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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.
Frusemide and weight carriage alter the acid:base responses of horses to incremental and to brief intense exertion. We speculated that frusemide would attenuate the acidosis associated with intense exertion, and that weight carriage would mitigate this effect. Therefore, in each of 2 experiments we measured pulmonary artery and systemic arterial blood pH, PCO2, PO2 and pulmonary artery temperature in 9 horses during exertion on a treadmill after each of 3 treatments. The treatments were: 1) injection of saline solution (C), 2) injection of frusemide (1 mg/kg bwt, i.v. 4 h before running) (FU) and 3) injection of frusemide (F) as for FU and the horses carried weight equal to that lost in the 4 h after frusem...
A preliminary study of the effect of inhaled nitric oxide on lung mechanics in the standing horse with histamine-induced bronchoconstriction. The effect of inhaled nitric oxide on pulmonary mechanics was studied in normal standing horses with histamine-induced bronchoconstriction. The respiratory health status of 6 normal horses was established on the basis of history, clinical and bronchoalveolar lavage examination. Intrathoracic pressures were estimated using distal oesophageal pressures. Respiratory gas flows were measured using a heated pneumotachograph. Pulmonary mechanics variables were determined from these measurements on a breath by breath basis. Bronchoconstriction was induced by nebulizing a 0.75% w/v solution of histamin...
Is ventilation during maximal exercise limited by dynamic airway closure? A study was undertaken to find if the reason why horses hypoventilate when running is that they experience expiratory flow limitation due to dynamic airway closure. To test this hypothesis, we measured peak expiratory flows on a Thoroughbred galloping on a treadmill and hypoventilating and compared those flows with the peak dynamically-limited flow that the same horse could achieve during a forced expiratory flow-volume manoeuvre. At the approximate lung volumes at which the horse was ventilating while running, it did not appear to be mechanically limited and appeared to have reserve capacity ...
Effect of exercise on bone density in distal regions of the equine third metacarpal bone in 2-year-old thoroughbreds. The present study addressed the question of whether training induces changes in bone density in the younger racehorse in regions relevant to the genesis of the common sagittal condylar fracture pattern and, if so, the nature of such alteration. Third metacarpal bones (McIII) were obtained from 12 experimental Thoroughbred, unbroken fillies, age 18.1-21.0 months at entry to the study. Six (Group E) undertook 19 weeks of progressive high intensity exercise on a high-speed treadmill at 3% incline. Six (Group C) walked 40 min each day. Clinical bone density was studied by Computed Tomography (CT) ...
Sedation and antisedation as tools in equine lameness examination. A kinematic study was performed to establish the locomotion pattern of horses under detomidine sedation and the effects of antagonization for possible use during lameness examinations in uncooperative horses. The kinematics of 17 Warmblood horses (9 sound, 8 lame with chronic forelimb lameness) were recorded on 2 days using a high-speed video system while trotting (3.9 m/s) on a treadmill. On each day a control measurement was carried out prior to sedation with detomidine (10 micrograms/kg bwt) and repeated recordings at 15, 25, 35, 45 and 60 min after sedation. On the second day, sedation was...
Cardiorespiratory measurements and indices of oxidative stress in exercising COPD horses. The effect of a COPD crisis on arterial blood gases, heart rate, lactate and indices of oxidative stress were investigated before, during and 1 h after a 'run up to fatigue' in 6 COPD horses. They were investigated twice, randomly: once in acute crisis (C) and once in clinical remission (R). Arterial and mixed venous blood samples were collected and analysed for partial pressures in O2 and CO2. The mixed venous blood was also analysed for plasma lactate (LA) and packed cell volume (PCV), as well as for indices of oxidative stress, i.e. reduced glutathione, glutathione disulphide, glutathione r...
Cardiac output measurements using sonomicrometer crystals on the left ventricle at rest and exercise. Eight horses were fitted surgically with 8 ultrasonic sonomicrometer crystals each attached to their left ventricular pericardia and a left atrial catheter. Three horses returned to treadmill performance with a maximum rate of oxygen consumption similar to their presurgical values. These horses were evaluated to determine how well sonomicrometer estimates of cardiac output agreed with those obtained by a steady-state method, the Fick principle. Variance between the 2 was similar to the coefficient of variation (approximately 12.5%) of the Fick estimates. We conclude that left ventricular sonom...
Pulmonary vascular resistance of horses decreases with moderate exercise and remains unchanged as workload is increased to maximal exercise. This study was carried out to examine changes in pulmonary vascular resistance (PVR) induced by moderate and strenuous exercise; the objective being to understand why pulmonary artery blood pressure of exercising horses increases progressively as work intensity increases. Pulmonary arterial and wedge pressures (referenced at the point of the left shoulder) were determined simultaneously with cardiac output in 2 groups of healthy, sound, exercise-trained horses. Horses in Group 1 (n = 8) were studied at rest and during exercise performed at 8 and 13 m/s; the latter workload eliciting maximal he...
Exertional rhabdomyolysis in quarter horses and thoroughbreds: one syndrome, multiple aetiologies. The purpose of this study was to determine if chronic exertional rhabdomyolysis (ER) in Quarter Horses and Thoroughbreds represents one or several distinct myopathies. Eighteen Quarter Horses and 18 Thoroughbreds with ER were selected from cases presented to the Veterinary Hospital on the basis of a history of ER, assessment of muscle histopathology, and serum CK activity before and 4 h post exercise. In addition, 2 of 3 of the following parameters were evaluated: muscle glycogen concentrations, thyroid hormones (T3, T4), fractional excretion (FE) of sodium, potassium and chloride. The CK resp...
Weak acid-concentration Atot and dissociation constant Ka of plasma proteins in racehorses. The plasma proteins are a significant contributor to the total weak acid concentration as a net anionic charge. Due to potential species difference, species-specific values must be confirmed for the weak acid anionic concentrations of proteins (Atot) and the effective dissociation constant for plasma weak acids (Ka). We studied the net anion load Atot of equine plasma protein in 10 clinically healthy mature Standardbred horses. A multi-step titration procedure, using a tonometer covering a titration range of PCO2 from 25 to 145 mmHg at 37 degrees C, was applied on the plasma of these 10 horses...
Endocrine response to exercise in young and old horses. Six young (mean + s.e., 5.3 +/- 0.8 years, 445 +/- 13 kg bwt) and 6 old (22.0 +/- 0.4 years, 473 +/- 18 kg bwt) Standardbred and Thoroughbred mares were used to test the hypothesis that age would alter the endocrine response to exercise. All of the mares were unconditioned but accustomed to the laboratory, to standing quietly and running on a treadmill, and to the standardised incremental exercise test (SET) used in the experiment. Two weeks prior to the experiment, each horse underwent a SET to determine maximal oxygen uptake (VO2max) and the speeds to be used in the actual experiment. A seco...
Relationship between running speed, isoenzymes of serum creatine kinase and lactate dehydrogenase and left ventricular function in stallions. The purpose of this study was to assess the possible relationship between maximal running speed, serum isoenzyme patterns of creatine kinase (CK) and lactate dehydrogenase (LDH) and echocardiographic indices of left ventricular function. A group of 15 healthy, 3-year-old Maremmano stallions were given a 100 day training programme. At the end of this the animals carried out a maximum speed test and were divided into 2 groups (A and B) according to whether or not they had attained a speed of 15 m/s. Venous blood samples were taken from each horse before exercise (T0), 2 min (T1) and 24 h (T2) af...
Osteoinductive response in the dorsal aspect of the carpus of young thoroughbreds in training occurs within months. Bone mineral density (BMD) was measured by dual x-ray absorptiometry (DXA) in the carpus of 6 Thoroughbreds age 24 months that were exercised on the treadmill for 4.5 months, and of 6 matched control horses. A sagittal slab of known thickness was sawn from one or more of radius, radial carpal (Cr), third carpal (C3), and third metacarpal (Mc3) bones. After the 4.5 month treadmill exercise, there was a significantly greater volumetric BMD in the dorsal aspect of C3 (P = 0.006). Treadmill-exercised horses also had higher BMD in the dorsodistal aspect of the radius (P = 0.03), the dorsal half of ...
Changes in left ventricular dynamics during graded exercise. Three mature Thoroughbred horses were prepared surgically with ultrasonic sonomicrometer crystals affixed to their ventricular pericardia. Signals from crystals recorded dimensions of axes across the left ventricle. Cubic algorithms were fitted to dimensional data to generate volume estimates that matched stroke volumes simultaneously measured using the Fick principle. As horses stood at rest or exercised at various intensities (approx 7, 12, 24, 47 and 100% maximal rate of O2 consumption VO2max[), left ventricular dimensions were recorded and 20 consecutive diastolic and systolic volumes calc...
Effects of frusemide on pulmonary capillary pressure in horses exercising on a treadmill. We hypothesised that frusemide would decrease pulmonary capillary pressure in horses during strenuous exercise. Seven horses were tested after receiving saline or frusemide (2 mg/kg bwt) in random order with an interval of at least one week. Measurements were made with the horses standing, exercising at 75, 90 and 100% HRmax (maximal heart rate), and then walking 2 min after cessation of 100% HRmax. The exercise tests lasted for approximately 3 min with an interval of walking between them. Pulmonary artery and oesophageal pressures were recorded continuously and subsequent analysis of the pulm...
Electrolyte and glycerol supplementation improve water intake by horses performing a simulated 60 km endurance ride. To replace electrolytes lost in sweat during endurance competitions, riders frequently supplement horses with hypertonic oral electrolyte pastes. To determine whether this practice and concurrent administration of the so-called hyperhydrating substance glycerol are of benefit, weight loss, voluntary water intake, plasma osmolality, and plasma protein and electrolyte concentrations were measured in 6 Arabian horses supplemented with a total of 2.4 ml/kg bwt of water (W); 0.2 g/kg bwt KCl and 0.4 g/kg bwt NaCl in 2.4 ml/kg bwt of water (E); or 0.2 g/kg bwt KCl and 0.4 g/kg bwt NaCl in 2.4 ml/kg ...
Influence of frusemide on dynamic cardiac variables during exercise. Exercising horses have extremely high right and left atrial pressures. Limitation in ventricular function (i.e. relaxation) may play a role in these high pressures. We studied relaxation characteristics of the right ventricular myocardium and the impact of frusemide (2.0 mg/kg bwt i.v.) on these characteristics in horses exercising at 8, 10, 12 and 14 m/s. Exercise tests were performed 4 h after administration of frusemide. Right ventricular (RV) pressure was analysed using Fast Fourier Transform techniques to remove non cardiac components of the pressure signal. Mean right atrial (RA) pressur...
Kinematics of the equine back: flexion-extension movements in sound trotting horses. This study was undertaken to evaluate the flexion-extension movements of the back in a group of sound trotting horses. Using a 3-D kinematic analysis system, 13 clinically sound horses fitted with 5 skin markers placed on the dorsal midline of their trunk were recorded while trotting on a track in the conditions of the routine lameness examination. These markers were used to calculate 3 back angles (thoracic, thoracolumbar and lumbosacral angle). These back angles were then filtered using Fourier series. To evaluate the repeatability of flexion-extension movements, the intra- and inter-individ...
Effect of inhaled beta 2 adrenoceptor agonist, albuterol sulphate, on performance of horses. This study was designed to test the hypothesis that a specific beta 2 adrenergic receptor agonist, albuterol sulphate, when delivered by metered-dose inhaler (MDI) would affect the performance of Thoroughbred horses during incremental exercise testing. Six conditioned Thoroughbred horses were randomly assigned to one of 2 treatment groups: Group 1 horses received placebo and Group 2 received albuterol. Each horse received both treatments in a crossover design with a 3 week interval between trials. Horses inspired albuterol (900 micrograms) or placebo over a 5 min period followed by an incremen...
Influence of oral beta-alanine and L-histidine supplementation on the carnosine content of the gluteus medius. The aim of this work was to test the hypothesis that in vivo carnosine biosynthesis is dependent upon endogenous beta-alanine availability, by studying the effect of sustained dietary beta-alanine supplementation in the horse on the carnosine concentration in types I, IIA and IIB skeletal muscle fibres. The diets of 6 Thoroughbred horses were supplemented 3 times/day with beta-alanine (100 mg/kg bwt) and L-histidine (12.5 mg/kg bwt) for a period of 30 days. Percutaneous biopsies of the m. gluteus medius from a depth of 6 cm were taken on the days immediately before and after the supplementatio...
The effect of training on the calcified zone of equine middle carpal articular cartilage. Carpal osteochondral injury is frequently observed in strenuously trained horses. It is clear that the integrity of articular cartilage and subchondral bone are intimately related, although there is controversy about which component is the most important. Calcified cartilage provides the mechanical link between soft hyaline cartilage and stiff subchondral bone so it is essential to understand the tissue's response to exercise. Middle carpal calcified and uncalcified (hyaline) cartilage thickness was investigated in horses undergoing high- and low-intensity exercise. Twelve untrained horses (18...
Gas exchange during exercise in standardbred trotters with mild bronchiolitis. To investigate the gas exchange response during exercise in horses with mild bronchiolitis (MB), we studied 7 Standardbred trotters. In order to determine pulmonary gas exchange and red cell volume in relation to bodyweight (CV/BW), submaximal graded exercise tests were performed. VO2 was monitored from an open bias flow system without valves. Heart rate, respiratory rate and mean pulmonary and systemic artery pressures were measured. Cardiac output and alveolar ventilation were calculated. Arterial and mixed venous blood were drawn for blood gas analysis and pH measurements. Pulmonary gas exc...
Effect of ambient temperature and humidity on pulmonary artery temperature of exercising horses. Six healthy Thoroughbred mares were trained to run on a high-speed treadmill and were conditioned for approximately 5 weeks. Each horse performed 6 identical standardised exercise tests (SET) 5 to 7 days apart. Each SET was performed under different ambient laboratory conditions: low temperature/low humidity (LL) 20.2 degrees +/- 0.6 degree C, 53.6 +/- 4.1%; low temperature/high humidity (LH) 19.7 +/- 0.6 degrees C, 86.7 +/- 4.2%; medium temperature/low humidity (ML) 24.6 +/- 0.2 degrees C, 58.7 +/- 3.7%; medium temperature/high humidity (MH) 24.7 +/- 0.3 degrees C, 87.5 +/- 1.4%; high tempera...
Temporal changes in the trot between the first and third horse inspections at a CCI*** 3-day event. Kinematic parameters were measured from horses competing in a CCI*** 3-day event. The horses were filmed during the first and third horse inspection. This provided a repeat sample on 16 horses. The horses were filmed using a panning lateral S-VHS video camera (50 Hz). Spatial measurements were taken for mean +/- s.d. 5.66 +/- 0.92 strides for the first inspection and 5.05 +/- 1.27 for the third inspection. Within the calibration zone, data of the horses accelerating and obtaining a constant velocity were collected. The horses trotted with a higher mean velocity during the third inspection (0.2...
Nerve block and intra-articular anaesthesia of the forelimb in the sound horse. Nerve blocks and intra-articular anaesthesia are used extensively as routine methods in lameness evaluation. The method is based on the assumption that the technique itself does not change the movement pattern. The aim of this study was to carry out a quantitative kinematic study to confirm or reject the hypothesis that high palmar digital nerve block (HPDN) and intra-articular fetlock joint anaesthesia (IAF) influence significantly the movement pattern of the horse. Seven Standardbred horses trotting at 4.5 m/s were recorded at 240 Hz on a treadmill before and after anaesthesia by use of a Pr...
Sweating and skin temperature responses of normal and anhidrotic horses to intravenous adrenaline. Anhidrosis has been recognised for over half a century, but despite some excellent epidemiological studies, there has been little progress in understanding the aetiology of the condition. Using a modified ventilated capsule, we obtained dynamic, quantitative data on sweating responses in anhidrotic horses and normal sweating controls from the same environment. Ten horses with current seasonal anhidrosis and 10 matched normal sweating controls were selected. Each horse was given two 10 min infusions of 1 and 2 micrograms/kg/min adrenaline, separated by at least 6 h. Sweating responses and skin ...
The effect of diet composition and feeding state on the response to exercise in feed-restricted horses. Eight Thoroughbred horses were used to determine the effects of long-term calorie restriction and diet composition on serum T4 and T3 concentrations and metabolic responses with exercise. Horses were randomly assigned to 2 treatment groups (n = 4): Group 1, horses were fed a calorie-restricted diet designed to have 70% of the calories from the roughage source (RHR); Group 2, horses were fed a calorie-restricted diet designed to have 70% of the calories from the concentrate source (RHC). Horses then completed 2 step-wise exercise tests; one following a 12 h fast and one 2 h after a meal of 2 kg...
Standardisation of muscular biopsy of gluteus medius in French trotters. Morphometric measurements were taken from 41 French trotters of various ages and both sexes. Biopsy location was determined for the dorsal compartment as being one-third of the distance from the tuber sacrale to the tuber coxae and for the ventral compartment as being one-third of the distance from the tuber coxae to the caudal Cd1-Cd2 intervertebral joint. Ten horses were biopsied at these 2 sites at a sampling depth equal to half the total depth of the compartment as measured by ultrasonography. The percentage of slow and fast myosin heavy chain fibres was measured by using an immunoenzymati...
Pre- and post exercise echocardiography in horses performing treadmill exercise in cool and hot/humid conditions. We hypothesised that exercise in a hot and humid environment would affect echocardiographic indices of cardiac dimensions and function more than exercise in a cool environment. M-mode echocardiograms were obtained in 5 clinically normal horses before, and at 0, 10, 30 and 60 min after a treadmill exercise test. The test was performed in a controlled environment at 20 degrees C/40% relative humidity (RH) and again at 30 degrees C/80% RH. All the horses completed the exercise test in cool conditions, but only one horse completed the exercise test in the hot/humid environment. The relaxation time...
Comparison of bone mineral content and biochemical markers of bone metabolism in stall- vs. pasture-reared horses. Sixteen Arabian yearlings were assigned randomly to 2 groups, confined to stall and pastured, to investigate the effects of confinement vs. pasture-rearing on bone mineral content and biochemical markers of bone metabolism over a 140 day period. Following an 84 day pretraining period, 6 horses from each group were selected randomly to complete a 56 day training period. Serum osteocalcin concentrations were determined from blood samples collected every 14 days. Urinary deoxypyridinoline concentrations and mineral content of the third metacarpus, as determined by lateral and medial radiographic ...
