In the world of equestrian sports, the rider must coordinate with their horse to perform in sync. It’s a full body exercise, not just for the horse, but for the rider too, as their fitness, balance and stamina are all put to the test. Spinal alignment is more critical in equestrian than in any other sport because the rider’s connection with their horse starts with the seat in the saddle is the primary means of communication, and spinal alignment and stability are the building blocks of that connection.
Imagine a plumb line running from the base of the rider’s skull to the connection between their lower back (lumbar) and their pelvis (sacrum) – this is the rider’s sagittal balance of their spine, and it's a vital component of their riding performance.
Sagittal balance is the front-to-back balance of the spine. In a healthy spine there are two front-to-back curves in the lumbar (lower) spine and the thoracic (middle) spine. If one of these curves becomes too pronounced or too flat, sagittal imbalance occurs.
Luckily, DISC can evaluate patients’ spinal balance with 3D imaging of the entire spine using an EOS system rather than a magnetic resonance imaging (MRI) or computed tomography (CT) scan. This cutting-edge EOS system delivers low dose stereoradiographic images of patients in functional position, which reduces patient radiation doses and provides exceptional image contrast. The unique design gives precise 2D and 3D measurements, which helps DISC clinicians better visualize mechanisms between the spine, hip and knee.
These images allow our experts to identify and address any potential issues in the making, so equestrian riders can correct the issues identified and improve their connection with their horse.
Paying attention to flexibility and building core strength in both the upper and lower body can correct a problem in the making and help riders correct emerging problems and unlock their full riding potential.
Treatment for sagittal imbalance is usually non-surgical. Various treatments for spinal alignment include:
Dr. Robert Bray explains why sagittal balance is so crucial to equestrian performance.