Box rest (stable confinement) prescribed for injury recovery is one of the most significant psychological welfare challenges for horses, requiring active management to prevent behavioral deterioration.
Box rest is a genuine welfare compromise: necessary for physical healing but harmful to psychological welfare. Horses in long box rest without adequate mental stimulation show elevated stress hormones, increased stereotypic behavior, weight changes, and gastric ulcer development. Active management of psychological welfare during box rest is not optional — it is an essential component of complete rehabilitation. Equine behaviorists and rehabilitation specialists have developed specific protocols for box rest mental health including enrichment rotation, safe social contact, gentle in-hand interaction, and careful progression of controlled exercise.