Maintaining horse welfare during medically required periods of stable confinement.
Box rest creates a welfare dilemma where medically necessary confinement imposes psychological and physiological costs that must be weighed against the healing benefits of restricted movement. The welfare of horses on extended box rest deteriorates measurably over time, making the welfare case for the minimum necessary restriction period clear. Enrichment strategies including hay nets, stable mirrors, companion animals, and human interaction mitigate but cannot eliminate the welfare costs of confinement. Managing the transition from box rest to normal management with appropriate graduated exercise is as important as the rest period itself for long-term welfare.