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.
Enrofloxacin induces mild and transient vascular alterations following regional limb perfusion in horses. Regional intravenous limb perfusion (RILP) is widely used in equine practice for achieving high local antimicrobial concentrations while minimizing systemic exposure. However, certain drugs, including enrofloxacin, have been associated with vascular irritation and thrombosis, and their thrombogenic potential remains poorly characterized. Objective: This study aimed to evaluate the thrombogenic potential of enrofloxacin administered via RILP in the cephalic vein of clinically healthy horses. Methods: Ten adult horses underwent RILP in both forelimbs: the right limb received 10 % enrofloxacin (1...
Urine sediment characterisation in physically healthy adult jennies (Equus asinus). A cross-sectional study. Urinalysis is a valuable, non-invasive method for evaluating renal function, yet data on donkey urinary parameters remain scarce. This study characterised urinary sediment in fifty-four healthy adult jennies, established urine specific gravity (USG) reference intervals, and proposed a preliminary semi-quantitative sediment grading scale. Urine samples were collected via catheterisation and analysed using refractometry, dipstick testing, and microscopy. The median USG was 1.048 (IQR: 1.040-1.055) with a pH of 7.6 (IQR: 7.2-8.0). Leukocytes and glucose were absent; erythrocytes were found in one...
Whole blood glutathione peroxidase activity in Standardbred broodmares supplemented with vitamin E and selenium. The objective of this study was to determine the effect of either oral supplementation of sodium selenite and alpha-tocopherol or intramuscular administration of a commercial preparation of selenium (Se) and vitamin E to Standardbred broodmares with low (21.0 ± 18.1 IU/g Hb) whole blood glutathione peroxidase (GPx) activity. Ten mares received 3 weekly intramuscular (IM) doses, whereas 9 mares were orally supplemented daily for 10 wk. Blood samples were collected jugular venipuncture and the whole blood GPx activity was measured at each sampling time for the 32-week period. Both oral and int...
Group and Individual Changes in Spinal Mobility During a 12-Week Rehabilitation Program Including Swimming in Horses with Axial Musculoskeletal Lesions. Locomotor disorders involving the spine are a major cause of impaired performance and early retirement in sport horses. Swimming is increasingly incorporated into rehabilitation protocols, but its effects on spinal biomechanics remain poorly understood. This prospective study evaluated changes in thoracolumbar mobility in sixteen sport horses diagnosed with cervical or thoracolumbar axial musculoskeletal lesions over a 12-week rehabilitation program comprising 4 weeks of land-based training followed by 8 weeks during which swimming sessions were incorporated three times per week. Weekly measur...
Evaluating the Accuracy of a Vision-Based Algorithm for Groundline Estimation in Trotting Horses Using Multiple Camera Angles. Equine lameness diagnosis largely relies on subjective visual assessments, which can be biased. Although marker-based methods, force plates and inertial measurement units (IMUs) provide objective measurements, they require specialized setups. Vision-based algorithms offer a portable, markerless alternative, but their accuracy needs thorough testing. Objective: To evaluate a custom vision-based algorithm for estimating the groundline across multiple camera angles, including handheld use in horses trotting on a treadmill. Methods: Experimental comparative study. Methods: Eight Standardbred trott...
Evaluation of a nutraceutical for prevention of equine ulcer recurrence. The number of horses with equine squamous gastric disease (ESGD) and equine gastric glandular disease (EGGD) recurrence when pharmacological treatment is discontinued is high. Objective: To examine if a commercially available nutraceutical compound containing lecithin, pectin, and meadowsweet could prevent recurrence of both ESGD and EGGD after omeprazole treatment, evaluated by repeated gastroscopic examinations and saliva biomarkers. Methods: Blinded, randomised, placebo-controlled clinical trial. Methods: Thirty horses of mixed breeds and sex with a recent diagnosis and treatment of both ES...
Comparing isoflurane and desflurane: A prospective randomised blinded clinical trial in horses undergoing elective surgery. The recovery period is associated with the greatest risk of injury for horses undergoing anaesthesia. Recovery quality and duration can be influenced by the volatile agent. Methods: This prospective, randomised blinded clinical investigation recruited 101 healthy client-owned horses undergoing elective surgery at one UK equine hospital. Anaesthesia was standardised, and horses were randomly assigned to receive desflurane or isoflurane for maintenance. Horses were ventilated to normocapnia and received dobutamine to maintain mean arterial blood pressure above 60 mmHg. All the patients received ...
A study on the prevalence of cyathostomin and Anoplocephala perfoliata infections in Italian horses: diagnostic testing and analysis of factors affecting infection risk. Cyathostomins and Anoplocephala perfoliata infect equids worldwide and both are of concern due to their potential to cause clinical disease. Although coprological techniques are commonly used for assessing helminth egg shedding these do not provide information about an individual's total parasite burden. Antibody-based tests provide information on infection levels within individuals. Objective: This study aimed to evaluate cyathostomin and Anoplocephala perfoliata occurrence in Italian horses using coprological and serum-based antibody detection methods and to analyse risk factors for infectio...
Establishing Reference Values for Serum Neutrophil Gelatinase-Associated Lipocalin (NGAL) in Turkmen Horses: Effects of Gender, Age, Pregnancy and Physical Activity. Neutrophil gelatinase-associated lipocalin (NGAL) is a glycoprotein involved in immune responses and inflammation, with established diagnostic utility in acute kidney injury (AKI) and systemic diseases. However, reference values for NGAL in healthy horses, particularly the Turkmen breed, remain poorly defined. Objective: This study aimed to establish reference values for serum NGAL concentrations in healthy Turkmen horses and to evaluate the influence of age, sex, pregnancy status and physical activity on its levels, as well as its correlations with haematological and serum biochemical variabl...
Development and application of a focused ultrasound protocol in neonatal foals. This study aimed to develop a standardized ultrasound (US) protocol using selected thoracic and abdominal acoustic windows, to assess its feasibility and applicability in healthy foals, and to evaluate its usefulness for detecting common thoracic and abdominal conditions in sick foals. The Focused US (FUS) protocol included 12 thoraco-abdominal windows (4 right-side, 3 ventral, 5 left-side) using a curved-array probe. It was applied to cohorts of healthy (n = 17) and sick (n = 23) foals by a veterinary clinician with limited US experience. The FUS showed good feasibility and applicabil...
The Effect of Magnetotherapy on Back Pain Sensitivity and Muscle Tension in Recreational Horses-A Pilot Study. Back pain in horses is a frequent musculoskeletal issue that affects performance and welfare. Magnetotherapy has been proposed as a complementary, non-invasive treatment to reduce pain and support soft tissue recovery, but studies in horses remain limited. This pilot study aimed to evaluate the effects of low-frequency pulsed magnetic field therapy on horses with hypersensitivity to palpation along the longissimus dorsi muscle. Four recreational horses participated in a 10-session magnetotherapy program, with changes assessed using palpation, neck flexibility tests, heart rate measurements and...
Effect of transdermal melatonin on circulating cortisol and blood chemistry in horses exposed to transport stress. Our objective was to evaluate the effect of transdermal melatonin on physiological stress biomarkers in horses, with some subjected to transport stress. Sixteen horses were assigned to a 2 × 2 factorial design assessing treatment (melatonin vs. no melatonin) and transport status (transported vs. non-transported), creating four groups: Control (CON), Transport only (TRS), Melatonin only (MEL), and Melatonin plus Transport (MELTRS). Horses in melatonin groups received 24 mg/day transdermally for 21 days and transported groups underwent a 3-hour trailer ride on day 21. Day 21 blood samples were ...
Chronic hepatitis in horses with persistent equine hepacivirus infection. Equine hepacivirus (EqHV) is closely related to hepatitis C virus (HCV), which causes persistent infection and chronic hepatitis in people. Information on persistent EqHV infection and hepatitis is limited. Objective: To report 19 cases of chronic hepatitis and persistent EqHV infection. Methods: Mixed retrospective and prospective case series. Methods: Inclusion criteria were: (1) chronic hepatitis, defined as persistently increased serum liver biomarkers, increased serum liver biomarkers accompanied by histopathological evidence of chronicity, for example, fibrosis, or both; (2) positive ser...
Efficacy of Ozone Bagging Therapy in Equine Chronic Distal Limb Wounds: Clinical Evaluation of Eight Cases. Limb wounds in horses represent a significant therapeutic challenge due to poor vascularization, reduced skin elasticity, and high risk of complications such as exuberant granulation tissue. Conventional treatments sometimes fail to provide satisfactory healing outcomes, leading to prolonged recovery and increased costs. This study aimed to evaluate the efficacy of topical ozone therapy using the bagging method in promoting the epithelialization and contraction of chronic distal limb wounds in horses refractory to conventional management. Eight horses, aged 3-21 years, with chronic wounds aver...
Successful Treatment of Acute Respiratory Distress Syndrome in an 8-Day-Old Standardbred Foal With Intratracheal Oxygen Therapy via Temporary Tracheostomy. This report describes an 8-day-old foal diagnosed with acute respiratory distress syndrome (ARDS) successfully managed using a novel approach of intratracheal oxygen delivery. Methods: An 8-day-old Standardbred filly presented for an acute onset of respiratory distress. Given the acute onset, known risk factors, bilateral diffuse infiltrate on thoracic radiographs, and low PaO:FiO ratio of 170.5, the foal was diagnosed with acute respiratory distress syndrome. Initial treatment consisted of antimicrobial therapy (minocycline and metronidazole), nonsteroidal anti-inflammatories (flunixin meglum...
Identification of a novel equine rhinitis B virus detected in horse from Japan. Equine rhinitis B virus (ERBV), a member of the Picornaviridae family, is associated with mild to moderate respiratory illness in horses, yet its genomic diversity remains incompletely characterized. In this study, we performed metagenomic analysis on a rectal swab sample from a diarrheic foal confirmed to be positive for rotavirus A. Unexpectedly, we identified a highly divergent ERBV strain with a 9,448-nucleotide genome encoding a 2,721-amino-acid polyprotein. Sequence analysis revealed only 62.5-63.1% identity in the polyprotein and 47.1-49.8% in the VP1 region compared to known ERBV serot...
Calcitonin gene-related peptide concentration in cerebrospinal fluid and serum in horses affected by trigeminal-mediated headshaking. Trigeminal-mediated headshaking (TMHS) in horses shares clinical features with human trigeminal neuralgia (HTN). Increased levels of the neuropeptide calcitonin gene-related peptide (CGRP) have been found in the blood and cerebrospinal fluid (CSF) of HTN patients. Inhibition of CGRP in humans has shown promise for pain relief. Data on CGRP in horses affected by TMHS are currently lacking but if quantifiable and validated, could assist in developing new diagnostic and more rational therapeutic approaches. Objective: This study aimed to quantify and correlate CGRP concentrations in the serum and...
Horses diagnosed with pituitary pars intermedia dysfunction do not have shorter life expectancies but experience more medical events during their lifetime. The frequency of comorbidities in horses with pituitary pars intermedia dysfunction (PPID) in first-opinion practice is unknown. It is hypothesized that horses with PPID would have more frequent medical events and be euthanized at a younger age. Unassigned: This was a case-control retrospective study. Medical records ranging from 1996 to 2024 including 132 horses diagnosed with PPID and 274 controls matched by age and breed were reviewed. Variables associated with PPID were evaluated with a Fisher exact or Mann-Whitney U test followed by conditional logistic regression. Results were reported a...
Evaluation of Concentration Changes in Plasma Amino Acids and Their Metabolites in Eventing Horses During Cross-Country Competitions as Potential Performance Predictors. Amino acid (AA) metabolism and the adaptation of muscles to increased physical performance are interdependent. This field study examined changes in plasma amino acid (PAA) concentrations and two metabolites (ammonia and urea) before and after cross-country (CC) competitions throughout an entire eventing season and their associations with performance outcomes in eventing horses. Twenty horses from nine different Warmblood breeds were evaluated between two and seven times across 14 international eventing competitions over a 23-week period. A total of 55 rides were sampled. Blood samples were col...
Metabolomic analysis of synovial fluid from healthy and pathological equine joints and tendon sheaths using high-resolution 1H Nuclear Magnetic Resonance. Joint and tendon sheath diseases are a major cause of lameness and reduced performance in horses. Synovial fluid composition changes in response to pathological processes and metabolomic profiling offers a promising approach to detect these alterations. While equine joint metabolomics has been explored, little is known about the metabolomic profile of tendon sheaths. This study aimed to characterize and compare the synovial fluid metabolomic profiles of healthy and pathological joints and tendon sheaths in horses using high-resolution H Nuclear Magnetic Resonance spectroscopy, and to identify ...
Measuring emotional contagion in Horse-Human interactions: A systematic scoping review of methods and outcomes. Emotional contagion between horses and humans is a key aspect of their interaction, influencing welfare, training, and therapy, yet current methods for measuring this phenomenon lack standardization and consistency. Objective: The aim of this study was to verify what methods are used to assess emotional contagion in horse-human interactions, and what outcomes have been reported. Methods: A systematic search of Google Scholar, Web of Science, Scopus, PubMed, and Science Direct was conducted up to March 2024. Peer-reviewed studies assessing emotional transfer through behavioral and/or physiologi...
High-metacarpal deep digital flexor tenotomy and Steward clog shoeing for managing chronic refractory laminitis: A retrospective clinical study. To describe outcomes following high-metacarpal deep digital flexor tenotomy (DDFT) combined with Steward clog application in horses and ponies with refractory chronic laminitis. Methods: Retrospective observational study. Methods: Client-owned horses and ponies (7 horses, 8 ponies) with severe refractory laminitis. Methods: Medical records (2018-2019) were reviewed. All underwent standing high-metacarpal DDFT tenotomy proximal to the accessory ligament (AL-DDFT) junction, followed by customized Steward clogs application. Preoperative assessment included radiography and venography. Postoperativ...
Closing the Stable Door on Strangles: Serological Responses of Vaccinated Horses on a Farm Following the Arrival of a New Horse. Infection of susceptible horses with subspecies (), the causative agent of strangles, is associated with commingling. Exposure may occur among horses at equestrian events, sales, or horses moved among different equine stabling environments. Strangles can affect all horses on a farm, leading to the death of up to 10% of cases depending on their immunity status at the time of infection, the development of complications, the success of biosecurity measures, and the use of vaccination. The current retrospective study used ELISAs to measure the exposure of horses to at a farm that experienced an...
Addressing Heterogeneity in Equine PRP Therapies: A Scoping Review of Methods, Evidence, and Commercial Validation. (1) Background: Platelet-rich plasma (PRP) therapy has become a cornerstone of equine regenerative medicine, yet significant methodological variability compromises reproducibility and clinical comparability. (2) Methods: This scoping review systematically mapped and analyzed peer-reviewed studies describing equine PRP preparation methods and commercial systems (2000-2024) following PRISMA-ScR guidelines. (3) Results: Twenty-four studies met the inclusion criteria, encompassing 317 horses and both manual and commercial devices. Double-spin manual protocols predominated, though centrifugation pa...
Stable Levels of Thiol-Oxidised Plasma Albumin, a Biomarker of Oxidative Stress, Is Correlated with Enhanced Performance in Australian Thoroughbred Racehorses. Thoroughbred race performance is influenced by genetics, training, recovery, and management, but decisions about race readiness are often subjective and lack validated physiological markers. This study evaluated thiol-oxidised albumin, a blood-based indicator of oxidative stress, as a potential biomarker of pre-race fitness in Australian Thoroughbreds. Seventy-five clinically healthy racehorses from seven stables were monitored across 216 competitive events (150 races, 66 trials). Blood samples were collected from the jugular at baseline, 48 h pre-race, and for each day up to 8 days post-race ...
A GPS-based investigation into the relationship between exercise irregularity and osteochondritis dissecans in Thoroughbred weanlings: A case-control study. Osteochondritis dissecans (OCD) is a developmental orthopedic condition in young horses. Exercise and management affect OCD development, but the impact of exercise patterns during the 6-12 months growth period remains unclear. This study examined the association between OCD lesions in Thoroughbred foals and irregular exercise patterns. Forty foals wore halter-mounted Global Positioning System devices that recorded velocity every five seconds during turnout. Foals were routinely turned out for approximately 13 h daily, except on rainy days. Radiographs were taken at six and twelve months of a...
Effect of surgical antimicrobial prophylaxis duration for colic surgery on complications and resistome. Based on human studies, surgical antimicrobial (AMD) prophylaxis (SAP) beyond 24 h is unnecessary and potentially detrimental. Objective: To compare clinical and microbiological outcomes in patients receiving 24- or 72-h of SAP for colic surgery. Methods: Prospective randomised clinical trial. Methods: Horses that recovered from colic surgery were considered. Exclusion criteria were (1) age <2 years; (2) Miniature Horses, pony, and draught breeds; (3) azotaemia; (4) recent hospitalisation, colic surgery, or AMDs; (5) local AMD administration. Eligible horses were randomly assigned to recei...
Intra-articular methylprednisolone acetate does not induce hyperinsulinemia or hyperglycemia in metabolically normal horses. The goal of this project was to examine the metabolic effects of IA methylprednisolone acetate (MPA) following injection into multiple low-motion joints. Unassigned: Six 3-year-old geldings without pituitary pars intermedia dysfunction or insulin dysregulation were randomly injected with 20 mg of IA MPA/joint (80 mg total; bilateral distal hock joints) or an equal volume of saline. Serial blood samples were collected for resting ACTH, cortisol, insulin, and glucose, as well as insulin and glucose following repeated low-dose oral sugar tests. Treatments were crossed over after a 6-week washout,...
Epidemiology and risk factors of equine parvovirus-hepatitis, hepacivirus, Pegivirus caballi, and Pegivirus equi in horses from the Southern United States. Over the past decade, newly identified equine hepatotropic flavi- and parvoviruses, such as equine parvovirus-hepatitis (EqPV-H) and equine hepacivirus (EqHV), have generated considerable scientific and clinical interest. Pegiviruses, including Pegivirus (P.) caballi and P. equi, are also recognized and known to frequently cause persistent infections. However, comprehensive epidemiological data in the United States remain limited. This study analyzed 1195 equine serum samples collected from university-owned horses and diagnostic submissions across Alabama, Georgia, and Texas. Quantitative PCR ...
Leucine, pyridoxine and resveratrol supplementation alter metabolic parameters in ponies with equine metabolic syndrome. Supplements claiming to improve metabolic profiles in equine metabolic syndrome (EMS) often lack scientific validation. Objective: To evaluate the effect of a supplement containing leucine, resveratrol and pyridoxine on the metabolic profile in ponies with EMS. Methods: Unmasked randomised, placebo-controlled field trial. Methods: Thirty-eight ponies completed the trial across five farms. Ponies were age and sex matched per farm and randomly assigned to the supplement (n = 20) or placebo group (n = 18) with owners masked to group assignments. Ponies were sampled at days -1/0 (T1), 7/8 ...