Medical management of human athletes is a billion dollar a year industry and there are some aspects that are similar to the
equine industry. For instance, the NFL combine is really no different than the pre-purchase scenario that we deal with commonly.
In the human field there is full time management of diagnosis, treatment, and most importantly strength maintenance of the
individual. This scenario can also be used in the equine athlete with the particular goals of: 1. Understanding the use of
the horse which can influence its longevity, common areas of damage and the urgency to reach a certain point in its career;
2. Identify the weaknesses and potential weaknesses of each individual, which can be done in a pre-purchase examination; 3.
Understand the goals of the trainer, owner and handler; and 4. Monitor the individual both during the season and off season.
These goals need to be taken into consideration when managing the equine athlete.
Long term goals in each discipline vary significantly. For instance, in sport horses there is generally a need for long term
use and the animals are often trained and used slowly. Trainers and owners will tend to back off if problems develop and performance
for breeding is usually not the goal. However in western performance horse's, futurity and derby schedules often dictate aggressive
training and showing schedules with a limited long term career and with the focus on performance for breeding future. With
this in mind the definition of soundness can often be interpreted differently. Soundness is often defined as a lack of movement
dysfunction. However with most athletes including humans some will consider soundness to be movement that does not influence
performance with the understanding that it is unlikely to make any athlete completely devoid of movement dysfunction. Therefore
most would consider the goal of management for these athletes to be functionally sound. In order to achieve this there must
be reduction in primary and compensatory pain and maintenance of fitness.
The difficulty in managing the equine athlete is determined by several factors. First is the experience of the horse, the
trainer and the rider. Good horseman can often pick up problems early, but on the downside they can also compensate for problems
often making it difficult to find a subtle issue. An example of this is in the dressage field where riders often subtly compensate
for potential problems in the horse. The experience of the horse also dictates ease of management as some of the better performers
need less aggressive training and consequently can work mostly to maintain condition. The experience is also influenced by
the veterinarian. Those that are most effective have a thorough knowledge of the field of competition as various horses commonly
undergo various disease processes. For instance racehorses undergo a completely different type of joint disease process than
western performance horses, or sport horses. Consequently the ability to detect this early so as to effectively treat it can
be influenced. The ability of the horse to stay fit also influences ease of management. Unfortunately this can be influenced
by geography and climate as those horses in warmer climates can typically be exercised more during the winter months. In addition
the geographic area can often dictate the show schedule which can also influence how a horse is brought back to training.
The show schedule can also influence a horse's condition. During the show season there is often limited turn out and consequently
limited conditioning work due to the constraints of the show. Unfortunately the human schedule also influences conditioning
based on how often the horse can be ridden. It is my opinion that complete rest can be detrimental especially to some older
horses and that even compete turn out is often not enough. The "heart" of the horse can also influence ease of management.
That is defined here as the ability to train or perform in the face of physical and psychological adversity and pain. This
is a double edged sword since a horse that is considered to have a lot of heart can train through minor aches and pains but
may delay the onset of noticeable lameness. In summary all these factors must be taken into consideration when managing an