Tellington TTouch^® as a Complement in the Rehabilitation of Horses with EPM and Neurological Deficits

The manual has been given to several veterinarians for the use of their clients and has been found very effective. Additional study and documentation required.

A study of the rehabilitation of horses with neurological deficits, using TTEAM, started through the efforts of Dr. Mark Meddleton and his wife, Becky. Becky's horse, Jewel, was severely affected by Equine Protozoal Myeloencephalitis (EPM) and Dr. Mark was trying all the forms of experimental medication. During the times that the medication seemed to be working, Becky decided to try TTEAM to rehabilitate Jewel. Becky applied her basic knowledge of TTEAM and was impressed by what she was observing with Jewel.

Becky and Mark came to a TTEAM workshop at Galisteo Creek Farms in April, 1999 to learn more and to talk with Linda to see if TTEAM would cooperate in a study of rehabilitating horses with EPM. Becky explained to the group that initially she had thought that only the ground exercises would help, but after talking with TTEAM Instructor Carol A. Lang, she tried the TTouch and realized it too was a key element.

To initiate the study, Linda and Carol met with Dr. Mark and Becky at a client's farm. A neurological exam was performed by Dr. Mark on three horses. TTEAM techniques were shown the horse's owner and Dr. Mark set up a basic schedule of rehabilitation with instructions the owner was to follow. In a few weeks, Carol met with Dr. Mark and Becky at this client's farm. Dr. Mark reexamined the horses and both he and the owner agreed that improvement had been made. Carol taught the owner more TTEAM techniques and Dr. Mark scheduled another evaluation of the horses.

In June of 1999, Dr. Mark, Becky and Carol worked with Jewel and Mark's horse, Dugan, who also had been diagnosed with EPM. Dr. Mark did a neurological exam of each horse. Then, as they did TTEAM and TTouch^® with both horses, Dr. Mark, Becky and Carol discussed which techniques were working, the timing of the sessions, the sequence of TTouch^® and the work in the TTEAM Confidence Course. They also made a first draft of a checklist for the owners to keep track of their horses rehabilitation program.

Carol accompanied Dr. Mark and Becky on visits to at least three clients who had horses with neurological difficulties. Each owner was shown TTEAM techniques and Becky recommended the rehabilitative process. Dr. Mark's scheduled follow-up neurological checks in order to track progress. Becky reported that the percentage of improvement of the trial horses was very high and that the owners were very satisfied with the results.

To continue the development of a protocol that Dr. Mark planned to present to the AVMA, Carol met with Dr. Mark and Becky and TTEAM Practitioner, Kirsten Henry several times over the next year. They filmed a video demonstrating how to do TTEAM techniques specifically for rehabilitation of horses with neurological deficits and developed a modified Confidence Course.

They did many trials with TTEAM techniques, in particular the use of wand and lead, the TTEAM body wrap and TTouches.

Carol prepared a booklet of TTEAM techniques to be distributed to participants of the study. Dr. Meddleton reviewed this booklet and made suggestions from his perspective as a veterinarian.

Hoping to receive a grant, Dr. Mark presented this protocol to a veterinary conference in the fall of 2000. The evaluation and advice offered about their study gave Dr. Mark and Becky new insights and direction. However, Dr. Mark's veterinarian practice was expanding so much that their time for continuing this study was curtailed.

In March, 2002 Dr. Mark reported to Carol that he could not proceed with the study of a protocol for EPM/neurologically impaired horses. He offered to share his and Becky's work with any veterinarian that Linda might find who would be interested in continuing.

We know that TTEAM has been very effective in helping horses rehabilitate from neurological deficits. We offer this booklet as a guide to TTEAM Practitioners and others who will use TTEAM and TTouch to facilitate their horses' rehabilitation.

Carol A, Lang, TTouch Instructor
Santa Fe, New Mexico

Purchase the Booklet in our Shop.

NOTE: TTEAM is an acronym of "Tellington TTouch^® Equine Awareness Method." Since this article was written, the brand name for all the facets of the TTouch^® organization is Tellington TTouch®.

Loading stress in the horse:
Behavioural and physiological measurement of the effectiveness of non-aversive training (TTEAM) for horses with trailer loading resistance.

This study was conducted by Stephanie Shanahan when she was a student at the University of Ontario Veterinary School at Guelph, Ontario, Canada. The research was funded by a grant from the Geraldine R. Dodge Foundation for Research targeting the Improvement of Animal Welfare. Stephanie won the American Veterinary Society of Animal Behavior's 'Award for Student Excellence in Applied Animal Behavior Research'. Permission to post from Journal of Applied Animal Welfare Science.

Abstract

Resistance to trailer loading in the horse is a common source of stress and injury to horses and their handlers. The objective of this study was to determine whether non-aversive training based on Tellington-TTouch Equine Awareness Method (TTEAM) would decrease loading time and reduce stress during loading for horses with a history of reluctance to load.

Ten horses described by their owners as "problem loaders" were subjected to pre-training and post-training assessments of loading. Each assessment involved two seven-minute loading sessions during which heart rate and saliva cortisol were measured. The training consisted of six 30-minute sessions over a two-week period during which the horse and owner participated in basic leading exercises with obstacles simulating aspects of trailering. Heart rate and saliva cortisol were shown to increase significantly during loading as compared to baseline (P<0.001 and P<0.05, respectively). Reassessment after training showed a decrease in loading time (P=0.01) and reduced heart rate during loading (P=0.001). Seven good loaders were also subject to loading assessment for physiological comparison. Increases in heart rate during loading were significantly higher in the good loaders (P<0.001). Non-aversive training simulating aspects of loading may effectively reduce loading time and stress during loading for horses with a history of resistance to loading.

As most of you know, in the summer of 1999, I conducted research retraining horses with trailer loading problems using TTEAM. So I'd like to give a general outline of what I did and what I was trying to do. In a later issue, I will present some of the interesting case studies that came out of the research.

Horses who are reluctant to load into a trailer are not difficult to find. In fact, it is one of the most common behaviour problems horse people are familiar with regardless of the breed of horse or discipline they are involved in. Unfortunately, trailer-loading accidents are also a common cause of injury to horses and their handlers.

My intention in this project was to scientifically ascertain the effectiveness of a TTEAM training program at improving willingness to load. I also wanted to know if the stress of loading would be measurable physiologically and furthermore, if TTEAM training could measurably decrease loading stress.

We started with 12 horses who, according to their owners, were difficult to load. The horses included a Shire/Thoroughbred yearling, two and four year old Quarter Horses, Arabian crosses, Canadian broodmares and a few thoroughbreds. The oldest horse in the study was 20 years old.

In the initial assessment, the horse had two seven-minute opportunities to load, one with the owner and one with an independent handler who did not know the horse or the purpose of the study. We measured heart rate and took saliva samples to measure cortisol before, during and after the loading. We performed this assessment with all the problem horses as well as with 8 horses who were considered to be good loaders.

In almost every case loading time was not significantly different when the owner or the person unfamiliar with the horse was loading.

One of the "problem loaders" loaded readily and one of the good loaders did not load so we didn't use them in the study but we did work with both of them anyway.

After the assessment some horses started the training while others waited and had a second assessment before the training. This was done in order to keep the independent handler blind to the training status of the horse.

The training program was based on a wonderful article by Marion Shearer, "Prepare your horse to load", which was recently reprinted in the May-June 2000 TTEAM Connections. The sessions were every other day for two weeks. It is definitely beneficial for horses (and people) to have a break between sessions in order for the brain to integrate the new information. Every other day is better than every day. Some horses may benefit from more than two weeks of training while others might only need to be asked differently at the time of loading.

Here are some of the most important components of the program we used (for more information, I strongly recommend reading Marion's article):

Lower the Horse's Head

Many of the problem loaders had naturally high head carriage. When they were concerned their head would go even higher making it difficult to negotiate getting into a trailer. This is a normal reaction for horses, a part of the flight response. They are raising their head to shift their weight back which lightens their front end so they can turn around quickly and get away from what is scaring them. The problem arises when the handler has no way of asking the horse to lower its head. It appears that lowering the head actually changes the horse's reaction to a situation. When the head is lowered, a horse is able to move forward to approach and investigate what it is concerned about. This gives the horse the opportunity to realize that the situation is okay. With his nose in the air, a horse is neither going forward nor giving the situation a chance, he is asking to leave.

As part of our training we used as many different ways as we could think of to teach the horses to lower their head when asked. Some of the ways are listed here:

Leading position:

• Putting the chain up the side of the halter

While standing:

• A gentle signal and release downward on the chain, or "milking" of the chain
• Stroking of the horse's chest and forearms with the wand

While walking:

• Allowing the horse to walk into the wand which is held in front of the horse midway between the knee and shoulder

Body work:

• Raising the back with the tips of the fingers pressing on the midline of the abdomen
• Tail work
• Mouth work and ear work

These may not lower the head directly but can be very useful to get the horse to pay attention and think about what you are asking when you are stuck

Since we only had a short period of time to work with and the owners were not familiar with TTEAM, we did not teach ALL the possible tools that COULD be useful when working with horses to improve their willingness to load. We focused on a few basic principles and were very happy with the results we got.

The training sessions involved the introduction of these TTEAM techniques at the pace that seemed appropriate for that particular horse and owner:

Leading positions

Cheetah: This was used as the BASIC leading position. The important principles were to habituate the owner to being further away and further ahead of their horse while leading. We emphasized that the horse would better be able to listen if they could see the person leading them. It was also an opportunity for the handler to learn to use the wand to more clearly communicate what they wanted the horse to do.

Dingo: This is considered a very important part of trailer loading problem solving. The horse must learn to go forward from a signal. It seems that horses understand the signal on the croup combined with the signal on the chain very well, but it is important for the handler to learn to coordinate this movement in a consistent manner.

Dance: It is believed that many horses are more concerned about backing OUT of the trailer than getting into the trailer. Imagine backing out of something and not being able to see or feel the ground behind you! Teaching a horse to back one step at a time and to negotiate backing over obstacles, inclines and off bridges makes the horse more willing to load onto the trailer as well as backing out more calmly and safely.

The obstacles we used were whatever combination of poles, planks, tarps and barrels was available. We tried to simulate the different aspects of what CAN be difficult for a horse when trailer loading:

1. Stepping over or onto something i.e. poles raised or piled, bridge, cavalettis

2. Stepping onto an unfamiliar surface that makes noise i.e. plastic tarp, plywood sheet, bridge

3. Walking into a narrow space i.e. poles raised on barrels, tarps hanging over the poles, plywood

4. Walking under a low roof i.e. an arch of wands, a Styrofoam pole, a rolled tarp

The horse would walk up to the obstacle and be asked to halt. If the horse's neck was above the horizontal, the handler would ask the horse to lower its head and then proceed with the obstacle. It is not necessary to stop EVERY time before negotiating an obstacle. It is useful, however, in order to make every step clear and intentional to practice stopping and moving forward in a controlled manner with the head lowered.

Some of the horses appeared not to know that their limbs were connected to their body. So we used the body wrap to help them get a sense of how they might coordinate legs and body as a unit. For the horses who could not step over a pole without tripping, the body wrap seemed to make a world of difference!

Body work

We also included one session of bodywork for each horse. We were focusing on touches that would help ground, calm and connect the horse. We started with an exploration of the horse's body, which the owners found FASCINATING. The reactions of the horse fit with the pattern of difficulties that they had with them on the ground and under saddle. All of a sudden they seemed to understand that the horse was not stubborn or difficult but tight or sore or habituated to a particular way of carrying itself.

The touches we used:

Grounding:

• Python lifts
• Leg exercises

Calming:

• Ear work
• Mouth work

Connecting:

• Raising the back
• Tail work
• Lick of the cow's tongue
• Noah's march
• Zigzags

Results

Seven of the ten horses who completed the study loaded in the allotted seven minutes on the final assessment, a very significant improvement from the initial assessment. Three of these seven loaded instantly, in less than 30 seconds, and did so repeatedly during the 14-minute loading assessment.

Of the three horses who did not load:

• one had fallen when the lead shank broke during the initial assessment
• another owner had chosen not to participate in the training sessions
• the third owner had been absent for the initial loading assessment and was so nervous at the final assessment that she was crying.

By analyzing the data we had collected, we were able to show that the heart rate and saliva cortisol increased significantly when a horse was asked to load. While after TTEAM training the willingness to load was significantly improved AND heart rate was significantly lower when they were asked to load. The saliva cortisol measurement was not sensitive enough with the small number of horses we had to show a difference after training.

Good loaders

One of the most interesting things we found was that the good loaders had a higher increase in heart rate when they were loaded onto a trailer than the problem loaders. We don't have a specific explanation for this. My guess is that even though these horses are obedient enough to load when asked, loading onto a trailer is still stressful, definitely more stressful than standing in the crossties! Conversely, the horse might associate the trailer with going somewhere exciting, like a competition or trail ride, and their excitement is reflected by the increase in heart rate.

We also noticed that the horses who moved around and whinnied the most while they were in the trailer had LOWER heart rates than the horses who just walked on and stood there. That was a real eye opener! How often we forget that freezing is a panic response!

• "He was just standing there, quiet as could be, and all of a sudden, he just exploded!".
• "He's not scared, he's just stubborn. He just stands there and doesn't move."

Just because an animal isn't showing overt signs of being stressed, it doesn't mean he is relaxed.

Discussion and further questions

When I told my childhood coach about my research project, her response was: "I think you should measure the stress of the handler instead of the horse". And I think there's some truth to that. I think a key component of the training program was the owner involvement. Learning to communicate more clearly what we want from our horses allows them to feel safer doing things that seem inherently unsafe, like getting into a trailer.

Will horses who have had a bad experience with a trailer benefit from this training?

In this training, we did not use a trailer at any time other than the assessments. There were specific orders that the horses should not spend any time near a trailer during the study. We did this in order to show that the fear of the trailer itself is often not the problem. When a horse is more confident about its coordination and balance and receiving clear communication from its handler, the trailer is suddenly no longer a problem. In some cases however, being in the trailer is much worse for the horse than loading onto the trailer. Some horses will load readily and as soon as they are in the trailer, their heart rate triples and they are sweating profusely. The response to specific exercises will vary from horse to horse because in each case, we don't know EXACTLY what the horse is concerned about. And there will be some situations in which this training will not be the answer.

What would happen if the good loaders went through the training program, would their heart rates be reduced?

Well, we don't know. It's possible. It is possible that doing TTEAM groundwork with these horses because of its many benefits unrelated to trailering may improve the horse's comfort with trailer loading by improving its balance and coordination.

What about using the Clicker? Why didn't you use a Clicker?

I didn't use a Clicker in this project because I wasn't very familiar with them at the time. Also, the more variables you introduce in research, the less meaningful it becomes. I have since spoken with MANY people (behaviourists, trainers, TTEAM Instructors) who would include Clicker and Target Training in a trailer loading program. I think it's a great idea. Definitely horses learn very quickly and enjoy learning with positive reinforcement!

Why didn't the saliva cortisol show a decrease after training?

We're still just in the beginning stages of applying the use of saliva cortisol to measure stress in horses. The number of horses and the interval of testing we used was not sensitive enough to be able to say whether or not there was a decrease. Though the increase during loading was significant, a lesser increase after training could not be demonstrated.

How significant was the bodywork in the training program?

Well there's no way of knowing this either since we did not have a group who received ground work without bodywork. But the owners definitely seemed to find it very important. If nothing else, it allowed them to look at their horse in a different way which is an essential part of learning to work with them differently.

Happy trailering, Steph Shanahan

NOTE: TTEAM is an acronym of "Tellington TTouch^® Equine Awareness Method." Since this article was written, the brand name for all the facets of the TTouch^® organization is Tellington TTouch®.

"This line of work has opened up a new world of alternative  training which is sympathetic and supportive to the horse. The results were outstanding and immediate."
   – John

"TTOUCH has awakened me to a whole new (wonderful) world. I feel things and look at things (animals, people, etc.) in a renewed and understanding way. I myself feel different too. When in a situation I handle it much differently than before. I have stopped blaming the animal/person and begun to search for the real cause of the problem."  
   – Sharon Crement

"A novice can do the Tellington TTouch Method It's easy to make changes very quickly even for a novice person that doesn’t do the work as effectively as an experienced person. It’s not necessary to know the work perfectly.

"It's truly amazing to be able to make changes in an animal’s behavior, physical being or mental state, and have a reciprocation take place. For every animal I see being helped by TTouch, I always feel I have learned and changed in the process as well."   
   - Amanda L.

"The Tellington Method teaches me to be a partner with my horse so I can learn to be a team. It gives me the tools to LISTEN, OBSERVE, COMMUNICATE and then give back information to our animal friends so that they can teach me to become more effective. TTouch brings joy to my horse and me."
   – Amy Kendis

"This workshop has totally changed the way I view myself as a partner to my horse, our relationship and the relationship of the people and horses around me." 
   – Whitney Knauer

"The evening the clinic ended, my daughter was riding her Appaloosa mare (not at the clinic) in a drill team practice. The horse was a bit antsy and would not stand quietly. Rather than disciplining her as I have in the past, I spent a few minutes doing mouth work and some touches along her neck. She settled down immediately and stood quietly."
   – Denise Schoenladler

"Thank you for the marvelous lessons, ideas and awareness you’ve brought to my life.  My animals,  family and I appreciate what I’ve learned from your lessons, patience, carefulness etc. I enjoy meeting new horses and watching, reading and understanding them because of what I’ve learned from 'Getting in TTouch' and being able to help relax, soften and relieve tension from horses whose caretakers haven’t had the chance to study and use your methods."
   –  Terri Rexroad

If you've done much work with Tellington TTouch^® Training, you have most likely discovered the benefits for animals - not only for horses, but also for dogs, cats, small critters, zoo animals and wildlife rescue. You may have discovered improvements in health and well-being, a reduction in stress, and often, miraculous changes in behavior. And in horses and dogs you will have been rewarded by enhanced performance and a more flexible, intelligent four-legged friend. Many, who work with the Tellington TTouch Method, report an unexpected deepening of relationship that gives you the feeling you are Dr. Doolittle with the ability to communicate without words, and understand each other in a way you didn't think possible.

However, what is often unrecognized or unspoken, are the effects on you! There is often experienced a transformation in the people using TTouch as well as their animals. We become more flexible and balanced mentally and physically, as well as emotionally. Many adults report a sense feeling of being smarter and more confident.

In classes of school children practicing TTouch on their companion animals, teachers and parents describe similar changes: improved ability to focus and concentrate (just like horses and dogs) with heightened confidence and more tolerance. Children with a tendency to lose their tempers or bully other kids increase self-control and another level of understanding that allows them to adapt and be less reactive. I believe TTouch teaches children what I call "compassionate empowerment®."

What causes these transformational changes in the two-leggeds? I believe the reasons are two-fold:

1. TTouch activates both hemispheres of the brain resulting in Whole Brain learning. The left side of the brain is commonly referred to as the logical side, and the right side is thought of as the creative or intuitive side, although in reality that is not so. The brain is actually an integrated whole. The left hemisphere is more linear and the right is oriented to spatial issues and understanding the big picture.

You wonder how TTouch affects the whole brain?

Each time you push the skin in a circle imagining the face of a clock, the intuitive side is engaged, because imagining or visualizing as well as the actual movement have to do with the intuitive. When you "see in your mind's eye" the numbers on the clock, the logical is activated because numbers have to do with logical thinking.

When you're practicing leading exercises imagining the "Elegant Elephant’s" trunk as the end of your "wand" or whip, the movement itself, and holding the wand and chain in both hands, affects the right brain. And the logical way of holding the wand and chain in two hands awakens the thinking side.

2. The second indication of this whole brain effect comes from the two studies I did in the summers of 1987 and 1988 in cooperation with Anna Wise of the Boulder Institute of Biofeedback. Working with a "Mind Mirror" developed by her mentor, British psycho biologist and biophysicist Maxwell Cade, produced some fascinating results. The Mind Mirror is an EEG that differs from the traditional EEG in that it used spectral analysis to simultaneously measure eleven different frequencies in each hemisphere of the brain. Unlike the normal EEG it has the unique ability to measure beta, alpha, theta and delta brain waves in both hemispheres of the brain.

We measured over a dozen students to determine their brain wave activity while being TTouched, rubbed, petted and massaged. Surprising was the fact that consistently, whether our students were being TTouched or TTouching a horse or a person, there was an activation of all four brain waves –beta, alpha, theta and delta – in both sides of the brain. When the person being measured was petted, stroked, rubbed or massaged, the relaxing alpha brainwave pattern was present, but never beta – the problem solving potential. Only with the circular touches were the beta brainwaves present.

So the next time you head out to the barn remember that TTouching your horse a few minutes a day can reduce your stress, clear your mind, deepen the connection with your horse and dog, and make you smarter. That's why the phrase "The Touch That Teaches" came into being.

Linda Tellington-Jones

TTEAM News International December, 1987 Vol 7 No 5 P. 6.

The following article appeared in Bear Tracks - The Journal of the Good Bears of the World. The article is charmingly written and presents a side of Animal Ambassadors International^® which recognized animals as our friends and teachers. However the reporter failed to state why the children brought their stuffed animals to class to learn the TTouch on them. Including stuffed animals as a part of teaching the TTouch in the schools recognizes the importance of stuffed-animal-friends for children who don't have animals at home. Just because stuffed animals don't need to be fed doesn't mean they don't have individual personalities.

The idea of having a stuffed animal to demonstrate the TTouch came to me several years ago in Los Angeles when I was asked, at a social gathering, how the TTouch worked. There was no cat or dog in residence, but a lovely soft stuffed polar bear was lying on the couch. I demonstrated a few minutes of circles on him and someone said delightedly, and maybe kiddingly, "look his eyes are softening." Since that day we have had many stuffed animal volunteers. How many of you have teddies and other stuffed animals in your house?

ANIMAL AMBASSADORS
by John Watson

In our last edition, Teddies to the Rescue by Alexandra Kurland was reviewed in the "Bears and Books" section. While it's a charming and beautiful book in and of itself, there is much more than meets the eye here! Author Alexandra Kurland has been using this book, along with her real life teddy Kenyon Bear, in a wonderful program that encourages understanding between people and animals around the world, the Animal Ambassadors International® Program.

Teddies to the Rescue tells the story of Kenyon Bear and his bear friends who live at the Shuttle Hill Herb Shop, (Alexandra notes that the bears and the herb shop are indeed, quite real.) The book, beautifully illustrated by Mark Kenyon, finds the teddies rescuing a fellow bear from a home where he is unloved. During the rescue mission real animals assist the bears in their efforts and friendships are formed.

We all know the importance of animals in our lives. Many of us find friends and teachers in our pets. From our childhood pets, we learn love, loyalty and responsibility. The Animal Ambassadors International Program is an international cultural exchange organization whose primary goal is to celebrate the importance of animals in our lives while encouraging intercultural understanding.

Here's how it works: school children bring their own stuffed toys to meet Kenyon Bear when he and Alexandra Kurland visit classrooms. Alexandra uses the book and the bears to guide the children through the story telling process. Kenyon takes the children to many lands where different animals are met through the children's own imaginations. The children ask each animal if they have any stories, words or songs for them. By the end of the session each child has his/her own special animal friend.

"I end by telling them that their animals would always be with them to tell them stories," says Alexandra. "All they had to do was listen." She adds that there is something the children can then do for their animal friends. "Many of the animals who come to us need our protection. They're having a tough time surviving, and one way we can help them is by learning more about them." She then asks each child to read a book about the animal who came to them.

Kenyon Bear acts as a story collector for the Animal Ambassadors International Program. There are story collectors in other parts of the world. The all collect animal stories. So, Alexandra asks the children to send in the stories that their animal friends have shared with them to Kenyon at the herb shop. Kenyon then sends each child an Animal Ambassadors International® Certificate.

The stories are then sent on to Animal Ambassadors International® headquarters in San Francisco where they are compiled into newsletter form and sent to children participating in similar programs as far away as Australia and the Soviet Union! Stories from the children overseas are sent back to San Francisco to be shared with the American students. Thus, not only are stories and information exchanged, but an international goodwill link is made between children of many countries.

Alexandra adds that the program is not limited to school groups. "Anyone who loves animals can join in the sharing," she says. In fact, wouldn't our own Good Bear Dens be just the perfect type of folks to join in? "Bear Dens could spend a wonderful evening telling animal stories which could then be compiled and sent on the Animal Ambassadors International®," says Alexandra. We couldn't agree more, Alexandra and we'd love to hear from any of our dens or bears-at-large who decide to participate. We would love to have our Good Bear Dens associated with such a worthwhile project.

Reprinted with permission.