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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
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+------+---------------------------------------+-------------------------+
| Week | Exercises (3x a week – the rest of | Goal |
| | time can be for hacking etc | |
| | ) | |
+======+=======================================+=========================+
| 1 | Stretches (3x a week) | Get used to routine and |
| | | exercises |
| | Alter haynet heights | |
| | | |
| | Warm up routine at the start of a | |
| | ride (3 laps both ways) | |
+------+---------------------------------------+-------------------------+
| 2 | Neck mobilisation (before riding) | Neck flexion and slow |
| | | steady release of |
| | Flexions while ridden (eyelash | muscle |
| | inside, eyelash outside and then | |
| | straighten up before the corner) | |
+------+---------------------------------------+-------------------------+
| 3 | Stretches (3x a week) | Practice the maze to |
| | | build confidence and |
| | Control mazes | release the shoulders |
+------+---------------------------------------+-------------------------+
| 4 | Neck mobilisations before ridden | Hopefully seat saver |
| | | will help you find |
| | Straightness pole exercise – can use | balance here for the |
| | a pair of poles or 3 as in the | harder ridden work |
| | picture, aim to keep on those train | |
| | tracks and ride straight forward | |
+------+---------------------------------------+-------------------------+
| 5 | Control mazes exercise | Last test for shoulders |
| | | to be free before |
| | Warm up exercise | strength work |
+------+---------------------------------------+-------------------------+
| 6 | Stretches (3x week) | Maze 2 uses lanes and |
| | | channels to start using |
| | Control mazes 2 exercise | poles for lift and |
| | | elevation this will |
| | | build muscle |
+------+---------------------------------------+-------------------------+
| 7 | Neck mobilisations before ridden | Check straightness and |
| | | improvement in symmetry |
| | Eyelash in/out exercise as warm up | in musculature both |
| | | sides, this is done by |
| | Straightness poles | riding straight. Use |
| | | figure 8s and |
| | | serpentines to keep |
| | | testing this more. |
+------+---------------------------------------+-------------------------+
| 8 | Standard trotting poles ¾ heel to toe | Build muscle |
| | steps apart. Use transitions as in | |
| | warm up exercise then go over poles, | |
| | keep straight ! | |
+------+---------------------------------------+-------------------------+
| 9 | Neck mobilisations | Even up the muscle left |
| | | to right, |
| | Lots of figure 8 and serpentines to | |
| | test shoulders | |
| | | |
| | Control mazes 2 | |
+------+---------------------------------------+-------------------------+
| 10 | Stretches (3x wek) | Test the bend and |
| | | control |
| | Control over the bend exercise | |
+------+---------------------------------------+-------------------------+
| 11 | Control over the bend exercise | Test the besd and |
| | | control |
| | Neck mobilisations | |
+------+---------------------------------------+-------------------------+
| 12 | Weave poles – start wide and reduce | Big test for shoulder |
| | in gradually ! | movement – feeds into |
| | | lateral work |
+------+---------------------------------------+-------------------------+