Box rest — confinement of horses to a stable during injury rehabilitation — poses significant welfare challenges that require proactive management to prevent psychological deterioration.
Box rest is a genuine welfare dilemma. The confinement necessary for physical recovery creates a form of psychological and physiological deprivation that causes real suffering in horses. The stereotype that horses accept box rest without problems ignores the significant stress responses, stereotypy development, and behavioural deterioration that commonly occur. Proactive welfare management during box rest — including ad-libitum hay, stable mirrors, companion animals nearby or visible, human interaction, and veterinarian-approved hand walking where possible — can significantly reduce the welfare burden of confinement. The minimum duration of box rest necessary for clinical recovery, combined with maximum welfare support throughout, should be the guiding principle in all rehabilitation plans.