Emma Barber Veterinary Physiotherapy

Emma Barber Veterinary Physiotherapy Professional Veterinary Physiotherapy services, Remedial Groundwork, In-hand and Ridden Coaching.

Putting your horses physical and emotional wellbeing first, while empowering the horse-human relationship. Emma provides Veterinary Physiotherapy, Biomechanical and Rehabilitation training to Equine patients in the Midlands and surrounding areas. As an experienced horsewoman Emma has worked professionally in the equine industry for more than 20years, initially as a freelance groom and qualified riding instructor, going on to qualify as a McTimoney Animal Manipulation therapist and Veterinary Physiotherapist. Emma combines her academic knowledge and practical experience to provide owners with a highly tailored service. Giving owners the skills and knowledge to help their own horses stay in the best possible health. Emma is passionate about improving the well being of all horses, from happy hackers to top competition horses and all those in between.

It’s been a naked pony day today! Show me what your horses got up to on this lovely sunny day ☀️
05/03/2026

It’s been a naked pony day today!

Show me what your horses got up to on this lovely sunny day ☀️

02/03/2026

What is happening in a horse’s brain when they experience separation anxiety? Knowing the science can help us formulate a plan to help them through this coming issue.

When a horse experiences the stress of separation, the brain shifts from a state of social connection to one of high-alert survival. This process is deeply rooted in the equine amygdala, which acts as the brain's alarm system. For a horse that has undergone past trauma, this part of the brain becomes hyper-reactive. Instead of processing a friend walking away as a temporary event, the amygdala floods the body with stress hormones like cortisol and adrenaline.

This neurobiological reaction is often linked to the panic and grief system located in the subcortical regions of the brain. When horses are separated from their herd or a specific bonded partner, they don't just feel lonely; they experience a form of emotional pain that is physically taxing. The frantic pacing, whinnying, and sweating often seen in these cases are outward manifestations of a brain that is literally screaming for social safety. Because horses are prey animals, being alone is historically synonymous with being vulnerable to predators, making the drive to reunite an biological imperative.

Trauma further complicates this by impacting the hippocampus, which is responsible for memory and context. In a healthy horse, the hippocampus helps the animal remember that they were alone for ten minutes yesterday and remained safe. However, chronic stress and high levels of cortisol can impair hippocampal function. This means a traumatized horse may lose the ability to put the current separation into a safe context, causing them to react to every departure with the same intensity as the original traumatic event.

Another significant factor is the concept of allostatic load, which refers to the cumulative wear and tear on the body and brain due to chronic stress. A horse with unresolved separation trauma lives in a state of constant vigilance. Their nervous system is often stuck in a sympathetic state, also known as fight-or-flight. Over time, this makes it harder for the horse to return to a calm, parasympathetic state. This internal physiological exhaustion can lead to more extreme behavioral outbursts because the horse has very little emotional or physical resilience left to handle minor changes.

This is why the "scream it out" method with the intention of helping horses to learn coping skills about separation anxiety almost always backfires. And this proves to be another reason why we always want to look at the science behind why our horses do the things they do.

The horse may also experience a sense of hyper-attachment as a survival strategy. Once they find a companion that makes them feel safe, they may cling to that individual with an intensity that seems irrational to us. This is because that companion has become the horse's external regulator for their nervous system. Without that presence, the horse's internal systems dysregulate, leading to the high-energy, reactive behaviors that characterize severe separation anxiety.

Addressing this issue requires a focus on rewiring these neural pathways rather than simply managing the behavior. READ THAT AGAIN. By using methods that prioritize the horse's emotional comfort and choice, it is possible to teach the brain that separation does not equal danger. This involves very slowly building the horse's confidence in short increments, allowing the prefrontal cortex to remain engaged so the horse can actually learn and process new, safe experiences. Over time, this structured approach helps your horse move out of a survival mindset and into a state of relaxed engagement.

When thoughtfully done, we as humans also become a source of comfort due to the classical conditioning we have established through positive reinforcement training alongside them.

March, we have high expectations! We want some “Blue-sky thinking” (in other words we want some blue sky please!) We wan...
01/03/2026

March, we have high expectations!

We want some “Blue-sky thinking” (in other words we want some blue sky please!)

We want some “Out of the box thinking” (in other words we want to be able to turn the horses out please!)

“Moving forwards” we think it’s about time it stopped raining (pretty please!)

You have been warned, this month needs to be a “Game-changer” ! 🌷🌸🤞🏼🙏🏼

28/02/2026

Follow up video in comments!

27/02/2026

Eve learning about life on the farm!

One thing that is great about being on livery on a working farm is all the desensitisation training that Eve gets every day!

She’s meets cows, tractors, cars, flappy plastic on the silage, bits of machinery that seem to be in a new place every other day, dogs, cats and kids on trikes to name just a few 🐄🐕🚜🚗🚲🐈

She’s going to be spook proof 🤞🏼

24/02/2026

When first starting groundwork training it often looks to observers that you’re not actually doing very much!

But what it is about is the quiet, subtle conversation between you, the horse and the horses body.

Part 2 Anatomy and Function Continuing from the previous post about the nervous system, here’s some basic anatomy and fu...
23/02/2026

Part 2 Anatomy and Function

Continuing from the previous post about the nervous system, here’s some basic anatomy and function.

The nervous system is made up of two main parts: the central nervous system (CNS – brain and spinal cord) and the peripheral nervous system (PNS – all the nerves outside the CNS).

The PNS is divided into two parts: the Somatic Nervous System (SNS – sensory input and voluntary control of muscle movements) and the Autonomic Nervous System (ANS – automatic bodily functions, e.g., heart rate, digestion, and breathing).

The ANS is further divided into two systems that you have probably heard of:
• Sympathetic Nervous System – prepares the body for action or stress (“fight or flight”).
• Parasympathetic Nervous System – calms the body and supports recovery (“rest and digest”).

These two systems work together in opposition to maintain homeostasis, which means balance within the body.

We often think of them as two separate systems that do not operate at the same time, but in reality both are always active — just at different levels, depending on what is happening in the body in that moment. As part of the ANS, they are involuntary physiological processes that occur largely outside of conscious control.

We can also tend to think of the sympathetic nervous system as a bad thing because it means we are stressed. However, without it we would not be able to wake up, exercise, or respond to danger. In short, without the sympathetic system, we would not survive.

Problems do arise, however, when our (or our horses’) nervous systems become chronically out of balance and lose homeostasis. This can occur as a result of acute stress, trauma, or prolonged periods of chronic stress.

I’ll be following up on what impact this has on the body and how we can help regulate our horses (and our!) nervous systems!

Please like and share 😁

Part 1, Why do I need to know about the nervous system? Understanding the horse’s nervous system is key to understanding...
18/02/2026

Part 1, Why do I need to know about the nervous system?

Understanding the horse’s nervous system is key to understanding why horses react the way they do to different stimuli.

Behaviour is the outward expression of how the nervous system receives, processes, and responds to information. This is especially important in horses because, as prey animals, they have evolved to be highly sensitive to their environment.

So what does this have to do with veterinary physiotherapy and groundwork training?

Although veterinary physiotherapy may appear to focus mainly on muscles and joints, every treatment directly influences the nervous system.

• Muscles only contract because nerves tell them to.
• Pain is interpreted by the brain.
• Balance, posture, and coordination are governed by neural pathways.

When we combine veterinary physiotherapy with groundwork rehabilitation, the goal is not just physical change — it is to re-educate the body’s neural control.

By understanding how the nervous system works, therapists (and owners!) can work below the horse’s stress threshold allowing us to promote relaxation, enhance body awareness, and support a calmer, more regulated state.

Working with the horse in a predominantly parasympathetic state (“rest and digest”) (more on this in Part 2) is particularly beneficial. This is the state in which the nervous system is regulated, receptive, and most capable of learning and healing.

By supporting the nervous system — not just the muscles and joints — we create more lasting change. When the brain and body work together, the horse can move better, feel safer, and engage more confidently in what ever is requested of them.

Next time, nervous system anatomy basics!

Like what you’ve read so far? Please like and share!

Client Katie Smart is doing an amazing job alongside Victoria Privett (Endurance with Darcy) to promote education to dog...
18/02/2026

Client Katie Smart is doing an amazing job alongside Victoria Privett (Endurance with Darcy) to promote education to dog owners about the dangers of off leash dogs and the importance of control around livestock.

Katie knows first hand the devastation of losing her beloved horse, Sir George, to an uncontrolled off lead dog, and works tirelessly to promote education so this doesn’t happen to anyone else in the future.

This, this, this!!! We have to address the whole body! We can’t expect a horse with a weak thoracic sling system to lift...
17/02/2026

This, this, this!!!

We have to address the whole body! We can’t expect a horse with a weak thoracic sling system to lift only from being pushed forwards from the hind quarters.

Yes the hind quarter plays a vital role, but without the forehands ability to lift, and catch the impulsion, the whole system fails.

The whole body needs to work in unison.

Rethinking Collection: Forehand Organization in the Research of Hilary Clayton

Modern equine biomechanics research increasingly supports what massage therapists, bodyworkers, and skilled trainers have recognized for decades: true collection develops through the horse’s ability to lift, stabilize, and suspend the trunk between the forelimbs.

Seventeen years of kinematic and kinetic investigation led by biomechanics veterinarian Hilary Clayton, BVMS, PhD, DACVSMR, MRCVS, at the McPhail Centre for Equine Performance at Michigan State University have produced some of the clearest objective descriptions of how horses organize their bodies in collection.

Clayton’s findings consistently demonstrate that collection arises from the coordination of the entire horse.

Force-plate and motion analyses show that:
• the hind limbs increase flexion
• they step further beneath the body
• and these adjustments contribute to a broader redistribution of forces

Collection, therefore, is a whole-body event.

The hindquarters provide propulsion and articulation while supporting elevation of the forehand through coordinated interaction with the trunk and front end.

Weight Distribution Explains Why Forehand Organization Is Essential

The average horse carries approximately 58 percent of its body weight on the forehand and 42 percent on the hindquarters. This inherent distribution clarifies why the development of forehand organization is central to achieving an uphill balance.

Clayton’s research demonstrated that the horse learns to direct force upward through the forelimbs, enabling elevation of the trunk. In this arrangement, the hind legs support the body and generate propulsion while the thorax remains lifted.

In simple terms:
• the hind legs push
• the forehand lifts
• the trunk is suspended between them

The Trunk and Chest Are the Keys to Elevation

Clayton’s work showed that during true collection:
• the ribcage and sternum rise between the forelimbs
• the center of mass elevates as part of this action

This occurs through active engagement of the thoracic sling, which raises the body higher between the limbs.

The Thoracic Sling as a Primary Balance System

Unlike humans, horses lack a clavicle. No bony strut joins the forelimbs to the trunk. Instead, the thorax is suspended in a muscular and fascial apparatus commonly referred to as the thoracic sling.

Clayton’s studies confirmed the importance of this system, including:
• the serratus ventralis
• the pectoral musculature
• associated stabilizing tissues

Together, these structures:
• support and elevate the trunk between the scapulae
• demonstrate high activity during collection
• underpin self-carriage

Functional integrity of the sling is fundamental to the development of collection.

This interpretation aligns closely with osteopathic and myofascial models that describe the horse as a suspended, integrated structure.

Forelimbs as Active Participants

Clayton’s work further illustrates that the forelimbs continue to bear substantial load in collection. What changes is the strategy by which that load is organized.

With effective sling function:
• shock absorption improves
• limb timing becomes more elastic
• scapular mobility increases

These adaptations help explain why collection built around trunk elevation is frequently associated with enhanced durability.

Sling Asymmetry and Crookedness

Crookedness may arise from multiple contributors, among them asymmetry within the thoracic sling, particularly in developing horses.

The serratus ventralis spreads from the scapula onto the ribs and toward the base of the neck. Differences in function between sides can influence:
• the height of the withers
• shoulder path
• trunk position

Straightness therefore develops through attention to limb alignment together with symmetrical sling activity, allowing the chest to remain centered and buoyant.

The Role of the Pectorals in Forelimb Control

Clayton also observed that the pectoral muscles increase in strength and cross-sectional area as the chest organizes upward, especially during:
• smaller circles
• accurate turns
• lateral movements

These muscles stabilize the limbs in stance and guide crossing in swing. Their development reflects a posture that is carried rather than held.

Collection as a Coordination Challenge

According to Clayton’s data, collection is supported by:
• neuromuscular coordination
• precise interlimb timing
• trunk stability
• elastic storage and return of energy

Structure and function operate together, and balance emerges from the orchestration of the entire system.

Rider Education Matters

Because thoracic elevation is not always visually dramatic, Clayton emphasized the importance of informed riding.

Her research indicates that:
• thoughtful cues assist the muscles of balance
• rider posture influences trunk mechanics
• stability in the rider encourages stability in the horse

As understanding improves, riders cultivate lift, elasticity, and coordination. Collection then appears quieter, lighter, and more sustainable.

Where Massage and Fascial Therapy Fit

Understanding that collection depends on tissue elasticity and precise neuromuscular timing naturally raises an important question: how can we prepare the system to perform these tasks more easily?

The thoracic sling represents a continuous myofascial network linking limb, trunk, neck, and sternum. Within this network, fascia contributes to force transmission, elastic recoil, and sensory communication.

For effective elevation, tissues must be able to:
• glide
• adapt to changing load
• transmit force efficiently
• deliver accurate proprioceptive information

When these qualities diminish, coordination becomes more difficult.

Massage and myofascial therapy support the conditions that allow coordination to emerge.

By encouraging hydration, sliding surfaces, circulation, and mechanoreceptor responsiveness, bodywork may help the horse access:
• greater trunk freedom
• improved shock absorption
• elastic joint behavior
• refined body awareness

Manual therapy prepares the conditions that allow collection to develop.

The Big Takeaway

Clayton’s research positions collection as the lifting, stabilization, and suspension of the trunk through the thoracic sling.

These findings provide objective biomechanical context for observations long shared by osteopaths, bodyworkers, and accomplished trainers:
• balance precedes power
• elevation precedes engagement
• posture reflects neurological organization expressed through tissue

Together, they continue to shape modern approaches to sustainable performance.

https://koperequine.com/the-bow-the-string-and-the-corset-how-equine-ligaments-and-myofascial-systems-support-movement/

16/02/2026

The Frog Test: A Case Study Every Horse Owner Should See:-

When evaluating a hoof, most eyes go straight to the wall.

Cracks. Chips. Flares. Growth rings.

But what if the real story is hiding in the center?

This case study proves one powerful truth: The frog never lies.

The First Impression:-

At first glance, this hoof didn’t scream emergency. The wall had some distortion. The heels looked slightly contracted. Nothing dramatic enough to cause panic.

But when we looked at the frog — everything changed.

The frog appeared narrow, elongated, and deeply cleft through the central sulcus. Instead of being wide and ground-engaging, it was recessed and tight. The central sulcus was deep enough to trap debris and moisture.

That was our first red flag.

Why the Frog Matters:-

The frog is not just a “soft triangle.” It plays a critical role in:

1) Shock absorption
2) Blood circulation within the hoof
3) Heel expansion
4) Load distribution
5) Proprioception (the horse’s sense of ground)

A healthy frog should be:

1.Wide and full
2.Slightly callused
3.Sharing load with the heels
4.Free of deep central cracks

When the frog becomes narrow and deeply split, it often indicates:

1) Contracted heels
2) Caudal hoof weakness
3) Lack of frog engagement
4) Possible thrush in the central sulcus
5) Chronic imbalance

And that’s exactly what this hoof was showing.

The Hidden Problem

Here’s where it gets interesting.

The wall distortion was actually a symptom — not the root cause.

The deep central sulcus suggested long-term heel contraction. When heels contract, the frog loses proper ground contact. When frog engagement decreases, circulation and digital cushion stimulation decline.

Over time, this can lead to:

1.Poor shock absorption
2.Increased strain on the deep digital flexor tendon
3.Compensatory loading at the toe
4.Eventual lameness risk

The frog was telling us this hoof wasn’t functioning efficiently from the back half.

And most owners would have missed it.

The Solution Strategy:-

Instead of just trimming the wall and making it “look neat,” the approach focused on restoring function:

1)Address heel balance carefully -not aggressively lowering them.
2) Open and clean the central sulcus to eliminate bacterial environment.
3) Encourage frog engagement with proper trim mechanics.
4) Improve environmental management (dry footing, hygiene).
5) Monitor over multiple cycles — because heel rehab takes time.

The goal was not cosmetic correction.

The goal was functional restoration.

Within trim cycles, the frog began widening. The central sulcus became shallower. Heel expansion improved. The hoof started loading more evenly.

That’s the power of reading the frog correctly.

The Takeaway for Horse Owners:-

If you only look at the hoof wall, you’re seeing the surface.

If you look at the frog, you’re seeing the truth.

Next time you pick up your horse’s foot, ask yourself:

1.Is the frog wide and healthy?
2.Is the central sulcus shallow or deep?
3.Are the heels supporting it properly?

Because small frog changes today can prevent major lameness tomorrow.

👉 Want to learn how to read your horse’s frog like a professional?

Follow for more real case studies that break down hoof science in simple, practical terms and help you protect your horse before problems become expensive emergencies.

By my reckoning, we are around 2/3rds of the way through mud season! The end is near, either by drowning in a swap, or b...
15/02/2026

By my reckoning, we are around 2/3rds of the way through mud season!

The end is near, either by drowning in a swap, or by the arrival of spring!

I’m hoping for the spring option 🌷

Address

Derby
DE243

Opening Hours

Monday 8am - 6pm
Tuesday 8am - 6pm
Wednesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 6pm
Saturday 8am - 1pm

Telephone

+447815935599

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Who is Emma?

Emma Barber - MSc, PgDip, BSc (Hons), EEBW, BHSAI

Emma is a highly qualified and fully insured Veterinary Physiotherapist working in Derbyshire, Nottinghamshire, Leicestershire, Staffordshire and Warwickshire boarders.

A Veterinary Physiotherapist and McTimoney Animal Practitioner, Emma offers a combination of manual therapies, electrotherapies and remedial exercise to address musculoskeletal issues in your horse, giving the best chance for your horse to achieve and maintain peak health and well being.

Having worked in the equestrian industry for over 20 years, Emma is uniquely qualified to offer a vast experience of horses and equine management to back up her academic training and knowledge. Not only trained to the level of BHSAI, she also trained with Kelly Marks and the Intelligent Horsemanship Association utilising the methods of Monty Roberts to increase her understanding of horse psychology and behaviour, allowing Emma to work skilfully with even the most nervous or sensitive horse.