Analyze Diet

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.
Attenuation From Shoes and Pads in Equine Nuclear Scintigraphy, With Relevance to Solar Views.
Frontiers in veterinary science    September 24, 2020   Volume 7 516718 doi: 10.3389/fvets.2020.516718
Walker L, Martinelli MJ, Rantanen N, Drumond B, Trostle S.Nuclear scintigraphy can be beneficial in the investigation of equine lameness and poor performance. Images obtained through the sole allow for better identification of a region of increased radionuclide uptake in the foot. The presence of shoes or pads may affect these images. To determine the degree of radioactive attenuation different types of shoes and pads of different thickness and materials were evaluated by placing the material directly on the gamma camera detector acquiring flood images from a point source. The study compared five different types of shoes from 3 different shoeing mate...
Evaluation of a Commercial Activity Monitor for Determining Step Counts in Horses.
Journal of equine veterinary science    September 24, 2020   Volume 95 103272 doi: 10.1016/j.jevs.2020.103272
Kline KE, Moorman VJ.Monitoring activity level has become popular in people and animals. In the horse, these monitors may be helpful for the detection of disease, monitor limb loading after surgery, and assist in rehabilitation. The objective of this study was to evaluate the accuracy of a commercial activity monitor (AM) (FitBit Zip) in horses. In Part 1, four stalled horses had five AMs placed (head, chest, withers, and left forelimb and hindlimbs) with stride length setting of 60.96 cm and were monitored for 24 hours with AM and video. In Part 2, four stalled horses had two AMs placed (left forelimb and hindl...
Adaptation strategies of horses with induced forelimb lameness walking on a treadmill.
Equine veterinary journal    September 24, 2020   Volume 53, Issue 3 600-611 doi: 10.1111/evj.13344
Serra Bragança FM, Hernlund E, Thomsen MH, Waldern NM, Rhodin M, Byström A, van Weeren PR, Weishaupt MA.There is a paucity of research describing the gait pattern of lame horses at the walk. Objective: To describe the changes in motion pattern and vertical ground reaction forces (GRFz) in horses with induced forelimb lameness at the walk and compare those changes with the changes observed at the trot. Methods: Experimental study. Methods: In 10 clinically sound Warmblood horses, moderate forelimb lameness was induced using a sole pressure model followed by trot and walk on a treadmill. Kinematic data were collected using 3D optical motion capture (OMC), and GRFz by an instrumented treadmill. Mix...
Arthroscopic evaluation of the metacarpophalangeal and metatarsophalangeal joints in horses with parasagittal fractures of the proximal phalanx.
Equine veterinary journal    September 24, 2020   Volume 53, Issue 4 746-751 doi: 10.1111/evj.13343
James FM, Smith MRW, Wright IM.Fractures of the proximal phalanx are one of the most common long bone fractures of Thoroughbred racehorses. Although the degree of disruption and damage to the articular surface is generally considered a major prognostic determinant, associated arthroscopic findings have not previously been reported. Objective: To describe the metacarpo/metatarsophalangeal (MCP/MTP) joint lesions associated with parasagittal fractures of the proximal phalanx arthroscopically identified at the time of fracture repair and compare radiographic and arthroscopic appearance of complete fractures. Methods: Retrospec...
Epidural administration of opioid analgesics improves quality of recovery in horses anaesthetised for treatment of hindlimb synovial sepsis.
Equine veterinary journal    September 23, 2020   Volume 53, Issue 4 682-689 doi: 10.1111/evj.13338
Louro LF, Milner PI, Bardell D.Opioid epidural analgesia has been shown to provide effective analgesia in horses. There is a lack of evidence regarding the effect of opioid epidural analgesia on quality of recovery in horses. Objective: Identify whether opioid epidural analgesia influences quality of recovery in horses undergoing general anaesthesia required for management of hindlimb synovial sepsis. Methods: Single-centre retrospective cross-sectional study. Methods: Data were obtained from the clinical records of horses which had undergone arthroscopic or tenoscopic surgery for management of hindlimb synovial sepsis over...
Agreement of 2 electrolyte analyzers for identifying electrolyte and acid-base disorders in sick horses.
Journal of veterinary internal medicine    September 23, 2020   Volume 34, Issue 6 2758-2766 doi: 10.1111/jvim.15889
Gomez DE, Buczinski S, Darby S, Palmisano M, Beatty SSK, Mackay RJ.Use of different analyzers to measure electrolytes in the same horse can lead to different interpretation of acid-base balance when using the simplified strong ion difference (sSID) approach. Objective: Investigate the level of agreement between 2 analyzers in determining electrolytes concentrations, sSID variables, and acid-base disorders in sick horses. Methods: One hundred twenty-four hospitalized horses. Methods: Retrospective study using paired samples. Electrolytes were measured using a Beckman Coulter AU480 Chemistry analyzer (PBMA) and a Nova Biomedical Stat Profile (WBGA), respectivel...
Comparing racing performance following arthroscopic surgery of metacarpophalangeal/metatarsophalangeal and carpal joints in Thoroughbred racehorses rehabilitated using conventional and underwater treadmill therapies.
The Veterinary record    September 23, 2020   Volume 187, Issue 9 355 doi: 10.1136/vr.105745
Potenza KN, Huggons NA, Jones ARE, Rosanowski SM, McIlwraith CW.Rehabilitation of horses using underwater treadmill therapy has been shown to improve joint range of motion, joint mobility, stride length and proprioceptive parameters with experimental studies. However, studies investigating the prognosis and return to function following rehabilitation are lacking. Methods: A retrospective study of Thoroughbred racehorses treated with arthroscopic surgery for osteochondral fragments of the metacarpophalangeal (MCP) or metatarsophalangeal (MTP) joints or carpal joints undergoing conventional rehabilitation or underwater treadmill assisted rehabilitation at th...
Changes in antimicrobial resistance patterns of ocular surface bacteria isolated from horses in the UK: An eight-year surveillance study (2012-2019).
Veterinary ophthalmology    September 22, 2020   Volume 23, Issue 6 950-956 doi: 10.1111/vop.12827
Chalder RH, Knott T, Rushton JO, Nikolic-Pollard D.To identify temporal changes in antimicrobial resistance of ocular surface bacteria isolated from clinically symptomatic equine eyes in the South West of the UK. Methods: Retrospective. Methods: Clinical and laboratory records of horses treated for suspected bacterial ocular surface disease (ulcerative and non-ulcerative) at a single facility between January 2011 and December 2019 were reviewed. Cases were included if they underwent ocular surface sampling, aerobic bacterial culture, and antimicrobial susceptibility testing. Cases were split into two time periods based on when sampling occurre...
Intraocular pressure following four different intravenous sedation protocols in normal horses.
Equine veterinary journal    September 19, 2020   Volume 53, Issue 3 612-617 doi: 10.1111/evj.13336
Joyner RL, Liu CC, Cremer J, Carter RT, Lewin AC.Intravenous sedation is frequently necessary for ophthalmic examination in horses. Common sedation protocols have not been directly compared in terms of relative intraocular pressure (IOP) reduction, duration of IOP reduction and time to maximum IOP reduction. Objective: To compare the effects of standing sedation protocols on IOP. Methods: Randomised cross-over experiment. Methods: Twelve healthy horses received four intravenous sedation protocols with a 48 hours washout: 0.5 mg/kg xylazine and 0.01 mg/kg butorphanol (SED1); 10 µg/kg detomidine and 0.01 mg/kg of butorphanol (SED2); 10 ...
Fetal morphological features and abnormalities associated with equine early pregnancy loss.
Equine veterinary journal    September 19, 2020   Volume 53, Issue 3 530-541 doi: 10.1111/evj.13340
Kahler A, McGonnell IM, Smart H, Kowalski AA, Smith KC, Wathes DC, de Mestre AM.Early pregnancy loss (EPL) occurs in approximately 8% of equine pregnancies, although the aetiology is mostly unknown and embryonic/fetal morphological abnormalities associated with EPL are not defined. Objective: To compare the morphology of EPL to clinically normal embryos/fetuses and previously described embryonic/fetal developmental milestones. To identify morphological abnormalities associated with equine EPL. Methods: Observational case-control study. Methods: Embryos/fetuses were obtained from clinically normal Thoroughbred and pony pregnancies (n = 11) and following EPL from Thorough...
Protective effects of dexmedetomidine on small intestinal ischaemia-reperfusion injury in horses.
Equine veterinary journal    September 17, 2020   Volume 53, Issue 3 569-578 doi: 10.1111/evj.13337
VanderBroek AR, Engiles JB, Kästner SBR, Kopp V, Verhaar N, Hopster K.Strangulating small intestinal lesions in the horse have increased morbidity and mortality compared to nonstrangulating obstructions due to mucosal barrier disruption and subsequent endotoxaemia. Objective: To investigate protective effects of dexmedetomidine on small intestinal ischaemia-reperfusion injury in the horse. Methods: Randomised, controlled, experimental study. Methods: Eighteen systemically healthy horses were randomly assigned to three groups: control, preconditioning, and post-conditioning. During isoflurane anaesthesia, complete ischaemia was induced in a 1-m segment of jejunum...
Overview of the Current Situation in a Sample of Headshakers and Owner Assessment of Effective Therapeutic Measures Used in Germany.
Journal of equine veterinary science    September 17, 2020   Volume 95 103270 doi: 10.1016/j.jevs.2020.103270
Stange LM, Krieter J, Czycholl I.Equine headshaking syndrome is a problematic behavior that has been described in literature for more than 100 years. The signs of headshaking syndrome appear frequently and violently so that riding the horse can be dangerous. The aim of this research was to gain an overview of the underlying causes of equine headshaking syndrome to identify effective treatment options, reduce the distress of horses and, in a second step, potentially improve therapeutic possibilities for horse owners and veterinarians. Most studies on prevalence originate from Anglo-American countries, so this research was to ...
Inter-observer variability of two grading systems for equine glandular gastric disease.
Equine veterinary journal    September 17, 2020   Volume 53, Issue 3 495-502 doi: 10.1111/evj.13334
Tallon R, Hewetson M.Equine glandular gastric disease (EGGD) is recognised as a separate entity to equine squamous gastric disease (ESGD) and it is recommended that lesions are graded differently. Currently, no validated scoring system exists for EGGD. Objective: To determine inter-observer reliability of two previously described grading systems for EGGD and to assess if agreement improved with gastroscopy experience, specialist training or familiarity with the descriptive system. Methods: Cross-sectional survey. Methods: A link to an electronic questionnaire containing 20 images of glandular lesions was circulate...
Horizontal bone grafting using equine-derived cancellous bone blocks is associated with severe complications: A prospective clinical and histological pilot study.
Clinical oral implants research    September 17, 2020   Volume 31, Issue 11 1149-1158 doi: 10.1111/clr.13661
Angermair J, Bosshardt DD, Nelson K, Flügge TV, Stricker A, Fretwurst T.The aim of this prospective, clinical study was to evaluate the clinical performance and histological outcome of a new equine hydroxyapatite collagenated bone block (eHAC) for horizontal bone grafting prior to implant placement. Methods: Five patients (two male/three female) with a mean age of 51.6 years (range 22-66 years) and a reduced horizontal bone width of the alveolar ridge (mean 3.5 mm) underwent horizontal bone grafting using eHAC at 10 grafting sites. Reentry was performed 6.9 months after the horizontal grafting procedure. Clinical follow-up (mean 28.9 month) considered width g...
Prevalence and Distribution of Lesions in the Nasal Bones and Mandibles of a Sample of 144 Riding Horses.
Animals : an open access journal from MDPI    September 16, 2020   Volume 10, Issue 9 doi: 10.3390/ani10091661
Pérez-Manrique L, León-Pérez K, Zamora-Sánchez E, Davies S, Ober C, Wilson B, McGreevy P.Restrictive nosebands are used in equestrian sports to hold the bit in place and reduce mouth-opening, a response that can attract penalties in some sports and is thought to reduce the rider's control of the horse. Sustained pressure from such tightly fitted (restrictive) nosebands denies normal behaviour and thus, causes frustration and distress that can jeopardise horse welfare. It also may push the cheek against the molar teeth, compress soft tissues including blood vessels and nerves, and possibly induce chronic changes to underlying bone. This study of mature cavalry horses (n = 144) was ...
Use of saline contrast ultrasonography in the diagnosis of complete jugular vein occlusion in a horse.
Open veterinary journal    September 15, 2020   Volume 10, Issue 3 308-316 doi: 10.4314/ovj.v10i3.9
Corda A, Columbano N, Secchi V, Scanu A, Parpaglia MLP, Careddu GM, Passino ES.Thrombophlebitis and thrombosis are the most common causes of jugular vein occlusion in horses. Medical and surgical treatments aim to recanalize the occluded vessel and reduce proximal venous congestion and edema. The present report describes a clinical case of equine jugular vein thrombosis (JVT) with complete vein occlusion diagnosed by saline contrast ultrasonography (SCU) and confirmed by contrast venography. Our results demonstrated that the SCU test can be easily performed and objectively interpreted using standard ultrasound equipment; it is not expensive and it does not require x-ray...
Inclusion of supplemental antibiotics (amikacin – penicillin) in a commercial extender for stallion semen: Effects on sperm quality, bacterial growth, and fertility following cooled storage.
Theriogenology    September 15, 2020   Volume 158 209-217 doi: 10.1016/j.theriogenology.2020.09.018
Hernández-Avilés C, Love CC, Serafini R, Ramírez-Agámez L, Kelley DE, de Andino EM, Teague SR, LaCaze KA, Brinsko SP, Varner DD.In this study, the effectiveness of supplementing INRA-96® extender (INRA-Control; original antibiotic formulation: potassium penicillin G = 38 μg/mL; gentamicin sulfate = 105 μg/mL; amphotericin B = 0.315 μg/mL) with amikacin sulfate and potassium penicillin G (AP) was determined. In Exp. 1, two sources of amikacin (INRA-AP-Sigma or INRA-AP-GoldBio) in combination with penicillin G were compared with ticarcillin/clavulanate (INRA-Tim) or no-supplemental antibiotics (INRA-Control) to examine effects on sperm quality and commensal bacterial growth. No differences were detected in s...
Treatment of Progressive Scleromalacia Perforans by Tectonic Enhancement With Lyophilized Equine Pericardium.
Cornea    September 15, 2020   Volume 40, Issue 5 648-651 doi: 10.1097/ICO.0000000000002465
Droutsas K, Giachos I, Katsiampoula V, Kourti P, Kymionis G, Petrou P.To describe the off-label use of lyophilized equine pericardium for tectonic enhancement of the sclera in a case of progressive scleromalacia perforans. Methods: An 82-year-old woman with a history of varicella zoster virus sclerokeratitis presented with a progressively expanding scleral thinning at the superonasal quadrant of the anterior sclera of her left eye. The eye was blind because of intractable glaucoma. To avoid perforation of the exposed choroid, a single layer of lyophilized equine pericardium was sutured over the scleral perforation. After performing a conjunctival peritomy in the...
Evaluation of the effects of intraabdominal hypertension on equine central venous pressure.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    September 15, 2020   Volume 30, Issue 6 653-659 doi: 10.1111/vec.13001
Munsterman AS, Gillen AM, Coleridge MOD, Hanson RR.To evaluate the effect of changes in intraabdominal pressure (IAP) on central venous pressure (CVP) in normal horses. Methods: Experimental, in vivo study. Methods: University Teaching Hospital. Methods: Convenience sample of 7 mixed breed horses-5 geldings and 2 mares. Methods: Pneumoperitoneum was induced in horses under standing sedation with carbon dioxide gas using a laparoscopic insufflator for a total of 60 minutes to simulate clinical elevation in IAP. Pressure was increased stepwise to 20 mm Hg over 30 minutes, and maintained at that pressure for 30 minutes to evaluate the effect of ...
Evaluation of cobas Influenza A/B & RSV Test for Diagnosis of Equine Influenza.
Journal of equine veterinary science    September 12, 2020   Volume 94 103249 doi: 10.1016/j.jevs.2020.103249
Nemoto M, Okita N, Kitahata M, Bannai H, Tsujimura K, Kinoshita Y, Kambayashi Y, Cullinane A, Yamanaka T, Ohta M.A rapid and sensitive diagnostic method is needed to help prevent the spread of equine influenza virus. The cobas Influenza A/B & RSV test for the cobas Liat system (Roche Diagnostics) is based on real-time reverse transcription polymerase chain reaction and is designed to broadly detect influenza A virus RNA within 20 minutes. It detected a broad range of equine influenza virus strains, and detected equine influenza virus RNA from nasal swabs of infected horses at the same level as real-time reverse transcription polymerase chain reaction, although it returned some invalid results (7.7%)...
Serum albumin and total protein concentration in the tear film of horses with healthy or diseased eyes.
Veterinary ophthalmology    September 12, 2020   Volume 24, Issue 1 20-27 doi: 10.1111/vop.12822
Terhaar HM, Allbaugh RA, Mochel JP, Sebbag L.To determine total protein content (TPC) and serum albumin levels in the tears of horses with healthy or diseased eyes. Methods: Forty-two horses with healthy eyes and 11 horses with unilateral (n = 10) or bilateral (n = 1) ocular disease. Methods: Each eye underwent an ophthalmic examination including detailed conjunctivitis scoring and tear collection with Schirmer strips. TPC and serum albumin levels were quantified in tear samples and compared among healthy eyes, affected eyes, and contralateral unaffected eyes. The impact of the following variables on lacrimal protein levels were asse...
Comparison of a 3-hole 4.5-mm Dynamic Compression Plate and a 7-hole 5.5-mm Y Locking Compression Plate for Arthrodesis of the Proximal Interphalangeal Joint in Horses-an Ex Vivo Biomechanical Study.
Journal of equine veterinary science    September 12, 2020   Volume 94 103252 doi: 10.1016/j.jevs.2020.103252
Latorre CAS, de Souza AF, Ramos PAR, Nóbrega FS, van de Graaf GMM, Pereira CAM, Ferrigno CRA, Hendrickson DA, De Zoppa ALDV.The objective of this study was to compare the biomechanical properties in a single cycle axial loading test and the types of failures in two constructs (a 3-hole 4.5-mm dynamic compression plate (DCP) and 7-hole 5.5-mm Y locking compression plate (Y-LCP)) in equine proximal interphalangeal joint (PIJ) arthrodesis. One limb in each pair was randomly assigned to PIJ arthrodesis using a 3-hole 4.5-mm DCP combined with two transarticular 5.5-mm cortical screws, whereas the contralateral limb was submitted to PIJ arthrodesis using a 7-hole Y-shaped 5.0-mm LCP in conjunction with one transarticular...
A Computed Tomographic Assessment of Osteitis of Sinus Bony Structures in Horses With Sinonasal Disorders.
Frontiers in veterinary science    September 11, 2020   Volume 7 627 doi: 10.3389/fvets.2020.00627
Dixon PM, Puidupin C, Borkent D, Liuti T, Reardon RJM. Computed tomographic (CT) imaging has shown some horses with sinonasal diseases to have changes in their sinus bony structures. Scintigraphic and clinical evidence of sinus osteitis have also been reported. However, no study has objectively examined for the presence and degree of osteitis in equine sinonasal disease. To assess for the presence and extent of osteitis of sinus-related bony structures by examination of CT images of horses with clinically and sinoscopically confirmed unilateral sinonasal disease. Retrospective examination of CT images of horses with confirmed, mainly chronic (&...
Maxillary Incisors of the Horse before and at the Beginning of the Teeth Shedding: Radiographic and CT Study.
Animals : an open access journal from MDPI    September 10, 2020   Volume 10, Issue 9 1618 doi: 10.3390/ani10091618
Miró F, Manso C, Diz A, Novales M.To gain insight into the radiographic appearance of maxillary deciduous incisors and dental germs of maxillary permanent incisors in the period prior to teeth shedding, radiographs and computed tomography (CT) of 25 horse skulls, with an estimated age of between 12 and 42 months, were studied. Data regarding morphology and development were obtained. Dental germs of first maxillary permanent incisors were identified radiographically as rounded radiolucent areas at the level of the apical parts of the first deciduous incisors, in skulls with an estimated age of twelve months. The first sign of c...
Objective Assessment of Acute Pain in Foals Using a Facial Expression-Based Pain Scale.
Animals : an open access journal from MDPI    September 10, 2020   Volume 10, Issue 9 doi: 10.3390/ani10091610
van Loon J, Verhaar N, van den Berg E, Ross S, de Grauw J.Pain assessment is very important for monitoring welfare and quality of life in horses. To date, no studies have described pain scales for objective assessment of pain in foals. Studies in other species have shown that facial expression can be used in neonatal animals for objective assessment of acute pain. The aim of the current study was to adapt a facial expression-based pain scale for assessment of acute pain in mature horses for valid pain assessment in foals. The scale was applied to fifty-nine foals (20 patients and 39 healthy controls); animals were assessed from video recordings (30-6...
Use of the Intratumoural Anticancer Drug Tigilanol Tiglate in Two Horses.
Frontiers in veterinary science    September 9, 2020   Volume 7 639 doi: 10.3389/fvets.2020.00639
De Ridder T, Ruppin M, Wheeless M, Williams S, Reddell P.Tigilanol tiglate is a novel small molecule approved as a veterinary pharmaceutical in Europe for intratumoural treatment of non-metastatic, non-resectable canine mast cell tumors. The drug has a "tumor agnostic" mode of action associated with induction of an acute inflammatory response at the treatment site, immune cell recruitment, and disruption of tumor vasculature. Consequently, tigilanol tiglate has potential in treating a range of tumor types in humans and companion animals. However, it is likely that species-specific dosing and concomitant medication protocols will be required, especia...
Morphometric analysis of the intercarpal ligaments of the equine proximal carpal bones during simulated flexion and extension of cadaver limbs.
Anatomia, histologia, embryologia    September 9, 2020   Volume 50, Issue 1 151-160 doi: 10.1111/ahe.12613
Olusa TAO, Akbar Z, Murray CM, Davies HMS.Despite many reported cases of carpal lameness associated with intercarpal ligament injuries in horses, the morphometry, movement pattern and general intrinsic biomechanics of the carpus are largely unknown. Using osteoligamentous preparation of the carpus prepared from 14 equine cadaver forelimbs (aged 9.62 ± 4.25 years), locomotory simulations of flexion and extension movements of the carpal joint were carried out to observed carpal biomechanics and, thereafter, the limbs were further dissected to obtain morphometric measurements of the medial and lateral collateral ligaments (MLC and LC...
The effect of neonatal dysphagia on subsequent racing performance in Standardbred horses.
Equine veterinary journal    September 6, 2020   Volume 53, Issue 3 481-487 doi: 10.1111/evj.13326
Delvescovo B, Mullen KR, Eicker SW, Ivanek R, Ainsworth DM.Previously we described a clustering of dysphagic foal cases on a Pennsylvania (PA) Standardbred farm which was associated with exposure of pregnant mares to high concentrations of polycyclic aromatic hydrocarbons (PAHs) in the well water. The effect of dysphagia on future athleticism was uncertain. Objective: To determine if, as adults, dysphagic foals were less likely to race and if athleticism (age of first race, Speed Index and Earnings Per Start Index) differed from that of healthy foals that raced as adults. Methods: Prospective cohort study. Methods: All foals born during the study peri...
Clinical magnetic resonance image quality of the equine foot is significantly influenced by acquisition system.
Equine veterinary journal    September 5, 2020   Volume 53, Issue 3 469-480 doi: 10.1111/evj.13330
Byrne CA, Marshall JF, Voute LC.Investigation of image quality in clinical equine magnetic resonance (MR) imaging may optimise diagnostic value. Objective: To assess the influence of field strength and anaesthesia on image quality in MR imaging of the equine foot in a clinical context. Methods: Analytical clinical study. Methods: Fifteen equine foot studies (five studies per system) were randomly selected from the clinical databases of three MR imaging systems: low-field standing (LF St), low-field anaesthetised (LF GA) and high-field anaesthetised (HF GA). Ten experienced observers graded image quality for entire studies an...
Characterization of the use of shock wave therapy among equine veterinarians.
The Canadian veterinary journal = La revue veterinaire canadienne    September 4, 2020   Volume 61, Issue 9 990-993 
MacKay AV, McOnie RC, Riddell LP, Robinson KA.Extracorporeal shock wave therapy (ESWT) research has prioritized mechanism of action and efficacy. Data regarding frequency of use and clinical opinion are not available. A web-based survey was offered to members of the American Association of Equine Practitioners; 144 responses were obtained. Frequency of ESWT use by respondents was as follows: daily by 8.3% (12/144), at least once weekly by 36.8% (53/144), at least once per month by 22.9% (33/144), less than once per month by 19.4% (28/144), and never by 12.5% (18/144) of respondents. The most common reason for use was to treat ligamentous ...