Evaluation of intersegmental vertebral motion during performance of dynamic mobilization exercises in cervical lateral bending in horses

Hilary M. Clayton Mary Anne McPhail Equine Performance Center, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824.

Search for other papers by Hilary M. Clayton in
Current site
Google Scholar
PubMed
Close
 BVMS, PhD
,
LeeAnn J. Kaiser Mary Anne McPhail Equine Performance Center, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824.

Search for other papers by LeeAnn J. Kaiser in
Current site
Google Scholar
PubMed
Close
 MS
,
Michael Lavagnino Mary Anne McPhail Equine Performance Center, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824.

Search for other papers by Michael Lavagnino in
Current site
Google Scholar
PubMed
Close
 PhD
, and
Narelle C. Stubbs Mary Anne McPhail Equine Performance Center, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824.

Search for other papers by Narelle C. Stubbs in
Current site
Google Scholar
PubMed
Close
 PhD

Abstract

Objective—To identify differences in intersegmental bending angles in the cervical, thoracic, and lumbar portions of the vertebral column between the end positions during performance of 3 dynamic mobilization exercises in cervical lateral bending in horses.

Animals—8 nonlame horses.

Procedures—Skin-fixed markers on the head, cervical transverse processes (C1–C6) and spinous processes (T6, T8, T10, T16, L2, L6, S2, and S4) were tracked with a motion analysis system with the horses standing in a neutral position and in 3 lateral bending positions to the left and right sides during chin-to-girth, chin-to-hip, and chin-to-tarsus mobilization exercises. Intersegmental angles for the end positions in the various exercises performed to the left and right sides were compared.

Results—The largest changes in intersegmental angles were at C6, especially for the chin-to-hip and chin-to-tarsus mobilization exercises. These exercises were also associated with greater lateral bending from T6 to S2, compared with the chin-to-girth mobilization or neutral standing position. The angle at C1 revealed considerable bending in the chin-to-girth position but not in the 2 more caudal positions.

Conclusions and Clinical Relevance—The amount of bending in different parts of the cervical vertebral column differed among the dynamic mobilization exercises. As the horse's chin moved further caudally, bending in the caudal cervical and thoracolumbar regions increased, suggesting that the more caudal positions may be particularly effective for activating and strengthening the core musculature that is used to bend and stabilize the horse's back.

Abstract

Objective—To identify differences in intersegmental bending angles in the cervical, thoracic, and lumbar portions of the vertebral column between the end positions during performance of 3 dynamic mobilization exercises in cervical lateral bending in horses.

Animals—8 nonlame horses.

Procedures—Skin-fixed markers on the head, cervical transverse processes (C1–C6) and spinous processes (T6, T8, T10, T16, L2, L6, S2, and S4) were tracked with a motion analysis system with the horses standing in a neutral position and in 3 lateral bending positions to the left and right sides during chin-to-girth, chin-to-hip, and chin-to-tarsus mobilization exercises. Intersegmental angles for the end positions in the various exercises performed to the left and right sides were compared.

Results—The largest changes in intersegmental angles were at C6, especially for the chin-to-hip and chin-to-tarsus mobilization exercises. These exercises were also associated with greater lateral bending from T6 to S2, compared with the chin-to-girth mobilization or neutral standing position. The angle at C1 revealed considerable bending in the chin-to-girth position but not in the 2 more caudal positions.

Conclusions and Clinical Relevance—The amount of bending in different parts of the cervical vertebral column differed among the dynamic mobilization exercises. As the horse's chin moved further caudally, bending in the caudal cervical and thoracolumbar regions increased, suggesting that the more caudal positions may be particularly effective for activating and strengthening the core musculature that is used to bend and stabilize the horse's back.

Contributor Notes

Supported by the Martha Wolfson Fund.

The authors thank Dr. Sandra Nauewelaerts and Kyle McAleenan for assistance with data collection and analysis.

Address correspondence to Dr. Clayton (claytonh@msu.edu).
  • 1 Goff L, Stubbs NC. Applied animal biomechanics. In: McGowan C, Goff L, Stubbs N, eds. Animal physiotherapy: assessment, treatment and rehabilitation of animals. Oxford, England: Blackwell Publishing, 2007;3255.

    • Search Google Scholar
    • Export Citation
  • 2 Falla D, Jull G, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical muscles during performance of the craniocervical flexion test. Spine 2004; 29: 21082114.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3 Jull G, Kristjansson E, Dall'Alba P. Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Manual Ther 2004; 9: 8994.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4 Falla D, Farina D, Dahl MK, et al. Muscle pain induces task-dependent changes in cervical agonist/antagonist activity. J Appl Physiol 2007; 102: 601609.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5 Falla D, Jull G, Hodges PW. Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res 2004; 157: 4348.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6 Humphreys B, Lngrens P. The effect of a rehabilitation programme on head repositioning accuracy and reported levels of pain in chronic neck pain subjects. J Whiplash Relat Disord 2002; 1: 99112.

    • Search Google Scholar
    • Export Citation
  • 7 Revel M, Minguet M, Gergoy P, et al. Changes in cervicocephalic kinaesthesia after a proprioceptive rehabilitation programme in patients with neck pain: a randomised controlled study. Arch Phys Med Rehabil 1994; 75: 895899.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8 O'Leary S, Falla D. Recent advances in therapeutic exercise for the neck: implications for patients with head and neck pain. Aust Endod J 2003; 29: 138142.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9 Stubbs NC, Kaiser LJ, Hauptman J, et al. Dynamic mobilization exercises increase cross sectional area of multifidus. Equine Vet J 2011; 43: 522529.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10 Clayton HM, Kaiser LJ, Lavagnino M, et al. Dynamic mobilizations in cervical flexion: effects on intervertebral angulations. Equine Vet J Suppl 2010;(38):688694.

    • Search Google Scholar
    • Export Citation
  • 11 American Association of Equine Practitioners. Definition and classification of lameness. In: American Association of Equine Practitioners guide for judging of equestrian events. 4th ed. Lexington, Ky: American Association of Equine Practitioners, 1991;19.

    • Search Google Scholar
    • Export Citation
  • 12 Clayton HM, Townsend HGG. Kinematics of the cervical spine of the adult horse. Equine Vet J 1989; 21:189192.

  • 13 Getty R. Sisson and Grossman's anatomy of the domestic animals. 5th ed. Philadelphia: Saunders, 1975;351352.

  • 14 Rachen-Schöneich G, Schöneich K. Straightening the crooked horse. North Pomfret, Vt: Trafalgar Square Books, 2007;3436.

  • 15 Crisco JJ, Panjabi MM. The intersegmental and multisegmental muscles of the spine: a biomechanical model comparing lateral stabilizing potential. Spine 1991; 16: 793799.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16 Stubbs NC, Hodges PW, Jeffcott LB, et al. Functional anatomy of the caudal thoracolumbar and lumbosacral spine in the horse. Equine Vet J Suppl 2006;(36):393399.

    • Search Google Scholar
    • Export Citation
  • 17 Rosatelli AL, Ravachandiran K, Agur AM. Three-dimensional study of the musculotendinous architecture of lumbar multifidus and its functional implications. Clin Anat 2008; 21: 539546.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18 Moseley GL, Hodges PW, Gandevia SC. Deep and superficial fibres of the lumbar multifidus muscles are differentially active during voluntary arm movement. Spine 2002; 27: 2936.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19 Hides JA, Stokes MJ, Saide M, et al. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine 1994; 19: 165172.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20 Hides JA, Richardson C, Jull G. Multifidus muscle recovery is not automatic after resolution of acute, first episode low back pain. Spine 1996; 21: 27632769.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21 Stubbs NC, Clayton HM, Hodges PW, et al. Osseous spinal pathology and epaxial muscle ultrasonography in Thoroughbred racehorses. Equine Vet J Suppl 2010;(38):654661.

    • Search Google Scholar
    • Export Citation
  • 22 Danneels LA, Vanderstraeten GG, Cambier DC, et al. Effects of three different training modalities on the cross sectional area of the lumbar multifidus muscle in patients with chronic low back pain. Br J Sports Med 2001; 35: 186191.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23 Brumagne S, Cordo P, Lysens R, et al. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine 2000; 25: 989994.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24 Fernández-de-Las-Peñas C, Bueno A, Ferrando J, et al. Magnetic resonance imaging study of the morphometry of cervical extensor muscles in chronic tension-type headache. Cephalalgia 2007; 27: 355362.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25 Javanshir K, Rezasoltani A, Mohseni-Bandpei M, et al. Ultrasound assessment of bilateral longus colli muscles in subjects with chronic bilateral neck pain. Am J Phys Med Rehab 2011; 90: 293301.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26 Hurwitz EL, Carragee EJ, van der Velde G, et al. Treatment of neck pain: noninvasive interventions: results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Eur Spine J 2008; 17(suppl 1):123152.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27 Ylinen J, Nikander R, Nykänen M, et al. Effect of neck exercises on cervicogenic headache: a randomized controlled trial. J Rehabil Med 2010; 42: 344349.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 28 Chiu TTW, Lam T-H, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine 2005; 30: E1E7.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29 Ricardi G, Dyson SJ. Forelimb lameness associated with abnormalities of the cervical vertebrae. Equine Vet J 1993; 25: 422466.

  • 30 Evans R, Bronfort G, Nelson B, et al. Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Spine 2002; 27: 23832389.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31 Townsend HG, Leach DH. Relationship between intervertebral joint morphology and mobility of the equine thoracolumbar spine. Equine Vet J 1984; 16: 461465.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32 Faber M, Schamhardt H, van Weeren R, et al. Methodology and validity of assessing kinematics of the thoracolumbar vertebral column in horses on the basis of skin-fixated markers. Am J Vet Res 2001; 62: 301306.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 33 Van Weeren PR, van den Bogert AJ, Barneveld A. Correction models for skin displacement in equine kinematic gait analysis. J Equine Vet Sci 1992; 12: 178192.

    • Crossref
    • Search Google Scholar
    • Export Citation

Advertisement