Paddy

Paddy – Exercise Prescription and Notes 10/10/24 Subjective: Paddy was booked in following referral from Saddler. Owner is concerned about behaviour when standing/jumping next to Paddy and he is displaying signs he is in discomfort. Saddle checked and is tipping back, is wide on the shoulders and restricting clearanceof the withers and is moving when ridden. Good foot balance, front shoes.. Overweight BCS 2/9 (lean). Currently in light work – just moved farm, has turn out. Pelvis very tucked and in flexion, dropped back in thoracic region. Base narrow hindlimbs and forelimbs. No obvious swellings. Gait: Settled into good walk rhythm after couple of runs, inconsistent walking pattern to start with some toe first steps in the forelimbs. Mostly straight moving all limbs but narrow. Initially mildly increased tuber coxae drop left hindlimb with increased metatarsophalangeal drop left hind, indicating increased weight bearing left hindlimb and offloading right hindlimb. Undertracks slightly right hind. No toe drag. Very elevated head carriage and thoracic bracing. Lacking stifle and hock flexion Right hind. On the lunge head and neck held high. Resistant left turns more than right. Unsure but very willing. Good action over poles Main palpation findings: Increased tension shoulders and subscapular slip. Braced neck both ways and lots of release from hand pressure. Hypotrophic thoracic epaxials and reactive trigger points and spasming into lumbar region. Gluteals hypotrophic (superficial) and middle gluteal hypertrophic. Tight psoas muscle which is drawing hips into flexion. Range of motion: Neck stilted. Spinal range of motion not attempted due to visual assessment indicating pelvis is fixed and reactive. Exercises below, aim for 3x a week 20 minute sessions. Heat pad and massage pad will be useful. Long reining will be much better than lunging, example plan is at the end. horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 Example Plan Monday Tuesday Wednesday Thursday Friday Saturday Sunday Support Stretches Back ups Heat pad Stretches Back ups Heat pad Stretches Back ups Stretches Back ups Heat pad Exercises Long rein, letters exercise Long rein polework – 20-30 mins Turnout/Rest Long rein, letters exercise Long rein polework – 20-30 mins Long rein polework – 20-30 mins Turnout/Rest horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162