Copyright
Elsevier (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - November 4, 2022 Category: Veterinary Research Source Type: research

Contributors
RAMIRO E. TORIBIO, DVM, MS, PhD (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - November 4, 2022 Category: Veterinary Research Source Type: research

Contents
Kevin K. Haussler (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - November 4, 2022 Category: Veterinary Research Source Type: research

Forthcoming Issues
Equine Infectious Diseases (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - November 4, 2022 Category: Veterinary Research Source Type: research

Integrative Medicine: What Is it Good for?
It is an honor to be invited to be the guest editor for this issue of Veterinary Clinics of North America: Equine Practice that explores some of the modalities that are routinely used within integrative medicine practices. I am acutely aware that after decades of clinical use and continued scientific explorations, the topic of integrative medicine may remain controversial to a certain proportion of equine practitioners. However, a large majority of veterinarians, veterinary students, and horse owners have used many of these techniques to diagnose and manage select musculoskeletal or neurologic disorders in themselves and t...
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Kevin K. Haussler Tags: Preface Source Type: research

Integrative Medicine in Equine Practice
Integrative medicine is based on a model of being proactive and promoting health and wellness, rather than being reactive and solely focusing on episodic disease processes. Integrative medicine incorporates a holistic approach to clinical practice that encourages owner involvement with a focus on individualized care, maintained wellness, optimized performance, and disease prevention. Health promotion and preventative care require a different set of clinical skills and perspectives than is typically provided by a traditional veterinary education. Productive interprofessional collaborations are an essential component to the ...
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Kevin K. Haussler Source Type: research

Integrative Philosophy
This article serves as an introduction into integrative case management as it applies to the horse ’s mental health, pain management, and tissue healing. The integrative philosophy pertains to the combination of conventional Western medicine and complementary and alternative therapies to provide the best patient care possible using currently available evidence. The goal is to improve the health of the patient in a more holistic manner. (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Steve Adair Source Type: research

Preventative Care
Horses 15 years of age and older now account for a significant portion of the equine population. Integrative therapies can provide important diagnostic and treatment tools for managing and maintaining the health of geriatric horses. Aged horses are often afflicted with chronic disease processes that are difficult to effectively manage with conventional medicinal approaches, such as laminitis and osteoarthritis. Diagnostic and therapeutic approaches using integrative therapies, such as acupuncture and spinal manipulation, are presented in this article for managing aged horses with metabolic disorders and musculoskeletal pai...
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Edward Boldt Source Type: research

Integrative Approach to Neck Pain and Dysfunction
Equine cervical pain and dysfunction may be difficult to diagnose and effectively manage. Understanding techniques in integrative medicine often allows the practitioner to observe and palpate areas of pain and dysfunction in the horse being evaluated in ways often not taught or used in conventional medicine. There are many integrative therapies that also may be utilized to more effectively manage these horses, resulting in a more comfortable and functional horse. (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Melinda R. Story Source Type: research

Clinical Application of Myofascial Therapy in Horses
Fascia is a complex and intriguing tissue, which can take on structural properties of being loose or dense, irregular or regular. Fascia functions by connecting, separating, and uniting different structures of the body. Myofascial dysfunction can be a significant source of pain and can be categorized as densification, adhesion, and fibrosis. Digital palpation and treatment of myofascial disorders can be provided via superficial or deep techniques. Different myofascial treatment techniques include slow and fast techniques, which can be applied at different depths, angles, and rhythms. (Source: Veterinary Clinics of North Am...
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Tuulia Luomala Source Type: research

Spinal Mobilization and Manipulation in Horses
There is a growing body of evidence to support the use of spinal mobilization and manipulation techniques in equine practice. Outcome parameters reported across studies include measures of joint motion, nociception, muscle tone, and performance. Spinal examination procedures include static and dynamic assessments of the quantity and the quality of both active and passive movements. Tiered treatment approaches are recommended to stage the application of various therapies based on ease, cost, and efficacy. (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Kevin K. Haussler, Tim N. Holt Source Type: research

Clinical Application of Chinese Herbal Medicine in Equine Practice
Traditional Chinese herbal medicine has been used for the treatment of equine diseases for thousands of years. Clinical studies have found Chinese herbal medicine to be an effective treatment for a variety of equine conditions, and extensive toxicology studies performed on more than 12,000 Chinese herbs provide guidance for safe administration in the horse. Chinese herbal medicine may be used for preventive medicine as well as an integrative or complementary modality for common equine diseases and injuries. (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Emily Mangan, Huisheng Xie Source Type: research

Rehabilitation
Physiotherapeutic exercises aimed at stimulating motor control, flexibility, and stability are regularly employed in human physical therapy programs. Specifically, the use of such exercises has been shown to reduce both pain and reinjury. Pursuant to the equine patient, several core strengthening exercises and their role in activating deep epaxial musculature to subsequently improve postural motor control and alter thoracolumbar kinematics have been investigated. Both baited and passive exercises offer opportunities to facilitate stretching during dynamic phases and strengthening during static phases of exercise. Blanket r...
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Melissa R. King Source Type: research

Clinical Application of Acupuncture in Equine Practice
Acupuncture is an inexpensive nonpharmacological modality that has a variety of musculoskeletal, neurologic, and internal medicine applications for the equine practitioner. Common uses include back pain colic, laminitis, laryngeal hemiplegia, and suprascapular neuropathy. Although there is a growing body of literature supporting the use of acupuncture in equids, there remains a need for further robust, double-blinded, placebo-controlled clinical efficacy trials. (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Jennifer Repac, Emily Mangan, Huisheng Xie Source Type: research

Therapeutic Exercises for Equine Sacroiliac Joint Pain and Dysfunction
This article provides the equine practitioner with a review of sacroiliac joint pain and dysfunction and outlines the importance of providing a specific prescription for a safe and effective therapeutic exercise program. The continuum of clinical dysfunction associated with the sacroiliac region is presented with prescribed interventions. The intent is to encourage the practitioner to perform a thorough assessment of the sacroiliac joint and the adjacent soft tissues and to use sound clinical reasoning to formulate a therapeutic exercise plan. (Source: Veterinary Clinics of North America: Equine Practice)
Source: Veterinary Clinics of North America: Equine Practice - October 13, 2022 Category: Veterinary Research Authors: Lesley Goff Source Type: research