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.
Efficacy of caudal epidural injection of Xylazine-Lidocaine HCl and detomidine-lidocaine HCl in domestic horses (Equus ferus caballus). The current study was prepared to compare the efficacy of xylazine-lidocaine HCl and detomidine-lidocaine HCl following caudal epidural injection in horses, evaluating sedation, analgesia, physiological parameters, and hemato-biochemical values. This study was applied to six healthy adult horses (300-350 kg, > 4 years of age). The horses were randomly divided into two equal groups. Group 1 (seven horses) received xylazine (0.17 mg/kg bwt) + lidocaine HCl (0.06 mg/kg bwt), while Group 2 received detomidine (0.03 mg/kg bwt) + lidocaine HCl (0.06 mg/kg bwt) via caudal epidural inje...
Nemabiome sequencing reveals seasonal and age associated patterns of strongyle infection and high prevalence of Strongylus vulgaris in Alberta feral horses. Unmanaged feral horses, naïve to dewormers, offer a unique opportunity to study natural communities of equine parasites. These communities may include parasites that are rare in managed populations, and these may be transmitted to domestic horses in areas where there is contact between feral and domestic equine populations. There have been only a few studies of gastrointestinal parasite populations in horses, and very few from North American equine populations. This study aimed to gain insights into parasite biology through identification of the strongyle parasite species infecting feral hors...
Equine Standing Multidetector Computed Tomography of the Distal Thoracic Limb and Tarsus Has a Lower Cumulative Radiation Dose than Digital Radiography. Recent technological advancements in CT have improved the ability to scan standing sedated horses. However, the impact of radiation exposure on veterinary staff while scanning the extremities of standing horses using this technique, compared with digital radiography (DR), remains unknown. This study compares the radiation exposure of imaging technicians assisting with multidetector CT (MDCT) and DR of the distal thoracic limb and tarsus in standing horses. Personal dose equivalent was measured on four body locations: thyroid gland, gonads, hand, and feet. Images of the distal thoracic limb (n ...
The relationship of early life adversity and physiological synchrony within the therapeutic triad in horse-assisted therapy. In any therapeutic setting, the outcome depends in part on the therapeutic alliance, characterized by mutual understanding, empathy and trust among the participants. This also manifests through physiological synchronization (PS) processes involving breathing, heart and brain. This study examined the dynamics of heart rate variability (HRV) synchronization patterns during horse-assisted therapy. We explored the correlations between the therapist's horse preference, levels of early life adversity (ELA), and PS relationships within and across dyads of participants, therapists, and therapy horses....
Exploring the induction and measurement of positive affective state in equines through a personality-centred lens. There is increasing focus on how to induce and measure positive affective states in animals and the development of social license to operate has brought this to the forefront within equestrianism. This study aimed to utilise a range of methods to induce and measure positive affect in horses in real-world settings. Twenty healthy horses were scored for personality, exposed to four induction methods (wither scratching, high value food provision, positive reinforcement training and the addition of an affiliative conspecific), and data collected on their behaviour (QBA and ethograms) and physiolog...
Selected cytokine and chemokine concentrations in equine autologous conditioned serum are similar under defined and practically relevant storage conditions. The anti-inflammatory and regenerative effects of autologous conditioned serum (ACS) in joint-associated disorders are presumably mediated by the biomolecules it contains, such as cytokines and chemokines. ACS is commonly used in equine practice after storage. Data regarding the influence of storage conditions of ACS on cytokine and chemokine concentrations are not available. Unassigned: To evaluate the effect of commonly used storage conditions on selected cytokine and chemokine concentrations in equine ACS. Unassigned: From 10 horse patients with clinically indicated ACS preparation six ACS ...
Comparison of the Prevalence and Location of Trigger Points in Dressage and Show-Jumping Horses. Myofascial trigger points (MTrPs) are localized, hypersensitive areas in muscles that can cause pain and reduced performance. This study aimed to compare the prevalence and location of MTrPs in show-jumping and dressage horses. A secondary objective was to evaluate the potential of thermography, pressure algometry, and facial expression scoring in characterizing MTrPs in horses. Fourteen horses (seven dressage, seven show-jumping) were examined. Muscle palpation was used to identify MTrPs. Thermography was used to compare the skin surface temperature of MTrPs with adjacent control areas. Addit...
The presence of acylated homoserine lactones and diffusible signal factor in bronchoalveolar lavage fluid from horses with clinical exacerbation of severe equine asthma. Several bacteria associated with chronic lung pathology use quorum sensing (QS) signaling molecules to regulate their virulence in pure cultures and poly-microbial communities. Their excessive growth and biofilm formation in the respiratory tract increase the morbidity and mortality of inflammatory airway diseases in humans, such as chronic obstructive pulmonary disease (COPD), asthma and cystic fibrosis (CF). In horses, severe equine asthma (SEA) has many parallels to these human diseases. We hypothesized that QS molecules associated with the most common biofilm-forming lung pathogens in huma...
Evidence Related to the Effects of Intralesional/Intrasynovial Corticosteroids on Tendon/Ligament Homeostasis and Healing. Inflammation plays a role in acute and chronic equine tendon/ligament injury; anti-inflammatories are often indicated. Local corticosteroids provide consistent and profound short-term effects on pain and inflammation across species. However, there is no demonstrated benefit in the long term, and complications can occur. Alternative biologic anti-inflammatory treatments are available and should be used in horses at risk of complications. Nonetheless, corticosteroids remain an affordable and effective anti-inflammatory that, with continued research, may be indicated on a case-by-case basis as pa...
Immunological Responses to Tetanus and Influenza Vaccination in Donkeys. Donkeys are routinely vaccinated with protocols developed for horses, yet species-specific data on their immune responses are limited. Objective: We hypothesized that donkeys exhibit robust T-cell-mediated immunity and regulatory adaptation after vaccination, comparable to horses. Methods: Thirty-six healthy, seronegative donkeys (34 mares, 2 stallions), aged 0.5-23 years (median 8 years), from two farms with similar housing and management conditions. Methods: Prospective study. Animals were selected based on clinical health assessment and confirmed seronegativity for tetanus and equine in...
Use of 2D-Shear Wave Elastography for the Evaluation of Lens in Horses. Although lens diseases are uncommon in horses, they can be disabling in advanced stages. The B-mode ultrasound is useful for diagnosing and monitoring the progression of ocular diseases such as cataracts. Elastography is an ultrasonographic technique that allows the detection and measurement of tissue stiffness. This observational cohort prospective study aimed to determine the feasibility, reproducibility, and repeatability of 2D-shear wave elastography (2D-SWE) of lenses in horses. Forty-six eyes of 23 horses with no evidence of ocular disease were included in this study. The horses underwen...
The proteomic differences and expression of fatty acid-binding protein 6 (FABP6) associated with gastrointestinal injury in horses with oral administration of a clinical dose of phenylbutazone. Phenylbutazone (PBZ) can potentially induce gastrointestinal ulceration, and early detection of PBZ-induced gastroenteropathy will be useful for the diagnosis, treatment, and prevention of PBZ toxicity. Objective: To identify putative proteins associated with equine gastric ulcer syndrome after clinical dose (4.4 mg/kg) administration of PBZ by proteomic study. Methods: In vivo experiments. Methods: Proteomic analysis using LC-MS/MS compared protein expression in serum and faeces of seven PBZ-treated horses with seven placebo-treated controls, and a novel putative biomarker was validated via...
Short-Term Impact of Dry Needling Treatment for Myofascial Pain on Equine Biomechanics Through Artificial Intelligence-Based Gait Analysis. Myofascial pain syndrome (MPS) is a common source of musculoskeletal pain, characterized by trigger points (TrPs). In horses, MPS is frequently underdiagnosed, and evidence on DN effectiveness is limited. This study investigated whether DN can improve the biomechanics in horses using an artificial intelligence (AI)-based markerless smartphone application (app). Fourteen horses participated, including nine used in assisted therapy, four leisure horses, and one with mixed use. The presence of TrPs was evaluated in six muscles through manual palpation: brachiocephalicus, trapezius, gluteus medius...
Assessing thermal changes in the equine thoracolumbar region following different capacitive-resistive electrical transfer protocols. Capacitive-resistive electrical transfer (CRET) is an endogenous non-invasive technique, used as deep diathermy. We pursue to analyze the temperature changes by applying different CRET protocols in the thoracolumbar spine of horses, between thoracic vertebrae 15 and lumbar 2. Unassigned: Ten clinically sound horses without thoracolumbar pain underwent various CRET protocols applied to a standardized thoracolumbar region (T15-L2). The protocols included sham (device off), low intensity (LIP, 5%), medium intensity (MIP, 30%), and high intensity (HIP, 40%). The HIP protocol was further divided in...
Validation of the Equine Urticaria Activity Score for the assessment of chronic recurrent urticaria in horses. Recurrent urticaria is common in horses. The pathophysiology is poorly understood and treatment options are limited. Often, only glucocorticoids are effective for controlling clinical signs, albeit with potential adverse effects. Studies investigating new treatments need a validated objective scoring system for the grading of skin lesions to assess response. Objective: The aims were to investigate inter- and intraobserver reliability of the Equine Urticaria Activity Score (EqUAS) for the grading of skin lesions in horses with recurrent urticaria, and to examine agreement between experienced an...
Towards Consensus: A Pilot Study in Enhancing Recognition of Equine Affective States with RaiSE (Recognizing Affective States in Equine). The welfare of horses depends on the ability of their caretakers to accurately recognize and interpret their affective states. This study evaluates the effectiveness of RAiSE (Recognizing Affective States in Equine), an online educational course designed to enhance horse industry participants' skills in identifying equine emotions. The course content was developed using the Theory of Planned Behavior. The study involved 45 participants who completed pre- and post-surveys assessing their ability to interpret affective states from 20 video clips of horses. Results of the study showed that partic...
Confirmation of the presence of Hemotropic Mycoplasma species in working equids from Veracruz, Mexico. Hemotropic mycoplasmas (HM) are emerging pathogens known to infect a wide range of mammals, including ungulates like horses. These infections can lead to severe haematological conditions, posing a threat to animal health and welfare. Recent studies have begun shedding light on the prevalence and impact of HM on horse populations worldwide. For instance, in Germany, Iran, Nigeria, and Brazil, at least three species of HM have been identified in horses, with a lack in knowledge in Latin American countries like Mexico. Our research aims to fill a crucial knowledge gap regarding the presence of HM...
Evaluation of an intra-articular carboxymethylcellulose crosslinked hydrogel in horses with osteoarthritis. Numerous treatment strategies have been proposed to manage osteoarthritis (OA) in sport horses. Carboxymethylcellulose (CMC), is used in veterinary medicine for various purposes. Objective: This study aimed to assess the efficacy of a CMC hydrogel in reducing clinical lameness in horses with OA affecting joint. The hypothesis was that intra-articular CMC would produce a sustained reduction in lameness compared to a control treatment. Methods: Thirty client-owned horses diagnosed with OA-related lameness in the metacarpophalangeal joint were enrolled. Horses were randomly assigned to two groups...
Survey of veterinarians’ usage and satisfaction with intra-articular polyacrylamide gel in horses. Polyacrylamide gel is increasingly used in equine veterinary medicine for osteoarthritis and other joint disorders. This study aimed to document the indications, treatment protocols, rehabilitation plans, outcomes, and satisfaction with intra-articular polyacrylamide gel in horses, as reported by equine veterinarians. An online questionnaire was distributed to practitioners through the European and American Colleges of Veterinary Sports Medicine and Rehabilitation mailing lists, social media, and direct contact. Of 197 respondents, 160 completed the survey, forming the basis for the descriptiv...
Ventriculophasic response in a horse with atrioventricular block. Ventriculophasic response (VR) in atrioventricular nodal (AVN) block is characterized by a shortening of the sinoatrial cycle length when a QRS complex is interposed between two P waves. This has been well documented in humans and dogs with AVN blocks but not in horses. Herein, we describe a horse with second-degree AVN blocks and constant PR intervals that exhibited 5:3 conduction and suspected VR at rest but less consistently after submaximal exercise. Proposed VR mechanisms include (1) inhibition of the Bezold-Jarisch reflex from reduced end-systolic volume during ventricular contraction; (...
Heterogeneity of ultrasonic wave properties in ex vivo cortical bone of racehorse. Despite the prevalence of lower limb disease in racehorses, outdoor bone evaluation equipment is lacking. Consequently, a secure and cost-effective field screening system for bones is required to identify early-stage leg illness. Elastic stiffness cannot be measured using x-ray techniques and is closely associated with bone quality, which is recognized as a significant determinant of fracture risk. Quantitative ultrasound has garnered attention as a viable option, offering insights into elastic stiffness. Understanding the characteristic behaviors of ultrasonic wave properties (velocity, atten...
Thermal Effects of High-Intensity Laser Therapy on the Temporomandibular Joint Area in Clinically Healthy Racehorses-A Pilot Study. The aim of the present study was to assess the thermal effects of high-intensity laser therapy (HILT) on the temporomandibular joint (TMJ) area of clinically healthy Thoroughbred racehorses. The study was conducted on 21 clinically healthy Thoroughbreds in regular training. The horses were subjected to thermographic examinations before and immediately after a HILT session to measure changes in the body surface temperature in the TMJ area. The left TMJ was subjected to therapy, while the contralateral joint served as a control. Statistically significant differences in the body surface temperatu...
Equine fatalities in equestrian eventing. To date, industry and research outputs that have aimed to improve safety in equestrian eventing have tended to focus on identifying risk factors for horse falls during cross-country, which have been identified as the greatest risk of injury and fatality for riders. There is an absence of research that investigates fatalities of horses within the sport of eventing. Objective: To use a combination of media reports and eventing federation databases to describe and document equine fatalities in equestrian eventing, including their context, location and a basic pathology. Methods: Descriptive study...
Adaptation strategies of Icelandic horses with induced transient hindlimb lameness at walk, trot and tölt. Icelandic horses are valued for their additional gaits, but assessing lameness in this breed can be challenging. Pelvic (P) vertical movement asymmetries, differences (D) in minimum (min)/maximum (max) position, are used to quantify impact (PDmin) and push-off (PDmax) hindlimb lameness during the trot, but no established parameters exist for detecting hindlimb lameness in other gaits. Objective: To evaluate temporal stride parameters and upper-body movement asymmetry after transient hindlimb lameness induction in walk, trot and tölt. Methods: In vivo experiment. Methods: Eleven Icelandic hors...
Racing and sales performance in Thoroughbred yearlings after carpal osteochondral fragment removal. While radiographically evident carpal osteochondral fragments (COF) in Thoroughbred yearlings impair sales, their impact on future racing performance has been minimally investigated. Objective: To assess the impact of COF on Thoroughbred yearling sales and racing performance, and whether these are improved by arthroscopic removal. We hypothesised that surgical removal of COF improves Thoroughbred yearling sales and racing performance. Methods: Retrospective observational. Methods: Using clinical records from years 2015-2018, 46 Thoroughbred yearlings with COF were identified and allocated to a...
Dysphagia in an equine referral hospital, 182 cases. Dysphagia describes a clinical sign of pathologies of the oral cavity, pharynx, and oesophagus that carries potentially serious consequences for horses. Given the diversity of differential diagnoses that may cause dysphagia, an understanding of the prevalence of dysphagia in hospitalised patients, the distribution of aetiologies and clinical outcomes could inform diagnosis, treatment, and prognosis. Objective: This study aims to describe the incidence, signalment, history, aetiology, treatment, and outcome of horses presenting to a referral hospital for dysphagia. Methods: Retrospective case s...
Treatment outcomes for equine osteoarthritis with mesenchymal stromal cells and hyaluronic acid. Mesenchymal stromal cells (MSCs) are widely used to treat osteoarthritis (OA). Optimising dose, timing, and safety while comparing efficacy with standard therapies like hyaluronic acid (HA) is essential for their standardisation. Objective: To assess the safety and efficacy of equine umbilical cord-derived (eCB) MSCs in client-owned horses with fetlock or carpus OA. Methods: Prospective single-blinded randomised clinical study. Methods: Horses diagnosed with fetlock or carpus OA via intra-articular (IA) anaesthesia were randomly assigned to receive either 10 or 20 million eCB-MSCs in HA or 3...
Volume kinetics of lactated Ringer’s solution in adult horses. Fluid therapy in horses is primarily empirical. Evidence-based quantification of the disposition of intravenous (IV) crystalloids used in clinical practice could enhance the effectiveness of fluid therapy. Objective: To determine the pharmacokinetics (i.e., volume kinetics: VK) and associated haemodynamic effects of IV lactated Ringer's solution (LRS) in adult euvolemic horses. Methods: Unmasked multiple subjects, single baseline design. Methods: Thirteen healthy, euvolemic adult female horses were administered an IV bolus of LRS and monitored over 4 h. Haemoglobin, albumin and haematocrit c...
Diagnostic performance of ultrasonography, bursography and standing magnetic resonance to detect navicular intrabursal pathology in horses with foot pain. Navicular intrabursal pathology (NIP) is a common cause of forelimb lameness in horses. An accurate diagnosis of which structure is involved is essential for therapy and prognosis. Objective: The study aimed to compare the diagnostic performance of ultrasonography, bursography and standing magnetic resonance (MRI) imaging as diagnostic tools of the proximal NIP using bursoscopy as the gold standard. Methods: Prospective blinded study. Methods: A total of 21 feet from 17 horses were included. The feet underwent ultrasonography, followed by MRI, and thereafter bursography and bursoscopy. The i...
Lameness improvement in horses with distal tarsal pain after intra-articular injection of botulinum neurotoxin type A. To evaluate the effect of IA injections of botulinum toxin type A (BoNT-A) in horses with chronic, naturally occurring distal tarsal osteoarthritis. Unassigned: 9 horses were selected after physical and radiographic assessments. Horses also underwent an objective lameness examination and were included if they had a hindlimb impact lameness (Pmin ≥ 3 mm), which positively responded (≥ 50%) to the tarsometatarsal and centrodistal joints' anesthetic block. Horses randomly received an intra-articular injection of BoNT-A or an equivalent volume of saline solution. Horses were reevaluated at pos...