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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.
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 ...
Characterization of the Healthy Ocular Mycobiome of Purebred Lusitano Horses Using Oxford Nanopore Long-Read Sequencing. The ocular surface represents a unique microbial ecosystem continuously exposed to environmental microorganisms; however, the fungal component of the healthy equine ocular microbiome remains poorly characterized. This study aimed to characterize the ocular surface mycobiome of 12 clinically healthy Purebred Lusitano horses from three geographical regions in Portugal kept in two housing systems using Oxford Nanopore long-read sequencing and conventional fungal culture. Sequencing revealed a highly diverse fungal community with marked inter-individual variability. The most abundant genera were ,...
Use of a caudal intercostal block in horses undergoing surgery for colic. In humans and companion animals, regional anaesthesia is used in multimodal analgesic protocols for abdominal wall surgery. Benefits include earlier patient mobilisation and improved pain scores. Regional anaesthetic techniques for horses undergoing abdominal surgery could provide similar benefits and warrant investigation. Objective: To evaluate the safety and efficacy of a caudal intercostal block for abdominal surgery (CIBAS) in horses undergoing surgery for colic. Methods: Blinded, randomised clinical trial. Methods: Horses (n = 22) undergoing exploratory celiotomy for colic were rando...
Human-horse interactions as complementary strategies for mental health promotion. Animal-assisted interventions (AAI) represent complementary rehabilitative approaches designed to address a range of physical and mental health conditions. Among these, Equine-assisted interventions (EAI) offer structured opportunities for engagement through diverse activities conducted within naturalistic settings, thereby integrating therapeutic processes with ecological contexts. Methods: Over the past years, our group has developed and implemented standardized AAI methodologies that are now embedded within comprehensive intervention planning. This overview summarizes the application of dif...
Effects of sympathomimetic agents on heart rate variability during general anesthesia in Thoroughbred horses. Heart rate variability (HRV) is widely used as a noninvasive index of autonomic nervous system activity. The objective of this study was to determine whether the administration of sympathomimetic agents alters HRV indices during general anesthesia in Thoroughbred horses. Five healthy Thoroughbred horses were anesthetized with sevoflurane in oxygen. During 2-5 hr of general anesthesia, five treatments were administered to each horse in a randomized order. Two doses (µg·kg·min) of epinephrine (0.1 and 0.5), norepinephrine (0.5 and 1), dobutamine (1 and 5), dopamine (5 and 15), and saline (as ...
Computed tomographic findings in 1600 cases of equine sinonasal disease and associations with case outcome. No study has described the computed tomographic (CT) sinonasal findings in a large cohort of referred sinonasal disease cases. Objective: To report the CT imaging findings in equine sinonasal disease and examine associations between case outcome and CT findings. Methods: Retrospective case series. Methods: Data were collected from medical records from 19 equine hospitals on sinonasal disease cases which had undergone CT imaging. Case outcome was obtained from clinical records, and/or by contacting clients and referring veterinarians. Multivariable logistic regression analysis was used to exami...
Coprological assessment of gastrointestinal helminths in Arabian Thoroughbred horses housed in a stable in the Constantine region, Algeria. This study assesses the gastrointestinal parasitological status of Arabian Thoroughbred horses at the Eastern Equestrian Club in Constantine (Algeria). In this semi-arid region, epidemiological data on equine parasitoses are lacking. Twenty fecal samples were analyzed using qualitative (flotation) and quantitative (McMaster) methods, complemented by morphological identification of parasitic eggs. The results reveal an overall prevalence of 50 %, with species diversity dominated by strongyles (60 % of positive cases), followed by (40 %), spp. (30 %), (20 %), and spp. (10 %). The excretion i...
Associations between treatments and response to treatments from a large multicentre study of equine sinonasal disease. No large study has examined the treatment and response to treatment of horses with sinonasal disease confirmed by computed tomography (CT). Objective: To report the treatment and response to treatment of referred cases of equine sinonasal disease. To explore associations between case outcome and clinical and endoscopic features, CT findings, disease subtypes, and treatments in a multivariable model. Methods: Retrospective case series. Methods: Data were collected from medical records from 19 equine hospitals on cases of sinonasal disease, all of which underwent CT imaging. Case outcome was obt...
Pelvic Flexure Enterotomy in Horses: Scoping Review and Synthesis of the Literature (1996-2026). This scoping review maps the available literature aimed at identifying the most appropriate technique for suturing pelvic flexure enterotomies in horses. A comprehensive search of Web of Science, Google Scholar, and the National Center for Biotechnology Information was conducted for studies published between January 1996 and February 2026, using terms related to pelvic flexure enterotomy and equine patients. From 22,146 records, only five ex vivo studies on healthy equine colon specimens met the inclusion criteria. The studies compared variables such as suturing time, suture pattern, material,...
Exhaled breath condensate in horses: a first microbiological insight. Exhaled breath condensate (EBC) is a non-invasive method for obtaining samples reflecting the airway lining fluid; however, its microbiological composition remains poorly characterized. Objective: To perform an exploratory microbiological comparison of EBC in clinically healthy horses maintained under different environmental conditions. Methods: An observational study included 30 mares equally distributed into two groups: horses housed in stalls (Racetrack group) and horses maintained under pasture conditions (Farm group). EBC samples were collected using a validated device developed by the re...
Use of Sildenafil Citrate for the Treatment of Erectile Dysfunction in Stallions: First Case Reports. Pharmacological aids can be useful alternatives to enhance penile erection and/or improve ejaculatory function, thereby prolonging the reproductive life of stallions with ejaculatory disorders. This study aimed to evaluate the effects of sildenafil citrate in the treatment of erectile dysfunction and on semen quality in two aged stallions, a Quarter Horse (18 years) and a Mangalarga Marchador (25 years), presented to the Veterinary Hospital of FMVZ-UNESP, Botucatu, SP, Brazil. The treatment consisted of oral administration of sildenafil citrate at 0.2 mg/kg. Thirty minutes after administ...
Influence of Manual Double-Spin Preparation Protocols on the Cellular and Growth Factor Composition of Equine Platelet-Rich Plasma. This prospective, randomised, ex vivo study investigated the effects of manual double-spin centrifugation protocols on the cellular and growth factor composition of equine platelet-rich plasma (PRP). Blood from 20 healthy horses was evaluated in two phases. In Phase A (n = 10), nine first-spin protocols were compared, and two were selected based on platelet enrichment and leukocyte reduction. In Phase B (n = 10), these were combined with nine second-spin conditions, generating 18 PRP preparations. Platelet (PLT), leukocyte (WBC) and erythrocyte (RBC) concentrations and PDGF-BB and TGF-β conce...
Evaluation of tilapia skin (Oreochromis niloticus) frozen, frog skin (Rana catesbeiana), and tilapia skin (Oreochromis niloticus) sterilized with gamma rays dressings, in equine skin wound healing. Skin wounds are common in horses due to species-specific behavioral responses. Equine skin morphology, vascularization, and inflammatory responses to wounds are comparable to those in humans, supporting the translational relevance of equine wound-healing studies. Investigating biomaterials such as tilapia and frog skin may improve wound management. This study demonstrated that sterilized tilapia and frog skin exhibit promising wound-healing properties. Unassigned: Macroscopic, microscopic, and thermographic aspects of second-intention wound healing were compared in six horses with surgically i...
Randomized study of the effects of testosterone administration on severity of asthma in horses. Low testosterone concentrations are associated with poor lung function in human asthmatics, and androgen administration improves airway obstruction in women with asthma. Objective: Testosterone improves clinical scores, lung function, airway neutrophilia, and airway remodeling in horses with severe asthma. Methods: Ten horses affected by severe asthma from a research herd. Methods: In a randomized, blinded, crossover study, horses received dexamethasone (0.06 mg/kg PO q24h for 10 days) or a single intramuscular injection of testosterone cypionate (0.35 mg/kg), with a 2-week washout period. ...
Blood pressure, electrolyte and fluid balance in horses with insulin dysregulation after short-term treatment with canagliflozin. Short-term treatment with SGLT-2 inhibitors decreases blood pressure in people with type 2 diabetes. The aim was to investigate the impact of a 3-week treatment with canagliflozin on blood pressure in insulin dysregulated (ID) horses and to study effects on fluid balance. This was a single-centre, randomised, double-blind, placebo-controlled, parallel design study. The primary study evaluated glucose and insulin responses during an oral sugar test, and these results have been published previously. Here we report the effect of canagliflozin treatment on blood pressure, PCV, serum proteins and e...
Population Pharmacokinetics and Detection Times of Betamethasone After Intravenous, Intramuscular, and Intranasal Jet Administration of Betamethasone Sodium Phosphate in Horses. Betamethasone sodium phosphate (BETP) is a glucocorticosteroid used in humans. The primary objective was to estimate irrelevant plasma (IPC) and urine (IUC) concentrations using a pharmacokinetic/pharmacodynamic approach based on systemic clearance estimated from intravenous (IV) pharmacokinetic data. As a secondary objective, detection times (DTs) following IV, intramuscular (IM), and intranasal jet (INJ) administration were estimated for medication control. Plasma and urine concentrations were obtained from a total of 20 horses in Japan and Germany, with some horses contributing to more than...
Diagnostic and Therapeutic Standing Needle Arthroscopy of the Distal Interphalangeal Joint in 36 Horses. The objective of this study is to describe the technique, complications, and outcomes of standing needle arthroscopy of the distal interphalangeal joint (DIPJ) in horses. Unassigned: This is a retrospective study. Unassigned: Five cadaver forelimbs; 36 client-owned horses. Unassigned: A 1.9-mm needle arthroscope was used to evaluate the DIPJ in cadaver limbs and clinical cases. Horses underwent diagnostic and/or therapeutic arthroscopy under standing sedation and local anaesthesia. Data collected included signalment, diagnostic imaging findings, intraoperative findings, complications, and outc...
Effects of two different fluid rates on tissue oxygenation and haemodynamic stability in anaesthetised horses. Perianaesthetic fluid therapy can influence oxygen delivery and tissue oxygenation, yet the optimal fluid rate in horses remains undefined. Objective: To compare two fluid strategies on peripheral tissue oxygenation (StO) and cardiorespiratory variables in isoflurane-anaesthetised horses. Methods: Randomised, controlled, experimental design with two independent groups. Methods: Sixteen euvolemic adult horses undergoing coeliotomy were anaesthetised with xylazine, ketamine, and midazolam, maintained on isoflurane with lidocaine infusion, and randomised to lactated Ringer's solution at 2.5 mL/...
Bacterial Pneumonia in Horses: Insights from a 10-Year European Single-Centre Retrospective Study. Bacterial pneumonia in horses typically occurs secondary to predisposing factors that compromise defence mechanisms. This 10-year retrospective study evaluated bacterial pneumonia in 81 horses treated at the equine clinic of Freie Universität Berlin from January 2015 to December 2024. Horses infected with primary pathogens such as or ssp. were not included in the study. The most common predisposing events were aspiration, mainly following oesophageal obstruction (37.0%), post-anaesthetic disease (27.2%), primary respiratory signs (24.7%), and other conditions (11.1%). Horses with aspiratio...
Pilot Study on the Development and Assessment of a Novel Sensor for Measuring Rein Tension. Effective horse-rider communication is essential in equestrian sports, both for performance and animal welfare. Rein tension, which is often applied through negative reinforcement (i.e., the release of pressure to reward a desired response), plays a central role in this interaction. However, high or inconsistent tension can lead to discomfort or injury, particularly in the mouth cavity. While previous studies have analyzed rein tension in basic gaits such as walk, trot, and canter, limited research exists on more complex maneuvers like jumping or abrupt stops. This pilot study introduces a cus...
Serial Postoperative Blood and Peritoneal Fluid Analysis and Ultrasonographic Assessment in Client-Owned Horses Undergoing Ventral Midline Exploratory Celiotomy for Colic. Postoperative monitoring, including evaluation of peritoneal fluid, is used to aid in the diagnosis and treatment plan for complications after colic surgery. The primary objective of this study was to determine serial venous and peritoneal postoperative variables, including L-lactate values in horses after ventral midline exploratory celiotomy. A secondary objective was to evaluate postoperative abdominal ultrasonography as a predictor of complications. A total of 36 client-owned horses with signs of colic undergoing ventral midline exploratory celiotomy were prospectively enrolled in the stud...
Centrifugation of peritoneal fluid improves visual assessment of strangulating lesions in equine colic. Early and accurate recognition of a strangulating lesion is essential to expedite surgical intervention in horses presenting with colic. Objective: To evaluate the use of a colour grading scale in the visual assessment of peritoneal fluid, before and after centrifugation, and assess its ability to predict the presence of a strangulating lesion. Methods: Prospective clinical study. Methods: Peritoneal fluid samples from 231 equids presenting with colic were visually analysed immediately after collection and assigned a numerical value based on a developed colour scale. Peritoneal fluid was centr...
Successful outcome of open distal interphalangeal joint luxation in equids treated by surgical debridement without internal implants. The distal interphalangeal joint (DIPJ) plays a crucial role in the function of the hoof and digit. Dislocations and subluxations in this region are rare and primarily of traumatic origin. Methods: This case report aims to describe two unusual cases of open DIPJ dislocation, including clinical presentation, diagnostic workup, treatment, and long-term follow-up. Both animals presented with open traumatic distal interphalangeal joint (DIPJ) luxation. In Case 1, the animal received initial care on the property 5 h post-trauma and presented with joint exposure and articular surface contact with th...
Proof of concept for low dose and delayed release of tigilanol tiglate in the treatment of equine sarcoids. Intra-tumoural administration of tigilanol tiglate has been shown effective in local treatment of cutaneous equine neoplasias. The drug causes rapid oncolysis and tumour slough, but may also be associated with comorbidities in sensitive and/or intricate anatomical sites due to its initial pro-inflammatory mode of action. Here we describe two approaches to optimise and further de-risk treatment of equine sarcoids with tigilanol tiglate, especially in difficult locations. Firstly, we provide preliminary clinical and observational data on the efficacy of low dose administration of tigilanol tigla...
Seizures and blindness onset zone in 7 horses undergoing radiographic myelography in lateral recumbency under inhalation anesthesia. Seizures and blindness are potential complications associated with myelography. Objective: Describe, classify, and determine onset zone of seizures and blindness in horses undergoing radiographic myelography in lateral recumbency. Methods: Seven young adult horses. Methods: Retrospective study. Horses with seizures or blindness associated with myelography were included. Results: Three horses with general proprioceptive ataxia and 4 neurologically normal horses (Warmblood = 4, Thoroughbred = 3), ages 9 (range, 3-16) years old. Iohexol (300 mg I/mL) from 50 to 60 mL (0.09-0.1 mL/kg) were ...
Histological differences in the placenta of three mares treated for ascending bacterial placentitis compared to physiological pregnancies. Ascending bacterial placentitis is a frequent cause of late pregnancy loss in mares. The histology of placentitis has been described but mainly with a focus on inflammatory changes. In this study, we assessed several aspects beyond inflammatory processes between mares foaling close to term during treatment for placentitis and physiological pregnancies. We included placental tissue from physiological term pregnancies (group PP; n = 8) and clinical cases with confirmed ascending bacterial placentitis (group PL; n = 3). Samples were collected from several locations of the allantochorion (cerv...
Spatial and temporal radiation exposure during equine bone scintigraphy: Implications for occupational safety and post-scintigraphy isolation. Bone scintigraphy is a valuable diagnostic modality in equine orthopaedics, but it is associated with occupational radiation exposure and regulatory requirements for post-procedural isolation. Objective: To quantify radiation dose rates emitted from horses undergoing bone scintigraphy, to evaluate the effects of distance (spatial) and time (temporal) on radiation exposure, and to derive evidence-based recommendations for post-scintigraphy isolation periods. Methods: Prospective, cross-sectional study. Methods: Twenty warmblood horses underwent musculoskeletal scintigraphy following intravenous...
