After understanding the neuro-physiological data, it is easy to understand that the signs of osteopathy are numerous, both therapeutic and preventive.
Frequent semiology adapted by Dominique Giniaux : : Having identified the body scheme by the comprehensive review (holistic) of the horse, the osteopath is seeking the primary cause explaining (and sometimes hidden by) the many changes over time, and installation of recurrent disease . Each segment of the spine is associated with specific disorders described below:
C0 C1C1are often associated with behavioral disorders, aggression, high reactivity unpredictability, a horse that rears up easily because it is unable to mobilize its neck because of an indelicate hand, often by restricting the the tip of the nose. The association with lesions of the temporo-mandibular joint (ATM) and temporo hyoïdienne is common. cf symposium Saumur .
C2often associated with ATM,tooth or masseter pain, the horse is one sided with a marked rotation of the head, one ear lower than the other. The muscle pain is intense.
- C3 is often associated with T2 T3 , with a horse favouring one side or lying down on one side depending on the type of use
C4right more common during spinal ataxia syndrome, or Wobbler, often isolated, without other significant dysfunction. Ataxic horse falls without hurting itself.
C6 C7 : in general, if the horse favours its right, lateroflexion and restricted left shoulder or left scalene and first rib. Associated with cervico-brachial neuralgia (the brachial plexus pass between the scalene and the first rib) and vascular disorders in earlier disturbances that can favour foot problems ( see degenerative navicular disease)
si T1disturbed, this dysfunction is associated with emotional distress due to the interaction with the stellar ganglion: sweating post the manipulations are very common!
Garrot : very rigid front, stumbles easily, jumps badly with difficulty in lifting his front legs, hard to stop, brakes with the knees where frequent blockages may develop into chronic arthropathies common in the PSA and TF with high hyper extension of the carpus in his gait. girth painful. Can head shake in a longitudinal direction. The horse is unable to raise its front, becomes heavy on the hand, its strides are shortened: his brilliance is gone.
T7included, metallic heart sounds, associated with the pericardium in Chinese medicine the seat of the sympathetic neurovegetative system: mediator, adrenaline!
T8 T9 T10 associated with pulmonary and diaphragmatic disorders, cause or consequence?
T 11 is associated with biliary function and associated muscle disorders
T12 is associated with the stomach, to tick, to ulcers, to head shaking (horse pull his reins), stiffness in the saddle more often associated with pain in two sacro iliac joints! The alarm point of the stomach is frequently painful, between navel and xiphoïde on the white line.
T13 liver and muscle involved. Failure postural dysfunction will promote the spinous conflict (CAE), always secondary!
T14sweating a lot and a second time in the box (San Jiao, TR acupuncture), complementary to the pericardium, parasympathetic component of the neurovegetative system.
-T15associated with spleen on the left and pancreas to the right, the seat of the management of liquid and the muscle anabolism
T16 T17 T18 L1:horses crossing, turn badly, or pacers (T17) as its main pivot or fulcrum is blocked, he avoids stepping on diagonals and is on 2 tracks. T17 is associated with the large intestine. T16 with the duodenum and the mother of energy in traditional Chinese medicine. Cause proximal enteritis or severe ulcers.
T18 is associated with recurrent colic type stasis (shu point of GI is between T17 and T18)
L1 is associated with pain gonads, ovaries in females and testes in males or scars in the castrated gelding, to the bladder associated with L2.
L2 leads to frequent back pain at canter and in young horses due to an immature skeletal developement , wait, it will work out! bad engagement and deferred front easily. Combined with the small intestine, headquarters of the absorption of minerals.
L3is associated with the patella, with soft and bad smelling droppings, the horse is afraid to walk and prefers to trot as the patella is less painful.
L4 hock vacillating
L5 if associated with L1, General hormonal problem is feared
L6 often in extension, associated with sphincter disorders (chen, kidney in Chinese), blocked bladder thus urination difficulty and often with L2 bending, whith disorders of urine production
Sacrum : a blockage of the sacrum, accompanied by many problems of locomotion with bad engagement and bad propulsion, possibly a pneumovagina, penis disorders, circulatory disorders of the hind legs with engorgement easier on the blocked side. The horse tends to roll on one side only, organize his straw in his box to find a comfortable position.
The sacrum and the hip are closer to the occiput and the ATM, in perfect conformity with the old riding masters.
The sacrum is the site of insertion of the femoral biceps muscle to stifle and semi tendinosus muscle to the hocks.
It seems to me that crashes on sacrum L6 are not necessarily associated with sacro-iliac blockages, but not more frequently! The lesions are frequently in extension, more in steeplechasers.
The discovery of a restriction of mobility leads to a correction osteopathic (structural or fluid) through manipulation in the absence of injury that may indicate the against.
The clinical indications :
*In musculoskeletal disorders of whatever kind : it is always important to understand why lameness occurs. Of course, sprains, fractures and other violent accidents are major causes of lameness. But why such a relationship on a horse? it is common to consider predisposing causes, a very disturbed body scheme supporting, by overloading, existence of arthritis or tendinitis. The osteopath can post to understand this sequence, the address and assist in the healing of the lesion caused, managed by all means of modern science. It is much more interesting to understand this disrupted pattern before the appearence of a serious injury. An osteopath is able to capture the subtle dysfunction before clinical visual expression, although already collected by a careful rider.
*Many diseases can benefit from osteopathic approach: recurrent colic, pulmonary disorders, urinary disorders, any visceral dysfunction worsened or initiated by a disturbance of the autonomic nervous system (ANS): Each vertebra is attached to a métamères (segment body) and through the SNA to an organ or viscera. Osteopathic diagnosis can direct or guide, if necessary, the tests and save time and money.
Major contre indications : fractures and serious infections.
- Articular fracture
- Fractured pelvis.
Relative contre indications a number of joint disease (or visceral) lesions lead to adaptive whose only treatment is sometimes effective but only provides temporarily relief.