Ellie

Ellie- Exercise Prescription 19/06/23 Ellie was seen for physiotherapy on 19/6/23 to aid with obtaining correct bend when ridden. Recently had teeth and saddle checked, wears pads in shoes and feet look balanced. Goals are to be enjoyed with hacking, schooling and pleasure work. Recently weighed and is good, may need additional fibre. Saddle non-comfortable for rider, may be causing some issues. Gait assessment –Ellie travelled mainly on two tracks, the right forelimb was slightly toe-out and landed more laterally than left forelimb. Good 4 beat walk and 2 beat trot, overtracks well in paces. Slight reduced flexion in hindlimbs on trot/walk assessment (hock and stifle) Track up may be due to stilted movement in forelimbs as shoulders/chest and neck base were visibly holding tension and under more load. Slight hip drop on the right side. Circles showed good hindlimb proprioception, placement, and foot height. Timing was a little rushed in places. Forelimbs sometimes less willing, foot height and timing reduced. Neck and back showed bracing. Palpation – Very reactive around TMJ bilaterally, released alot along facial crest, poll and TMJ joint. Supra-orbital fat pad displaces more right side. Cervical spine releases full length right and left sides. Serratus ventralis showing tension drawing shoulders towards to the body on the right. Spinal range of motion reduced in dorsi-flexion. Increased tension in thoracolumbar fascia. Hypotonic epaxials (more right side weakness) and gluteals, hamstrings hypotrophic. Main aim to improve global musculature from thorax caudally by releasing shoulders for movement and bend. Exercises 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 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 Week 1 2 3 4 5 6 7 8 9 10 11 12 Exercises (3x a week – the rest of time can be for hacking etc ) Stretches (3x a week) Alter haynet heights Warm up routine at the start of a ride (3 laps both ways) Neck mobilisation (before riding) Flexions while ridden (eyelash inside, eyelash outside and then straighten up before the corner) Stretches (3x a week) Control mazes Neck mobilisations before ridden Straightness pole exercise – can use a pair of poles or 3 as in the picture, aim to keep on those train tracks and ride straight forward Control mazes exercise Warm up exercise Goal Stretches (3x week) Control mazes 2 exercise Neck mobilisations before ridden Eyelash in/out exercise as warm up Straightness poles Standard trotting poles ¾ heel to toe steps apart. Use transitions as in warm up exercise then go over poles, keep straight ! Neck mobilisations Lots of figure 8 and serpentines to test shoulders Control mazes 2 Stretches (3x wek) Control over the bend exercise Control over the bend exercise Neck mobilisations Weave poles – start wide and reduce in gradually ! Maze 2 uses lanes and channels to start using poles for lift and elevation this will build muscle Check straightness and improvement in symmetry in musculature both sides, this is done by riding straight. Use figure 8s and serpentines to keep testing this more. Build muscle horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 Get used to routine and exercises Neck flexion and slow steady release of muscle Practice the maze to build confidence and release the shoulders Hopefully seat saver will help you find balance here for the harder ridden work Last test for shoulders to be free before strength work Even up the muscle left to right, Test the bend and control Test the besd and control Big test for shoulder movement – feeds into lateral work horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162