Summary Whole body vibration (WBV) has been used as an adjunctive therapy to improve the strength and size of paraspinal muscles as well as postural control in people with lower back pain. It has been proposed that activation of the m. multifidus plays a key role. As the function and anatomy of the m. multifidus in the horse is comparable to that in man, the authors investigated whether WBV might also be a valuable physiotherapeutic modality in horses. The effects of WBV on the cross‐sectional area (CSA) and left to right symmetry of the m. multifidus at various locations of the thoracolumbar spine of the horse was evaluated in a single‐subject quasi‐experimental time‐series design with repeated measure. Nine horses were subject to WBV, 30 min, twice daily, 5 days a week, for 60 days in addition to their regular exercise routine. The CSA of the left and right m. multifidus was measured ultrasonographically at four levels (T15–T16, T16–T17, T18–L1 and L1–L2) along the thoracolumbar spine at Days −30, 0, 30 and 60 of the study. Changes in the CSA and CSA symmetry (left to right) of the m. multifidus were analysed using nonparametric, repeated measures, comparison of mean ranks with post‐hoc analysis as necessary. A significant increase (P<0.05) in m. multifidus CSA was found at all spinal levels after 30 and 60 days of WBV and a statistically significant improvement in m. multifidus symmetry (becoming more symmetrical) was found after 60 days of WBV, indicating that WBV may be a valuable alternative to dynamic mobilisation exercises when an increase in size and improvement in left to right symmetry of the m. multifidus is sought.

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