Prescription exercise

🌟🌟Unpopular opinion🌟🌟  So . . . What’s my beef 🍖 🐄 with pole work clinics?

I love pole work, I’m a massive fan of it, but as I know I have mentioned to many of my clients before, I am just not a fan of this whole pole clinic craze that every man and his 🐕‍🦺 seems to be running at the moment without, it seems, little knowledge of the biomechanics involved.

Ground poles & raised poles are great as part of a training, conditioning or rehabilitation programme to:

• Train proprioception, coordination, skill, balance and dynamic stability 

• Improve/restore joint range of motion

• Develop core strength & activate or strengthen back muscles

• Strengthen propulsive muscles

• Provide variety within training

Stepping over a pole is a complex motor skill requiring neuromotor control and proprioceptive stimuli. Visual perception of the position and size of the obstacle is relayed to the neuromotor control centre to make decisions which command the peripheral nervous system to make an appropriate muscular response.

However, not every pole work exercise is suitable for every horse’s individual needs and if performed incorrectly can set them back in their training or rehab. There aren’t really any generic one size fits all pole work exercises. If you set any array of poles out and put a horse in front of it they will virtually always find a way to get to the other side. Do we conclude it was an appropriate exercise just because the horse managed to make it to the other side without falling in a heap? NO!

When I watch horses navigate pole exercises I set, I am constantly evaluating and re-evaluating on each pass the strategies they use to get to the other side, as for the pole exercise to be of benefit they must be using functionally correct movement patterns otherwise we may as well not bother.

What am I looking for: 

> Maintaining a soft top line

> Suppleness 

> Engaged core

> Lift in the thoracic sling

> Limb flexion in the correct part of the swing phase

> Straightness

Horses that find the exercise too difficult will use other strategies to navigate the pole set:

> Raising their head and neck, putting the spine into extension, losing good dynamic posture

> Unable to maintain balance so looses straightness

> Rushing

> Flexing the hindlimb further in retraction

> Performing a passage like motion

> Circumducting the hind limb

In both ground work and ridden work (when appropriate), I watch my clients horses over various pole exercises to evaluate what strategies the horse uses. I can then change the difficulty level up or down or change the whole exercise if needed.  Doing pole work badly is worse than not doing it at all because you will be further ingraining a poor movement pattern, you can be doing more harm than good. 

I also like to coach ground work so then I can teach owners what to look for in a quality movement & poor movement so they know when a pole exercise, lateral exercise, rehabilitation exercise, etc. is good/bad for their horse or when their horse is becoming fatigued with the exercise. One horses weakness is another horses strength area, the way one horse passed over the poles is different to the next one so in a clinic type situation (where there are usually about 4 horses but I have seen up to 6 in some!) the exercise, distances, arrangements would need to be altered every 2 minutes for each individuals movement pattern. This just isn’t feasible so most coaches will just leave them all to do the same exercise, for some it might be perfect but for others in the group far from it, which can be of real detriment😔 A pole clinic can seem like a cheaper way to get tuition, to get your horse out and about, to experience work in a group situation and to have social time with your friends, but not if you are doing them all the time and taking some of the exercises home to repeat when you have no idea if they are the right exercises for your individual horse. There is no way all 6 horses in one group have the exact same needs when it comes to any exercise but especially pole work, so at least a few horses within the group are not doing the right exercises their horse needs. If you then take some of these inappropriate exercises home with you and repeat them on a regular basis this further enhances their weaknesses, poor posture, poor movement which ultimately leads to injury.

Unfortunately, I’ve seen some really bad examples of inappropriate pole exercises recently, ultimately to the detriment of the horse. One example was being called a passage pole clinic where the coach was setting the poles on purpose to make the horse struggle so they would have to get this passage like movement. This is fine if you have a horse that is at the correct training level to be doing passage, but not one of the participants (horse or rider) was at this level. If this exercise was repeated too often in a horse that has not been progressively conditioned to this level of work (& I mean over years not weeks), it will cause injury very quickly 😭

If you want any more information or to discuss further, feel free to contact me.

No matter what discipline, if any, a horses’ training programme needs to be fully balanced and progressive to include all aspects of fitness (cardiovascular, speed, stamina, endurance, strength, suppleness, flexibility, coordination, agility, balance), plus working through the scales of training; rhythm, suppleness, contact, impulsion, straightness, collection, and improvement of skill level. A training programme needs to progressively overload the systems of the body for optimal and functional adaptation. Training and conditioning for all disciplines is a very fine balance between optimal adaptation and an overuse injury. Trying to work on all of these factors within one discipline can only be done through repetitive movements which is the major cause of overuse injuries such as ligament issues, mainly suspensory, tendon issues, muscle strain, wear and tear on the joints.

What is cross training?

Cross training involves adding different types of exercise, movement, disciplines or modalities into a training routine to achieve an overall more rounded fitness level and set of skills that the body can then call on when needed. If a horse is constantly trained dressage on a perfectly harrowed surface, one day for some reason there is a rut on the surface or a slightly hard patch due to frost or drought, causes the horse to roll on its step that it is not used to doing which takes the limb rotation into a different plane it is not used to, this can cause a strain on the DDFT or other soft tissues for example. If this horse was regularly ridden on varied or uneven terrain, grass, roads, hardcore, its tissues of the limbs in particular would be better conditioned to the variety in movement and would have no issue in coping with this minor anomaly in the surface.

Why cross train?

In human research athletes who specialise in a single sport had an 85% higher chance of injury than those who that do multiple activities (McGuine et al. 2017), this is expected to be higher in horses.

For a horse specialised in an individual discipline (ie exclusively a show jumper, exclusively a dressage horse), the repeated loading and strain from the one particular movement in one plane, doing the same thing day in day out will have the same effect. But also repeated riding in a poor movement pattern or with compensatory mechanisms in play being repetitively overloaded will also cause training overload associated injury, e.g. lack of flexibility, suppleness, fitness, subtle lameness/ unsoundness or asymmetry, pain, unbalanced rider as a one off may not cause much of a problem to the horse but if this is a repeated pattern will lead to injury. Hence, this is also another major reason for:

a.) Having your horse regularly checked and treated by an advanced qualified and experienced equine physical therapist to pick up on these minor anomalies in symmetry, posture etc. and correct these before they are repetitively loaded, affect performance, and cause lameness.

b.) having a coach that is dedicated to your horses’ correct way of going, global body mechanics and correct rider biomechanics rather than getting you to jump that big jump, perform movements that neither rider or the horse are ready for.

Cross training also allows for muscle recovery time, allowing the horses body time to repair and replace any damaged tissues.  DOMS (delayed onset muscle soreness) caused by build up of lactic acid that the body needs to remove and repair of muscle and free radical damage takes around 48 – 96 hours, replacement of muscle glycogen takes around 48 – 72 hours. Other types of exercise can be done within this time just not the same type of repetitive loading and alternative exercise and movement can actually help with these times.

Therefore, we cross train so we can continue to work them just in a different way, to work on different aspects of the scales of training or fitness to prevent excessive overload, to give them a better rounded education and to protect them against injury:

For horses cross training is adding a variety of exercises and training:

• Non-training related exercise – e.g. turn out, which has proven to be protective against lameness
• Varying surfaces – helps with tissue adaptation and also educates the horse in matters of proprioception and coordination which, again, helps to protect against lameness
• Stable exercises – good as a baseline before introducing other types of exercise and training, without the weight of the rider or challenge of movement. They increase flexibility, improve strength and endurance of the muscles and most importantly they switch on correct neuromuscular pathways. These include exercises such as active baited stretches, isometric contractions; ask your equine physical therapist for more and appropriate prescriptive specific exercises that are appropriate at the present time for your individual horse
• Proprioceptive training – poles, bending, inclines, declines, circles, surfaces, again ask your physical therapist about specific proprioceptive training for your horse and their individual stage of development
• Ground work and other work off the horses back – including lunging (video on correct use of lunging coming soon, keep a eye on social media for more info), long reining, straightness training, classical training
• Cross discipline – a dressage horse going on a farm ride, hacking, a happy hacker having a little jump, a show jumper learning piaffe, half pass etc. puts the body into a different range of motion that can be extremely beneficial to aspects of fitness and help the body to avoid injury. The engagement to work on these movements can also help to increase overall suppleness and flexibility and it can always help to be able to make a jump off turn by a stride of leg yield that the horse is used to doing instead of having to perform a sharp turn which can be very damaging to limbs so it can help avoid injury in this way too.
• Psychological benefits of cross training is also surmountable – it helps to prevent sourness and staleness of a particular discipline.

Overall, to prevent injury, for your horses health, fitness, sanity, and increasing their performance in your chosen discipline, cross training is essential for long term benefits.

Rehabilitation plans can often seem difficult and daunting.  You have spent a lot of money on expensive veterinary treatments or operations and now your horses success or failure lies in your hands.  You know it is important that you get it right but often the support isn’t there or you don’t know where it is  going wrong until it is too late.

Rehabilitation plans are normally formulated by your vet & /or your physical therapist to provide prescriptive exercise to help your horse recover from injury or illness so that they can hopefully return to the same level of performance as they previously were, or as close to it as is now physically possible. The most common injuries that I formulate rehab plans for include back pain and spinal dysfunction including kissing spine, spondylosis, arthritis, soft tissue injuries such as tendon, ligament and muscular strains and tears, arthritic conditions, and fractures. Most of these conditions require veterinary intervention followed by a course of physical therapy and a prescriptive exercise plan.  These rehab plans use movement and specific exercises to strengthen and support the horse to initiate gait retraining to recover the injury, prevent further injury to the same area or another area in compensation and to optimise function.  These exercises need to be correct, appropriate, progressive and within the correct time frame.  Sometimes rehab plans fail in that the horse does not return to full expected performance level or soundness, or develops another lameness in another area due to compensation.  In my experience the main reasons for this include:

–          Not understanding what it is that is required at each stage – if you don’t understand the exercise or what it is exactly that you should be doing, no matter how stupid you think the question might be, ask anyway, as even doing something slightly incorrectly when repeated over and over can make a massive difference to the success or failure of a rehab plan.

–          Not executing the exercises correctly – the amount of time I see owners not doing exercises correctly, one that I see so often is in-hand walking, how hard can it be, you would think?! In-hand walking shouldn’t be just dawdling along.  It should be an active walk so the horse is doing more of a medium walk, you should be power walking along side the horse, if you are not out of puff from in-hand walking for 15 mins you are probably not doing actively enough for your horse.  You will get back in shape too!  For other exercises too, ask your horses physical therapist to watch you completing the exercise to ensure you are doing it correctly.

–          Not wanting to do a specific exercise because the horse/owner doesn’t like it, doesn’t enjoy doing it, finds it difficult. Rather than working with the horse to calmly encourage them to complete the exercise they try to get the horse to do it by force causing it to be rushed and fearful, anything the horse does out of fear will never be productive or successful in its aims. Time and patience are paramount when it comes to rehabilitation and exercises.

–          Being in too much of a rush – lots of owners are in a hurry to move on to the next stage, in a rush to get back on board, a rush to get trotting, a rush to go from box rest, to get the horse turned out again, etc.

–          Doing exercises too fast – most exercises are best done at a walk; poles, hills etc. So that there is control over limbs and movement, stability, the horse cannot use the momentum and ground reaction force to get itself over the poles that it does in higher gaits.

–          Using inappropriate training aids.  For the majority of rehab plans training aids are not required.  Sometimes a veterinary guided rehab plan they recommends using pessoa or similar. For the majority of cases this is most defiantly not required and can hinder regaining correct posture and movement.  Also the vets don’t check that it is being used correctly which again for most cases it is not!

–          Not doing enough – some times owners seem to think that lengthening the rehab plan is beneficial for the horse and sometimes it can be, but this should be done in conjunction with your physical therapist and or vet as for certain injuries this is not always appropriate as it is the progressive loading exercise that actually aids healing and recovery so if you are lengthening this you may be hindering them.  But also lengthening the treatment plan you need to ensure that you are doing the same exercise for longer.  I have seen some rehab plans fail where the owner has discussed with the vet about lengthening the rehab plan but they take that as do a few weeks of rehab then nothing for a week or 2, then pick it back up again when they have time for a week, then rest for a few weeks again.  It needs to be consistently carried out.

–          Not keeping up to date with regular physical therapy treatments.  Quite often when a horse becomes lame, and is under veterinary treatment the owner will cancel their regularly planned treatment session, with a reasoning of well if the horse isn’t being ridden I won’t feel the benefit.  However, it is important that we do even more as if the horse is lame it will compensate its movement patterns or if it is on box rest will not be doing much movement at all. So it is important that we try to keep the joints as mobile as possible, we keep the rest of the horses body as free and as supple as possible, reduce as much of the secondary and compensation issues as possible.  This is all done under veterinary guidance, it is important that your physical therapist and vet work together for the long term benefit of the horse.

–          Not being fully open and honest with your vet and / or physical therapist.  When we come for a review and reassessment it is important that you are completely honest with what you have been doing with the horse.  If you haven’t been able to complete certain aspects of the plan, you hate hacking, or you decided to up it a level before it was recommended, you need to be honest as this will affect what we are seeing, feeling and the plan we make moving forwards, which can severely affect the success or failure of the plan. Don’t just be a people pleaser and nod yes I have been doing everything as per the plan when you know full well that is not the case