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Evaluation of the horse's conformation, hoof balance, and shoeing is often a first step in treatment of lameness. A correct, balanced trim is a key component of lameness treatment and prevention. Some cases of lameness, such as angular limb deformities and navicular syndrome, are best managed with special trimming and shoeing.
A sway back positions the rider behind the center of gravity, interfering with balance. * The horse is unable to elevate for true collection, which can affect any sport but most notably dressage, jumping, and stock work. The back may get sore from lack of support and the rider's weight.
A normal horse with have a cranial phase and a caudal phase of equal length: the horse will bring the leg as far forward as it does backward. In a lame horse, the cranial phase will be shorter when compared to the caudal phase, so it appears to spend more time with the leg backward than it does forward.
The prognosis for a horse with navicular syndrome is guarded. Many times the horse does not return to its former level of competition. Others are retired. Eventually all horses with the syndrome will need to lessen the strenuousness of their work, but with proper management, a horse with navicular syndrome can remain useful for some time.
If a horse is highly collected, the center of balance will be farther back, regardless of gait, than if the horse is in an extended frame. For movements such as a rein back or the levade , the center of balance of horse and rider may be further back than at a standstill, due to the shift of weight and balance to the hindquarters of the horse
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