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March 2020 - Physical Requirements for the ‘Human’ Equestrian Athlete

There is a general consensus that riders require physical fitness for effective riding technique (Alfredson et al., 1998; Douglas et al., 2012; Meyers, 2006; Meyers and Sterling, 2000; Roberts et al., 2010; Westerling, 1983). Here are a few dot points about what the literature suggests are physical requirements for horse riding.

  • Range of movement
    • Ankle dorsiflexion is an essential movement for all horse riders (Kang et al., 2010). This movement allows riders to put their heels down while riding in stirrups, which is an important safety position.
    • Hip flexion is another essential movement particularly for show jumping and racing (Nankervis et al., 2015). When a rider is limited into hip flexion the lumbar spine tends to compensate with excessive flexion.
  • Muscular
    • A lot of muscle contraction during horse riding is close to isometric (with some oscillatory movement). Isometric contraction means that the muscle is contracted but is not lengthening or shortening, which means the joint or limb does not move. Studies have shown that rider effectiveness is not about peak strength but more about the rider’s endurance and symmetry (Terada et al., 2004)
  • Functional
    • Balance, proprioception/co-ordination, squat, shock absorption, and hand grip, are all functional requirements for the human equestrian athlete (Williams & Tabor 2017; Engell et al., 2016). I could quiet easily go into a lot of detail about each of these areas, but I’ll try not too!
    • A study by Sung et al. (2015) found that single leg balance with eyes closed was significantly better in elite riders compared to amateur riders. Elite riders managed an average of 58.29 seconds compared to 27.74 seconds average for amateur riders.
    • Proprioception relates to our awareness of our position or movement without vision, while coordination relating to our ability to use different parts of the body smoothly and efficiently. Just one (of the many) areas this is vital for riders is with rider’s hand position. Hands should stay independent from the rest of the rider’s movements, improving the communication with the horse’s mouth and avoiding confusion for the horse.
    • Squat – Looking at any rider’s position, there should be ankle dorsiflexion, knee flexion, hip flexion, and a “neutral spine”. Now, if you were to do this while on the ground, you would be performing a squat. Therefore, riders should squat – I rest my case 😉
    • Shock absorption – Two simple examples 1.) shock absorption through the leg when landing from a jump, and 2.) shock absorption through the pelvis and spine to minimize vertical displacement during sitting trot.
    • Hand grip – pretty obvious! However, I have seen some amazing para-Olympians ride without hands! It’s actually not about strength. Studies looking at grip strength have not found any advantage. Interestingly, Sung et al. (2015) study found that elite riders had better grip symmetry than amateur riders.
  • Cardiovascular
    • Horse riding is predominantly aerobic but can have small bouts of anaerobic demands (Douglas 2017).
    • Heart rate zones vary greatly on the type of riding and other factors, such as, psychological and environmental. The universal agreement in the literature is that heart rate increased with gait of the horse (walk, trot, canter, jump) (Douglas et al., 2017).

Are you still with me??? 😉

Well there you have it, the physical requirements for the ‘human’ equestrian athlete. Of course, you could go into a lot more detail in each section, but I also need to see clients too!

This post is mostly a general overview of the physical demands. In clinic, I have found that each rider is unique and may have particular areas of concern. Feel Good Sports Physiotherapy offer individualized horse rider assessments and exercise programs. So why not work on rider performance and not just the horse’s performance.

Give me a call on 0400178009 or book an appointment online 🙂

Our clinic is located in Pinjarra Hills and services Bellbowrie, Kenmore, Pullenvale, Karana Downs, and surrounding areas. On horse assessments can also be arranged. 

Email hilarygooding@fgsportsphysio.com.au for full reference list 🙂

Stay safe everyone 🙂

Hilary Gooding – APA Titled Sports and Exercise Physiotherapist

Equestrians - Feel Good Sports Physiotherapy offer horse rider assessments and exercise programs to improve rider effectiveness. Clinic located in Pinjarra Hills serving Kenmore, Bellbowrie, Karana Downs, Pullenvale and surrounds. On horse assessments can also be arranged.

February 2020 - Helmet Awareness

Did you know head injuries are responsible for the majority of serious equestrian sports injuries and death (Kuhl et al 2014). According to estimates, equestrian athlete’s risk of concussion and fatal head injury are comparable to high impact sports, such as soccer, football, rugby, and auto/motorcycle racing. In fact, it seems to be socially accepted for equestrian athlete’s to underreported head injury and not seek medical attention (Kuhl et al 2014). Therefore, it is possible that equestrian sports have the highest incidence of concussion. Shockingly, “Helmet use rates remain very low despite clear evidence of risk reduction” (Zuckerman et al 2015).

Current guidelines show concussion treatment has three general phases (Ontario Neurotrauma Foundation, 2020);

Acute: Between 0-4 weeks, during this time treatment emphasis is placed on facilitating recovery. Treatment may include reassurance, education, non-pharmacological interventions, and sub-symptom threshold training.

Post-Acute: Between 4-12 weeks, hopefully symptoms are improving by this time. If not, or if symptoms are worsening a further referral to interdisciplinary clinic is warranted. Treatment is focused on gradual return to sport, work or study while managing symptoms of headache, mood, sleep impairment, memory, attention, and fatigue.

Persistent: Over 3 months, also known as post-concussion syndrome. For the athlete’s with ongoing symptoms, this treatment requires an interdisciplinary team to create an individualized management plan. Management in this phase can vary greatly, depending on the variety of interacting psychological and neuropathological contributors.

These guidelines are mostly, if not entirely, directed by the athletes symptoms.

Just to make things even more tricky, after a concussion, sensorimotor deficits can persist past expected recovery times and in the absence of symptoms. It is also evident poor dual-task and complex-gait performance may persists outside of acute timeframes post-concussion (Fino et al 2018). So maybe it’s not surprising that athletes post-concussion may be at a higher risk for lower extremity musculoskeletal injury, even after return to play guidelines (Herman et al 2017).

Many sensorimotor deficits and dual task can be re-trained with your physiotherapist. Unfortunately, not all physiotherapists may be equipped within this particularly niche and quickly evolving area. Qualified sports physiotherapists or better still neuro physiotherapists that specialise in concussion may be better equipped.

SO PLEASE, PLEASE, PLEASE WEAR YOUR HELMET!!!

  • No excuses! 
  • As a rider, it’s not just about you,
  • Think of your family, friends, and even health professionals who have to pick up the pieces because you didn’t want to wear your helmet.

CONCUSSION IS A MILD BRAIN INJURY AND IS SERIOUS

Some excuses I’ve heard so far…

  • It’s too hot to wear my helmet….then it’s probably too hot to ride your horse
  • I can do what I want at my own risk…. this is my least favourite excuse, concussion affects the whole family and healthcare system
  • I know safety dismounts…. definitely not a guarantee
  • My helmet gives me a headache…. it’s probably the wrong size or style for you
  • I don’t want hat hair…. too bad!
  • I’m an experienced rider…. horses are unpredictable
  • My helmet is ugly…..too bad
  • Helmets are expensive…. so is rehabilitation or funerals!

CONCUSSION IS A MILD TRAUMATIC BRAIN INJURY AND IS SERIOUS

If you would like to learn more about concussion or would like a full list of references, feel free to email me at hilarygooding@fgsportsphysio.com.au or come by our Pinjarra Hills clinic, servicing Pullenvale, Kenmore Bellbowrie, Karalee and surrounding suburbs.

January 2020 - Happy New Year!

The crew at Feel Good Sports Physiotherapy hope everyone has enjoyed a well-earned break! If you are returning to exercise or sport after a long period of rest (maybe plus a few Christmas puds heavier), remember to take it easy, slow down, and enjoy the process. Your highest risk of injury is within the first 6 weeks of returning to exercise. Furthermore, the best injury prevention is load management

Load management is about controlling the volumes of effort/exercise you’re doing. Its importance within injury prevention has been demonstrated multiple times. I mostly resonate with Tim Gabbett and colleagues work on Acute:Chronic Workload Ratio (ACWR). Where “Acute” refers to an athlete’s recent workload history (generally 7 days). While “Chronic” refers to an athlete’s longer-term workload history (generally 28 days). These timeframes can vary between sports. Workload values might be kilometres ran, total weights lifted, or ‘session-RPE’ (Rate of perceived exertion x time). A ratio can be calculated by dividing the acute workload by the rolling average chronic workload. This value can then predict your relative risk of injury;

ACWR <0.8 = Under Training (higher relative injury risk)

ACWR >1.5 = Danger Zone (highest relative injury risk) 

ACWR 0.8-1.3 = Optimal Loading (lowest relative injury risk)

Furthermore, Gabbett’s research has highlighted two more important points;

  1. Sudden spikes in acute workload, that have not been prepared for with chronic workload, significantly increase an athlete’s risk of injury, and
  2. Athlete’s with higher chronic workloads are more resistant to injury.

On another point, minimising your psychological stress and maintaining adequate sleep quality/quantity can also minimise your risk of injury. This may be especially important when subjected to acute spikes of workload, such as, a first match of the season, or a grudge match of dodgeball. I have personally seen athletes let themselves down in these areas only, causing them a significant injury requiring physiotherapy management.

So, if you are returning to exercise or training after a long break, just work on getting your baseline fitness and strength back (building higher chronic workload) before expecting to kick goals. Secondly, don’t forget the importance of a good sleep and minimising psychological stressors. Otherwise, we may see you in the physiotherapy clinic earlier than expected! Good luck! and remember to enjoy the process 🙂

If you would like to learn more about load management, feel free to email me at hilarygooding@fgsportsphysio.com.au or come by our physiotherapy clinic located in Pinjarra Hills, servicing Bellbowrie, Pullenvale, Karalee, Kenmore and surrounding suburbs.

December 2019 - Sports Physiotherapy Clinic Servicing Bellbowrie and surrounds

If pain or reduced function is impacting your sports performance, then sports physiotherapist Hilary Gooding is ready to help get you back into the game. Our clinic is located on Pinjarra Rd, just look out for our flag!