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.
Spinal Injuries from Equestrian Activity: A US Nationwide Study. Equestrian activities can result in spine injuries. Most studies are from single centers, and none use a national database. It was the purpose of this study to describe the demographics, injury mechanisms, and types of equestrian-associated spinal injuries using a US national ED database. The National Electronic Injury Surveillance System database was queried for equestrian-related spine injuries from 2000-2023. ED disposition was categorized as discharged or not discharged. Statistical analyses accounted for the weighted, stratified nature of the data to obtain national estimates. There we...
Indicators of mortality risk in ageing horses. Clinical care for patients with limited life expectancy often requires adjustments, prioritizing immediate benefits over long-term outcomes, as the relevance of future complications diminishes. This study identifies indicators of mortality risk in horses with chronic orthopaedic conditions to enhance individualized care and welfare. Over 3Â years, 123 chronically lame horses and 6 healthy control horses at an animal sanctuary underwent regular (every 3Â months) comprehensive health assessments and activity monitoring using wearable sensors. Data collected included body condition scores, muscul...
Plasma metabolomic profiling during peri-parturition in healthy Thoroughbred mares. Accurate prediction of the timing of parturition is crucial to ensure the health and well-being of both mares and foals. However, equine pregnancies are characterised by significant variability in gestation length, unique endocrine mechanisms, and subtle physiological changes before parturition. Objective: To investigate the characteristic changes in the peripheral metabolites of mares before and after parturition using metabolomic approaches. Methods: Longitudinal in vivo metabolic study. Methods: Plasma samples (n = 95) were collected from successfully foaling Thoroughbred mares (n =â€...
Haemoglobin concentration measurement agreement obtained from three different devices in anaesthetised horses. Accurate measurement of haemoglobin concentration is crucial for monitoring the oxygen-carrying capacity in anaesthetised horses. This prospective study aimed to determine the agreement in haemoglobin concentration in anaesthetised horses using the SpHb pulse co-oximeter, an Epoc® blood gas analyser, and values derived from packed cell volume (PCV), which served as the reference method in this study. The study included 34 horses undergoing elective surgeries. Blood samples were collected from each horse and divided for analysis using the microhaematocrit method to estimate haemoglobin concent...
Evaluation of use of respiratory physiotherapy in treatment of young foals with pneumonia. Pneumonia is a common condition in young, hospitalized foals, causing accumulation of inflammatory secretions to the airways. In humans, respiratory physiotherapy is commonly used as a supplementary treatment for pneumonia with varying results regarding its efficacy, but the efficacy in foals has not been assessed to date. Objective: This study aimed to evaluate the safety and efficacy of respiratory physiotherapy as a supplementary therapy method for young foals with pneumonia. Methods: A total of 44 foals with pneumonia aged under a month were used. The prospective intervention group receivi...
Donkey and Hybrid Anaesthetic Mortality in an Observational, Prospective, Multicentre Cohort Study. Equid anaesthetic mortality is of interest to practitioners. Data for donkey and hybrid mortality have not been specifically described. The main aim of this worldwide observational, prospective, multicentre cohort study was to report on mortality in the 7 days following a general anaesthetic or standing sedation in donkeys and hybrids. This study hypothesised that donkeys and hybrids would have higher mortalities compared to horses. Data were collected as part of the fourth Confidential Enquiry into Perioperative Equine Fatalities (CEPEF4). A total of 825 cases were included, with 757 donkeys ...
Comparison of early and late time-controlled adaptive ventilation on pulmonary gas exchange in anesthetized horses. To compare early versus late time-controlled adaptive ventilation (TCAV) for setting airway pressure release ventilation (APRV) on arterial oxygenation in dorsally recumbent anesthetized horses. Methods: A crossover, nonrandomized, experimental study. Methods: Six healthy adult horses. Methods: Each horse underwent two anesthetics: 1) volume-controlled ventilation (VCV) began for 30 minutes before switching to APRV using the TCAV method (late TCAV, TCAV); and 2) ventilation began immediately with TCAV (early TCAV, TCAV). The study lasted 180 minutes, with arterial blood gases and respiratory m...
Computed tomographic myelography of the cranial cervical spine in Warmblood horses with no spinal pathology-Inter- and intravertebral ratios and distribution of contrast columns in neutral and flexed cervical spine. Computed tomographic myelography (CTM) and radiographic myelography (RxM) are diagnostic for extradural spinal cord compression, but knowledge about the contrast distribution in flexion and normal position of nonaffected horses is lacking. Objective: (1) To determine the inter- and intravertebral ratios at C3-C4 of CTM in neutral and flexed positions in Warmbloods. (2) To compare the diameters of the spinal cord and the contrast columns at C3-C4 between neutral and flexed positions in CTM and RxM. (3) To evaluate the variability of measurements. Methods: Terminal in vivo method-comparison stud...
Prevalence of musculoskeletal injuries associated with lameness in Australian campdraft horses. Campdrafting is a unique Australian cow horse sport, which evolved from mustering cattle and is one of Australia's fastest growing equine sports. This discipline is associated with its own unique set of musculoskeletal injuries yet to be reported. Objective: To describe the prevalence, anatomical location, and diagnostic modality used to localise lameness in campdrafting horses to better assist efficient orthopaedic management of the campdraft horse. Methods: Retrospective case series. Methods: Medical records were examined from one private practice equine group and one university veterinary h...
Dual-Energy Computed Tomography for the Detection of Bone Edema-Like Lesions in the Equine Foot: Standing Horses and Cadaveric Specimens. Dual-energy computed tomography (DECT) is a promising advancement for detecting bone edema-like lesions (BME). However, its application in horses remains limited. The aim of this study was to evaluate DECT virtual-non-calcium (VNCa) imaging in the equine foot and establish which confounding factors could influence its applicability in clinical practice. The DECT VNCa map of 14 standing and 5 cadaveric (recumbent) cases with foot-related lameness was scored in consensus by two readers in comparison to MRI. Overall, 17/19 cases demonstrated BME on MRI, whereas 2 did not. Agreement between DECT V...
Novel primers for the detection and differentiation of S. zooepidemicus and S. equi by PCR. Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) is a commensal opportunistic bacterium associated with outbreaks of equine respiratory disease alongside a diverse range of diseases in various species. The closely related Streptococcus equi subspecies equi (S. equi) is the causative agent of 'strangles', the most frequently diagnosed contagious equine disease. Despite differing clinical signs, the two subspecies share approximately 97Â % DNA homology and respectively present serious equine health and welfare concerns. Currently there are few PCR assays targeting unique regions of...
A Pilot Study on Blood Concentration of β-Amyloid (40 and 42) and Phospho-Tau 181 in Horses. In humans, aging is often accompanied by cognitive decline, as seen in Alzheimer's disease. In contrast, the aging process in horses remains poorly characterized. This study aims to explore the presence of blood-based biomarkers associated with cognitive degeneration in this species. Twenty-three Arabian horses were enrolled, and 5 mL of blood was collected from each to measure serum levels of β-amyloid peptides (Aβ40 and Aβ42) and phosphorylated tau protein (pTau181), both considered reliable indicators of cognitive impairment in other species. Aβ42 was undetectable in all samples, while ...
Ultrasonographic diagnosis of caudoproximal humeral stress fracture in thoroughbred racehorses. Humeral stress fractures in racehorses can progress to catastrophic fracture if unrecognised. Scintigraphy is the gold standard diagnostic technique but is limited by accessibility and cost. It was hypothesised that ultrasonography could be used to visualise caudoproximal humeral stress fractures. Objective: To determine the utility of ultrasonography to identify caudoproximal humeral stress fractures in racehorses. Methods: Clinical case series. Methods: Seven racehorses that had a clinical history consistent with the presence of a humeral stress fracture were examined using humeral ultrasono...
Methodology of easy-to-use horizontally centrifuged platelet-rich fibrin as a topical treatment for equine ulcerative keratitis in 5 horses. To describe the most efficient topical horizontally centrifuged platelet-rich fibrin (H-PRF) treatment protocol for equine ulcerative keratitis (EUK) that is easy to use, and to report the preliminary concentration of growth factors and cytokines in equine H-PRF. Unassigned: 5 client-owned horses diagnosed with EUK were enrolled over an 11-month period. Unassigned: 3 horses were geldings, and 2 were mares. The mean (± SD) age was 5.95 ± 5.01 years. The owners' main goal was to avoid surgery for EUK. Unassigned: H-PRF was used in 3 different protocols: solid H-PRF, sutured to the EUK area (n ...
Physiological response to weight carrying and associations with conformation traits in Icelandic horses used for tour riding. Weight carrying capacity is an important trait in riding horses and it may be associated with conformation. This study examined the physiological response to a ridden incremental weight carrying test in 16 adult Icelandic horses used for tour riding. Horses carried 20% (BWR20%), 25% (BWR25%), 30% (BWR30%) and 35% (BWR35%) of their body weight (BW) in tölt (~ 5.7 m/seconds, 640 m/step), and associations with body measurements and back conformation (score) were examined. Horses were divided into two groups (narrow or broad back) and body measurements were collected. Plasma lactate was analy...
Objective Evaluation of Gait Asymmetries in Traditional Racehorses During Pre-Race Inspection: Application of a Markerless AI System in Straight-Line and Lungeing Conditions. Subtle locomotor asymmetries are common in horses and may go unnoticed during routine pre-race clinical inspections, particularly when based solely on subjective evaluation. This study aimed to describe vertical head and pelvic movement asymmetries in racehorses that passed official pre-race inspections at a traditional racing event. Twenty-four horses were analysed using a markerless AI-based gait analysis system while trotting in-hand and during lungeing in both directions. Asymmetry parameters (HDmin, HDmax, PDmin, and PDmax) were extracted from video recordings, with values ≥0.5 consider...
Correction: Expression of genes with biomarker potential identified in skin from DSLD-affected horses increases with age. [This corrects the article DOI: 10.1371/journal.pone.0287740.].
Clinical evaluation of freeze-dried secretome (lyosecretome) for osteoarthritis: a controlled trial in dogs and preliminary safety assessment in horses. Most in vivo studies on MSC-secretome for osteoarthritis (OA) have relied on animal models, using products lacking pharmaceutical quality, not formulated for clinical use, and insufficiently characterized, limiting knowledge of its effectiveness. This study reports veterinary clinical trials on dogs and horses with spontaneous OA: in dogs (26 subjects), the trial is randomized, double-blinded, and controlled; in horses, 5 clinical cases were treated for safety assessment. Treatment consisted of hyaluronic acid with either lyosecretome - a freeze-dried, injectable MSC-secretome obtained through...
Group housing increases alertness and social interaction compared to traditional single stabling in two-year-old sport horse stallions during pretraining. Horses in training are often stabled individually, but this is increasingly questioned. We have investigated the effects of different stabling systems in Warmblood stallions during a 12-week pretraining programme. Stallions were 24 months old and housed either in a group stable (Group 24, n = 9) or in individual boxes (Box 24, n = 10), or they were 30 months of age and housed in individual boxes (Box 30, n = 10). Cortisol, heart rate, heart rate variability (HRV), body development, injuries and selected behaviour patterns were analysed (1) at transfer from pasture to stable and (2) the...
The Confidential Enquiry into Perioperative Equine Fatalities: phase 4 (CEPEF4) – a worldwide observational, prospective, multicentre cohort study in 2025. To report on the Confidential Enquiry into Perioperative Equine Fatalities 4 (CEPEF4). Methods: Confidential, observational, prospective, multicentre, cohort study. Methods: 47,396 horses/ponies undergoing general anaesthesia (GA). Methods: Characteristics of each GA (249 variables) were collected. Outcomes after seven days were ALIVE (or discharged), EUTHANASIA or DEAD. Logistic regression analysed patient demographics and the anaesthetic drugs (p < 0.05). Results: Data were collected from 47,396 GAs in 93 centres in 28 countries. Death rates were 1.2% overall, 0.6% for cases classified as NO...
Good response to oxymetholone in adult aplastic anemia. In Thailand, stem cell transplantation and horse antithymocyte globulin (ATG) are not accessible for most adult aplastic anemia (AA) patients. Alternative therapies are required. We conducted a cohort study of 110 adult AA patients treated with oxymetholone alone for at least 30 days from 2013 to 2023. Response at month 6 and prognostic factors were evaluated. The mean age was 63.4 years old and 58.2% were female. Severe and very severe AA (SAA/VSAA) comprised 64.5% and 3.6%, respectively. The initial oxymetholone daily dose was 150Â mg in 66.4%. The overall response was 56.4% (50.7% for SAA/V...
Adjunct Therapies for Tendon/Ligament Healing: Therapeutic Laser and Extracorporeal Shockwave Therapy. High-power laser therapy and extracorporeal shock wave therapy (ESWT) can be safely used to treat tendon and ligament injuries in horses, and the potential beneficial effects have been described. The power of low level lasers is not sufficient for treatment of tendon and ligament injuries in horses. ESWT is used more often to treat tendon and ligament injuries than it is for any other type of condition in horses, but there is limited supporting scientific evidence. Further research should focus on establishing dosage and treatment protocols for both laser therapy and ESWT in horses with clinic...
Current and Emerging Biologic Therapies for Equine Tendon and Ligament Injuries. This review explores the use of biologics in the treatment of tendon and ligament injuries in horses, focusing on current and emerging therapies aimed at enhancing tissue repair and regeneration. It discusses the role of scaffold-based therapies, growth factors, blood-derived and tissue-derived biologics, and gene therapy as biologic regenerative therapies for improving healing outcomes. The review evaluates the mechanisms, efficacy, and challenges of biologics in clinical applications, highlighting recent advances and clinical studies. It provides an overview of current trends and future dire...
Perioperative factors and outcomes associated with antimicrobial therapy duration in horses undergoing exploratory celiotomy. The objective was to compare perioperative factors that may influence clinician decisions regarding antimicrobial therapy duration and outcomes in horses undergoing exploratory celiotomy. Unassigned: Horses > 1 mo of age undergoing exploratory celiotomy for colic that survived without repeat celiotomy for ≥ 5 d. Unassigned: Retrospective cohort study. Cases were grouped by duration of antimicrobial therapy: G1, ≤ 24 h; G2, 1 to 3 d; G3, > 3 d. Admission, surgical, and postoperative data from the medical records and long-term outcome assessed telephone follow-up were compared among g...
Lag screw compression effectively treats proximal subchondral bone cysts and fissures in the first phalanx of mature performance horses. To determine the outcome of skeletally mature performance horses with subchondral bone cysts and fissures in the proximal aspect of the first phalanx treated by lag screw compression. Unassigned: Case records of horses that underwent lag screw compression to treat subchondral bone lesions in the proximal aspect of the first phalanx were reviewed. Performance horses > 5 years old with lameness referrable to the fetlock region; radiographic or other advanced imaging evidence of subchondral bone lesions, with no other concurrent cause for lameness; and at least 6 months of follow-up data were inc...
PRP and hyaluronic acid reduce synovitis in horses after arthroscopic OCD removal in Andalusian horses. This study was performed to evaluate the efficacy of intra-articular (IA) injections of a combination of platelet rich plasma (PRP) and hyaluronic acid (HA) on joint effusion following arthroscopic removal of OCD in the tarso-crural joint (TCJ) in young Andalusian horses. Methods: Forty Andalusian horses diagnosed with OCD of the distal intermediate ridge of the tibia (DIRT) were included in the study. Horses enrolled in this study had persisting synovial effusion after arthroscopic removal of OCD in the TCJ. A subjective semi-quantitative effusion score was adopted in the study to define the ...
Direct arthroscopic approach to the distal pouch of the palmar/plantar recess of the metacarpophalangeal/metatarsophalangeal joint in horses. To describe a direct arthroscopic approach of the distal pouch of the palmar/plantar recess of the fetlock to facilitate fragment removal, highlighting its advantages over previously described arthroscopic methods for the fetlock. Additionally, to evaluate and present a retrospective case series. Methods: Ex vivo and retrospective clinical study. Methods: A total of 25 fetlocks in 23 horses. Methods: A direct approach to the distal pouch of the palmar/plantar recess of the fetlock was developed on five cadaveric limbs. Arthroscopic anatomy and landmarks were examined. The approach was clinical...
The cross-sectional area of normal superficial digital flexor tendon of young French Trotters increases during the first months of training. To quantify changes in the cross-sectional area (CSA) of the midmetacarpal superficial digital flexor tendon (SDFT) in young Trotters during training. Unassigned: In this experimental study, 12 healthy 3-year-old French Trotters, assigned to either a soft-track or a hard-track group, were trained for 4 months (June through September of 2012 and 2013). Both groups followed the same exercise program of increasing intensity. Ultrasonographic examinations of both forelimb SDFTs of each horse were performed before the beginning of training (D0), after 2 months of training (M2), and after 4 months o...
A Retrospective Study of the Evolution of Orthopaedic Injuries in 70 Dressage Horses. There is limited information about the orthopaedic health of dressage horses. This study aimed to document the orthopaedic status, lesion distribution, and evolution of injuries in 70 horses undergoing a minimum of five in-depth orthopaedic assessments at six-months' intervals. Warmblood (70.0%) and Iberian (24.3%) breeds predominated. The median lameness grade at initial examination was 2/5 (interquartile range 2,2; range 0,3). Hypermetria (42.9%) or hypermetria and weakness (12.9%) were observed at the initial examination and did not change over time. Metacarpophalangeal/metatarsophalangeal ...