Prick test: Could the ancient Chinese therapy of acupuncture be a trainer’s secret weapon?

Prick test: Could an ancient Chinese therapy be a trainer’s secret weapon? At first glance, the Curragh (Ire) based trainer Michael Grassick Jr. may appear to have little in common with NBA legend Shaquille O’Neal. Yet both have embraced a practice …

By Alysen Miller

At first glance, the Curragh (Ire) based trainer Michael Grassick Jr. may appear to have little in common with NBA legend Shaquille O’Neal. Yet both have embraced a practice derived from traditional Chinese medicine in their quests to leave no margin left ungained when it comes to minimising pain and maximising performance.

Acupuncture may be a controversial subject for some within the equestrian community, but its potential to treat illness and injury and alleviate pain in horses is increasingly being recognised.

“My father used to use it a lot when he was training, so when I took over [in 2013], I continued it,” says Grassick Jr. “I found it very successful. If the lads feel something isn’t quite right, like they’re leaning a little bit or hanging a little bit, then you call the physio. He will pinpoint the area, and we’ll work on that area and usually you wouldn’t need him to look at it again.”

“It’s something I was interested to witness—seeing them, how they respond,” he continues. “You’d see they’d be a lot freer in themselves.”

Although acupuncture has been part of the programme for the equine inhabitants of his family Fenpark Stables for a number of years, it was a brush with Bell’s Palsy that finally convinced Grassick of the benefits of the technique. “One side of my face went numb on me about five or six years ago. They put me on drugs, but the only thing that really got it back 100% was acupuncture.”

So what exactly is acupuncture, and how does it work? Here comes the science bit—concentrate. Acupuncture works by stimulating the sensory nerves under the skin and muscles. Tiny intradermal needles penetrate the skin just enough to stimulate collagen and elastin production—two of the main structural proteins in the extracellular matrix. During this process, the acupuncturist may feel the needle being gripped by the surrounding tissue —a phenomenon known as ‘needle grasp’. A 2001 study by the University of Vermont College of Medicine further revealed that gently manipulating the needles back and forth causes connective tissues to wind around the needle—think spaghetti twirling around a fork—and sends a signal to the fibroblasts (a type of cell that produces the structural framework for such tissues) to spread and flatten, promoting wound healing.

But wait, there’s more. Under MRI, it has been shown that acupuncture causes the body to produce pain-relieving endorphins. Furthermore, it is believed that acupuncture stimulates the central nervous system. This, in turn, releases chemicals into the muscles, spinal cord and brain. These biochemical changes may further help the body’s healing process.

So what’s not to like? According to the British-based acupuncturist, Dietrich Graf von Schweinitz, the scientific benefits of acupuncture have been lost in translation. ‘The trouble with acupuncture is that it has a messy historical baggage’, explains Graf von Schweinitz, ‘that led the Western world to believe that this was metaphysical, spiritual, “barefoot doctor’ territory”’. ‘Qi’ (pronounced “chee”) may be best known as the last refuge of a scoundrel in Scrabble, but in traditional Chinese medicine, the concept of qi refers to the vital life force of any living being. Traditional Chinese medicine practitioners believe the human body has more than 2,000 acupuncture points connected by pathways, or meridians. These pathways create an energy flow—qi—through the body which is responsible for overall health. Disruption of this energy flow can, they believe, cause disease. Applying acupuncture to certain points is thought to improve the flow of qi, thereby improving health. Although in this sense, qi is a pseudoscientific, unverified concept; this linguistic quirk has meant that medical science has been slow to embrace the very real physiological benefits of acupuncture. ‘The ability of neuroscience to unravel more and more of acupuncture physiology is becoming quite staggering’, says Graf von Schweinitz.

A softly spoken American, full of German genes whose accent betrays only the slightest hint of a southern drawl, Graf von Schweinitz was an equine vet for 30 years until he sold his practice to focus on animal acupuncture. ‘I grew up on a farm in Georgia. My parents both came from rural farming backgrounds. So I was around horses all my life. I actually had my first taste of acupuncture at vet school. In my final year there was an acupuncture study going on in the clinics on horses with chronic laminitis or chronic navicular’. Like Grassick, he has personally experienced the benefits of the technique. ‘In my first job as a vet, I got kicked and was treated by a client who was an acupressurist [a close cousin of acupuncture that involves pressing the fingers into key points around the body to stimulate pain relief and muscle relaxation]. The result in terms of pain control was so bizarre and staggering I just thought, “I’ve got to know more about this”, and started my mission’.

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Can nutrition influence EIPH? -Catherine Rudenko investigates alternative and supportive therapies as trainers seek to find other means of reducing the risk or severity of EIPH

Can nutrition influence EIPH?EIPH (exercise-induced pulmonary haemorrhage) was first identified in racehorses in the 16th century. Since this time, the focus has been on mitigating the haemorrhage. Management of EIPH largely revolves around the use …

By Catherine Rudenko

EIPH (exercise-induced pulmonary haemorrhage) was first identified in racehorses in the 16th century. Since this time, the focus has been on mitigating the haemorrhage. Management of EIPH largely revolves around the use of furosemide, dependent of jurisdiction, may or may not be used on the day of racing. Alternative and supportive therapies are becoming increasingly popular as trainers seek to find other means of reducing the risk or severity of EIPH.

Nutrition and plant-based approaches are part of an alternative management program. Whilst research is somewhat limited, the studies available are promising, and no doubt more work will be done as using furosemide becomes more restricted. There are several directions in which nutrition can influence risk for EIPH, including inflammatory response, blood coagulation, cell membrane structure, hypotension and reducing known lung irritants.

Exercise- induced injury may exacerbate the severity of EIPH as a result of the delayed sealing of damaged micro vessels.

Exercise- induced injury may exacerbate the severity of EIPH as a result of the delayed sealing of damaged micro vessels.

The various approaches are all supportive, working on altering an element of risk associated with the condition. Some are more direct than others, focusing on the effect on red blood cells, whilst others work on some of the broader lung health issues such as reducing mucus or environmental irritants. 

None are competitive with each other, and there may be an advantage to a ‘cocktail’ approach where more than one mode of action is employed. This is a common practice with herbal-based supplements where the interactive effects between herbs are known to improve efficacy. 

Cell membrane

The red blood cell membrane—the semipermeable layer surrounding the cell—is made up of lipids and proteins. The makeup of this membrane, particularly the lipid fraction, appears to be modifiable in response to dietary fatty acids. Researchers feeding 50mls of fish oil found a significant increase in the percentage of omega-3’s in the cell membrane.

Essential fatty acids (EFA’s), omega 3 and omega 6, are important cell membrane components and determine cellular membrane fluidity. Fluidity of a cell membrane is important, particularly when pressure increases, as a cell membrane lacking in fluidity is more likely to break. A cell that can deform, effectively changing rather than breaking, has an advantage and is linked with improved exercise performance in human studies. Inclusion of fish oil in the diet increases the ability of red blood cells to deform.

Kansas State University investigated the effect of omega supplementation on 10 thoroughbreds over a five-month period. The diet was supplemented with either EPA and DHA combined, or DHA on its own. EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) are specific forms of omega-3 fatty acids commonly found in oily fish. When supplementing the diet with both EPA and DHA, a reduction in EIPH was seen at 83 days and again at 145 days. Feeding DHA on its own did not produce an effect.

Fish oil contains both EPA and DHA and is readily available, although the smell can be off-putting to both horse and human. There are flavoured fish oils specifically designed for use in horses that overcome the aroma challenge and have good palatability. 

Inflammatory response and oxidative stress

Airway inflammation and the management of this inflammatory process is believed to be another pathway in which EIPH can be reduced. Omega-3 fatty acids are well evidenced for their effect in regulation of inflammation, and this mode of action along with effect on cell membrane fluidity is likely part of the positive result found by Kansas State University. 

Kentucky Equine Research has investigated the effect of a specific fish oil on inflammatory response with horses in training. The study supplemented test horses with 60mls per day and found a significant effect on level of inflammation and GGT (serum gamma-glutamyl transferase). GGT is an enzyme that breaks down glutathione, an important antioxidant. As GGT rises, less glutathione is available to neutralise damaging free radicals, creating an environment for oxidative stress.

Kentucky Equine research results

Kentucky Equine research results

A horse’s red blood cells are more susceptible to oxidative stress than humans, and maintaining a healthy antioxidant status is important for function and maintenance of cell integrity.

Rosehip

Rosehip

Supplements for bleeders will often contain relatively high doses of antioxidants such as vitamin C and vitamin E to support antioxidant status in the horse and reduce risk of damage to cell membranes. Vitamin C has also been shown to benefit horses with recurrent airway obstruction and increase antibody response. Dose rates required for an effect range from 15-20g per day. If including high doses of vitamin C in the diet, it is important to note that any sudden withdrawal can have negative effects. Gradual withdrawal is needed to allow the body’s own mechanisms for vitamin C production to recognise and respond to the change in status.

Rosehips are natural potent antioxidants containing many active substances. Research into the effect of rosehips specifically on red blood cells has shown they have a high efficacy when assessing their ability to ameliorate cell damage.

Hypotensive herbs

Caucus carota – wild carrott

Caucus carota – wild carrott

The essential oil of caucus carota species is a well-documented oil having a hypotensive, lowering of blood pressure effect along with antifungal properties. Its antifungal effects are noted against aspergillus species, a common cause of poor respiratory health. Allium sativum is also well known for its ability to lower blood pressure. An initial study (data unpublished) into the effects of these two plants along with herbs reported to alleviate mucus in the lungs has shown promising results in a group of horses in training. 

Prolonged blood coagulation

As prolonged blood coagulation is cited as a possible factor for EIPH, herbal products that are noted for their ability to enhance coagulation are in certain parts of the world widely used as part of managing EIPH. …

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First published in European Trainer issue 57 - April '17 - June '17

Reiki - the ancient Japanese healing method

any racing yards are turning to a number of alternative treatments in an attempt to either speed healing times, improve the life styles of individual thoroughbreds or respond to the wishes of owners who themselves have clear ideas and requirements for the care of their animals.

Paul Peacock (13 October 2006 - Issue Number: 1)

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Reiki - Paul Peacock discovers the ancient Japanese healing method.

A fast growing treatment for racehorses is Reiki, an ancient Japanese healing methodology which is said to date back over 2000 years, but was actually ‘discovered’ by a monk in Victorian times.

Paul Peacock (European Trainer - issue 15 - Winter 2006)

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