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Topic:Clinical Study
Clinical studies in equine research involve the systematic investigation of health and disease in horses through structured scientific methods. These studies aim to evaluate the safety and efficacy of treatments, understand disease mechanisms, and improve veterinary care practices. Clinical studies can include randomized controlled trials, observational studies, and case-control studies. They may focus on various aspects such as pharmacokinetics, therapeutic interventions, and diagnostic techniques. This page compiles peer-reviewed research studies and scholarly articles that explore the design, implementation, and findings of clinical studies in equine medicine, providing insights into their impact on horse health and veterinary practices.
Morphological and Behavioural Predictors of Motor Laterality in Domestic Horses: A Cross-Sectional Field Study. Motor laterality in horses affects performance, training, and welfare. A simple morphological marker for laterality would help riders, trainers, and veterinarians identify likely locomotor asymmetries early. This study tested whether observable morphological and behavioural characteristics were associated with rider-perceived motor laterality in domestic horses, using a cross-sectional observational field study design conducted in the Blida and Algiers regions of Algeria. The study included 100 regularly ridden domestic horses. Mane orientation, facial whorl characteristics, standing curvature...
Ultrasonography of the spleen, kidneys and bladder in healthy Mangalarga Marchador horses across different life stages. This study is the first breed-specific ultrasonographic reference values for spleen, kidneys, and bladder in Mangalarga Marchador horses from different life stages. Objective: The aim of this study was to establish a normal reference range of measurements of the spleen, kidneys and bladder, as well as to describe the anatomy and sonographic characteristics of these organs in Mangalarga Marchador horses. Methods: Abdominal ultrasound examinations were performed in 88 Mangalarga Marchador horses of both sexes, aged 1, 7 and 15 days, monthly from their 1st to the 11th month of age ando n their 1s...
Forage chemical composition drives early metabolic shifts in ponies fed different haylages. Rapid changes between feeds can cause dysbiosis and colic in horses. The metabolic consequences of transitioning between haylages (HY) are currently unknown. Objective: To characterise urinary and faecal metabonomics in ponies transitioned between HY varying in botanical composition and physiological age and to evaluate the speed of metabolic adaptation. Methods: In vivo experiments repeated Latin Square. Methods: Eight Welsh Mountain ponies were fed four HY (R1, R2, M1, M2) across 4 × 15-day periods; a structured 3-day (Days 13-15) changeover was observed: old:new 70:30, 50:50and 30:70....
Pass rates using the FEI noseband measurement device at British Dressage 2025 Championships. Appropriate fitting of equipment provides horse comfort and avoids compromising equine welfare. In May 2025, the Fédération Equestre Internationale (FEI) introduced an evidence-based measuring device that is passed beneath the noseband to ensure sufficient laxity. Objective: To study the use of the FEI noseband device during mandatory tack and equipment checks at British Dressage Championships. Methods: Observational. Methods: Noseband testing was observed for a total of 523 horses competing at the 2025 British Dressage National Championship, Middle Tour Championship and Area Festival Champi...
Melatonin as a daily rhythm control signal for glucose homeostasis and insulin secretion in horses. An involvement of melatonin in the regulation of glucose homeostasis and insulin secretion in pancreatic β-cells has been proposed. To evaluate the features of the daily rhythms of plasma melatonin, blood glucose, and insulin in horses, ten clinically healthy Italian Saddle geldings, 9-10 years old with a mean body weight of 490 ± 25 kg, were enrolled. The animals were housed in individual boxes under natural environmental conditions (sunrise 06:10; sunset 18:10; 12-15°C, 77% RH). All horses were cannulated the day before the start of the study for sample collection, which was perfo...
A novel water additive increases voluntary water intake in healthy horses. To determine whether healthy horses would increase their voluntary water intake (VWI) when offered a novel water additive (NWA) compared to plain water (TAP) and water flavored with sweet feed, referred to as sweet tea (ST). Unassigned: 12 clinically healthy horses, aged 2 to 5 years old, were enrolled in the experimental crossover design. Four horses were assigned to each group for each of the 3 study weeks. The order that the horses were allocated to study groups was randomly assigned. All horses had access to 2 buckets filled to 16 L, one containing plain water (untreated bucket) and one co...
Serum amyloid A alone or in combination with white blood cell count and fibrinogen is associated with inflammatory disease status in horses undergoing elective anesthesia. The objective of this study was to assess the clinical utility of common systemic inflammatory markers (WBC count [WBCC], plasma fibrinogen, and serum amyloid A [SAA]) for the detection of disease in patients undergoing general anesthesia. Unassigned: A retrospective review of 1,002 surgical case records (February 2021 to June 2023) was performed. Systemically stable equine patients undergoing elective orthopedic and soft tissue procedures and that had WBCC, fibrinogen, and SAA evaluated preoperatively were eligible for inclusion. Disease status (healthy vs disease) was recorded for each case ...
Influence of Follicle Number and Reproductive Cyclicity on Mesenchymal Stromal Cell Yield Isolated From Equine Ovarian Follicular Aspirates. Follicular aspirates have emerged as an alternative source of mesenchymal stromal cells (MSC) in mares; however, factors influencing successful MSC isolation remain unclear. This study evaluated whether reproductive cyclicity and follicle count affect MSC recovery from ovum pick-up (OPU)-derived follicular aspirates. Twenty-eight OPU procedures were performed on 13 mares, and cells were cultured until passage 3. Successful MSC cultures were obtained in 15/28 procedures (53.6%), while 13 procedures (46.4%) yielded non-MSC populations. Neither reproductive status (cycling vs. anestrous) nor foll...
Validation of a novel instrumented hoof boot with pressure sensors using force plate gait kinetics in horses at walk and trot. Force plates (FP) are considered the gold standard for quantitative equine gait evaluation but are limited to experimental use. An instrumented hoof boot (IHB) with pressure sensors and an inertial measurement unit would allow clinicians to objectively assess kinetic parameters and gait symmetry. Objective: To validate the IHB by comparing kinetic parameters with obtained FP data. Methods: In vivo experiments. Methods: Twenty-seven horses were measured with IHBs on FPs at walk and trot. Mean value kinetic parameters recorded were: (1) peak vertical force (PVF) [N/kg]/peak vertical pressure (PV...
Predicting outcomes in equine peritonitis: Multivariable analysis of admission and post-admission data from a UK hospital population. Peritonitis is life-threatening, and limited information exists regarding outcomes and predictors of survival. Objective: To report short- and long-term outcomes in horses diagnosed with peritonitis and identify factors associated with survival. Methods: Retrospective observational. Methods: Data were obtained for horses admitted to a UK referral hospital between 2010 and 2024 diagnosed with peritonitis (peritoneal fluid nucleated cell count >10 × 10/L). Short- and long-term morbidity and mortality were assessed. Multivariable logistic regression was used to identify factors associated w...
The effect of ertugliflozin on serum insulin and glucose in healthy horses receiving dexamethasone. Sodium-glucose cotransporter 2 inhibitors (SGLT-2i) can be used to manage insulin dysregulation (ID). Their effect on corticosteroid-induced ID is unknown. Objective: Evaluate effects of ertugliflozin on serum insulin and glucose concentrations in horses receiving dexamethasone (DEX). We hypothesized that DEX would induce ID and ertugliflozin coadministration would mitigate that effect. Methods: Seven healthy horses. Methods: Randomized crossover design; horses received DEX (0.06 mg/kg IV q48h; DEX)or ertugliflozin (0.05 mg/kg PO q24h) plus DEX (SGLT-2i group) for seven days. Oral sugar (OST...
Etiological and immunological aspects of equine hoof canker. Chronic equine proliferative pododermatitis (canker) is a hypertrophic hoof disease characterized by excessive proliferation of horn-producing tissues resulting from dyskeratosis of keratinocytes. Since its etiology remains unknown, this study investigated potential etiological agents and evaluated biochemical and immunological profiles. Ten horses with hoof canker and ten healthy controls of the Norik of Muran breed were included. Dermatophytes and bovine papillomavirus 1 and 2 (BPV 1/2) were not detected. Candida glabrata was the most frequently identified species in both affected and health...
Effect of erythromycin and colistin ophthalmic ointment on post-race keratitis in Thoroughbred racehorses. This study investigated the prophylactic efficacy of administering an ophthalmic ointment containing erythromycin and colistin (EC ointment) after racing to prevent post-race keratitis in Thoroughbred racehorses. Methods: The incidence of post-race keratitis following turf and dirt races was compared between treatment groups (non-ointment group: eye flushing only; ointment group: eye flushing and application of EC ointment) and between two randomly assigned groups (non-antimicrobial group: application of ophthalmic white petrolatum; antimicrobial group: application of EC ointment). Results: Af...
Ursodeoxycholic Acid Oral Pharmacokinetics and Plasma Bile Acid Profile Changes in a Population of Healthy Neonatal Foals. Ursodeoxycholic acid (UDCA) is a secondary bile acid used in humans for the treatment of some cholestatic diseases. Interest in its potential use in equine patients with liver conditions has increased. Pharmacokinetic parameters in adult horses have recently been reported; however, they are not available for foals. The objective of this study was to characterize the pharmacokinetics of UDCA following a single oral dose of 15 mg/kg in six healthy neonatal foals and evaluate associated changes in bile acids (BA) profile. UDCA concentrations were measured using liquid chromatography-tandem mass...
Association Between Matrix Metalloproteinase-9 (MMP-9) Immunohistochemical Expression and Clinicopathological Features in Equine Melanoma. Equine melanoma is one of the most important oncological diseases in horses and exhibits a distinct biological behavior compared with melanoma in other species. Matrix metalloproteinase-9 (MMP-9) has been associated with tumor aggressiveness and metastasis in human and canine melanoma, but its expression in equine melanoma remains unknown. Objective: Evaluate the immunohistochemical expression of MMP-9 in equine melanomas and investigate its association with clinicopathological features. Methods: 68 formalin-fixed, paraffin-embedded equine melanomas from 48 gray horses were evaluated immunohis...
Thymidine kinase 1 activity in serum and body cavity fluids of horses with lymphoma. The accuracy of serum thymidine kinase 1 (TK1S) as a biomarker of lymphoma in horses is variable. The value of measurement in body cavity fluid (TK1F) has not been established. Objective: (1) TK1F and TK1S will be higher in horses with lymphoma compared to diseased controls (DCs); (2) TK1F will be higher than TK1S; and (3) there will be a strong correlation between both measurements. Methods: Twenty animals in the lymphoma and 31 animals with nonneoplastic, gastrointestinal/respiratory disorders in DC group. Methods: This was a cross-sectional study using prospectively collected data and sampl...
Weigh tape more accurately estimates equine body weight than morphometric formula: a controlled technical assessment. Accurate body weight (BW) estimation in horses is essential for clinical and nutritional management; however, calibrated scales are often unavailable under field conditions. Objective: To compare the longitudinal accuracy and consistency of a commercial weigh tape and the Carroll and Huntington morphometric formula against calibrated digital scale measurements in adult horses. Methods: In a prospective longitudinal experimental study, six clinically healthy adult crossbred horses (mean real body weight [Rbw] 355.5 ± 21.2 kg) were monitored weekly for 63 days under controlled management condit...
Pancreatic α-cell dysfunction associated with equine insulin dysregulation. Insulin dysregulation (ID) in horses is characterised by insulin resistance and exaggerated insulin responses, yet the underlying endocrine mechanisms remain incompletely understood. In humans, α-cell dysfunction characterised by exaggerated glucagon secretion contributes to metabolic disease; however, the role of pancreatic α-cell function in equine ID has not previously been investigated. Objective: To investigate whether horses with moderate to severe ID exhibit α-cell dysfunction, characterised by fasting and postprandial hyperglucagonaemia as well as impaired postprandial glucagon supp...
Phenotypic associations between young horse assessments and orthopaedic diagnoses in insured Swedish Warmblood horses. Lameness is the most common health problem in riding horses, and insurance data have previously been used to investigate the prevalence of orthopaedic diagnoses in Swedish Warmblood (SWB) horses. Young horse performance testing is an important part of the SWB breeding programme and contributes data to the genetic evaluation. Assessed traits from these tests have been shown to be useful indicator traits of performance in show jumping and dressage, but their associations with orthopaedic health have not previously been investigated. Objective: To study the associations between assessed traits fr...
Effects of constant rate infusion of a fixed-dose combination of medetomidine and vatinoxan on sedation, cardiorespiratory variables, and gastrointestinal activity in standing Thoroughbred horses. A fixed-dose combination of medetomidine (MED) and vatinoxan (VTX), a peripherally selective α2-adrenoceptor antagonist, is commercially available, but its constant rate infusion (CRI) has not been evaluated. Objective: To compare the sedative effects, cardiorespiratory variables, and gastrointestinal activity of MED-VTX and MED-atipamezole (ATIP) with MED alone in Thoroughbred horses. Methods: Six healthy Thoroughbreds underwent a blinded three-treatment, three-period crossover study. Horses received MED (7 μg/kg IV; 5 μg/kg/h CRI for 60 min) alone (gM), with VTX (140 μg/kg IV; 100 μg/kg...
Race-related fatalities in U.S. jump racing, 2023-2025: incidence and documentation across public reporting sources. Fatality reporting in National Steeplechase Association (NSA)-sanctioned U.S. jump racing is distributed across several public sources, and no single source consistently links the race incident with the final clinical outcome. Objective: To identify and verify race-related fatalities associated with NSA-sanctioned jump-racing starts, compare documentation across public sources, and estimate minimum confirmed fatality incidence. Methods: The study population included official starters in completed NSA-sanctioned hurdle/fence and timber races during 2023-2025. Potential fatalities reported by Ho...
Comparison of blind end closure techniques in equine ileum. To determine the difference in bursting pressure (BP), bursting wall tension (BWT), and closure speed between commonly utilized methods of ileal stump closure. Methods: Randomized experimental study. Methods: A total of 71 ileal segments from 18 healthy horses. Methods: Ileum was collected postmortem from 18 horses and divided into four segments. One end of each segment was closed using one of three techniques: Parker-Kerr (PK), gastrointestinal staples (ST), or gastrointestinal staples with a Lembert staple oversew (SO). Closure time was recorded. Control (C) segments were not altered. Segmen...
Biomarkers of brain injury in foals with neonatal maladjustment syndrome. Plasma concentrations of brain-derived neurotrophic factor (BDNF), glial-fibrillary-acidic protein (GFAP), and astrocytic protein S100B, might be linked to the pathophysiology of Neonatal Maladjustment Syndrome (NMS). Objective: To measure serum concentration of BDNF and S100B, plasma concentration of GFAP, and neurosteroids (progesterone and 17α-hydroxyprogesterone) in foals with NMS, foals presented for other diseases, including premature, and healthy foals, and determine their association with outcome. Methods: Fourteen healthy foals, 19 NMS foals, 39 foals hospitalized for other diseases ...
Myocardial dysfunction associated with low-dose endotoxin administration in adult horses. Horses with endotoxemia have variable myocardial function, but little is known about the severity or persistence of myocardial dysfunction (MD). Objective: Horses with experimentally induced endotoxemia have systolic and diastolic MD. Methods: Twelve systemically healthy horses. Methods: Horses were given Escherichia coli lipopolysaccharide 30 ng/kg over 60 min. Echocardiography and cardiac troponin I (cTnI) measurements were performed at baseline, 1, 3, and 5 h post-endotoxin. Fluid therapy (10 L), polymyxin B (6000 IU/kg), and flunixin meglumine (1.1 mg/kg) were administered intravenou...
Oxidative stress markers in different age ranges of healthy horses. Oxidative stress results from an imbalance between oxidants and antioxidants, impairing cellular functions and contributing to diseases and aging. Despite the growing interest in oxidative stress, studies specifically evaluating the influence of age on laboratory and oxidative stress parameters in clinically healthy horses remain limited. Thus, this study aimed to evaluate the influence of age on laboratory and oxidative stress parameters in clinically healthy horses. A total of 152 clinically healthy horses (80 females and 72 males) were selected, including young horses aged 3 to 48 months (...
Effects of Repeated Monopolar Pulsed Capacitive Radiofrequency Energy Treatments on Mechanical Nociceptive Thresholds and Skin Temperature in Show-Jumping Horses with Thoracolumbar Pain. This study evaluated the effects of repeated monopolar Capacitive Resistive Electrical Transfer (CRET) therapy on mechanical nociceptive thresholds (MNT) and skin surface temperature in horses with perceived chronic thoracolumbar pain. Fifteen show-jumping horses were enrolled in a randomized sham-controlled clinical trial. Ten horses received treatment, and five underwent a sham procedure. Five treatment sessions were performed at 72 h intervals using a monopolar capacitive radiofrequency device operating at 500 kHz. Mechanical nociceptive thresholds (MNT) were assessed before treatment, afte...
Warmed intravenous fluid administration attenuated a reduction in body temperature in anaesthetised horses. Peri-anaesthetic hypothermia is a well-documented complication of general anaesthesia and is associated with prolonged recovery, impaired wound healing, and delayed coagulation. Fluid warmers can be used to mitigate heat loss, but there is little evidence supporting their effectiveness in equine anaesthesia. Objective: To determine whether administration of warmed intravenous fluids attenuates heat loss during general anaesthesia in horses. Methods: Prospective, randomised, crossover in vivo experiment. Methods: Six healthy adult horses were anaesthetised twice and administered intravenous flu...
Scintigraphic Characteristics of the Occipitoatlantoaxial Region in Clinically Sound Horses. The equine occipitoatlantoaxial (OAA) region is biomechanically complex, yet normative scintigraphic reference data for this area are lacking. This retrospective study characterized the physiological radiopharmaceutical uptake pattern in the OAA region of 60 clinically sound horses, assigned equally into four age groups: under 6 years (Group A), 6-10 years (Group B), 11-15 years (Group C), and over 15 years (Group D). A standardized, semiquantitative analysis of lateral bone-phase scintigrams was performed using region of interest (ROI) ratios to determine uptake patterns. A highly consist...
Diagnostic Accuracy of Scintigraphy for Detecting Morphological Variation of the Sixth Cervical Vertebral Ventral Lamina in Horses: A Retrospective Study. Morphological variations or transposition of the ventral lamina of the sixth cervical vertebra (C6) are well documented in horses. Radiography remains the primary modality for identifying these osseous variations, whereas scintigraphy provides a functional assessment of bone activity; however, its diagnostic accuracy for this condition has not been established. This retrospective single-center study evaluated the diagnostic performance of scintigraphy compared with radiography for detecting C6/C7 ventral laminar anomalies and determined an optimal C6:C7 uptake ratio cutoff. Thirty-four horses ...
