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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.
Maxillary and mandibular fracture repair using a modified bis-acryl reinforced interdental wiring technique: Description of the technique and report of 11 cases. Repair options for maxillary and mandibular fractures in horses are dictated by the proximity of dentition, fracture configuration, and implant design. Jaw fractures can be repaired by minimising tension forces via intraoral splint constructs when dentition is present on either side of the fracture line. This repair option reduces iatrogenic damage to dentition while achieving reduction and stability until appliance removal. Objective: To first report a modified technique for jaw fracture repair in horses with cadaveric example images. Second, to report the clinical outcome of maxillary and ma...
Influence of collection site on cerebrospinal fluid test results in horses with equine protozoal myeloencephalitis. Cerebrospinal fluid (CSF) analysis is a critical component in the diagnosis of equine protozoal myeloencephalitis (EPM). Test results obtained may differ based on different collection sites. Objective: Compare results of EPM-specific diagnostic tests obtained from different collections sites in EPM-affected and non-EPM affected horses. Methods: Twenty control and 7 EPM-affected horses. Methods: Prospective observational study. CSF was collected from the lumbosacral (LS) and cranial sites (atlantooccipital or C1-2) in 27 horses and EPM-specific diagnostic tests were performed. Data were summari...
Gastroscopic Evaluation of Gastric Mucosa in Horses Treated With Flunixin Meglumine or High-Dose Firocoxib: A Descriptive Pilot Study. Equine Gastric Ulcer Syndrome (EGUS) is common in horses, and nonsteroidal anti-inflammatory drugs (NSAIDs) are a known risk factor for gastrointestinal ulceration. Although COX-2 selective NSAIDs such as firocoxib theoretically offer a better safety profile, endoscopic evidence for their mucosal safety at high off-label doses is lacking. Objective: To compare the effects of label-dose flunixin meglumine and high-dose firocoxib on the gastric mucosa of a small selected group of horses using serial gastroscopy and histopathology in a descriptive pilot study. Methods: Twenty mixed-breed horses w...
Platelet indices’ dynamic in broodmares: Effects of parity and lactation. Lactation and parity are physiological factors influencing platelet (PLT) indices, yet their combined effects in mares remain poorly characterized. As a dynamic process, lactation involves metabolic and endocrine changes that may influence thrombopoiesis; therefore, reproductive history and lactation stage may modulate PLT indices. Objective: To characterize longitudinal platelet (PLT) indices during early lactation in mares and evaluate the influence of parity on thrombopoietic responses. Methods: Fifty-five clinically healthy Spanish Purebred mares were included (20 primiparous and 25 multip...
Agreement of a veterinary-specific oscillometric noninvasive arterial blood pressure monitor (SunTech Vet30) with invasive arterial blood pressure in anaesthetised horses. To evaluate agreement between a veterinary-specific oscillometric noninvasive arterial blood pressure monitor and invasive arterial blood pressure (IBP) measurements in anaesthetised horses. Methods: Prospective clinical method-comparison study. Methods: A group of 46 horses undergoing general anaesthesia in dorsal recumbency. Methods: Paired invasive and oscillometric blood pressure measurements were recorded at 15-minute intervals. IBP was measured via a facial artery catheter, and systolic (SAP), diastolic (DAP), and mean arterial pressures (MAP) were recorded. Oscillometric measurements we...
Validation of an improved insect bite hypersensitivity severity score for allergic equine insect bite hypersensitivity in horses. Insect bite hypersensitivity (IBH) is the most common allergic skin disease in horses, but existing clinical scoring systems lack extensive validation, limiting standardized disease monitoring and therapeutic evaluation. Objective: Develop and validate a standardized, sensitive, and reproducible clinical scoring system for IBH in horses. Methods: Forty-four privately-owned horses with clinically diagnosed IBH examined under field conditions in Switzerland. Methods: In this prospective field validation study, the equine IBH severity score (EqIS) integrates a lesion severity score and an area sc...
Horses without ocular disease maintain similar electroretinographic responses and peripapillary retinal thicknesses across age groups. To determine the impact of age on equine electroretinography (ERG) parameters and retinal thickness in horses with healthy eyes. We hypothesized that ERG b-wave amplitudes would be significantly lower in older horses and that total retinal thickness would not vary significantly with age. Unassigned: Horses with clinically normal eyes comprising 3 age groups (≤ 10, 11 to 20, and ≥ 21 years) underwent scotopic and photopic ERGs, high-resolution fundus photography, and spectral-domain optical coherence tomography. Electroretinography results were compared between age groups using mean implici...
Synovial fluid oxidative stress index as a biomarker for arthritis severity in thoroughbred racehorses. Arthritis is a major cause of lameness in racehorses. Even when lameness improves, it may recur after training resumes, making it difficult to determine the disease state and when to end treatment. This retrospective observational study examined whether oxidative stress in synovial fluid could assess arthritis status in racehorses. Synovial fluid samples obtained during routine clinical practice from horses with arthritis and control samples obtained from horses without clinical or radiographic evidence of carpal joint disease were retrospectively analyzed. A total of 72 Thoroughbreds in Japan...
An Investigation of the Role of Ridden Exercise, Including Application of the Ridden Horse Pain Ethogram, in Pre-Purchase Examinations of Sports Horses. Many horses undergo a pre-purchase examination (PPE) prior to acquisition by a new owner; however, despite evidence that lameness and canter dysfunction may only be apparent during ridden exercise, ridden exercises assessing gait quality is not a routine part of PPEs. The objectives were to determine the influence of the results of ridden exercise on decision-making concerning risk assessment for purchase and to establish the long-term performance of horses. Twenty-five sports horses underwent PPEs including ridden exercises to assess gait quality and to apply the Ridden Horse Pain Ethogram (R...
A Comprehensive Review of the Equine Gut Microbiome in Health and Disease. Molecular microbiology has revolutionized our understanding of the complex host-associated microbiomes required for normative development and physiology. Horses and other members of the family are particularly reliant on the early maturation and lifelong maintenance of an unusually rich hindgut microbiome for optimal digestion and overall health and performance. Research on the equine gut microbiome has accelerated in the past several years, necessitating a renewed appraisal of the field. The present work is a comprehensive and critical review of the literature regarding the bacterial gastroi...
Humoral immune response to equine mesenchymal stem/stromal cells (MSCs): MHC compatibility has more influence than inflammatory priming or chondrogenic differentiation. Mesenchymal stem/stromal cells (MSCs) hold great potential for treating various conditions, but their effectiveness and safety in allogeneic therapies can be affected by the recipient's immune response, among other factors. Allogeneic MSC administration has been associated with immune recognition in different species, including horses. These animals are both veterinary patients and translational models, offering valuable insights into how allogeneic MSCs interact with the immune system in vivo. Factors such as inflammation, chondrogenic differentiation, and major histocompatibility complex (MH...
Administration Study of Bedinvetmab, an Antinerve Growth Factor Monoclonal Antibody, in Horses for Doping Control Purposes. Monoclonal antibodies (mAbs) targeting nerve growth factor (NGF) represent a novel therapeutic approach for managing acute and chronic pain in humans and animals. However, their potential misuse as pain-masking agents in competitive equine sports raises significant welfare and integrity concerns. To enhance understanding of the elimination profile of anti-NGF mAb if misused in horses, this study describes the first administration of bedinvetmab (a canine anti-NGF mAb) in three geldings, establishing its plasma elimination profile following subcutaneous administration. Bedinvetmab plasma concen...
Thoroughbred horses susceptible to Recurrent Exertional Rhabdomyolysis have elevated skeletal muscle mitochondrial capacities. Recurrent Exertional Rhabdomyolysis (RER) is a skeletal muscle disease that can intermittently impede careers of equine athletes. Manifesting as episodes of muscular stiffness and degeneration, RER causes lost training and competition days. RER is associated with abnormal intracellular calcium (Ca) regulation. Calcium released from the sarcoplasmic reticulum to initiate contraction may also be transported into mitochondria, which impacts energy production. RER-susceptible horses exhibit down-regulated mitochondrial proteins but upregulated mitochondrial genes. Thus, mitochondrial function may ...
Effects of Nebulized Alpha-2 Macroglobulin in Horses with Lower Airway Inflammation. Equine asthma is a chronic inflammatory airway disease with limited safe long-term treatments. Alpha-2-macroglobulin (A2M), a natural anti-inflammatory protease inhibitor, may provide a novel non-steroidal therapeutic option for horses with lower respiratory tract inflammation. Objective: To characterize the impact of nebulization with alpha-2-macroglobulin (A2M) on clinical signs, bronchoalveolar lavage cytology, and local and systemic cytokine response in horses with lower respiratory tract inflammation. Methods: Thirteen university-owned horses with lower airway inflammation were randomized...
Surface electromyography and joint angle kinematics of horses at walk and trot on a treadmill. This study aimed to evaluate electromyographic and kinematic parameters of the thoracic and pelvic limbs of horses at a walk and trot on a treadmill. Eleven Brazilian Sport Horses trained for Eventing were assessed in a completely randomized design under two conditions: walk (1.8 m/s) and trot (3.6 m/s). Horses were evaluated on a high-speed treadmill using surface electromyography (sEMG) and kinematic analysis. sEMG was performed bilaterally on the mm. extensor carpi radialis and mm. flexor carpi ulnaris; bilateral muscles of the pelvic limb: mm. tensor fascia latae and mm. biceps femoris u...
Repeatability and test-retest reliability of thermal and pressure pain threshold testing in healthy thoroughbred horses. Quantitative sensory testing (QST) has been used in horses to assess nociceptive responsiveness but its broader clinical application is limited by variability across anatomical sites, environmental conditions, operator technique, and behavioral endpoints. This study aimed to evaluate the feasibility, within-session repeatability, and test-retest reliability of thermal threshold (TT) and pressure pain threshold (PPT) testing in healthy Thoroughbred horses. Unassigned: Eleven adult Thoroughbred horses (4 mares, 7 geldings; median [IQR] age 6 [5-6] years; body weight 558 ± 47 kg) underwent...
Effects of flow-controlled expiration on oxygenation and early recovery in horses undergoing general anaesthesia. FLow-controlled EXpiration (FLEX) has been shown to significantly enhance oxygenation in horses under clinical and experimental conditions. Objective: To compare pulmonary gas exchange during early recovery following general anaesthesia in horses ventilated with FLEX compared with conventional intermittent positive pressure ventilation (IPPV) and to assess recovery characteristics between ventilation modes. Methods: Randomised, crossover in vivo experiments. Methods: Six adult horses underwent two 2-h anaesthetic episodes in a randomised crossover design (FLEX vs. IPPV), separated by a two-wee...
Auscultatory findings and left atrial function as indicators of mitral valve regurgitation severity in horses. Mitral valve regurgitation (MR) is frequently detected in horses, but its classification and prognostication remain challenging. This study investigated whether auscultatory findings and left atrial function are associated with MR severity. Methods: Fifty controls (no/trivial MR) and 101 MR horses (58 mild, 36 moderate, seven severe) were retrospectively evaluated. All were in sinus rhythm and underwent auscultation and echocardiography. Mitral regurgitation severity was graded using a scoring system. Systolic murmur characteristics (duration, type and grade) were recorded. Left atrial functio...
Correction: Phenylbutazone concentrations in synovial fluid following administration via intravenous regional limb perfusion in the forelimbs of six adult horses. [This corrects the article DOI: 10.3389/fmed.2026.1810077.].
Using a wearable electrocardiogram (ECG) patch adapted for 7-day monitoring in the horse. Arrhythmias can cause poor performance and sudden death in horses. Long-term (>24 h) electrocardiogram (ECG) monitoring has been used to identify arrhythmias in humans and is superior to short-term monitoring for transient arrhythmia detection. Televet is the current equine gold-standard ECG device. The Cardea SOLO™ (CS) is a single-use monitor with automated ECG analysis software allowing ECG monitoring for 7 days. Objective: Our objective was to validate the performance of the CS compared to the Televet. Methods: Method validation. Methods: ECGs were performed on 12 healthy horses s...
Determining optimal practices for foal weaning – A protocol for a systematic review and network meta-analysis. Weaning is a stressful time in a foal's (Equus caballus) life. As humans artificially manage weaning in domestic horses, it provides an opportunity to safeguard horse welfare early in life, with potential long-term benefits. While numerous studies have examined the effects of different weaning and management interventions on foal stress, optimal weaning practices have yet to be identified. Overall purpose of the study: To identify which weaning interventions and management practices have the greatest potential to improve foal welfare based on physiological and behavioural outcomes. Research qu...
Straight sesamoidean ligament desmopathy commonly occurs with proximal interphalangeal joint osteoarthritis. Proximal interphalangeal joint osteoarthritis (PIPJ OA) is a common cause of poor performance in the equine athlete; however, the supporting soft tissue structures surrounding the joint are seldom evaluated. Straight sesamoidean ligament injuries have been previously hypothesised to be concomitant with PIPJ OA; however, the frequency of these lesions coinciding with PIPJ OA has not been fully investigated. Objective: To investigate the prevalence of straight sesamoidean ligament desmopathy (SSLD) in horses presenting with PIPJ OA. Methods: Retrospective clinical study. Methods: Horses presenti...
Improving Inclusivity in the Curriculum via the Introduction of an Equine Industry-Specific Language eGlossary. The equine veterinary profession is frequently considered inaccessible to veterinary students who have had limited exposure to the equine industry. One of the perceived reasons for this inaccessibility is the use of what is often coined "horsey" language within the industry. If a student has limited experience of the equine industry, there is a potential language barrier to teaching, which may result in poor engagement with equine teaching and placements. The aim of this Teaching Tip is to describe the development and evaluation of a new teaching resource designed to demystify equine industry-...
Risk factors for post-partum colic in a population of UK and Irish Thoroughbred broodmares. Broodmares are at increased risk of gastrointestinal colic. However, colic risk factors specific to this population have not been investigated. Objective: To investigate horse- and management-level risk factors for post-partum colic in a cohort of Thoroughbred broodmares in the United Kingdom and Ireland. Methods: Prospective, nested case-control study. Methods: Twenty-nine Thoroughbred stud farms in the United Kingdom and Ireland were recruited, and 1044 mares were followed over the 2021 and/or 2022 foaling seasons. Data were collected on signalment, medical and management history for post-pa...
Comparative clinical and thermographic responses to dexamethasone and saline solution mesotherapy in horses with spinal disorders. Back pain and spinal dysfunction in horses are multifactorial conditions frequently associated with musculoskeletal alterations that may impair mobility, performance, and welfare. Mesotherapy has emerged as a minimally invasive adjunctive approach for managing musculoskeletal disorders; however, comparative clinical responses to different intradermal protocols in equine spinal conditions remain insufficiently investigated. The present study aims to compare the clinical and thermographic responses of two mesotherapy protocols in horses diagnosed with cervical or thoracolumbar spinal disorders. ...
Dental disorders are associated with minimal synovial changes in the temporomandibular joint in horses. Dental disorders have been proposed as factors contributing to temporomandibular joint (TMJ) discomfort in horses, but objective evidence linking these conditions to synovial fluid alterations remains limited. This study evaluated whether the severity of dental abnormalities influences the physicochemical and cytological characteristics of TMJ synovial fluid and whether occlusal adjustment induces measurable synovial changes over time. Unassigned: Thirty-three horses were assigned to mild, moderate, or severe dental abnormality groups. Synovial fluid was collected bilaterally from the discotem...
Inertial measurement units are comparable to motion capture for measuring intersegmental spinal angular velocities in horses. To compare inertial measurement unit (IMU)-derived intersegmental spinal motion data with measurements obtained from a marker-based motion-capture system. Unassigned: 4 horses were instrumented with custom marker clusters incorporating a 3-D-printed base designed to secure the IMU, ensuring both systems recorded data from the same anatomical location and orientation. A total of 3,737 paired time points across 37 gait cycles were analyzed. Agreement in intersegmental angular velocities across 3 planes of motion was evaluated using Bland-Altman analysis and intraclass correlation coefficients. U...
First evidence of exposure to West Nile Virus in horses within Denmark, 2025. A nationwide serological screening of 822 horses was conducted in Autumn 2025 to investigate potential exposure to West Nile Virus (WNV) within Denmark. Serum samples were tested for antibodies against WNV, tick-borne encephalitis virus (TBEV) and Usutu virus (USUV). Four horses without any history of travel outside of Denmark, or previous vaccination against WNV, tested positive for WNV neutralising antibodies. The results support local exposure to WNV indicating that virus infected mosquitoes have been present in Denmark and underline the usefulness of horses as sentinels for the risk of hum...
Efficacy and safety of canagliflozin in insulin dysregulated horses: a 4-week multi-arm, double-blind, randomized, clinical trial. Sodium-glucose cotransporter-2 (SGLT2) inhibitors are promising drugs for treatment of hyperinsulinemia in insulin-dysregulated (ID) horses. Objective: Compare short-term effects of the SGLT2 inhibitor canagliflozin versus placebo on glucose and insulin responses during an oral sugar test (OST) and a forage-based feed challenge test (FCT), and to assess adverse effects. Methods: Forty-two privately owned severely ID horses. Methods: Multi-center, randomized, double-blind, placebo-controlled, parallel-group study. Horses were allocated (1:1:1) to receive canagliflozin (0.6 or 1.2 mg/kg PO q24h...
