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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.
Peri-anaesthetic complications in an equine referral hospital: Risk factors for post anaesthetic colic.
Equine veterinary journal    April 12, 2016   Volume 48, Issue 3 394 doi: 10.1111/evj.12567
Hughes KJ.No abstract available
Arthrodesis of the equine centrodistal and tarsometatarsal joints using a single modified kerf-cut cylinder.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 12, 2016   Volume 29, Issue 3 227-231 doi: 10.3415/VCOT-15-10-0167
Biedrzycki AH, Grant BD, Nemke B, Markel MD, Morello SL.To describe a technique for surgical placement of a modified kerf-cut cylinder for the purpose of arthrodesis across the equine centrodistal and tarsometatarsal joints. Methods: Each horse (n = 4) underwent unilateral placement of a single kerf-cut cylinder spanning the centrodistal and tarsometatarsal joints with the placement of an autologous cancellous bone graft. Horses were evaluated via lameness examination and radiography postoperatively and euthanatization of each horse was performed at four different time points up to 12 weeks post-surgery to evaluate for lameness, implant stability a...
Hematological and biochemical features of postpartum fever in the heavy draft mare.
Journal of equine science    April 12, 2016   Volume 27, Issue 1 13-16 doi: 10.1294/jes.27.13
Aoki T, Kimura Y, Oya A, Chiba A, Ishii M, Nambo Y.Heavy draft mares potentially have a higher risk of suffering from postpartum fever (PF) than light breed mares. The purpose of this study was to compare hematological and biochemical features between clinically healthy mares (n=40) and PF-affected mares (n=16). Mares were classified as having PF when their rectal temperature rose to >38.5°C within 96 hr of foaling. The numbers of leukocytes, lymphocytes, and neutrophils and the serum magnesium level were significantly lower in PF-affected mares. The serum SAA and NEFA levels were significantly higher in PF-affected mares. Strong inflammation...
Hippotherapy: Remuneration issues impair the offering of this therapeutic strategy at Southern California rehabilitation centers.
NeuroRehabilitation    April 12, 2016   Volume 38, Issue 4 411-417 doi: 10.3233/NRE-161332
Pham C, Bitonte R.Hippotherapy is the use of equine movement in physical, occupational, or speech therapy in order to obtain functional improvements in patients. Studies show improvement in motor function and sensory processing for patients with a variety of neuromuscular disabilities, developmental disorders, or skeletal impairments as a result of using hippotherapy. Objective: The primary objective of this study is to identify the pervasiveness of hippotherapy in Southern California, and any factors that impair its utilization. Methods: One hundred and fifty-two rehabilitation centers in the Southern Californ...
Body composition assessment in horses using bioimpedance spectroscopy.
Journal of animal science    April 12, 2016   Volume 94, Issue 2 533-541 doi: 10.2527/jas.2015-9837
Ward LC, White KJ, van der Aa Kuhle K, Cawdell-Smith J, Bryden WL.Assessment of equine body composition using objective measurements is difficult owing to the large size of the animals and the costs involved. Bioelectrical impedance spectroscopy (BIS), a technique widely used for the assessment of body composition in humans, was investigated for practicality of use in horses. BIS uses algorithms that require values for the apparent resistivities of body fluids and body proportion factors (Kb), currently not available for horses. Aims of the present study were to derive resistivity coefficients and body proportion factors and to validate their use for predict...
Fixation of supraglenoid tubercle fractures using distal femoral locking plates in three Warmblood horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 12, 2016   Volume 29, Issue 3 246-252 doi: 10.3415/VCOT-15-10-0164
Frei S, Fürst AE, Sacks M, Bischofberger AS.Three horses that were presented with supraglenoid tubercle fractures were treated with open reduction and internal fixation using distal femoral locking plates (DFLP). Placing the DFLP caudal to the scapular spine in order to preserve the suprascapular nerve led to a stable fixation, however, it resulted in infraspinatus muscle atrophy and mild scapulohumeral joint instability (case 1). Placing the DFLP cranial to the scapular spine and under the suprascapular nerve resulted in a stable fixation, however, it resulted in severe atrophy of the supraspinatus and infraspinatus muscles and scapulo...
The effect of oral and intravenous dextrose on C-peptide secretion in ponies.
Journal of animal science    April 12, 2016   Volume 94, Issue 2 574-580 doi: 10.2527/jas.2015-9817
de Laat MA, van Haeften JJ, Sillence MN.Managing equine hyperinsulinemia is crucial for preventing laminitis, but our understanding of the mechanisms involved in insulin dysregulation in this species is incomplete. C-peptide is co-secreted with insulin but is resistant to hepatic metabolism and can be used to study insulin dysregulation. This study examined C-peptide secretion in serial blood samples collected after oral and i.v. dextrose (0.75 g/kg) administration to 9 ponies (BCS, 7.1 ± 0.5). The ponies were designated as hyperinsulinemic (HI) or normoinsulinemic (NI) responders before the study, using oral glucose tests and fast...
Development of a new fertility prediction model for stallion semen, including flow cytometry.
Theriogenology    April 11, 2016   Volume 86, Issue 4 1111-1131 doi: 10.1016/j.theriogenology.2016.04.001
Barrier Battut I, Kempfer A, Becker J, Lebailly L, Camugli S, Chevrier L.Several laboratories routinely use flow cytometry to evaluate stallion semen quality. However, objective and practical tools for the on-field interpretation of data concerning fertilizing potential are scarce. A panel of nine tests, evaluating a large number of compartments or functions of the spermatozoa: motility, morphology, viability, mitochondrial activity, oxidation level, acrosome integrity, DNA integrity, "organization" of the plasma membrane, and hypoosmotic resistance, was applied to a population of 43 stallions, 33 of which showing widely differing fertilities (19%-84% pregnancy rat...
Tendon-derived progenitor cells improve healing of collagenase-induced flexor tendinitis.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    April 7, 2016   Volume 34, Issue 12 2162-2171 doi: 10.1002/jor.23251
Durgam SS, Stewart AA, Sivaguru M, Wagoner Johnson AJ, Stewart MC.Tendinitis is a common and a performance-limiting injury in athletes. This study describes the value of intralesional tendon-derived progenitor cell (TDPC) injections in equine flexor tendinitis. Collagenase-induced tendinitis was created in both front superficial digital flexor (SDF) tendons. Four weeks later, the forelimb tendon lesions were treated with 1 × 10 autogenous TDPCs or saline. Tendinitis was also induced by collagenase in one hind SDF tendon, to study the survival and distribution of DiI-labeled TDPCs 1, 2, 4, and 6 weeks after injection. The remaining normal tendon was used...
Impact of fungal species cultured on outcome in horses with fungal keratitis.
Veterinary ophthalmology    April 7, 2016   Volume 20, Issue 2 140-146 doi: 10.1111/vop.12381
Sherman AB, Clode AB, Gilger BC.To determine the significance of Aspergillus and Fusarium spp., as identified by culture, on clinical outcome in equine keratomycosis. Methods: Retrospective analysis of 66 horses (66 eyes) evaluated at the NCSU-VH diagnosed with keratomycosis from which Aspergillus or Fusarium spp. were cultured. Horses were classified into those who improved with medical management alone or those who required surgical intervention to improve. Horses who underwent surgery were divided into globe-sparing procedures or enucleation. Effects of bacterial co-infection, previous topical steroid or antifungal use, a...
Development of a Novel Medial Synoviocentesis Approach to the Bicipital Bursa in an Equine Cadaver Model.
Veterinary surgery : VS    April 7, 2016   Volume 45, Issue 4 523-528 doi: 10.1111/vsu.12474
Grabski M, McNamara J, Roper D, Warren-Smith C, Busschers E.To describe the volume and dimensions of the bicipital bursa and its position in relation to bony and soft tissue structures, in order to develop a novel medial synoviocentesis approach to the bicipital bursa. Methods: Cadaveric study. Methods: Adult equine cadaver limbs (n=19). Methods: Bicipital bursa dimensions, volume, and relationship to bony structures were obtained from positive contrast computed tomography images after distension of the bursa (n=7). Following an intra-bursal injection of polyurethane resin, the bicipital bursa (n=4) was dissected and its relationship to soft tissue str...
Accuracy and Precision of Noninvasive Blood Pressure in Normo-, Hyper-, and Hypotensive Standing and Anesthetized Adult Horses.
Journal of veterinary internal medicine    April 5, 2016   Volume 30, Issue 3 866-872 doi: 10.1111/jvim.13928
Heliczer N, Lorello O, Casoni D, Navas de Solis C.Blood pressure is relevant to the diagnosis and management of many medical, cardiovascular and critical diseases. The accuracy of many commonly used noninvasive blood pressure (NIBP) monitors and the accuracy of NIBP measurements in hypo- and hypertensive standing horses has not been determined. Objective: The objective of this study was to investigate the accuracy of an oscillometric BP monitor in standing horses before and during pharmacologically induced hyper- and hypotension and to compare results in standing and anesthetized horses. Methods: Eight standing mares from a research herd (SG)...
Perineural Injection of the Ethmoidal Nerve of Horses.
Veterinary surgery : VS    April 4, 2016   Volume 45, Issue 4 494-498 doi: 10.1111/vsu.12469
Caruso M, Schumacher J, Henry R.To describe the anatomical location of the ethmoidal nerve in the equine periorbital region and to determine the accuracy of a technique used to deposit local anesthetic solution adjacent to the nerve. Methods: Prospective experimental study. Methods: Adult equine cadaver heads (n=6 for preliminary dissection; n=15 [30 nerve sites] for evaluation of injection technique). Methods: Preliminary dissections were performed to identify landmarks for injection of local anesthetic adjacent to the ethmoidal nerve. For evaluation of the injection technique a 20 gauge 6 cm spinal needle was inserted into...
Magnetic resonance imaging features of progressive ethmoid hematoma in 2 horses.
Veterinaria italiana    April 2, 2016   Volume 52, Issue 1 31-35 doi: 10.12834/VetIt.259.889.2
Careddu GM, Evangelisti MA, Columbano N, Masala G, Manunta ML, Passino ES.Progressive ethmoid hematoma is frequently reported among the pathologies of the upper airways in horses. While several hypotheses have been proposed such as repeated trauma, inflammatory processes and/or chronic infections, congenital phenomena, complication of hemangiomas, and neoplastic processes, the aetiology of this condition is yet unknown. Clinical symptoms are non-specific and includes haemorrhagic nasal discharge, respiratory noise not related to physical exercise and, in most severe cases, phenomena of coughing. The purpose of this case report is to contribute to a correct diagnosti...
Topical distribution of acyclovir in normal equine skin and equine sarcoids: An in vitro study.
Research in veterinary science    April 2, 2016   Volume 106 107-111 doi: 10.1016/j.rvsc.2016.03.021
Haspeslagh M, Taevernier L, Maes AA, Vlaminck LE, De Spiegeleer B, Croubels SM, Martens AM.Topical acyclovir application is an owner-friendly treatment for occult equine sarcoids, without the caustic side-effects other topical treatments have. Variable clinical success rates have been described, but it is not known to what rate and extent acyclovir penetrates in and through equine skin from a topical formulation. In the current study, an in vitro Franz diffusion model was used to determine the permeation parameters for a generic 5% acyclovir cetomacrogol cream for both healthy and sarcoid equine skin. The distribution of acyclovir between different layers of both skin types was also...
Effects of age on the pharmacokinetics of tramadol and its active metabolite, O-desmethyltramadol following intravenous administration to foals.
Equine veterinary journal    April 1, 2016   Volume 48, Issue 1 65-71 doi: 10.1111/evj.12364
Knych HK, Steffey EP, White AM, McKemie DS.Tramadol is an analgesic agent used in man and a number of veterinary species. The pharmacokinetics and behavioural effects of tramadol and its active metabolite have been described in mature horses, but not in young foals. Objective: To characterise the pharmacokinetics, metabolism and some induced behavioural and physiological responses following i.v. tramadol administration in the same group of foals on 4 different occasions, from a few days after birth to age 43 days. Methods: Experimental. Methods: Tramadol was administered i.v. (3 mg/kg bwt) to a group of 8 foals on 4 separate occasion...
Evaluation of serum amyloid A and haptoglobin concentrations as prognostic indicators for horses with colic.
Journal of the American Veterinary Medical Association    April 1, 2016   Volume 248, Issue 8 935-940 doi: 10.2460/javma.248.8.935
Westerman TL, Foster CM, Tornquist SJ, Poulsen KP.To evaluate the use of the acute-phase proteins serum amyloid A (SAA) and haptoglobin as prognostic indicators in horses with colic with regard to the need for surgical intervention, development of complications, and hospitalization cost and duration. Methods: Prospective observational study. Methods: 20 clinically normal horses and 42 horses with colic. Methods: Total WBC and neutrophil counts and plasma fibrinogen, SAA, and haptoglobin concentrations were compared between healthy (control) horses and horses admitted to a veterinary teaching hospital for colic. Clinicopathologic values were c...
Associations of force plate and body-mounted inertial sensor measurements for identification of hind limb lameness in horses.
American journal of veterinary research    March 31, 2016   Volume 77, Issue 4 337-345 doi: 10.2460/ajvr.77.4.337
Bell RP, Reed SK, Schoonover MJ, Whitfield CT, Yonezawa Y, Maki H, Pai PF, Keegan KG.To investigate associations between inertial sensor and stationary force plate measurements of hind limb lameness in horses. Methods: 21 adult horses with no lameness or with mild hind limb lameness. Methods: Horses were instrumented with inertial sensors and evaluated for lameness with a stationary force plate while trotting in a straight line. Inertial sensor-derived measurements of maximum and minimum pelvic height differences between right and left halves of the stride were compared with vertical and horizontal ground reaction forces (GRFs). Stepwise linear regression was performed to inve...
Inflammatory response to the administration of mesenchymal stem cells in an equine experimental model: effect of autologous, and single and repeat doses of pooled allogeneic cells in healthy joints.
BMC veterinary research    March 31, 2016   Volume 12 65 doi: 10.1186/s12917-016-0692-x
Ardanaz N, Vázquez FJ, Romero A, Remacha AR, Barrachina L, Sanz A, Ranera B, Vitoria A, Albareda J, Prades M, Zaragoza P, Martín-Burriel I....Mesenchymal stem cells (MSCs) transplantation has become a promising therapeutic choice for musculoskeletal injuries. Joint-related disorders are highly prevalent in horses. Therefore, these animals are considered as suitable models for testing MSC-based therapies for these diseases. The aim of this study was to investigate the clinical and inflammatory responses to intra-articular single and repeat dose administration of autologous or of pooled allogeneic MSCs in healthy equine healthy joints. Six horses were intra-articularly injected with a single autologous dose of bone marrow derived MSCs...
Quantitative assessment of two methods of tiludronate administration for the treatment of lameness caused by navicular syndrome in horses.
American journal of veterinary research    March 31, 2016   Volume 77, Issue 2 167-173 doi: 10.2460/ajvr.77.2.167
Whitfield CT, Schoonover MJ, Holbrook TC, Payton ME, Sippel KM.To determine effects of 2 tiludronate administration protocols on measures of lameness in horses with navicular syndrome (NS). Methods: 12 horses with bilateral forelimb NS. Methods: Horses were randomly assigned to receive tiludronate (1 mg/kg), diluted in 5 L of isotonic electrolyte solution and delivered through a jugular vein catheter (systemic treatment group; n = 6), or tiludronate (0.1 mg/kg), diluted with saline (0.9% NaCl) solution to a total volume of 35 mL and delivered into the lateral digital vein of each forelimb with an IV regional limb perfusion (IVRLP) technique (IVRLP group; ...
The outcome of the first stages of pregnancy on mares’ bloodstream thyroid hormones.
Theriogenology    March 31, 2016   Volume 86, Issue 4 1036-1041 doi: 10.1016/j.theriogenology.2016.03.032
Fazio E, Medica P, Trifiletti C, Ferlazzo A.The objective of this study was to compare in detail the total and free iodothyronines' pattern of mares from the first ovulation of the year over an extended period of 12 weeks. A total of 20 mares were used in the study. The mares were classified into two groups: mares mated at the ovulation (n = 10) used as observational group and mares unmated at the ovulation (n = 10) used as control group. Serum total and free triiodothyronine (T3, fT3) and thyroxine (T4, fT4) levels were measured in baseline conditions at the first ovulation of year and once a week until 12 weeks later. For the experi...
Radiographic evaluation of the width of the femorotibial joint space in horses.
American journal of veterinary research    March 31, 2016   Volume 77, Issue 2 127-136 doi: 10.2460/ajvr.77.2.127
Trencart P, Alexander K, De Lasalle J, Laverty S.To measure the minimal joint space width (mJSW) in caudocranial radiographic views of orthopedically normal femorotibial joints of horses, to compare the accuracy of measurements with those of a software program designed for humans, and to identify the ideal caudocranial radiographic projection angle for mJSW measurement. ANIMALS 12 healthy mares (22 femorotibial joints) and 3 equine cadavers (6 stifle joints). Methods: Caudocranial views of femorotibial joints were acquired in the proximodistal plane at 5°, 10°, and 15° (caudo-5°-proximal-craniodistal oblique, 10°, and 15°) and laterome...
Topical delivery of diclofenac into and across equine skin from a novel liquid diclofenac epolamine formulation.
Journal of veterinary pharmacology and therapeutics    March 31, 2016   Volume 39, Issue 6 578-583 doi: 10.1111/jvp.12307
Del Río-Sancho S, Concas D, Oreste P, Zoppetti G, Briggs PH, Kalia YN.The aim was to investigate diclofenac delivery into and across equine skin in vitro using Franz diffusion cells from a novel diclofenac epolamine (DIC-EP; 1.3%) formulation and to compare the results to those of Surpass (1% diclofenac sodium liposomal cream) and a 1% aqueous solution of diclofenac sodium. Skin was harvested from the lower legs of Freiberger geldings immediately after slaughter and sliced to a thickness of ~2 mm. Skin samples were divided into two groups [Group 1: 1 year old (n = 2) and Group 2: 6-8 years old (n = 3)]. Cumulative permeation of diclofenac in Groups 1 and...
New test for endothelin receptor type B (EDNRB) mutation genotyping in horses.
Molecular and cellular probes    March 30, 2016   Volume 30, Issue 3 182-184 doi: 10.1016/j.mcp.2016.03.005
Ayala-Valdovinos MA, Galindo-García J, Sánchez-Chiprés D, Duifhuis-Rivera T.Lethal white foal syndrome (LWFS) is an autosomal recessive disease of neonatal foals characterized by a white hair coat and a functional intestinal obstruction. Traditional techniques for identifying the dinucleotide mutation (TC→AG) of the endothelin receptor B gene (EDNRB) associated with LWFS are time-consuming. We developed a new technique based on mutagenically separated polymerase chain reaction (MS-PCR) for simple detection of the EDNRB genotype in horses.
Nutritional management of the foal with diarrhoea.
Equine veterinary education    March 30, 2016   Volume 30, Issue 2 100-105 doi: 10.1111/eve.12564
Barr B.Diarrhoea is a common problem in the neonatal and suckling foal. In certain circumstances supplemental nutrition is necessary depending on the age of foal, severity of diarrhoea and presence of other systemic manifestations. Nutritional supplementation can be provided either enterally or parenterally. Enteral nutrition is superior to parenteral nutrition because it is the most natural and physiologically sound means to provide nutritional support. Parenteral nutrition may be warranted if the foal is unable to receive or tolerate enteral nutrition. Dextrose alone or with amino acids and lipids ...
Joint Mobilization and Manipulation for the Equine Athlete.
The Veterinary clinics of North America. Equine practice    March 26, 2016   Volume 32, Issue 1 87-101 doi: 10.1016/j.cveq.2015.12.003
Haussler KK.Joint mobilization and manipulation provide important diagnostic and therapeutic approaches for addressing musculoskeletal issues in veterinary medicine. Soft tissue and joint mobilization are used to assess the quality and quantity of joint range of motion and as a primary means of treating musculoskeletal disorders. Spinal manipulation was shown to be effective for reducing pain, improving flexibility, reducing muscle tone, and improving symmetry of spinal kinematics in horses. Because of potential misuse and safety issues, joint mobilization and manipulative therapies should be provided onl...
Evaluation of Four Diagnostic Tests for Insulin Dysregulation in Adult Light-Breed Horses.
Journal of veterinary internal medicine    March 25, 2016   Volume 30, Issue 3 885-891 doi: 10.1111/jvim.13934
Dunbar LK, Mielnicki KA, Dembek KA, Toribio RE, Burns TA.Several tests have been evaluated in horses for quantifying insulin dysregulation to support a diagnosis of equine metabolic syndrome. Comparing the performance of these tests in the same horses will provide clarification of their accuracy in the diagnosis of equine insulin dysregulation. Objective: The aim of this study was to evaluate the agreement between basal serum insulin concentrations (BIC), the oral sugar test (OST), the combined glucose-insulin test (CGIT), and the frequently sampled insulin-modified intravenous glucose tolerance test (FSIGTT). Methods: Twelve healthy, light-breed ho...
Surgical Treatment of Iatrogenic Ventral Glottic Stenosis Using a Mucosal Flap Technique.
Veterinary surgery : VS    March 25, 2016   Volume 45, Issue 4 436-442 doi: 10.1111/vsu.12465
Kane-Smyth J, Barnett TP, Mark O'Leary J, Dixon PM.To describe a novel surgical technique for correcting postoperative ventral glottic stenosis (cicatrix or web formation) and the outcome in 2 Thoroughbred racehorses. Methods: Retrospective case report. Methods: Thoroughbreds diagnosed with ventral glottic stenosis (n=2). Methods: Horses presenting with iatrogenic ventral glottic stenosis and resultant exercise intolerance and abnormal exercise-related noise were anesthetized and a midline sagittal skin incision was made over the ventral larynx and between the sternohyoideus muscles overlying the cricothyroid notch. The cricothyroid ligament, ...
Experimental investigation of the biomechanics of urethral tissues and structures.
Experimental physiology    March 24, 2016   Volume 101, Issue 5 641-656 doi: 10.1113/EP085476
Natali AN, Carniel EL, Frigo A, Pavan PG, Todros S, Pachera P, Fontanella CG, Rubini A, Cavicchioli L, Avital Y, De Benedictis GM.What is the central question of this study? Prostheses for treatment of urinary incontinence elicit complications associated with an inadequate mechanical action. This investigation aimed to define a procedure addressed to urethral mechanical characterization. Experimental tests are the basis for constitutive formulation, with a view to numerical modelling for investigation of the interaction between the tissues and a prosthesis. What is the main finding and its importance? Horse urethra, selected for its histomorphometric similarity to human urethra, was characterized by integrated histologic...
Ex Vivo Mechanical Evaluation of a Sternal ZipFix(®) Implant for Prosthetic Laryngoplasty in Horses.
Veterinary surgery : VS    March 24, 2016   Volume 45, Issue 4 450-455 doi: 10.1111/vsu.12466
Markwell HJ, Mueller PO.To evaluate the properties of a ZipFix(®) (ZipFix) implant in equine laryngeal cartilages. Methods: Ex vivo biomechanical study. Methods: Equine arytenoid (n=36) and cricoid cartilages (n=18). Methods: Suture bites were placed in arytenoid or cricoid cartilages using a ZipFix(®) implant or a single strand of USP 5 braided polyester (TiCron™), and arytenoid and cricoid cartilages were separately subjected to single load to failure (25 N preload) or cyclic loading for 1,000 cycles, followed by single load to failure. Load, distraction, and stiffness were recorded. Results: Four arytenoid-Zip...