Everything Horse magazine November 2015 | Page 39

Thoroughbreds appear to have more cases of kissing spines way of going/performance. Changes in performance may include frequently stopping at jumps when previously rarely stopped, difficulty with lateral work, hill work or transitions when previously had no problems, very tense, blocked through the reins, hollow, poor gait quality (decreased stride length, lack of hind end impulsion in particular), not able to work on the bit and engage the core, bucking and other such behaviour when previously had no issues. Some of the symptoms are not directly related to the spinal issue itself but due to the compensatory problems it creates. For example, the pain from the KS causes the horse to use itself differently to relieve it, which in turn changes the way the horse moves and uses its limbs. This causes muscle and joint dysfunction in these limbs (leading to lameness), which then changes the way the hoof hits ground causing it to wear differently, which then transcends back up the leg, again affecting the joints and soft tissue and causing further lameness and the horse to have to alter its back posture even more. This ends up in a viscous cycle of compensatory mechanisms making it very difficult to decipher what exactly is causing the lameness; limb/ hoof dysfunction or spinal dysfunction. A full body thermal image can be very useful in these situations to give an idea of where to start investigating first. Causes and Which Horses are at Risk So what causes kissing spines and which horses are most at risk? Conformation plays a big part in the likelihood of a horse developing KS. Even through years of evolution, the horses back is still not 'designed' to carry a person, so just the fact that we sit on them, especially for certain conformations, will be enough to bring the overcrowded processes to touch. However, breed, job and anything causing other spinal issues such as ill fitting saddles, poor riding, lack of correct training all come into play when looking at the chances of a horse developing KS. BREED – Thoroughbreds appear to have more cases of kissing spines than any other breed, but his could be as they have higher earning potential more investigations are done into poor performance than other breeds, therefore more are found. Or it maybe certain conformational traits of the TB make the development of KS more likely. It has also been found to be common in Quarter horses and Warmbloods. JOB – race horses and dressage horses appear to have greater numbers of KS diagnosed. But again we have to ask is this simply because these equestrian sports have high earning potential, so poor performance is more likely to be investigated and therefore KS found. Or is there something associated with the actual movements the spine and limbs go through performing these sports that are a risk factor for 'causing' KS. One thought for dressage horses is that the November 2015 • Issue 26 • Everything Horse Magazine riders are more in tune with the feel, so when the slightest thing is not quite right they begin investigations into poor performance. It is estimated that up to 70% of all horses suffer from some degree of KS, but further research is needed. ILL FITTING TACK AND OTHER BACK / MUSCLE PROBLEMS – in the muscles, not just in the back but in any muscle that has its origin or insertion on a vertebra via attachment to a tendon, if there is any dysfunction, such as tension, soreness, pain, injury, spasm, etc. this can pull the vertebra out of alignment, pull the DSP's closer together, and in some places cause them to touch. As ill fitting tack, particularly saddles, can contribute to problems in these muscles, it can indirectly cause KS, or directly cause it by a very low saddle rubbing on the DSP's activating bone growth and fusion of the DSP's. POOR RIDING/LACK OF CORRECT TRAINING – a major cause of KS is due to a weakness in the multifidus muscular system of the horse otherwise known as 'the core'. If you imaging the horses fore and hind legs as two blocks of wood and we place a thin plank of wood to connect the two; this being the horses back. Gravity takes a hold and wants to drag the centre of it down to earth so after not very long the plank will begin to look bowed. Eventually, with out reinforcement from underneath the plank will sag in the middle more 39