Patient Pathway for Horses

Example of a patient pathway:

• The owner completes a detailed questionnaire about the horse, including medical history (anamnesis), current use, and any previous illnesses.
• A gait analysis is performed where the horse is observed in motion at walk, trot, and canter.
• The owner receives a brief theoretical introduction to what is examined and treated from a neurological perspective.
• The horse is then assessed neurologically and biomechanically.
• The horse is treated according to the functional diagnosis.
• The owner is thoroughly informed about the neurological and biomechanical findings, and why neuro-rehabilitation can make a significant difference.
• The owner is instructed in exercises and how neuro-rehabilitation should be carried out until the next treatment.

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Intervals between treatments

• Between treatments 1 and 2: 8–10 days.
• After that: approximately 2–3 weeks.
• Then: 4–6 weeks, and from there it becomes highly individual.
  Some patients resolve quickly because they have not been compensating for long. Others are seen at 2–4-month intervals for about a year; some every six months, others once a year, etc. Everything depends on:
• How old was the horse when the issue arose?
• How long has it been compensating?
• How much stress has it been under due to the problem?
• What performance level is required?
• Are other factors optimal (farrier, saddle, rider, etc.)?
• Does the horse have other serious diagnoses to contend with?
• Finally, is the owner able to carry out the neuro-rehabilitation phase?

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From one treatment to the next, we determine what the horse may do and at what level, with the aim that after a period it can return to normal riding again.