05/07/2019
The importance of the home exercise program!!!
Frustrated that the immediate effect of your manual treatment doesn't last? In most cases, there is movement dysfunction present and no matter how much manual treatment you apply, the problems will persist.
10 year old advanced eventer Bruce, was suffering from a weakness in his left gluteal muscle group. The issue in itself was a simple muscle imbalance but the weakness was causing an asymmetrical lack of support and torque stresses to the thoracolumbar spine. Bruce was in pain and started to demonstrate performance and behavioural issues. So, what was happening here? In an attempt to stabilise the spine, his body reacted with an adaptation in the fascia and the epaxial spinal muscles were under constant tension. Bruce was suffering with deep seated spasm and stress points around the the last rib and costovertebral junctions as well as considerable back pain. To exacerbate the problem, the back pain had caused the spinal stabilisers to become inactive.
Manual treatment provided immediate relief for Bruce, but it took a programme of targeted exercise to even up the gluteal muscles, before any lasting results of treatment were seen.
By addressing underlying movement dysfunctions and muscle imbalances you will vastly improve the carry over of your manual treatment. Furthermore, uneven loading on structures will be removed, which will reduce the chance of pathology and have a long term effect on the horses comfort and performance.
We should not be addressing musculoskeletal issues with manual therapy alone. Exercise Rehabilitation is an essential part of our treatment; not an extra.
Feel free to contact me with any questions or to discuss this further, through Facebook or on my personal email: [email protected]
Best Wishes, Katie Lawrence