our ‘air’ may not be the natural life force nature had once intended. We live in a world that can be looked at like a ‘toxic’ soup. Outside we’re familiar with the dangers of environmental factors like exhaust fumes. We’re made aware of the toxic All you need is the air that we breathe?by Anna Webb Broadcaster, Author, and Trainer has studied natural nutrition and therapies with the College of Integrated Veterinary erapies (CIVT) Canine Care“e air we (and our pets) breathe indoors contains airborne irritants, allergens, pollutants, or infectious agents,which cannegatively impact on your pet’s health.” eects of a potent combination that is ozone, carbon monoxide, nitrogen dioxide, lead, and sulpher dioxide that we’re regularly inhaling via particle matter in dust that surrounds us. According to the Environmental Protection Agency, most people spend 70 per cent of their time indoors where air is generally more polluted and a greater health hazard than outdoor air. e cumulative risk assessment of chemical exposure indoors has been studied by Ragus AM Environ Int 2011 as Ragus AM et al 2011 studied how ve air pollutants: PM(10), benzene, tolune, nonane, and naphalene and six food pesticides (acetamiprid; carbendazin; chlorpyrifos; diazinon, imidacloprid and permethrin) invaded indoor environments and contributed to more chemical exposure indoors than outdoors.e air we (and our pets) breathe indoors contains airborne irritants, allergens, pollutants, or infectious agents,which cannegatively impact on your pet’s health. A combined eect of chemical and biological contaminants can be released into the air by way of heat, moisture, humidity and through inadequate ventilation. Air quality is also compromised by ‘O Gassing’: this is when VOCs are released into the air. Analyses of indoor air samples demonstrate that between 50-300 dierent Volatile Organic Compounds can be present in the home. (Dr Michael Peterson).

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21Animal Therapy Magazine | SUMMER 2016is can occur from contaminated building materials, furniture, wood stoves, furnishings, household cleaners, second hand tobacco smoke etc. Oen the ‘technically’ cleanest homes are the most toxic. is is due to chemicals laden in commercial cleaning products, aerosols, air fresheners and bleach, which releases sodium hypochlorite into the environment. Inhalation of these chemicals via ‘o-gassing’ can promote a range of health eects ranging from mild to severe like damage to the kidneys and liver. On the milder side dizziness, nausea, and headaches are common symptoms. With more natural plant based cleaning agents available on the market, like Ecover and essential oil based de-odourisers, you can make choices to make your indoor air even cleaner.PBDEs (ame retardant chemicals) and Formaldehyde are common substances that ‘o-gas’ and negate health. PBDEs are found in furnishings, foam and engineered wood products like ooring. ere’s evidence to show that cats inhaling airborne dust containing PBDEs, and licking this dust from their fur, causes hypothyroidism. In a study by Janice Dye, December 2007, Dye proved that older cats with hypothyroidism showed up to 3 x times levels of PBDE’s than younger cats. Worryingly Formaldehyde is commonplace in every home. It’s a horric thought that unwittingly your pet is inhaling one of the most toxic substances that’s in almost all solvents used to construct engineered oors, oce marker pens and modern furniture.A study by the Tokyo Metropolitan Consumer Centre in 2010 discovered that the Tannin in commonplace black tea absorbs the toxic VOCs from Formaldehyde by 60 and 90 %. I have literally scattered unused PG Tips bags all over my engineered oor and on shelves!Contaminated dust particles (Indoor Particle Matter PM) emitted from candles, house dust, gas stoves, and wood-burners release carbon monoxide, nitrogen dioxide and hydrocarbons, which can cause severe respiratory issues and damage to the immune system. Studies have shown that children living in homes with a wood burning stove have a signicant increase in respiratory symptoms compared to children living in homes without wood burning stoves: (US EPA and US Consumer Product Safety Commission 1995).Invest in some Zeolite rocks to place in every room to absorb o gassing from toxic outdoor pollutants, new paint, a wood stove, engineered oors. Zeolites make for a decorative feature and their absorption capacity will last for years.Air puriers and conditioners can also improve indoor air quality. Combined with an awareness to reduce dust through ventilation, regular vacuuming and using micro-bre cloths in lieu of unnecessary cleaning products. Above: Zeolite RocksIt’s easy and cheap to make your own natural ‘all purpose’ cleaning product. Simply using bi-carb of soda, cider vinegar and a splash of vodka! Common sense says that in a well ventilated home, these invisible attackers are minimized by 50 per cent. ese days we build homes for energy eciency to reduce fuel bills. Homes with poor ventilation, maximum insulation and damp are the most aected. Back in the mid 1970s Dr Michael Peterson invented the term ‘sick buildings syndrome’. Since then several studies including, Douwes J Eduard W, orne PS, (Elsevier, 2008) revealed that exposure to mould and biological PM are potential carcinogens in people. So furnishings can absorb the VOC (Volatile Organic Compounds) released from wood oors, household products, paint, solvents and other chemical or biological substances in the environment. continued overleaf

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22Animal Therapy Magazine | SUMMER 2016Above: Hemp Bed.Acting like a sponge they absorb the airborne chemicals re-releasing them back into the atmosphere through dust particles that are then inhaled by people and pets. Furnishings allow pets to accumulate house dust on their fur; much modern furniture is laden with PBDEs found in ame retardant fabrics, which is released in airborne dust. Simply choose vintage furniture with natural fabrics like cotton, hemp or linen, helping to minimise any chemical distribution through synthetic fabrics like nylon or PVC. Choose from many natural bre bedding options for your pet! Add lots of indoor plants as decoration with a purpose including: ‘Money Trees; Mother in Laws Tongues, Spider plants and Palms work to naturally absorb oending CO2 gasses. Dry cleaning is another health risk to our pets. A potent chemical, Tetrachloroethylene constitutes the process of dry cleaning. It’s VOCs smell nauseous to a human nose, let alone that of a dog! Another invisible source of contaminants in today’s world is wi-. Radiation, EFs and EMFs are ubiquitous in all our homes and on the increase. Whilst research is in its early stages, Electromagnetic Fields and Radiation are now thought to prolong the life of free radicals, contributing to oxidative stress. A study by: Yokus B etal (Free Radic Resource 2005) Oxidative damage to rats exposed to extremely low frequency electro-magnetic elds). e results revealed exposure induced oxidative DNA damage and lipid peroxidation. In another study: Reif JS, Lower KS, Olgive GK Residential exposure to magnetic elds and risk of canine lymphoma Am J Epidemiol 1995 Feb 15, 141 (4) 352-9) showed that the higher the level of ‘High wire codes, the greater the incidence of canine lymphoma. By placing computers and wireless equipment on wooden desks helps absorb EMFs. Symptoms of headaches, anxiety, insomnia, depression and fatigue are common ailments in today’s generation and this can similarly aect our pets. It’s the cumulative eect of toxins being inhaled and absorbed on a daily basis, which over time that is the concern. Our pets being smaller than us, with faster metabolisms, potentially absorb ‘ xenobiotics’ (toxins) more eciently than we do if absorbed into the bloodstream. Some pets may also be more prone to certain environmental triggers than others. Brachycephalic breeds like Bulldogs and Pugs will be more susceptible to poor indoor air quality than some others. Adhering to a precautionary principle and be aware of potential toxins in the indoor environment. Being prudent and making some simple changes can only be benecial for both you and your pet. e ‘naturopathic’ approach is to minimise the toxic load. It is about nurturing the three pillars of health: the immune system; natural nutrition; and the physical frame. Adding a daily immune system boost can help your pet better weather the ‘toxic’ storm. I use a raw unpasteurised Colostrum or Diet Dog’s SuperFood supplements, which are minimally processed. Ultimately good health is not only aected by the air that we breathe, but in the food we eat and the water we drink: both future topics for discussion.

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23Animal Therapy Magazine | SUMMER 2016 CASE HISTORY Use of Low level laser therapy (LLLT - red) on a dog with previous history of wound breakdown and multiple allergies.Summary: Referral to physiotherapy is appropriate for wound management. Dicult wounds that are not responding to conventional dressings and antibiotics can be treated successfully by adding laser therapy. is treatment is commonly used by physiotherapists. Keywords: Wound breakdown, LLLT, promotion of healing.e Tail of Innisby Kate Parsons MSCP. ACPAT Cat A. RCH Dip. and Katy Roberts MSCP. ACPAT Cat A.Kate Parsons Introduction:Innis, a 15 month old Irish Wolound started life with the usual breed standard long, magnicent tail. Sadly, he developed a range of allergies causing skin irritation and he responded by gnawing at his tail, necrosis of the tail followed and he underwent a partial amputation of tail in December 2015. e wound quickly broke down and the only way forward was to perform a full stump amputation of the tail in January 2016. Due to his previous history of wound breakdown Innis was given a course of antibiotic therapy and was referred to FootFalls Canine Physiotherapy Services for immediate wound management with LLLT.Clinical History:• Innis, 15 month old Irish Wolound.• Multiple allergies causing skin irritation.• Previous partial amputation of tail failed, stump amputation performed 24th January 2016.• Physiotherapy assessment and Treatment 1 including cleaning and redressing of wound 29th January 2016.• 12 LLLT sessions given over 6 week period. • Chattanooga Intellect Vet Combi clinical protocols for acute wounds were used. continued overleaf23Animal Therapy Magazine | SUMMER 2016FOOTFALLS

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24Animal Therapy Magazine | SUMMER 2016• 2 x 7 minutes single LED 10ww, 670 nm, 8Hz frequency, low pulse, 5.4J/cm²• Potential wound breakdown noted on 5th February 2016, slight smell and small area of redness and sloughing – vet consulted, swabs taken and change of antibiotics made due to the presence of e coli. No further deterioration of wound.Photos:Week 1: Dressing intact, no seepage. Sutures in place. Wound le open and cleaned with 1/10 hibiscrub solution.Week 2: Small sloughy area to right side of wound. Head turn when cleaned and redressed. Vet consultation, wound smelling, antibiotics changed, swab shows e coli infection.Week 3: Wound looks healthy and pink.Week 4: Wound clean and dry, sutures still in place.Week 5: Wound looks healthy. Scab almost fallen o.Week 6: Sutures removed, some redness along scar line but healing well. Hair growing back. Wound dry.Week 7: Wound completely healed. Discharged.Back in the show ring: May 2016. Owners reported comments from judges that Innis had actually improved in gait and balance.Discussion:LLLT has been in use for the promotion of wound healing in humans since the 1960s. A meta analysis of the available literature relating to its use in 2004 reviewed 24 studies, including a sub analysis of the eects in animals. It was found that the overall eect of LLLT on wound healing was highly signicant. e analysis concluded that LLLT had a positive eect on inammation, augmentation of collagen synthesis increasing tensile strength and reducing healing times. (Woodru et al 2004).ere are three phases of wound healing – inammation, tissue formation and tissue remodelling. is is a dynamic and interactive process and the phases overlap in time. It is well documented that the use of LLLT promotes wound healing, reduces pain and inammation, increases collagen deposition and accelerates wound closure. (Kilik, Lakyova, 2014) e exact mechanism and parameters are not yet fully claried and there is considerable variation in treatment modalities. De Silva (2010) concluded that LLLT speeds up the process of tissue repair but added that more studies were required to determine best parameters for treatment modalities. However, various studies into the use of LLLT have concluded that it does confer a protective eect against excessive inammatory tissue response, stimulates neovascularisation and the early formation of collagen bres. Antibiotic therapy is oen indicated and forms an important role in wound management; however, being systemic, has recognised side eects as well as the increasing problem of drug-resistance in wound management (Rashidi et al 2015). LLT has been found to inactivate bacteria. is is thought to be caused by the denaturing of proteins and also eects on the cell wall. Bacteria, being oxygen dependent, is inactivated in part due to photoexcitation of porphyrins that are thought to act as endogenous photosensitizers with the bacteria itself (Percival et al 2015.A more recent study by Kurach, Stanley et al (2015) found no apparent benets on the healing of acute wounds using dual diode (7.5mh / diode @ 635nm and total energy density 1.125 J/cm²). e treatment modality for Innis (see above) was pre set in the equipment for much higher doses of LLLT and, as can be seen from the photographic diary of the healing process, has been successful. Week 1Week 2Week 3Week 4Week 724 Animal Therapy Magazine | SUMMER 2016FOOTFALLS

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25Animal Therapy Magazine | SUMMER 2016REFERENCES:Woodru L.D; Bounkeo J.M; Brannon W.M; Dawes K.S; Barham C.D; Waddell D.L; Enwemeka C.S. (2004) The Ecacy of Laser Therapy in Wound Repair: A Meta-Analysis of the literature. Photomedicine and Laser Surgery. Vol. 22. Issue 3. 241 – 247.Yasukawa A; HRUI H; Koyama Y; Nagai M; Takakuda K (2007) The Eect of Low Reactive Laser Therapy with Helium – Neon Laser on Operative Wound Healing in a Rat Model. Journal Veterinary Medical Science. Vol 69. No 8. 799 – 806.De Silva. (2010) Literature Review: Laser Treatment in the tissue repair process. Photomedical Laser Surgery. 2010. p.17 – 21.Kilik R; Lakyova L. (2014) Eect of equal daily doses achieved by dierent power densities of LLLT at 635mn on open skin wound healing in normal and diabetic rats. Biomedical Research International. Vol 2014. Art ID: 269253.Kurach C; Stanley B; Gazzola K; Fritz M; Stecek B; Hauptman J.G; Seymour K.J (2015) The Eect of LLLT on healing of open wounds in dogs. Veterinary Surgery. Vol 44. Issue 8. 988 – 996.Lucroy M.D; Edwards B.F; Madewell B.R. (1999) Low-intensity Laser Light-Induced Closure of Chronic Wound in a Dog. Veterinary Surgery. Vol 28; Issue 4; 202 – 295.Percival, S.L., Francolini, I. and Donelli, G., 2015. Low-level laser therapy as an antimicrobial and antibiolm technology and its relevance to wound healing. Future microbiology, 10(2), pp.255-272.Rashidi, S., Yadollahpour, A. and Mirzaiyan, M., 2015. Low Level Laser Therapy for the Treatment of Chronic Wound: Clinical Considerations. Biomedical and Pharmacology Journal, 8(2), pp.1121-1127.Conclusion:Whilst the successful treatment of one dog is not conclusive evidence that LLLT is always eective, it appears that it can contribute to the healing of problematic wounds. Other variables such as antibiotic therapy and good wound management must also play a part, however, in comparison to the previous experience of wound breakdown necessitating further full amputation of the tail it can be suggested that early referral to physiotherapy post operatively for the management of wounds, and the inclusion of LLLT has perhaps made the dierence to Innis this time.info@footfallscaninephysio.co.uk01702 808060 / 07815 614257www.footfallscaninephysio.co.ukFootFallsTreatments- Range of movement active / passive- Laser- Postural sets- Theraband / Body slings- Neuromuscular Electrical Stimulator- TENS- Home Rehab Exercise Programme- Hydrotherapy- Electrotherapy- Weight bearing / Proprioceptive exercisesPhysiotherapy helps restore movement and function when an animal is affected by injury, illness or disability. At the coreis the owner’s involvement in their animal’s care, through education, awareness and participation in their treatment.Kate is a qualiﬁed Veterinary Physiotherapist and Canine Hydrotherapist. She is a member of HPC; CSP; ACPAT, IRVAP and NARCH.Katy Roberts Kate Parsons 25Animal Therapy Magazine | SUMMER 2016

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27Animal Therapy Magazine | SUMMER 2016Styles and EmmaI swear, sometimes in life, animals choose us rather than us choosing them, and this cannot be truer in the home of Frouwina and Ben. Meet Beau, Kez and Blix, just 3 of their pack, but these guys have had their fair share of challenges.BEAUFORT (Beau)Beau is an 9 year old Bassett Hound, with eyes that frequently win over the judges at local dogs shows. He was born into the hunt as part of a working litter but it was soon discovered he had a large over bite of his upper jaw and he was deemed unsuitable for the working environment. At 6 weeks old he was rehomed to Frou and Ben and despite his uncertain start in life, he had great character, resilience and a lot of naughtiness!At 5 months old he began to show regular bouts of severe lameness and aer several trips to the vets and x-rays he was referred to Willows for MRI and CT scans. ese revealed that the bones in his right fore hadn’t developed properly leaving with what is known as ‘ununited anconeal process’. A condition seen mainly in German Shepherds and Bassett Hounds. is is where a bony protuberance within the elbow joint becomes detached from the ulna. It causes a lot of pain! Early surgical intervention is essential to achieve the best results and this involves lengthening the shortened bone and reattaching via pinning and plating.e surgery and recovery went well, however as a result, Beau did not have a ‘normal’ puppy life. He had to spend 8 weeks in a cast with limited movement and then slow and steady rehabilitation.All was well until he reached 2 years old when his eagle eyed owner noticed some changes in his gait. e lameness returned and he oen looked sti through his shoulders. He was diagnosed with early onset arthritis and more treatment began.eir vet at the time was not only a great vet, but also a talented acupuncturist, so Beau started a course of acupuncture (NB - acupuncture on animals can only, by law, be performed by a veterinary surgeon). Shortly aer this he was referred for physiotherapy as these two therapies work well hand in hand. Sadly, their great vet decided to emigrate to Canada so acupuncture ceased, but he continues to have regular physiotherapy which generally keeps him happy, active and mischievous.Physiotherapy started with an intensive course of home visits. Whilst the right fore was the primary issue, over time and through gait and balance compensation it was discovered that Beau also suered from muscle strain through his triceps, shoulder muscles and trapezius. Being a long backed, short legged dog, he had also developed muscular imbalance throughout his back and there was also slight imbalance through hind leg muscles. Beau’s treatment involved laser therapy, so tissue work to reduce tension, spasm, scar tissue and adhesions and improve suppleness and elasticity. His range of movement, Working togetherby Hannah Ashton, Animal Physiotherapist, BSc, DipAPhys, MIAATcontinued overleaf

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28Animal Therapy Magazine | SUMMER 2016strength and gait were also worked on to eliminate bad habits and improve his posture. Exercises were then le with the owner to carry on with between treatments.All was going well until . . .Early last year Beau suddenly started showing signs of pain and ataxia in his back end. He suddenly slowed down and became reluctant to go up and down stairs and play with the rest of the pack. Veterinary investigation suspected a mild spinal disc issue and so for the rst time, medication was administered. is was however, short lived, as Beau reacted very badly to the medication, developing severe stomach ulcers. All of this set him back signicantly but thankfully he is all well again. His physiotherapy treatment now incorporates work through his back to release any spasms and keep his supporting muscles strong and supple. Beau has also started hydrotherapy, and despite some initial reservations, he is now swimming well, providing he is bribed with sausages!Keeping Beau as t and healthy as possible, both in exercise and diet, is essential. Should he gain weight or miss out on vital muscular and skeletal nutrition, this can have a signicant eect on his existing issues, therefore, alongside his well balanced food, he also receives nutraquin+, a supplement that the owners saw almost immediate improvement. Following his episode with stomach ulcers, nutrabio is kept on standby in case he has any upsets.KEZKez is a 12 year old German Shepherd bitch. She has had a successful 6 year career in the prison service and was retired just short of 7 years old. She patrolled the perimeter fence for 8 hour shis at a time and was at hand to help defuse security issues. It is fair to say she loved her job and I have never met a dog more loyal to her owner. Where suspicious noises send the pack barking at the door or back gate, Kez rushes to her owners side to make sure she is safe.Frou and Ben adopted Kez on the day of her retirement. It was soon apparent that the hours and miles of patrolling had taken their toll on her joints and she began to show signs of discomfort through her joints.Being a young dog, Frou was keen to see if she could be managed on a more natural route so she was immediately put on nutraquin+ and almost immediately began physiotherapy. She became a dierent dog, happy, active and no longer showed signs of lameness or pain unless she injured herself in her exuberance, which was rare, as she is a tough cookie. In 2014 Kez began hydrotherapy and absolutely loved it, she is a lunatic in the pool but it was great to see. Out of the blue, in January 2016, Kez suered from 3 vestibular attacks within 18 days, each one more severe than the last. Vestibular disease is a condition aecting a receptor located close to the inner ear and controls balance, posture and orientation. Dogs suering from Vestibular disease oen have a head tilt, can appear drunk (assymetric ataxia), circle and become nauseous or vomit.Kez’s vestibular disease was brought on by hypertension and aer some very worrying times, this is now under control with medication and regular BP checks. Her lack of balance meant that she not only suered from falls, knocks and muscular issues from postural changes, but she also became sti and the arthritic lameness returned.During her veterinary investigations, all therapies were halted to ensure the medication was under control, everything has since resumed and has also restarted her hydrotherapy, however, for now, she is working on the water treadmill as her co-ordination and balance in not good enough for the pool.All in all, Kez is doing really well. Recent x-rays have indicated signs of spondylosis in her spine, however, this isn’t unusual in the older dog Kez

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29Animal Therapy Magazine | SUMMER 2016and everything she currently has will hopefully manage this well enough. She can no longer go on long walks as this is just too much for her, although if she could talk she would argue that she can!BLIXBlix is a 4 year old, very large, German Shepherd dog. He was paired up with Frou as her prison patrol partner and began his training when he was 11 months old. He already weighed 34kgs! All was going well and although sometimes he was slow to pick things up, he showed very promising signs and qualied as a patrol dog a few months later. Less than a year into his career it became clear that Blix was not coping with the work. Despite loving and excelling in the training, he struggled with the daily shis. He started showing signs of lameness, dropping through his shoulders and dragging his toes. His hind end also started showing mild signs of ataxia. He rstly started on a course of pain relief, which made positive improvements. causing chronic pain, exacerbated by the type of work he does. Blix underwent corrective surgery which was a great success and with the addition of physiotherapy and hydrotherapy his recovery has been beyond every ones expectations. Blix continues with regular hydrotherapy to ensure he keeps his strength up and has physiotherapy checks to make sure all is well. He also has a daily dose of nutraquin+ to keep him healthy from the inside.It was however decided that continuing with his career as a prison patrol dog wasn’t in his best interest and so you now generally nd him residing on the sofa between his walks and playing with his fellow (past and present) security comrades!To add to Blix’s already delicate recovery, he also suers from several allergies and very sensitive skin. Alongside diet adjustments, he has a very limited pallet, Blix has a daily dose of nutramega which keeps his irritations at bay and Nutrabio for his sensitive stomach.It is fair to say, Frouwina and Ben have had a fairly testing couple of years, however, all dogs are doing well, are happy and active. Despite losing one great vet to Canada, they thankfully found huge support through their current Vet Becky O’Dowd of SPA Vets and the Canine Hydrotherapy Team, Cotswold Dog Spa based at Hartpury College. I, as their physiotherapist, am also always at the end of the phone to help put their mind at rest or oer advice when needed.TreatmentsWhen recovering from surgery, or managing degenerative conditions, there are many options available to owners, it can get quite confusing, so the best advice is to work closely with your Vet and follow their advice. Like many therapies, a multi-disciplinary approach gives the animals the best of everything. Unfortunately, during a training exercise, Frou slipped and broke her wrist. She had to have 12 weeks o work, and so did Blix. He became a dierent dog in this time o, very happy, did ‘normal’ dog stu and no longer needed the pain killers. When he returned to work, all was well. He competed in local trials and got reserve champion, he loved it, however, 1 month in, the lameness returned so the investigations resumed.Blix had previously had x-rays which showed his hips and elbows were good so further investigation in the form of an MRI scan was needed. e MRI scan generally showed good disc morphology, however, his lumbar sacral disc showed signs of degeneration and protrusion with irregular end plates. e side view showed entrapment of the cauda equina (nerves within the spinal canal), inammation of the compressed and surrounding nerves especially of the le outow tract, which in turn blocked messages to the hind limb. is would have also been continued overleafBlix

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30Animal Therapy Magazine | SUMMER 2016Alongside Veterinary treatment and medication, many owners like to explore a more therapeutic approach and today, there are many available to owners. Physiotherapy, Chiropractic, Osteopathy, Hydrotherapy and Massage erapy all have their place and will make signicant improvements to your animals recovery. In many cases, combining therapies will give the best result providing the therapists and vet work together.Regardless who you choose, please check that: • Veterinary approval has been acquired. • Should you want to claim the treatments back on your insurance make sure your therapist is aliated to a body recognised by your insurance company. Not all are! • Your therapist is fully insuredNutraceuticals / SupplementsSupplements have become increasingly popular, with the market growing signicantly over the years. ere is so much choice, probably a bit too much, all of which claim to do similar things, but how many actually make a dierence.Physiotherapy serves to aid and regain joint range of movement, release compensatory muscle spasm, regain strength and muscle bulk correcting any imbalances, and retrain movement. Whether prey or preditor, animals will generally adopt compensatory gaits to ensure they can either run away or catch their prey. Left uncorrected, degeneration of over used joints and muscles, and wastage of underused muscles and joints will occur, leading to secondary issues.Hydrotherapy is a non-weight bearing form of cardiac and strengthening exercise, giving muscles and joints a break from the concussive forces of ground impact. Over the years it has become a recognised and popular modality for rehabilitation and treatment of musculoskeletal and neurological conditions. It also plays an important role in general tness and weight control and is now recommended by veterinary surgeons and other professionals.Looking online can be overwhelming. ere are literally hundreds to choose from but not all give you all the information you need. In the case of joint supplements, they pretty much all claim to oer joint support or joint exibility and most have Glucosamine, Chondroitin and MSM, but which actually contain levels that will make a dierence to your pet? Cost obviously plays an important role in decisions, however, from experience, you get what you pay for and generally, the eective ones are in the higher price bracket. However, those supplements worth buying are generally known and recommended by your vet and can usually be claimed on insurance, so don’t give up yet!I once sat with a client and went through joint supplements available on the internet. Using a product I know well and have seen great results, as a guide, we compared the oerings. Firstly we looked at price, there were products miles cheaper, but would they be as good. Probably not! We then looked into their ingredients and the levels per tablet the animals would receive based on one a day. Aer a bit of maths and head scratching, we worked out that for the animal to receive the same amount of key ingredients you would need to feed four times the advised dose of the cheaper version making the once thought cheaper variety either ineective or actually more expensive! Here Blix is wearing a Back on Track therapeutic mesh rug which aids recovery. is is another tool in their rehabilitation box and his owners have seen positive results and less stiness aer wearing the rug.

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32Animal Therapy Magazine | SUMMER 2016Recommended by vets for joints conditionsWatching your dog suer with a joint condition can be verydistressing, however there are positive actions you can take. nutraquin+ isa 100% natural fast acting joint supportproduct that has beenspecially developed by Vets and is available exclusively through Authorised VeterinaryPractices throughout the UK. Launched in 2008nutraquin+ hasquickly establisheditself as the number one joint product recommended by vets across the UKfor dogs, cats & horses. nutraquin+supports the natural systems that control inammation whilst aiding sti joints, mobility and exibility. One of the key areas that has madenutraquin+sosuccessful is that results are usually evident within a week (4-7 days) ofbeginning administration, meaning your pet can start feeling the benetsquickly and you will startseeing them in your pet too. This has led to theproduct receiving many excellent reviews from both pet owners and Vets such as:“ALL our patients who regularly takenutraquin+noticeably benet from the product, and clientshave all been impressed with the improvements seen in their pets. We would thoroughlyrecommend both nutravet andnutraquin+.”Mr Nigel C Hough BVSc BSc MRCVS, Practice Principal.nutraquin+is available exclusively from Authorised VeterinaryPractices where you can also save 16% o each box by collecting nutravet tokens. It is manufactured in the UK to the latest EU standards and with guaranteed purity levels, ethically sourced ingredients you can be assured of consistent product quality. nutraquin+ is part of the nutravet range of natural, high strength, ethically sourced animal healthcare products for dogs, cats and horses. To see the full range of products that includes nutramega, nutracalm and nutramind visit www.nutravet.co.uk/our-products and to nd your local stockist and see many more fantastic testimonials visit www.nutravet.co.uk

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33Animal Therapy Magazine | SUMMER 2016Developed by vets, naturallywww.nutravet.co.ukNatural fast acting joint supportSupport British manufacturingAvailable exclusively from Veterinary PracticesFind your nearest stocksit as www.nutravet.co.uk“nutraquin+ is amazing. My rottie was really struggling after playing or exercise. After 2 weeks on nutraquin+ he now appears as normal as any other dog.”Melanie Hughes Simpson.Since 2008 nutraquin+ has revolutionised the joint support market. A fast acting, completely natural product which contains guaranteed levels of high purity ingredients with the added advantages of Boswellia Extract which supports the natural systems that control inﬂamation.✓ Improves mobility & ﬂexibility✓ Aids & soothes stiff joints✓ Supports joint structure✓ Improves your pet’s quality of life by maintaining optimum joint health✓ Supports the natural systems that control inﬂammation✓ Save 16% off each box by collecting nutravet tokensI have been using nutraquin+ for 4 weeks now and the difference to the quality of life for my French Bulldog is amazing. I work in a veterinary clinic and am happy to recommend this product.Jayne Kirkham“I cannot believe the difference nutraquin+ has made to my ancient Labrador. nutraquin+ is invaluable, if I stop it she has trouble walking upstairs and is sluggish on walks. It has made a HUGE difference thanks!”Jacqui MurrayI have been giving nutraquin+ to our 11 yr old Labrador for some time now and have seen a great improvement. Since being on nutraquin+ she bounds around like a much younger dog. Thank youMrs Elm and Poppy

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34Animal Therapy Magazine | SUMMER 2016KT Sports MassageEquine Careby Katie Currall KT Sports MassageTRAINING to be a Sports Massage therapist was one of the best decisions I have ever made and have spent the past 13 years in my dream job. Like with any career, we are always looking to develop ourselves and 6 years ago I moved into the world of Equine Sports massage, and have never looked back!My client base soon expanded to treat competitive riders within dressage, show jumping, racing, showing and working hunter. I also have been very fortunate to work closely with Russell Guire from Centaur Biomechanics who I admire greatly.One case that stands out is a 17.2, 7 year old black Mare. I started working on her around June last year. Unfortunately she suered from a bladder stone complaint which took a few months to fully recover from. e discomfort and lack of exercise meant she lost muscle strength particularly around her backend. Her posture and balance weakened leading to compensatory issues throughout her body.Massage therapy simulates muscles and the technique of eeurage, which is a stroking motion, can help drain lymphatic uids and soen tight muscles. Kneading and pressure are other valuable techniques I use to release tension in areas of tension as a result of her holding herself whilst in pain with the bladder stones. Over about 6 weeks she received regular massages and I le her owner with ground exercises such as leg and carrot stretches, lunging using a pasoa with bandages for proprioception and pole work with one end raised to help build up her back end. In addition to manual techniques I also have a deep oscillation machine which is a non-invasive machine using electrical currents. is can penetrate up to 8 cm and can help encourage blood ow to an injury site as well as help break down tissue bres. is is also a great machine for treating tendon injuries.Aer an intensive course of treatments she had some time o over the winter and then returned to work, rebuilding her muscles gradually and evenly. is year she was the youngest horse to take the Working Hunter championship at Royal Windsor Horse Show. A few weeks later qualied for the Horse of the Year this year. She is an amazing horse who I love working with and her owners were totally committed with her rehabilitation, which is essential to achieve such a great result.With two other clients competing at Royal Windsor Horse show this year, it was an exciting show for me to attend.

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36Animal Therapy Magazine | SUMMER 2016CASE STUDYBuddy the Sheltieby Catriona DicksonCANINE MASSAGEThe reason for massageBuddy was an 8 year old Sheltie who had achieved Grade 5 in agility with one win towards Grade 6. While competing he lost his footing in the tunnel, ipped over and exited on his back. He seemed okay at the time but in the days following his owner noticed that he was refusing to jump up onto the sofa and that he wasn’t running around and playing with the other dogs like he usually did on a walk. In fact, it got so bad that he wanted to be carried aer only 20 mins and needed to be lied on and o the sofa.Buddy was taken to see a physiotherapist who thought he had damaged his spine and recommended x-rays. He saw the vet and had x-rays done but no injury could be found. And aer courses of Metacam and Loxicom had nished he was no better.It was by chance, about a year later, when visiting another dog in the household that Buddy’s mum asked me take a look at him, having given up all hope anything could be done for him. By this time shewas also struggling to keep his weight under controland he was approximately 3kg heavier than he should have been despite being on a restricted raw feed diet.I gave Buddy a supercial Palpation (this is the kind of muscular health check that we perform free at Shows & Events). I found extensive scar tissue from strains along the muscles that run down each side of his spine, and signs of a strain to one of his Gluteal muscles. I recommended that he would benet from massage. As a member of the Canine Massage Guild we recommend 3 massage sessions within a 3-5 week period as this yields the best results and if massage is able to improve a condition then you will see improvements within that time.The outcome / resultsIt was amazing. Aer the rst session the owner was delighted that Buddy was running on walks and playing like a puppy again. He was also able to go up and down steps comfortably. Aer the second session he was playing chase with the other family dogs and jumping onto the bed and sofa himself. He now goes on long walks and happily trots along under his own steam. He has also become a very naughty boy again!Main areas of concern• Bilateral Grade II Strain on Longissimus in the region of T8-T13• Grade II Strain to the Middle Gluteal on the right• Bilateral Trigger Points to the Iliocostalis at the tendon of insertion• Buddy also suered with areas of over-compensation including: bilateral Trigger Points to the Rhomboids and debilitating wide-radiating Myofascial Pain across the Latissimus Dorsi. Trigger Points to the Tensor Fascia Latae and Myofascial Pain to the right Quadriceps Muscle.Bonus weight lossAer the initial 3 appointments I then continued to see Buddy monthly to further work on remodelling the scar tissue and since then he has lost over 2kg of weight and is returning to a healthy size for a small Sheltie. ere has been no change to his diet but the amount of exercise he enjoys has increased greatly and those stubborn pounds are falling o.

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38Animal Therapy Magazine | SUMMER 2016DOGS, cats and even rabbits who have carpal or tarsal issues such as laxity, deformity or damage have options for comfortable support with THERAPAW custom made so supports. ese supports can be used throughout the rehabilitation phase with support able to be modied as the challenges change or can be worn as long term support. TARSAL CASE STUDY:12yr Lab-cross with partial tear of calcaneal tendon where surgery is not an option due to her age. She was in plantigrade with abrasions on the calcaneus.THERAPAW made her a moderately supportive so tarsal brace with sheepskin lining and extension-assistive straps. She wears brace comfortably throughout the day and during all activities of daily living and the brace is removed at night. She not has needed additional veterinary treatment.CARPAL CASE STUDY:2yr Border Collie – heavy boned dog but very energetic and acrobatic. Sustained acute carpal hyperextension injury. THERAPAW - UK made custom carpal support for him to wear during exercise and rehabilitation work. He later returned to fun agility using a lighter carpal support initially and then progressed to needing no additional support and remained pain free and active.Solutions for small animal carpal and tarsal issuesTHERAPAWTHERAPAW products are made to the measurements of the animal you are working with so they t well, provide the correct level of support and have adaptable levels of support. ey can alleviate pain, improve quality of movement, improve activity levels, assist in rehabilitation or post operative environments.Issues they are oen used for include:• Carpal hyper extension• Carpal valgus or varus deformity• Tarsal hyper-exion • Tarsal hyper-extension• Tarsal laxity

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40Animal Therapy Magazine | SUMMER 2016EARLY this year, Breezer, Crufts champion (2011), started wearing a DOG StreamZ Smart Collar. Her owner, Dawn Weaver, had retired her from competition due to a recurring injury: she thought she would never compete again. Within two weeks Breezer’s improvement in mobility, general health and energy was so marked that Dawn brought her out of retirement. Since then she has won several major events and is back to her happy best again.So, what creates such a profound improvement?StreamZ inventor, Eric Dodd, always believed that the potential impact of magnetic therapy was not being realized. He spent many years developing his theories and putting them into practice, striving to improve the way magnets could be used to help humans, animals and all living cells. Early studies showed his theories worked: anecdotal evidence poured in to show major improvements with a variety of health issues in people and animals.Two years on, the StreamZ Global product range is endorsed and used daily by Olympic and World champions and leaders across the equine and canine communities.StreamZ’ rst focus was on YOU StreamZ – ankle bands for humans – and EQU StreamZ fetlock bands for horses. The results have been nothing short of spectacular! Top athletes from every area of equine sports are now using the bands to help their horses’ general recovery and a variety of equine health conditions, such as arthritis, navicular and tendon issues. They are also using the human ankle bands themselves, once again to support recovery and provide natural pain relief from aches and pains.Almost immediately, StreamZ was inundated by demands from the equestrian community for a similar product to help their dogs. If StreamZ could make such a dierence to horses, they wanted the same for all of their animals, as many of the health conditions and general wear and tear experienced by horses are just the same for dogs.Alongside these requests was a recognition of the powerful impact of the growing ‘humanisation’ of pets, especially dogs. Owners increasingly demand alternatives to chemical solutions; alternatives that are eective, natural and avoid negative side-eects. The StreamZ technology ticks all those boxes.And so the DOG StreamZ Smart Collar was born. Initial trials were so successful that in a short period of time the UK’s largest independent retailer for pets (Pet’s Corner) added the Collar to their portfolio. Following the same successful approach as was adopted with EQU StreamZ, informal trialling was undertaken across a wide range of canine disciplines: dog agility, rescue and rehoming charities, greyhound racing teams and working dogs. One of those involved was the Head Coach of Team GB, Dawn Weaver, owner of the much-improved Breezer. She was so committed to the Collar and its power to help dogs everywhere that in April of this year she invited the StreamZ team to attend the IFCS World dog agility championships in the Netherlands. The full GB squad are now using the Collars and have all seen their benet.So what next for this exciting new technology? StreamZ have collected a vast array of personal evidence and an impressive range of endorsements. Formal trials are about to commence, using thermal imaging technology and other techniques, to demonstrate scientically the benets of StreamZ. The results will certainly have the potential to change what we understand about natural animal therapy.Magnetic erapye Next LevelSTREAMZBreezer

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42Animal Therapy Magazine | SUMMER 2016AS physiotherapy began to be recognised by the veterinary profession, we certainly needed more qualied people. I didn’t want to disappoint vets asking for help, but the cost of travel became an issue. Mary Bromiley had her physio centre where horses needing attention came to her; and also made visits. She was well-placed for the racing fraternity. Race horse owners are used to paying for training and keep costs. Normal horse owners and riders would put horse costs and their keep through the housekeeping budget (and costs were therefore not necessarily accounted for). If a horse In the beginning ...by Sherry Scott MBEgoes into physio livery, you must consider mucking out, grooming, feeding, putting into and out of elds, even putting rugs on and o – all need paying for. So we price ourselves out of the market even before any treatment. Insurance will pay for treatment but not keep as that has to happen at home. New physios bear this in mind – we can travel to horses far more easily than they can come to us, but we need paying for our travel. is of course limits the amount of cases we can see. ere is also the riding to be taken into account if stabled with the physio.Meeting with vets – time is an issue. I am sure I have spent more time in my life waiting for vets than sleeping at night. I have also had some of the greatest shared moments when together we have managed to repair what we thought would be impossible.Seeing a well-known and loved vet being chased by a duck stays with me. Having a tree fall into the stable where I was working on a horse was a bit trying. e owner just disappeared; she said, “to a darkened room for shock”. e horse and I managed to get out (just). I believe we should make a collection of all the extraordinary and funny times that happen to a Physio. We will not match the Farrier’s calendar but it could be amusing.– PART V –An extract from her upcoming Biography.

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43Animal Therapy Magazine | SUMMER 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

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