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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.
Effect of lungeing on head and pelvic movement asymmetry in horses with induced lameness.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e39-e45 doi: 10.1016/j.tvjl.2013.09.031
Rhodin M, Pfau T, Roepstorff L, Egenvall A.Lungeing is an important part of lameness examinations, since the circular path enforced during lungeing is thought to accentuate low grade lameness. However, during lungeing the movement of sound horses becomes naturally asymmetric, which may mimic lameness. Also, compensatory movements in the opposite half of the body may mimic lameness. The aim of this study was to objectively study the presence of circle-dependent and compensatory movement asymmetries in horses with induced lameness. Ten horses were trotted in a straight line and lunged in both directions on a hard surface. Lameness was in...
Comparison of microgyro-based measurements of equine metatarsal/metacarpal bone to a high speed video locomotion analysis system during treadmill locomotion.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e157-e160 doi: 10.1016/j.tvjl.2013.09.052
Roepstorff L, Wiestner T, Weishaupt MA, Egenvall E.The aim of this study was to compare an inertial motion system (IMS) to an optical based locomotion analysis system measuring limb sagittal segment angles in horses at the walk and trot. The metatarsal/metacarpal bones of two horses (20 trials) were fitted with optical system markers and an IMS. Between the systems, measuring range of motion (ROM) of the sagittal metatarsal/metacarpal bone angles, the IMS measured higher ROM than the optical system (bias 1.6°; precision at 1.96 standard deviation 1.9°). The same angle data were used to assess inter-limb symmetry by calculating phase shift be...
Head and pelvic movement symmetry in horses during circular motion and in rising trot.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e52-e58 doi: 10.1016/j.tvjl.2013.09.033
Robartes H, Fairhurst H, Pfau T.Lameness examinations in horses often include lungeing and ridden exercise. To incorporate these exercises into the evidence-based decision making process aided by quantitative sensor based gait analysis, guideline values for movement asymmetry are needed. In this study, movement symmetry (MS) was quantified in horses during unridden and ridden trot on the straight and on the circle. Systematic changes in MS were expected as a result of the 'asymmetrical loading' caused by circular movement, the rising trot and the combination of the two. Out of 23 horses (age 4-20 years, height 13.3-17.2 hand...
Pressure plate analysis of toe-heel and medio-lateral hoof balance at the walk and trot in sound sport horses.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e9-e13 doi: 10.1016/j.tvjl.2013.09.026
Oosterlinck M, Hardeman LC, van der Meij BR, Veraa S, van der Kolk JH, Wijnberg ID, Pille F, Back W.Empirically, equine distal limb lameness is often linked to hoof imbalance. To objectively quantify dynamic toe-heel and medio-lateral hoof balance of the vertical ground reaction force in sound sport horses, seven Royal Dutch Sport Horses were led at the walk and trot over a dynamically calibrated pressure plate. Forelimb hoof prints were divided into a toe and heel region and a medial and lateral zone. Toe-heel and medio-lateral hoof balance of the vertical ground reaction force were calculated throughout the stance. Toe-heel balance was highly symmetrical between contralateral limbs at both...
Relationship between morphological and stabilographic variables in standing horses.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e65-e69 doi: 10.1016/j.tvjl.2013.09.035
Clayton HM, Buchholz R, Nauwelaerts S.A stabilogram plots movements of the centre of pressure (COP) in the horizontal plane. Derived stabilographic variables quantify postural balance, but it is not known if these variables are size dependent. The aims of this study were to determine which morphological variable was most representative of size, which stabilographic variables were most representative of balance and whether size normalisation improved estimates of postural performance. Croup height (0.93-1.77 m), mass (117-666 kg), base of support (BOS) length (0.74-1.18 m) and BOS width (0.22-0.45 m) were measured in 24 horses. Sta...
Effect of Clostridium botulinum toxin type A injections into the deep digital flexor muscle on the range of motion of the metacarpus and carpus, and the force distribution underneath the hooves, of sound horses at the walk.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e152-e156 doi: 10.1016/j.tvjl.2013.09.051
Hardeman LC, van der Meij BR, Oosterlinck M, Veraa S, van der Kolk JH, Wijnberg ID, Back W.In the treatment of laminitis, reducing deep digital flexor muscle (DDFM) activity might diminish its pull on the distal phalanx, thereby preventing displacement and providing pain relief. Injection of Clostridium botulinum toxin type A into the DDFM of horses is potentially therapeutic. However, the effects of C. botulinum toxin type A on the gait characteristics of sound horses at the walk are not known. The aim of this study was to test if a reduced DDFM activity would lead to (1) alterations of the sagittal range of motion of the metacarpus (SROM) and range of motion of the carpal joint (C...
Biomechanical responses of the back of riding horses to water treadmill exercise.
Veterinary journal (London, England : 1997)    September 26, 2013   Volume 198 Suppl 1 e120-e123 doi: 10.1016/j.tvjl.2013.09.045
Mooij MJ, Jans W, den Heijer GJ, de Pater M, Back W.There is a lack of evidence for the presumed beneficial effects of water treadmills on the movement of the horse's back. The aim of the study was to evaluate the effects of water treadmill exercise on axial rotation (AR), lateral bending (LB) and pelvic flexion (PF) in horses. The back kinematics of a group of riding horses were studied at the walk in a water treadmill at different depths of water (hoof, fetlock, carpus, elbow and shoulder joint levels) over a period of 10 days. Skin markers were placed at anatomical locations on the back. AR, LB and PF were measured on days 1 and 10 using two...
Vascular perfusion of the dorsal and palmar condyles of the equine third metacarpal bone.
Equine veterinary journal    September 25, 2013   Volume 46, Issue 3 370-374 doi: 10.1111/evj.12136
Alber MT, Brown MP, Merritt KA, Trumble TN.Palmar osteochondral disease (POD) is an overload arthrosis that commonly affects fetlock joints of racing Thoroughbreds (TB) but the aetiopathogenesis of the disease has not been well defined. Objective: The aim of this study was to compare India ink perfusion in the dorsal and palmar condyles of the third metacarpal bone (McIII) in both passively flexed and maximally extended fetlock joints from paired equine cadaver limbs. Methods: Descriptive cadaver study comparing perfusion of condyles of McIII in paired cadaver limbs in flexion (control group) and maximal extension (intervention group)....
Evaluation of the reactivity of commercially available monoclonal antibodies with equine cytokines.
Veterinary immunology and immunopathology    September 25, 2013   Volume 156, Issue 1-2 1-19 doi: 10.1016/j.vetimm.2013.09.012
Schnabel CL, Wagner S, Wagner B, Durán MC, Babasyan S, Nolte I, Pfarrer C, Feige K, Murua Escobar H, Cavalleri JM.Research on equine cytokines is often performed by analyses of mRNA. For many equine cytokines an analysis on the actual protein level is limited by the availability of antibodies against the targeted cytokines. Generation of new antibodies is ongoing but time consuming. Thus, testing the reactivity of commercially available antibodies for cross-reactivity with equine cytokines is of particular interest. Fifteen monoclonal antibodies against IL-1β, IL-6, IL-8, IL-12, IL-18 and Granulocyte Macrophage Colony stimulating factor (GM-CSF) of different species were evaluated for reactivity with the...
Beneficial effects of autologous bone marrow-derived mesenchymal stem cells in naturally occurring tendinopathy.
PloS one    September 25, 2013   Volume 8, Issue 9 e75697 doi: 10.1371/journal.pone.0075697
Smith RK, Werling NJ, Dakin SG, Alam R, Goodship AE, Dudhia J.Tendon injuries are a common age-related degenerative condition where current treatment strategies fail to restore functionality and normal quality of life. This disease also occurs naturally in horses, with many similarities to human tendinopathy making it an ideal large animal model for human disease. Regenerative approaches are increasingly used to improve outcome involving mesenchymal stem cells (MSCs), supported by clinical data where injection of autologous bone marrow derived MSCs (BM-MSCs) suspended in marrow supernatant into injured tendons has halved the re-injury rate in racehorses....
Cisplatin chemotherapy for the treatment of canker. Veronika Apprich and Theresia Licka comment.
The Veterinary record    September 24, 2013   Volume 173, Issue 11 276 doi: 10.1136/vr.f5710
Apprich V, Licka T.No abstract available
Applications of a New Handheld Reference Point Indentation Instrument Measuring Bone Material Strength.
Journal of medical devices    September 24, 2013   Volume 7, Issue 4 410051-410056 doi: 10.1115/1.4024829
Randall C, Bridges D, Guerri R, Nogues X, Puig L, Torres E, Mellibovsky L, Hoffseth K, Stalbaum T, Srikanth A, Weaver JC, Rosen S, Barnard H....A novel, hand-held Reference Point Indentation (RPI) instrument, measures how well the bone of living patients and large animals resists indentation. The results presented here are reported in terms of Bone Material Strength, which is a normalized measure of how well the bone resists indentation, and is inversely related to the indentation distance into the bone. We present examples of the instrument's use in: (1) laboratory experiments on bone, including experiments through a layer of soft tissue, (2) three human clinical trials, two ongoing in Barcelona and at the Mayo Clinic, and one comple...
The effect of bacterial dose and foal age at challenge on Rhodococcus equi infection.
Veterinary microbiology    September 24, 2013   Volume 167, Issue 3-4 623-631 doi: 10.1016/j.vetmic.2013.09.018
Sanz M, Loynachan A, Sun L, Oliveira A, Breheny P, Horohov DW.While Rhodococcus equi remains the most common cause of subacute or chronic granulomatous bronchopneumonia in foals, development of a relevant model to study R. equi infection has proven difficult. The objective of this study was to identify a challenge dose of R. equi that resulted in slow progressive disease, spontaneous regression of lung lesions and age-dependent susceptibility. Foals less than one-week of age were challenged intratracheally using either 10(6), 10(5), 10(4), 10(3) or 10(2) cfu of R. equi. Two doses (10(3) cfu and 10(5) cfu) were used to challenge 2 and 3-week-old, and 3 an...
Isolation of RNA from equine peripheral blood cells: comparison of methods.
SpringerPlus    September 22, 2013   Volume 2, Issue 1 478 doi: 10.1186/2193-1801-2-478
Jiang Z, Uboh CE, Chen J, Soma LR.Gene expression studies in equine research involve the use of whole blood samples as a vital source of RNA. To determine the optimal method for RNA isolation from equine whole blood, we compared three RNA isolation strategies using different commercially available kits to evaluate the yield and quality of equine RNA. All 3 methods produced RNA with high quality. Though it did not produce the highest yield, combining the quality, yield and the need for the downstream application in our project, LeukoLOCKâ„¢ total RNA isolation system was the best RNA extraction method.
Allogeneic adipose tissue-derived mesenchymal stem cells in combination with platelet rich plasma are safe and effective in the therapy of superficial digital flexor tendonitis in the horse.
International journal of immunopathology and pharmacology    September 21, 2013   Volume 26, Issue 1 Suppl 61-68 doi: 10.1177/03946320130260s108
Ricco S, Renzi S, Del Bue M, Conti V, Merli E, Ramoni R, Lucarelli E, Gnudi G, Ferrari M, Grolli S.Overstrain tendonitis are common pathologies in the sport horses. Therapeutic approaches to tendon healing do not always result in a satisfactory anatomical and functional repair, and healed tendon is often characterized by functional impairment and high risk of reinjury. Recently, mesenchymal stem cells (MSCs) and platelet rich plasma (PRP) have been proposed as novel therapeutic treatments to improve the tendon repair process. MSCs are multipotent, easy to culture and being originated from adult donors do not pose ethical issues. To date, autologous MSCs have been investigated mainly in the ...
Compressive fatigue life of subchondral bone of the metacarpal condyle in thoroughbred racehorses.
Bone    September 21, 2013   Volume 57, Issue 2 392-398 doi: 10.1016/j.bone.2013.09.006
Martig S, Lee PV, Anderson GA, Whitton RC.In racehorses, fatigue related subchondral bone injury leads to overt fracture or articular surface collapse and subsequent articular cartilage degeneration. We hypothesised that the fatigue behaviour of equine subchondral bone in compression follows a power law function similar to that observed in cortical and trabecular bone. We determined the fatigue life of equine metacarpal subchondral bone in-vitro and investigated the factors influencing initial bone stiffness. Subchondral bone specimens were loaded cyclically in compression [54MPa (n=6), 66MPa (n=6), 78MPa (n=5), and 90MPa (n=6)] until...
A pilot phase II study of the efficacy and biosafety of doxorubicin chemotherapy in tumor-bearing equidae.
Journal of veterinary internal medicine    September 20, 2013   Volume 27, Issue 6 1581-1588 doi: 10.1111/jvim.12144
Théon AP, Pusterla N, Magdesian KG, Wittenburg L, Marmulak T, Wilson WD.The efficacy and biosafety of a previously established tolerable dosage of doxorubicin have not been established in horses. Objective: To provide preliminary evidence of the efficacy of doxorubicin in tumor-bearing horses, explore drug pharmacokinetics profile, and estimate period of risk of exposure to drug residues. Methods: Twelve horses with 37 tumors. Methods: Treatment protocol included 6 treatments at 3-week intervals. Eight horses were uniformly treated at a dosage of 70 mg/m(2) and 4 horses received 4 of 6 treatment cycles at 70 mg/m(2) . Clinical signs, tumor responses, and toxicoses...
Sensory nerve conduction and somatosensory evoked potentials of the trigeminal nerve in horses with idiopathic headshaking.
Journal of veterinary internal medicine    September 20, 2013   Volume 27, Issue 6 1571-1580 doi: 10.1111/jvim.12191
Aleman M, Williams DC, Brosnan RJ, Nieto JE, Pickles KJ, Berger J, Lecouteur RA, Holliday TA, Madigan JE.Idiopathic headshaking (HSK) in horses is a distressing disorder in which the etiology and pathophysiology are unknown. Objective: Differences in sensory function of the trigeminal nerve exist between healthy and affected horses. Methods: Six healthy mature geldings and 6 mature geldings with idiopathic HSK. Methods: Prospective study. Sensory nerve action and somatosensory evoked potentials studies were performed. The stimulus site comprised the gingival mucosa dorsal to the maxillary canine. A pair of recording electrodes was placed along the sensory pathway of the trigeminal complex at the ...
Prevalence and risk factors for cardiac diseases in a hospital-based population of 3,434 horses (1994-2011).
Journal of veterinary internal medicine    September 20, 2013   Volume 27, Issue 6 1563-1570 doi: 10.1111/jvim.12197
Leroux AA, Detilleux J, Sandersen CF, Borde L, Houben RM, Al Haidar A, Art T, Amory H.Risk factors for cardiac diseases in horses have not been explored in a large population of animals. Objective: To describe risk factors for various cardiac diseases in a hospital-based population of horses. Methods: Files of 3,434 horses admitted at the Internal Medicine Department of the Liege Equine Teaching Hospital between 1994 and 2011 were reviewed and of those, 284 were categorized as having moderate-to-severe cardiac disease. Methods: Observational study. After calculating prevalence for each cardiac disease, we tested whether breed (chi-square test) or sex, age, body weight (BW), and...
Plasma D-dimer concentrations during experimental EHV-1 infection of horses.
Journal of veterinary internal medicine    September 20, 2013   Volume 27, Issue 6 1535-1542 doi: 10.1111/jvim.12203
Goehring LS, Soboll Hussey G, Gomez Diez M, Benedict K, Maxwell LK, Morley PS, Sloet van Oldruitenborgh-Oosterbaan MM, Lunn DP.Central nervous system blood vessel thrombosis is a part of the pathogenesis of equid herpesvirus-associated myeloencephalopathy (EHM). D-dimers (DD) are stable breakdown products of cross-linked fibrin, and increased DD-plasma concentrations could reflect the degree of systemic coagulation during EHV-1 infection. Objective: We hypothesized that blood DD concentrations will be increased during periods of EHV-1 fever and viremia, reflecting an activated coagulation cascade with fibrinolysis. Methods: Twenty-eight equids were infected with EHV-1 in 3 experimental infection studies. Three (uninfe...
Long term outcome after surgical correction of mandibular brachygnathia with unilateral type 1 external skeletal fixation.
Veterinary surgery : VS    September 20, 2013   Volume 42, Issue 8 979-983 doi: 10.1111/j.1532-950X.2013.12058.x
Klaus CS, Hertsch BW, Höppner S, Lischer CJ.To describe complications and long-term outcome after surgical correction of severe overbite in 7 horses using corrective osteotomy and a Type I external fixator. Methods: Case series. Methods: Horses (n = 7). Methods: Seven horses with severe mandibular brachygnathia were treated by corrective osteotomy and a Type I external fixator. Data on surgical technique, complications, long-term outcome and owner satisfaction were recorded. Results: Severe mandibular brachygnathia was corrected successfully in all horses. Short term follow-up revealed a relatively high morbidity due to several comp...
What is your diagnosis? Fluid surrounding a submandibular mass from a horse.
Veterinary clinical pathology    September 18, 2013   Volume 42, Issue 4 531-532 doi: 10.1111/vcp.12078
Hoepp NC, Kim DY, Berent LM, Reed SK.No abstract available
Physiological parameters of endurance horses pre- compared to post-race, correlated with performance: a two race study from scandinavia.
ISRN veterinary science    September 18, 2013   Volume 2013 684353 doi: 10.1155/2013/684353
Larsson J, Pilborg PH, Johansen M, Christophersen MT, Holte A, Roepstorff L, Olsen LH, Harrison AP.Few studies have investigated the physiological parameters of endurance horses in Scandinavia. Hence, this two race study has focused on the effects of endurance racing in terms of equine clinicopathological blood parameters, heart score, and fluid use. Race A involved 15 horses (120 km). Two pre- and one post-race blood samples were taken, body condition score was assessed in triplicate pre-race, and an ECG was used to determine heart score. Race B involved 16 horses (65-120 km). One pre- and two post-race blood samples were taken. For both races, horse data as well as fluid intake estima...
Comparison of components of biological variation between 3 equine thromboelastography assays.
Veterinary clinical pathology    September 18, 2013   Volume 42, Issue 4 443-450 doi: 10.1111/vcp.12079
Hyldahl Laursen S, Andersen PH, Kjelgaard-Hansen M, Wiinberg B.There is a paucity of information about the analytical performance of thromboelastography (TEG) in horses, specifically concerning components of variation among different analytical methods. Such data may be obtained by nested analysis of repetitive standardized sampling of healthy individuals. Objective: The objectives were (1) to assess the relative susceptibility to sources of preanalytical variation in a highly standardized setting, (2) to directly compare and evaluate the observed analytical variation, and (3) to assess the applicability of population-based reference intervals. Methods: B...
Investigation of the immune response to autologous, allogeneic, and xenogeneic mesenchymal stem cells after intra-articular injection in horses.
Veterinary immunology and immunopathology    September 18, 2013   Volume 156, Issue 1-2 99-106 doi: 10.1016/j.vetimm.2013.09.003
Pigott JH, Ishihara A, Wellman ML, Russell DS, Bertone AL.Mesenchymal stem cells have demonstrated immunomodulatory capabilities as well as modest efficacy in animal models of joint injury, warranting further study as a potential treatment of joint disease. The goal of the study was to investigate the blood and synovial immune and histologic response to intra-articular injection of autologous, allogeneic, and xenogeneic bone marrow-derived mesenchymal stem cells (MSC) in horses. The study group consisted of 6 five-year-old Thoroughbred mares that had been injected previously with 15 million, genetically modified autologous, allogeneic, or xenogeneic ...
Clinical parameters, intestinal function, and IGF1 concentrations in colostrum-deprived and colostrum-fed newborn pony foals.
Theriogenology    September 17, 2013   Volume 80, Issue 9 1045-1051 doi: 10.1016/j.theriogenology.2013.08.002
Palm F, Nagel C, Bruckmaier RM, Aurich JE, Aurich C.Colostrum (COL) contains cytokines and growth factors that may enhance intestinal development in neonates. The hypothesis of this study was that besides providing immunoglobulins, COL is important for intestinal function and meconium release in foals. Newborn foals were either fed COL (n = 5) or an equal amount of milk replacer (MR, n = 7) during the first 24 hours of life. To ensure passive immunity, all foals received 1 L plasma. Postnatal development, meconium release, intestinal motility, white blood cell count, insulin-like growth factor 1, and intestinal absorptive function (xylose absor...
Elastographic characteristics of the metacarpal tendons in horses without clinical evidence of tendon injury. Lustgarten M, Redding WR, Labens R, Morgan M, Davis W, Seiler GS.Tendon and ligament injuries are common causes of impaired performance in equine athletes. Gray-scale ultrasonography is the current standard method for diagnosing and monitoring these injuries, however this modality only provides morphologic information. Elastography is an ultrasound technique that allows detection and measurement of tissue strain, and may provide valuable mechanical information about equine tendon and ligament injuries. The purpose of this study was to determine the feasibility, reproducibility, and repeatability of elastography; and to describe elastographic characteristics...
Accuracy of low-field magnetic resonance imaging versus radiography for guiding injection of equine distal interphalangeal joint collateral ligaments. Lamb MM, Barrett JG, White NA, Werre SR.Desmopathy of the distal interphalangeal joint collateral ligament is a common cause of lameness in the horse and carries a variable prognosis for soundness. Intralesional treatment has been proposed for improving outcome; however, limited reports describe methods for injecting this ligament. The purpose of this study was to compare accuracy of low-field magnetic resonance imaging (MRI) vs. radiography for injecting the collateral ligament of the distal interphalangeal joint. Equine cadaver digit pairs (n = 10) were divided by random assignment to injection of the ligament by either technique....
Estimation of vertical tuber coxae movement in the horse from a single inertial measurement unit.
Veterinary journal (London, England : 1997)    September 17, 2013   Volume 198, Issue 2 498-503 doi: 10.1016/j.tvjl.2013.09.005
Pfau T, Starke SD, Tröster S, Roepstorff L.Pelvic movement is altered in hind limb lame horses. A simple method using one inertial measurement unit (IMU) attached to the sacrum, which objectively measures 'hip hike', will help detecting hind limb lameness in large scale studies. In this study, IMUs over the sacrum and the left and right tuber coxae (TC) quantified vertical movement symmetry (MS) in 10 clinically lame horses. A simple geometrical model was used to estimate TC movement from the sacrum IMU. The differences between measured and estimated MS values (mean±SD) and MS changes during different exercise conditions (straight, ci...
Effect of non-sperm cells removal with single-layer colloidal centrifugation on myeloperoxidase concentration in post-thaw equine semen.
Theriogenology    September 17, 2013   Volume 80, Issue 9 1082-1087 doi: 10.1016/j.theriogenology.2013.08.009
Ponthier J, Teague SR, Franck TY, de la Rebière G, Serteyn DD, Brinsko SP, Love CC, Blanchard TL, Varner DD, Deleuze SC.Myeloperoxidase (MPO) is a pro-oxidant enzyme contained in and released by neutrophils during degranulation or after lysis. Post-thaw semen contains MPO and its concentration is associated with decreased sperm motility. Recently, MPO concentration in post-thaw semen was shown to be associated with the presence of non-sperm cells (NSC). The objective of this study was to evaluate the effect of a single-layer colloidal centrifugation before cryopreservation on NSC and MPO concentrations in equine semen. The experimental design consisted of freezing semen with or without previous centrifugation t...