Zeitschrift für Ganzheitliche Tiermedizin 2009; 23(04): 128-134
DOI: 10.1055/s-0029-1240535
Manuelle Verfahren
Sonntag Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG Stuttgart

Dysfunktionen von Iliosakral- und Hüftgelenk als Ursache für Rückenprobleme beim Pferd

Behandlungserfolge durch Osteopathie – eine retrospektive StudieIliosacral, hip joint dysfunction and back-related disorders in horses
Annica Nygren Thoresen
Further Information

Publication History

Publication Date:
18 November 2009 (online)

Zusammenfassung

374 Pferde mit deutlichem Leistungsrückgang wurden ausschließlich osteopathisch behandelt. Die Mehrzahl dieser Pferde war bereits wegen Lahmheiten voruntersucht worden (92 %). Viele davon hatten intraartikuläre Behandlungen erhalten, die ohne Erfolg geblieben waren (78 %). Die häufigsten primären Befunde waren Einschränkungen in der Mobilität eines oder beider Hüftgelenke (87 %), gefolgt von Einschränkungen der Mobilität in einem oder in beiden Iliosakralgelenken (75 %). 316 der Pferde erhielten 3 oder mehr Behandlungen im Abstand von 2–4 Wochen. Bei 298 (80 %) dieser Tiere konnte ein Erfolg erreicht werden: keine Lahmheit oder Gangasymmetrie, keine Rückenschmerzen oder Steifheit im Rücken.

Summary

374 horses with poor performance were treated exclusively with osteopathic manipulations. The majority of the horses had been examined for lameness (92 %) and many had also had intra-articular medical treatment without success (78 %). The most common primary finding was restriction of mobility in one or both hip joints (87 %), followed by restriction of mobility in one or both sacroiliac joints (75 %). 316 horses received 3 or more treatments 2–4 weeks apart. 298 (80 %) of these had a positive outcome: no lameness or gait asymmetry, no back pain or back stiffness.

 
  • Literatur

  • 1 Amaro A, Amado F, Duarte JA et al Gluteus medius muscle atrophy is related to contralateral and ipsilateral hip joint osteoarthritis. Int J Sports Med 2007; 28: 1035-1039
  • 2 Biewener AA. Muscle-tendon stress and elastic energy storage during locomotion in the horse. Comp Biochem Physiol 1998; , 120B 73-87
  • 3 Brolinson P, Kozar A, Cibor G. Sacroiliac joint dysfunction in athletes. Curr Sports Med Rep 2003; 2: 47-56
  • 4 Brown NA, Kawac CE, McIlwraith CW et al Architectural properties of distal forelimb muscles in horses. Equus caballus J Morphol 2003; 258: 106-114
  • 5 Bruce V, Turek RJ. Muscle fiber variation in the gluteus medius muscle of the horse. Equine Vet J 1985; 17: 317-321
  • 6 Bruce V, Turek RJ, Schurg WA. Muscle fibre compartmentalisation in the gluteus medius muscle of the horse. Equine Vet J 1993; 25: 69-72
  • 7 Dyson S, Murray R. Pain associated with the sacroiliac joint region: a clinical study of 74 horses. Equine Vet J 2003; 35: 240-245
  • 8 Dyson S, Murray R, Branch M et al The sacroiliac joints: evaluation using nuclear scintigraphy. Part 1: The normal horse. Equine Vet J 2003; 35: 226-232
  • 9 Dyson S, Murray R, Branch M et al The sacroiliac joints: evaluation using nuclear scintigraphy. Part 2: Lame horses. Equine Vet J 2003; 35: 233-239
  • 10 Dyson S. The interrelationships between back pain and lameness: a diagnostic challenge. Proceedings of the 44th Congress of the British Equine Veterinary Association. Newmarket: Equine Vet J Ltd.; 2005: 137-138
  • 11 Engeli E, Haussler K, Erb H. Development and validation of a periarticular injection technique of the sacroiliac joint in horses. Equine Vet J 2004; 36: 324-330
  • 12 Engeli E, Yeager A, Haussler K. Use and limitations of ultrasonography in sacroiliac disease. Proceedings of 50th Annual Convention of the American Association of Equine Practitioners 2004; 50: 385-391
  • 13 Erichsen C, Eksell P, Widstrom C et al Scintigraphy of the sacroiliac joint region in asymptomatic riding horses: scintigraphic appearance and evaluation of method. Vet Radiol Ultrasound 2003; 44: 699-706
  • 14 Evrard P Biomécanique des iliums, du sacrum et de la hanche.Evrard P Osteopathie vétérinaire. Introduction à l'Osteopathie structurelle appliquée au cheval. Thy-Le-Château: Olivier; 2002: 131-137, 141-145, 173-181
  • 15 Faber M, Schamhardt H, Weeren R van et al Basic three-dimensional kinematics of the vertebral column of horses walking on a treadmill. Am J Vet Res 2000; 61: 399-406
  • 16 Faber M, Johnston C, Schamhardt H et al Basic three-dimensional kinematics of the vertebral column of horses trotting on a treadmill. Am J Vet Res 2001; 62: 757-764
  • 17 Fisher AA. Pressure algometry over normal muscles: standard values, validity and reproducibility of pressure threshold. Pain 1987; 30: 115-126
  • 18 Álvarez CB Gómez, Wennwrstrand J, Bobbert MF et al The effect of induced forelimb lameness on thoracolumbar kinematics during treadmill locomotion. Equine Vet J 2007; 36: 197-201
  • 19 Álvarez CB Gómez, Bobbert MF, Lamers L et al The effect of induced hindlimb lameness on thoracolumbar kinematics during treadmill locomotion. Equine Vet J 2008; 40: 147-152
  • 20 Álvarez CB Gómez, L'ami JJ, Moffat D et al Effect of chiropractic manipulations on the kinematics of back and limbs in horses with clinically diagnosed backproblems. Equine Vet J 2008; 40: 153-159
  • 21 Haussler KK, Stover SM, Willits NH. Pathology of the lumbosacral spine and pelvis in thoroughbred racehorses. Am J Vet Res 1999; 60: 143
  • 22 Haussler KK, Erb H. Mechanical nociceptive thresholds in the axial skeleton of horses. Equine Vet J 2006; 38: 70-75
  • 23 Hoyt DF, Wickler SJ, Biewener AA et al In vivo muscle function versus speed. I. Muscle strain in relation to length change of the muscle-tendon unit. J Exp Biol 2005; 208: 1175-1190
  • 24 Hungerford B, Gillead W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine 2003; 28: 1593-1600
  • 25 Indahl A, Kaigle A, Reikeras O et al Sacroiliac joint involvement in activation of the porcine spinal and gluteal musculature. J Spinal Disord 1999; 12: 325-330
  • 26 Jeffcott L. Radiographic appearance of equine lumbosacral and pelvic abnormalities by linear tomography. Vet Radiol 1983; 24: 201-213
  • 27 Jeffcott LB, Dalin G, Ekman S et al Sacroiliac lesions as a cause of chronic poor performance in competitive horses. Equine Vet J 1985; 17: 111
  • 28 Johnston C, Holm KR, Erichsen C et al Kinematic evaluation of the back in fully functioning riding horses. Equine Vet J 2004; 36: 495-498
  • 29 Landman MA, Blaauw JA de, Weeren PR van et al Field study of the prevalence of lameness in horses with back problems. Vet Rec 2004; 155: 165-168
  • 30 López-Rivero JL, Serrano AL, Diz AM et al Variability of muscle fibre composition and fibre size in the horse gluteus medius: an enzyme-histochemical and morphometric study. J Anat 1992; 181: 1-10
  • 31 López-Rivero JL, Serrano AL, Diz AM et al Changes in cross-sectional area and capillary supply of the muscle fibre population in equine gluteus medius muscle as a function of sampling depth. Am J Vet Res 1993; 54: 32-37
  • 32 McGuigan MP, Wilson AM. The effect of gait and digital flexor muscle activation on limb compliance in the forelimb of the horse Equus caballus. J Exp Biol 2003; 206: 1325-1336
  • 33 O'Sullivan P, Beales D, Beetham J et al Altered motor control strategies in subjects with sacroiliac joint pain during active straight-leg-raise test. Spine 2002; 27: E1-E8
  • 34 Payne RC, Hutchinson JR, Robilliard JJ et al Functional specialisation of pelvic limb anatomy in horses (Equus caballus). J Anat 2005; 206: 557-574
  • 35 Rooney JR. Sacroiliac arthrosis and “stifle lameness”. Mod Vet Pract 1977; 58: 138
  • 36 den Hoven R van, Wensing T, Breukink HJ et al Variation of fibre types in the triceps brachii, longissimus dorsi, gluteus medius and biceps femoris of horses. Am J Vet Res 1985; 46: 939-941
  • 37 Vanderweeën L, Oostendorp RA, Vaes P et al Pressure algometry in manual therapy. Man Ther 1996; 1: 258-265
  • 38 Varcoe-Cocks K, Sagar KN, Jeffcott LB et al Pressure algometry to quantify muscle pain in racehorses with suspected sacroiliac dysfunction. Equine Vet J 2006; 38: 558-562