Extended box rest is a common veterinary prescription for injured horses, but confinement carries significant psychological welfare implications.
Box rest imposes severe restrictions on horses adapted for constant movement and social interaction. Isolation in a stall with limited sensory stimulation promotes anxiety, frustration and learned helplessness. Owners and vets must balance orthopedic recovery with psychological wellbeing. Providing hay ad libitum, stable mirrors, radio, and safe social contact through bars mitigates some harm. Gradual reintroduction to movement as healing permits is critical for both physical and mental recovery.