|
by Stefanie Reinhold
Note: This article is written from the perspective of an equine bodyworker. Equine bodywork is a wellness modality targeted to enhance performance in healthy horses. It is not meant to treat any illnesses. (Also read "Locking Stifles - How To Help Your Horse Overcome a Locking Stifle")
Why am I writing about Upward Fixation of the Patella or "Locking Stifle" as a non-vet?
As an equine bodyworker, I must know where my realm ends and the realm of the vet begins. Usually, I am called to help enhance performance in the healthy horse. Occasionaly, however, horses have conditions that were previously overlooked and are then interpreted as performance or behavior issues. Here, I need to be able to advise the client to seek veterinary consultation. Therefore I aim to understand certain conditions that I encounter frequently and that are beyond the scope of an equine bodyworker and non-vet. Upward Fixation of the Patella is one of the issues that I encounter frequently, that are often misinterpreted and require proper veterinary diagnosis in order to develop an action plan for remedy.
The following case-studies illustrate symptoms, diagnosis and remediation or treatment and provide some information on the general outlook:
Case Study I: "Yogi"
| Date |
Event |
| June 09 |
Yogi is surrendered to St Francis Horse Rescue, described as well trained in Western Pleasure and 'cinchy'. Upon evaluation it is found, that Yogi bucks violently and runs backwards in panic for various reasons. I receive Yogi to investigate his issues and possibly rehab him. When he gets off the trailer, he displays a 'crooked' facial expression, a crooked muzzle and mostly tight lips, a flared left nostril and squinted eyes. Even in the pasture, he moves with his head down, as if 'pushing peanuts'.
The horse is extremely withdrawn and fearful, reacts volatile to slightest perceived threat. |
 |
| June 09 |
Dr. Ketover of Irongate Equine examines Yogi thoroughly, he receives immunizations, teeth float, lameness exam, and exam of movement. Yogi shows a violent reaction when a bailing twine is gently tugged around his girth line and moves 'disconnected', head down and with bouncing hind end. Upon observing Yogi's movement in the round pen Dr. Ketover observes Upward Fixation of the Patella and recommends exercise as a first step.
A call to the former owner reveals that Yogi's condition had not been diagnosed before. Instead his bucking issues had been treated as a training issue, escalating from hopping into violent bucking. It is likely, that his hopping to unlock his stifle was misinterpreted as bucking, for which he was punished. A vicious circle of locking, punishment and bucking escalated. This resulted in frustration on the owner's side and deep seated trauma in the horse. |
 |
 |
| Jul/Aug 09 |
Yogi is exercized on the lunge line, over cavaletti and in the round pen to encourage a better self carriage and build muscle. He receives regular Masterson Method bodywork and work to build trust. He also receives a chiropractic treatment by Dr. Mark McCann.
His behavioral training involves learning how to trust pressure around the girth line and trusting the saddle again (lunging with two ropes, feeding while wearing a bareback pad, then reintroducing saddle and ignoring bucking, working through the expectation of punishment, using non-violent/non punishing techniques) |
 |
 |
| Sept/Oct 09 |
Yogi has a flip-over accident and is on stall rest. I adopt Yogi. |
| Nov 09 |
Light exercise resumes. |
| Jan 10 |
Move to a new barn with very hilly pastures. Yogi receives bodywork and participates in a 'Despooking Clinic' by the Madison Mounted Police, where he does exceptionally well with a handler, who is relatively new to horses! What a change... |
 |
| March 10 |
Lunging on a hill resumes, bodywork, ground-driving on trails, where he is fearless and calm. Yogi is moving freely, can now use his neck to balance himself and floats in the trot. |
| May 10 |
Out to pasture, naturally exercizing himself on very hilly terrain |
| April 10 |
Dr. Ketover examines Yogi and finds him to be in good health and condition. Upward Fixation of the Patella or Locking Stifle can no longer be observed during movement. |
| May 10-Mar 11 |
Yogi continues to be exercised on hills during summer/fall, receives Masterson Method bodywork and has turned into a trusting and happy horse without observable physical problems. He is desensitized to cracking whips as a prep for shooting training. (Not sure who'd be shooting around him, but you never know ;-).
YOGI IS LOOKING FOR A JOB THAT DOES NOT INVOLVE RIDING OR PACKING (therapy, equine assisted learning, equine assisted leadership training, driving...) If you need a horse that will fit into any herd, is pleasant to be around, a real people-lover, respectful and gentle when taking treats, fearless in new environments and kind in every way and can provide a meaningful job for this wonderful horse, please email me |
 |
Case Study II: "T."
| Date |
Event |
| 2005 |
Owner purchases Arabian gelding with excellent Egyptian breeding without being able to canter the horse during evaluation due to rain/mud at out-of-state location. Soon after purchase it is discovered that the horse does not want to canter. Due to the immediate connection with the horse and horse's lovely personality, the owner decides to investigate. |
| 2005-2011 |
T.'s owner invests considerable time and resources into discovering reasons for T.'s consistent refusal to canter and odd 'hopping'. While valuable observations are made and some treatments result in temporary relief, the problem reocurrs and the root cause is not found.
--> "T" in 2009, very 'sickel-hocked' and 'upside-down' appearance |
 |
| Feb 2011 |
I take T. on as a Masterson Method case study, knowing that extensive veterinary care has been provided and looking at it from the bodyworker's perspective. T. receives 2 bodywork sessions. He displays restrictions typical for negative self carriage, a stiff rump and very nimble legs, along with some insecurity around placing legs and poor proprioception. After watching T. move and canter, I suggest to obtain a second veterinary opinion to explore the possibility of Upward Fixation of the Patella or Locking Stifle. |
| March 2011 |
Dr. Ketover of Irongate Equine examins T. thoroughly and diagnoses Upward Fixation of the Patella or Locking Stifle. Dr. Ketover explains different treatment options with good outlook and suggests targeted and thorough gymnasticizing and exercise/fitness training for T. in order to strengthen his quadruceps and general muscle tone as a first non-invasive step. |
| March 2011 |
T. continues to receive bodywork first once weekly, then every other week to support his postural re-education and fitness training. I assist the owner in developing a gymnasticizing plan for T. |
| April 2011 |
T. receives bi-weekly bodywork and is exercizing on the longe line, first goal: relaxation in preparation for conditioning. He is relearning to carry himself more efficiently and makes good progress. |
 |
| May 2011 |
Owner has been diligently exercising T. from the ground 3 x per week per instructions. The horse has filled out, his topline looks healthier, he looks less 'sickle hocked' and most restrictions in his body have resolved. His neck carriage is lower and he no longer resembles an 'upside down' horse when moving. His neck musculature is changing, strengthening upper neck musculature. He now volunteers a relaxed canter, but his stifle still locks on occasion. Gymnasticizing in walk and trot only.
--> T. in May 2011, less of a 'sickel-hocked' appearance, carrying neck more efficiently, filling out behind shoulders and in topline |
 |
More Articles:
Benefits of Equine Massage and Body Work
How to warm up your horse before exercise and competition
How to exercise your horse for strength and flexibility
Pain or trauma related horse behavior issues
Horse grooming 101
Horse grooming guidelines
*) Please note: Equine massage and bodywork is a non-invasive, gentle wellness modality aimed at enhancing performance in the healthy horse and never replaces proper veterinary care. If in doubt regarding the physical health of your horse please consult your veterinarian.
|