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.
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...
Contributing to evidence-based veterinary medicine: A qualitative study of veterinary professionals’ views and experiences of client-owned companion animal research. Research on the outcomes of veterinary treatments in dogs, cats and horses has important benefits for these animals and their owners. However, this information is not always available, and the evidence base is often lower-quality than in human medicine. To identify ways to improve the generation of evidence, we investigated the views of veterinary professionals about research involving companion animal patients and their owners. This qualitative study used semi-structured interviews with veterinary surgeons and registered veterinary nurses working in UK companion animal clinical practice. Inte...
Analysis of different techniques for injection of the interspinal space in horses. Impingement of spinous processes (SPs) is commonly diagnosed in the equine athlete. For diagnostic and therapeutic purposes, local injections are performed at the level of the space between adjacent spinous processes in affected horses. Objective: To assess the accuracy of different techniques for the local injection of the interspinal space in the equine thoracolumbar spine. Methods: Ex vivo experimental study. Methods: Equine thoracolumbar spine specimens were used to compare three techniques for needle insertion (midline; bilateral abaxial; unilateral oblique), two needles (20G-1½″; 20G-...
Retrospective radiographic myelogram measurements and long-term outcomes in horses undergoing cervical interbody fusion surgery: 22 cases. Site selection for cervical stabilization surgery in horses with spinal ataxia frequently relies on measurements derived from radiographic myelography. A variety of measurement criteria exist and can provide conflicting results. The main objectives of this study were to assess the correlation between two commonly used myelographic measures, dorsal contrast column reduction (DCCR) and dural diameter reduction (DDR), and their association with previously selected operative sites in a population of horses operated at a tertiary clinic. Secondary objectives were to determine if articular process j...
Surgical technique, outcome, complications, and recurrence rate for removal of extensive perianal melanomas: 50 treated horses. To describe surgical treatment and outcome for horses with extensive perianal melanomas. Unassigned: Gray horses treated surgically for extensive perianal melanoma between July 1, 2020, and July 31, 2023, were eligible. Horses without the entire perianal skin covered with coalescing or ulcerating melanomas were excluded. Unassigned: 59 horses (30 mares, 27 geldings, and 2 stallions) met the inclusion criteria. Median age was 16 years (range, 7 to 28 years). Clinical signs included tenesmus (n = 53), weight loss (3), and hind limb lameness (1). Six horses presented with no complaints; in these ...
Changes in measurable ultrasonographic parameters in growing Arabian foals from birth to 1 year. Utrasonographic measurements of the abdominal viscera and the heart in growing Arabian foals have not been described. Objective: To establish normal intervals for ultrasonographic measurements of cardiac indices and abdominal viscera in growing Arabian foals from birth to 1 year of age. Methods: Prospective longitudinal descriptive study. Methods: Ultrasonographic images were captured from 15 foals every 3 months from 1 week to 1 year of age. During each examination, at least three images were obtained at each location and measurements were obtained using standardised ultrasonographic approa...
Starch Allowance and Muscle Enzyme Activity in Healthy Standardbred Trotters Trained by Professional Trainers. It is generally accepted that plasma muscle enzyme activity of creatine kinase (CK) and aspartate aminotransferase (AST) may increase in racehorses after exercise and racing, indicating muscle fibre damage and/or increased leakage from muscle fibres. However, other studies suggest that starch intake might influence plasma muscle enzyme activity reported postexercise. This study aimed to evaluate the effect of different starch allowances on plasma muscle enzyme activity in Standardbred trotters in professional training. Seventy-six horses from five professional trainers were sampled pre- and po...
Forces on the Incisor Teeth During Odontoplasty of the Cheek Teeth in Sedated Horses. Mouth specula with incisor bite plates shift the pressure from all teeth exclusively to the incisors in the opening phase which leads to increased forces on dental, osseous, and soft tissue structures of the horse's head. The potentially pathological character of these forces is described clinically by single reports of maxilla and mandible fractures occurring during the use of opened mouth specula. This study describes these forces on incisor teeth in horses during odontoplasty of cheek teeth under sedation. Measurements were documented using a modified "Günther" mouth speculum fitted with a...
Infracyanine Green-Based Photodynamic Therapy for Immune-Mediated Keratitis in Horses. To describe infracyanine green-based photodynamic therapy (InfraCG-PDT) and evaluate outcomes in horses with immune-mediated keratitis (IMMK). Methods: Medical records from 2014 to 2020 from the Equine Clinic Munich-Riem, Germany, and Auburn University Equine Ophthalmology Service identified horses diagnosed with IMMK following ophthalmic examination that had undergone InfraCG-PDT. Methods: Multiple intrastromal injections of EmunDo (InfraCG, A.R.C. Laser, Nuernberg, Germany) within an affected quadrant or the entire cornea were treated with diffuse diode laser energy (FOX A.R.C., Laser, Nuern...
Effect of high-speed exercise on subchondral bone in the metacarpo-/metatarsophalangeal joints of 2-year-old Thoroughbred racehorses in their first year of training. Stress-induced bone injury can lead to catastrophic injuries in Thoroughbred racehorses. Accumulation of high-speed exercise can increase the risk of subchondral bone injury. Objective: To investigate the effect of high-speed exercise on the subchondral bone of the metacarpo-metatarsophalangeal (MCP/MTP) joints using standing cone-beam computed tomography (CBCT) in young racing Thoroughbreds. Methods: Observational cohort study. Methods: Forty-one 2-year-old Thoroughbred racehorses during their first year of training were evaluated at 0, 6 and 12 months. Horses were evaluated for lameness an...
Long-Term Response of Equids With Pituitary Pars Intermedia Dysfunction to Treatment With Pergolide. Limited data document long-term responses of equids with pituitary pars intermedia dysfunction (PPID) to pergolide treatment. Objective: Report clinical response, medical problems, outcome, and owner satisfaction with pergolide treatment of PPID-affected equids over 14 years. Methods: Thirty client-owned equids with PPID. Methods: After completion of an open field clinical efficacy study for Prascend® (pergolide tablets), 28 horses and two ponies were enrolled in an extended treatment study (13 receiving 2 μg/kg PO q24h and 17 receiving 4 μg/kg PO q24h). Clients were interviewed eve...
Leptospirosis. Leptospirosis is a zoonotic bacterial infection that is prevalent across all continents and is caused by pathogenic spirochaetes of the genus Leptospira. Although infection can be asymptomatic, symptomatic disease can vary in severity from mild to severe illness, the latter characterized by icterus and/or multi-organ dysfunction and potentially death. An estimated one million cases of leptospirosis occur globally each year, resulting in ~60,000 deaths. The pathogenesis of severe leptospirosis is poorly understood but is believed to involve an interplay between genetic predisposition, pathogen ...
Development of a health-related quality-of-life assessment tool for equines with pituitary pars intermedia dysfunction. Clinical signs of pituitary pars intermedia dysfunction (PPID) are frequently mistaken for 'normal' ageing and may not be optimally assessed. Objective quality of life (QoL) assessment could improve clinical decision-making. Objective: To develop an owner-reported health-related quality-of-life (HRQoL) assessment tool for equines with PPID. To assess factors associated with HRQoL scores. Methods: Quantitative, cross-sectional study. Methods: HRQoL tool development followed a standard psychometric process of item (any aspect of PPID and its management that could impact QoL) identification (foll...
Standing repair of long frontal plane fractures of the proximal phalanx in UK Thoroughbred racehorses: A retrospective analysis of 13 fractures. Sagittal plane fractures of the proximal phalanx (P1) are commonly observed in the UK Thoroughbred racehorse, with the technique and outcome following standing lag screw fixation widely reported. Long frontal plane P1 fractures propagating from the central third of the proximal articular surface occur less frequently, with information concerning repair methods and outcomes currently lacking. Objective: To describe a surgical technique for standing lag screw fixation of long frontal P1 fractures and report on post-operative performance in a UK Thoroughbred population. Methods: Single centre ret...
Allele Frequencies and Genotypes for the Ryanodine Receptor 1 Variant Causing Malignant Hyperthermia and Fatal Rhabdomyolysis With Hyperthermia in Horses. Fatal anesthesia-induced malignant hyperthermia (MH) and rhabdomyolysis with hyperthermia documented in Quarter Horses (QH) breeds are caused by a missense variant in the ryanodine receptor 1 gene (RYR1: XP_023505430.1.:p.(R2454G), designated as MH). The reported cases to date have all been heterozygous, and the allele frequency is suspected to be low. Objective: To determine an accurate estimate of MH allele frequency in multiple horse breeds and investigate whether homozygous animals exist in the population. Methods: In total, 159 227 horses from 16 breeds who were either submitted for cli...
Patent Urachus and Associated Comorbidities in 101 Newborn Foals: A Retrospective Study. Patent urachus is a common disease in newborn foals. However, despite its frequency, studies investigating symptoms, comorbidities, treatment and prognosis in a large number of affected foals have rarely been conducted. This study aimed to describe the clinical symptoms, laboratory diagnostic findings and prognosis of foals with patent urachus. Data from 101 foals with a patent urachus from 2006 to 2017 were analysed. Patent urachus occurred at a frequency of 7.8% of all foals up to the 14th day of life during the study period. More colts (74.3%) than fillies (25.7%) were affected. In those wi...
Racing performance in 75 Thoroughbreds after arthroscopic removal of Osteochondritis dissecans from the lateral femoral trochlear ridge before first race start in Korea (2015-2017). The lateral trochlear ridge of the stifle joint is highly susceptible to developing Osteochondrosis (OC)/Osteochondritis dissecans (OCD) lesions. This retrospective study evaluated the medical and racing outcomes of 75 Thoroughbreds who underwent arthroscopic OCD removal at the Jeju Stud Farm Equine Hospital from 2015 to 2017. The analysis included medical records, radiographic assessments, and race performance data, comparing 75 horses that underwent surgery with 257 control horses selected as siblings from the same dam. The surgical group had comparable racehorse registration rates (89.3 %...
Standing repair of short frontal plane fractures involving the dorsoproximal articular surface of the proximal phalanx in six Thoroughbred racehorses. To describe a technique and report outcomes for internal fixation of short frontal-plane fractures involving the dorsoproximal articular surface of the proximal phalanx (P1) in standing horses. Methods: Short case series. Methods: Six Thoroughbred racehorses with short, frontal plane fractures involving the dorsoproximal P1. Methods: All fractures were located in the hindlimb. Horses presented with moderate lameness and marked effusion of the affected metatarsophalangeal joint. Fractures had a medial bias extending from the central aspect of proximal P1 to involve the dorsomedial prominence. F...
Molograph 4.0: A demonstration of a non-invasive, automated system for evaluating aspects of the masticatory process in the horse. We outlined a monitoring system as a demonstration of the Internet of Medical Things (IoMT) in horses that provided the ability to record aspects of the equine chewing process. Here we take up the idea of a Molograph, which was already proposed in the mechanical form in 1941 by Leue and transferred into today's world. As a substantial practical advantage, the system now involved a non-invasive measurement that was taken in the horse's familiar environment. All patients were fed roughage. In terms of the examination scenario, we focused on the determination of the direction of chewing. The syst...
Acute changes in serum iron concentrations in anesthetized healthy horses. To determine if serum iron concentrations decrease acutely during and after general anesthesia in healthy horses. Methods: Prospective experimental study. Methods: A convenience sample of 24 healthy adult horses (eight females, 16 geldings), weighing 545 ± 33 kg (mean ± standard deviation). Methods: Horses were anesthetized for 120 minutes with isoflurane, after premedication with intravenous (IV) xylazine (0.8 mg kg-1) and induction with IV midazolam (0.1 mg kg-1) and ketamine (2.2 mg kg-1). Blood samples for serum iron analysis were obtained just before premedication (baseline), after 60 m...
Survey on outcomes of emergency standing caesarean section in equids. Standing caesarian section (C-section) in mares is poorly documented in the literature. It is reportedly straightforward to perform for veterinarians experienced in bovine practice and is more accessible and less expensive than recumbent techniques. The study aimed to create a survey to report the outcomes of in field C-section through a flank laparotomy with the mare standing under sedation. Unassigned: A survey was developed for field veterinarians practicing standing C-sections. Data were collected regarding the veterinarian's experience and practice type, details about the mare and the rea...
Integration of machine learning and viscoelastic testing to improve survival prediction in horses experiencing acute abdominal pain at a veterinary teaching hospital. Viscoelastic coagulation testing (VCT) identifies subclinical disruption of coagulation homeostasis and may improve prognostication, particularly for patients with severe systemic inflammation or shock. Machine learning (ML) algorithms may capture complex relationships between clinical variables better than linear regression (GLM). Objective: To evaluate the utility of ML models incorporating VCT and clinical data to predict survival outcomes in horses with acute abdominal pain. Methods: Retrospective observational cohort study. Methods: VCT (VCM Vet™) was performed on 57 horses with acute a...
Population pharmacokinetics and clinical evaluation of intravenous acetaminophen and its metabolites in Andalusian horses. To date, no intravenous pharmacokinetics (PK) studies have assessed acetaminophen or its major metabolites (acetaminophen-glucuronide and acetaminophen-sulphate) in horses. The influence of sex on acetaminophen metabolism in horses is unclear, and Monte Carlo simulations have not been applied to explore potential clinical applications. This study aimed to determine the intravenous PK and safety of acetaminophen in Andalusian horses at 10 and 20 mg/kg, evaluate sex as a covariate, and simulate clinical regimens. Twenty mares and twenty stallions received intravenous acetaminophen, and plasma ...
The effect of 0.5 mL mepivacaine administered as an abaxial sesamoid nerve block on lameness of horses with digital pain did not differ significantly from that of 2.5 mL of mepivacaine. To compare the effect of 2.5 mL 2% mepivacaine to the effect of 0.5 mL 2% mepivacaine administered over each palmar digital nerve, as an abaxial sesamoid nerve block (ASNB), to 6 horses lame because of naturally occurring digital pain. Unassigned: In a crossover study design with 3 horses in each group, the trotting gait of the horses was analyzed with an inertial sensor-based, motion-analysis system (Q with Lameness Locator; Equinosis LLC) immediately before and after treatment with either 0.5 or 2.5 mL mepivacaine administered over each nerve near the base of the proximal sesamoid bone of th...
Comparative Efficacy of Topical Pyrethroids and Benzoyl Peroxide for Treating Chorioptic Mange in Spanish-Breton Horses. Chorioptic mange is a challenging condition to treat due to the superficial locations of the nonhematophagous mite , and while topical acaricides are recommended, the clinical feature relapses are frequent. In a double-blinded clinical trial, three randomized groups of Spanish-Breton horses ( = 32) naturally infected with on their legs were evaluated over a period of 70 days. All treatments were applied once every 14 days for three treatments. Before treatment and on Day (D)10, D25, D37, D56, and D70, each leg per animal was scored according to equine pastern dermatitis clinical presentat...
Pilot Study: Simultaneous Daily Recording of Total Locomotor Activity and Heart Rate in Horses for Application in Precision Livestock Farming. Among physiological parameters, total locomotor activity (TLA) and heart rate (HR) are used as physiological indicators in animal welfare evaluations. The present study aimed to simultaneously record for 24 h the TLA and HR of ten clinically healthy horses housed in conventional individual boxes subjected to a natural photoperiod and temperature. An actigraphy-based data logger was placed on the headstall, and an equine HR monitor was placed around the chest to monitor TLA and HR, respectively. Activity was monitored with 5 min sampling intervals and HR with 5 s intervals. To make the data poi...
Effects of clodronate disodium on endocrine regulators of calcium in yearling horses. Extra-label bisphosphonate (BP) use in juvenile horses is anecdotally reported, primarily for analgesic effects, despite the limited scientific understanding of biologic impacts on skeletally immature horses undergoing exercise. The objective of this study was to determine the effects of clodronate disodium (CD), a form of BP, on endocrine regulators of calcium. Thus, 32 yearling Quarter Horses were stratified by age (500 ± 13 d), body weight (BW; 336 ± 26 kg), sex (n = 16 geldings, n = 16 fillies), and initial bone optical density into 1 of 4 treatment groups for a 168-d tr...