An exploration of visual gait assessment of horses by physiotherapists

Abstract

Beyond lameness grades, the qualitative features assessed by physiotherapists during observation of equine gait assessment are unknown and the methods used during observation of the gait assessment process have only been documented in textbooks. A qualitative methodology was used with eight members of the Association of Chartered Physiotherapists in Animal Therapy being interviewed using a semi-structured approach. The interviews consisted of the assessment of six equine gait videos (part A) and a series of exploratory questions (part B). The data were transcribed, with part A data catalogued and part B data analysed using thematic analysis. Features identified during gait assessment were catalogued according to each gait and viewing aspect, with consistent key features tabulated. Six themes were identified as representative of the gait assessment process used by participants, relating to the purpose of gait assessment, initial and routine methods used, progression thereof and communication and collaboration with the equine interdisciplinary team. These data highlight various factors that influence and limit the gait assessment process when used as an outcome measure. Visual assessment of equine gait is standard practice and was found to be individualized and therefore specific to the horse and owner, with physiotherapists using evidence informed practice. Physiotherapists aim to continually work within scope of practice and communicate gait assessment findings with veterinarians and interdisciplinary team members. In identifying key features assessed and methods used by physiotherapists during equine gait assessment, this study's findings can inform practice and education, and set the initial exploratory basis for potential future quantitative research in this area.