SUMMARY
Upon examination Joe was Grade 3/5 lame in both hind legs. Observation during trotting showed a locked hip positioning the torso to the left while tracking in either direction or straight. Palpation to the lumbar/sacral region produced no rotation and a "drop" in the lumbars to pressure on the right side of the spine. The right pelvis was low and rolled forward in its position relative to the left. Observation of the dorsal spine showed a "S" shape lateral curve pushing the torso to the left. Left scapula was pushed forward and was higher in position relative to right scapula.

Four FES treatments were performed during the first 3 weeks. Three treatments were performed on the lumbar/sacral region and one treatment on T12 - L4. Joe was longed after the 4 th treatment and a protocol was set for longeing at the trot, using circles no smaller than 20 meters in diameter. Longeing had to be done with sidereins so Joe would maintain straightness during work.

At 1.5 months, Joe showed some shortness in the right hind during longeing. This was attributed to the training requiring Joe to be more symmetrical by using his right hind more. The increased use of the right hind was causing some stiffness during the warm up phase. Joe would work out of the stiffness and became symmetrical after 3-5 circles. Canter work was added in both directions.

At 2 months, Joe was considered clinically sound at both trot and canter on the longe. Joe has only limited riding so work under saddle was introduced slowly at 2.5 months.

5/10 Evaluated at University Equine Medical Center

• History of uncoordinated hind limb movement
• Hip locking and "bunny hopping" at canter
• Progressively worse since December 2006
• EPM (Western Blot) Non-Specific Serum - Weak
• Treated with Marquis with no noticeable improvement in gait
• Neurological exam
  • Overall 2.5/5
  • Hindlimbs 3/5
  • Forelimbs 2/5
• Radiographs
  • Standing cervical radiographs
    • Normal measurements of spinal canal
    • Osteoarthritis of the articular facets, C5-C6, C6-C7, clinically no hesitation in neck flexion in either direction

5/15

• EPM-IFAT Sacrofluor - Negative
• EPM-IFAT Neofluor - Negative

JOE Pre FES treatments

4/23 FES treatment

• L1 - S4 (centered over loins)

4/25 FES treatment

• L1 - S4 (centered over loins)

5/1 FES treatment

• T12 - L4 (behind withers)

5/12 FES treatment

• L1 - S4 (centered over loins)

5/31 FES treatment

• T18 - S3 (mid back to loins)
• Movement Evaluation
  • Torso locked to left, no weight in right hind
  • Longeing every other day for 20 minutes each direction, changing directions frequently, only large circles

6/6 FES treatment

• T12 - L4 (behind withers)

6/8 Movement Evaluation

• Short in right hind - swing phase
• Add canter work both directions

6/26 FES treatment

• L3 - S5
• Movement Evaluation
  • Swinging hips to right at canter

************* Clinically Sound During Longeing **************

7/5 FES treatment

• L3 - S5
• Movement Evaluation
  • Right hind stronger, improvement in length of stride

8/12 FES treatment

• L3 - S5
• Movement Evaluation
  • Almost symmetrical in flexibility to right and left during trot
  • Canter still stiff to left

4/23 Pre FES Treatments	6/26 After 7 FES Treatments
4/23 Pre FES Treatments	6/26 After 7 FES Treatments
4/23 Pre FES Treatments	6/26 After 7 FES Treatments