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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.
Comparison of staple and suture techniques for end-to-end anastomosis of the small colon in horses. Two techniques for end-to-end anastomosis of the small colon were evaluated in each of 6 horses. A simple interrupted suture pattern that excluded the mucosa and was oversewn with an inverting suture was compared with a triangulated double-row pattern of stainless steel staples. Anastomotic sites were evaluated at 2 weeks, 2 months, and 6 months for extent of abdominal adhesions, lumen diameter at anastomotic sites, bursting pressures, and healing response. Clinical postoperative complications were not associated with either technique. At postmortem examination, there was extensive adhesion fo...
Cardiorespiratory and sedative effects of a combination of acepromazine, xylazine and methadone in the horse. Cardiorespiratory and sedative effects of a combination of acepromazine, xylazine and methadone were studied in the horse. Acepromazine and xylazine produced cardiovascular effects whereas methadone mainly affected respiratory rate. Decreases in heart rate, arterial blood pressure and respiratory rate were seen. Sedation was superior to that of acepromazine, xylazine or a combination of these. No serious side effects were seen.
Arthrodesis of the equine distal tarsal joints by perforated stainless steel cylinders. Perforated stainless steel cylinders filled with autogenous cancellous bone were implanted in the distal tarsal joints of four horses. Graft cell survival was poor two weeks after surgery in one horse. In two horses, at 10 months there was partial arthrodesis of the joints with incorporation of the implants into the osseous union. The implants were filled with vascularised woven bone. These two horses were sound nine months after surgery. One horse fractured its third tarsal bone and was still positive to a hock flexion test 12 months after surgery.
The use of radionuclide bone scanning in the diagnosis of tibial ‘stress’ fractures in the horse: a review of five cases. Five horses, all two year old Thoroughbreds, presented with acute onset hindlimb lameness following moderate to fast exercise. The use of a hand-held scintillation detector after Tc99 MDP injection greatly aided the diagnosis of tibial stress fractures in these horses. Radiological findings were subtle, involving only periosteal new bone and callus at the fracture site. In two cases this took several weeks to develop but in three others was present at the onset of lameness, indicating insidious pre-fracture bone pathology. The site of the most obvious radiological signs was constant in all fiv...
Incidence, location and classification of 371 third carpal bone fractures in 313 horses. The medical records and radiographs of all horses with a third carpal bone fracture admitted to The Ohio State University Veterinary Hospital from 1979 to 1987 were reviewed. Three hundred and seventy-one fractures were found in 313 horses; 57 percent were Standardbreds, 41 per cent were Thoroughbreds, and only 1.6 per cent were Quarterhorses. All were young racehorses (average age = 3.1 years). Third carpal fractures occurred more frequently in the right limb (60 percent) than the left limb (40 percent); Thoroughbreds had a greater right-left disparity (67.5 percent R, 27.1 per cent L). Fract...
The pattern of venous drainage of the equine ileocaecal junction. The veins draining the ileocaecal junctions of horses (n = 19), donkeys (n = 3) and a plains zebra, (Equus burchelli antiquorum) were injected with latex via the ileocolic vein, and dissected. In all specimens the ileocaecal papilla was drained by 2 major papillary veins: one cranial and one caudal to the papilla. A smaller dorsal vein drained either into the cranial or into the caudal vein. The submucosal veins seemed to increase in number in the ileocaeacal junction to form a venous plexus. This plexus, together with veins from the caecum and the distal ileum immediately bordering the ileoca...
Non-invasive measurement of bone: a review of clinical and research applications in the horse. The current methods for non-invasive measurement of bone quality are reviewed. In the horse this has traditionally involved the use of radiography, but there are now two other modalities available for the critical evaluation of cortical bone quality and strength. These utilise single photon absorptiometry and ultrasound velocity. Photon absorptiometry gives a direct measurement of bone mineral content, by using a monoenergetic radionuclide source, and transverse ultrasound velocity in bone gives a measure of bone stiffness or elasticity. They can both be used conveniently on the metacarpus of ...
Detomidine (Domosedan) in foals: sedative and analgesic effects. Detomidine was administered twice to six foals (14 to 94 days old) using three different doses (10, 20 and 40 micrograms/kg bodyweight intravenously) in a double blind trial. Sedation, analgesia, heart rate and clinically observed side-effects were recorded. Detomidine showed strong sedative effects at all doses tested. Sedation deepened very little by increasing the dose from 10 to 40 micrograms/kg bodyweight, but the duration of the effect was longer. Analgesia was considered good with the largest dose (40 micrograms/kg), and moderate or non-existent with the lower doses. Detomidine caused a...
Ultrasonic transmission velocity and single photon absorptiometric measurement of metacarpal bone strength: an in vitro study in the horse. Ten pairs of third metacarpal bones from Thoroughbred horses aged two to 12 years were used to estimate bone strength. Measurements of transverse cortical ultrasound velocity, cortical cross sectional area and bone mineral content were made using ultrasonic transmission velocity and single photon absorptiometry. These data were used to determine bone mineral density, compact bone density and modulus of elasticity. The results were compared with those measured by direct means or chemical analysis and satisfactory correlations were obtained between estimated and measured values. Single photon ab...
Kinematic analysis of the instant centers of rotation of the equine metacarpophalangeal joint. A kinematic analysis of the instant centers of rotation analysis was performed on 21 metacarpophalangeal joints from 11 horses. Manual and computerized methods were used to locate the instant center of rotation on photocopies of transparent composite tracings of a series of radiographs of each joint. The instant centers of rotation of the proximal phalanx about the distal portion of the third metacarpal bone were located consistently on or near the eminence for attachment of the collateral ligaments. The instant centers of rotation of the sesamoids about the distal portion of the third metacar...
Evaluation of three techniques for end-to end anastomosis of the small colon in horses. In an attempt to determine the best method for surgical removal of devitalized small colon lesions, 12 horses underwent a double small colon resection and end-to-end anastomosis. In 4 horses (study 1), an appositional single-layer (APP-1) suture pattern was compared with an inverting 2-layer (INV-2) suture pattern. In 8 horses (study 2), an appositional 2-layer (APP-2) suture pattern was compared with the INV-2 suture technique. Polydioxanone suture (size 1-0), was used. Horses were evaluated at necropsy 3, 10, 14, 28, or 56 days after surgery. Postoperative complications (peritonitis, impacti...
Bony fragments in the tarsocrural and metacarpo- or metatarsophalangeal joints in the standardbred horse–a radiographic survey. Radiographic examination of the tarsocrural, metacarpo- or metatarsophalangeal joints was made in 139 Standardbred horses. Most were under three years old with no history of orthopaedic problems. In the tarsocrural joint, osteochondrosis was observed in 25 (18.1 percent) of the horses (n = 138) and 14 (56 percent) of these were affected bilaterally. In the metatarsophalangeal joint, the most frequent radiographic abnormality was single or multiple bony fragments or defects at the plantar proximal end of the proximal phalanx, which was noticed in 40 (28.8 percent) of the horses (n = 139). The l...
Evaluation of equine locomotion during different degrees of experimentally induced lameness. II: Distribution of ground reaction force patterns of the concurrently loaded limbs. Force plate and high-speed film data from a group of six walking horses were used to study the distribution of the ground reaction forces (GRF) of the concurrently loaded limbs. Three different degrees of supporting lameness were induced in a forelimb or a hindlimb using modified horse shoes. In all experiments the alterations in the distribution in the transverse horizontal GRF (Fx) were small. During unilateral forelimb lameness, the decreased longitudinal horizontal GRF (Fy) was compensated by an increase of the Fy forces of the contralateral forelimb and the ipsilateral hindlimb. The decre...
Monitoring the effects of treadmill exercise on bone by non-invasive means during a progressive fitness programme. Six Standardbred horses underwent a 14-week training programme on a treadmill. The training schedule consisted of five weeks of slow work of six to 12 km/day at 5 m/sec. This was followed by a nine week interval programme increasing in its intensity so that for the last three weeks the horses did three to four intervals/day from 600 to 1000 m at or above maximum heart rate. Ultrasound velocity through the third metacarpus showed a significant increase as a result of training. There was also a significant increase in modulus of elasticity, but no change in bone mineral content, bone mineral den...
Dose-related effects of detomidine on autonomic responses in the horse. 1. Detomidine is a novel veterinary sedative analgesic which is thought to act by stimulation of alpha 2 adrenoreceptors. The present study was undertaken to determine the direction, time course, and dose-response relationship of detomidine on specific autonomic responses in the unanaesthetized horse. 2. Detomidine was administered intravenously to eight adult thoroughbred racehorses at doses of 0.010-0.040 mg kg-1, according to a double-blind Latin square crossover design. Cardiac and respiratory rates, pupil diameter and rectal temperature were monitored for 180 min postinjection. 3. Detomid...
Restricted conceptus mobility results in failure of pregnancy maintenance in mares. Cycling pony mares were bred and used to test the effect of restricted conceptus mobility on luteal maintenance (i.e. maternal recognition of pregnancy). In Experiment 1, uterine horns were ligated to restrict conceptus mobility to one uterine horn, Group 1; one horn plus the uterine body, Group 2; or one horn, the body and approximately 80% of the second horn, Group 3. Pregnancies were monitored with real-time ultrasonography. Four of five mares in Group 1 and two of four mares in Group 2 returned to estrus (Day 16.0 +/- 1.9 and 14.5 +/- 0.7, respectively) and subsequently lost the embryonic ...
Epiglottic entrapment. A transnasal surgical approach to divide the aryepiglottic fold axially in the standing horse. Transnasal, axial division of the aryepiglottic fold was performed to correct entrapment of the epiglottis in 20 sedated, standing horses, using a hooked bistoury and topical anesthesia. Presenting complaints included decreased exercise tolerance or loss of racing performance, abnormal respiratory noise, and coughing. The surgical procedure was technically easy to perform with a minimum of instrumentation. The horses were rested an average of 18 days before race training or riding was resumed. Evaluation of racing records or contact with owners indicated that most affected horses competed succ...
Equine Cushing’s disease: differential regulation of beta-endorphin processing in tumors of the intermediate pituitary. Equine Cushing's disease is caused by an adenomatous hyperplasia of the intermediate pituitary which secretes high levels of beta-endorphin, ACTH, and other peptide derivatives of POMC. In the present study we found that plasma and cerebrospinal fluid immunoreactive beta-endorphin (i beta-endorphin) levels were 60- and 120-fold higher than control values in horses with Cushing's disease. There were no significant differences in intermediate lobe i beta-endorphin concentrations, although anterior lobe i beta-endorphin was significantly reduced in Cushing's horses, presumably because high levels...
Detomidine: a preliminary analysis of its duration of action in the horse by variable interval responding. Variable interval (VI) reinforcement scheduling is a specific type of operant conditioning that is sensitive to drug effects even when overt clinical signs of the drug have diminished. Six horses were conditioned to break a light beam with a head-bobbing movement and this behaviour was reinforced with a reward of clean oats (approximately 30 mg/reinforcement). Initial training procedures included familiarisation with the behavioural equipment and fixed-ratio reinforced scheduling. To establish baseline rates of behaviour, the horses were converted to a variable interval (60 secs) reinforcement...
Efficacy of ivermectin in paste and injectable formulations against microfilariae of Onchocerca cervicalis and resolution of associated dermatitis in horses. The efficacy of a single dose of ivermectin (0.2 mg/kg), in injectable or paste formulations, against microfilariae of Onchocerca cervicalis and associated skin lesions was evaluated in 20 naturally infected horses during midsummer months in Louisiana. All horses had clinical signs of dermatitis of the ventral midline and/or limbs, shoulders, thorax, and withers. Efficacy was monitored at 21, 42, and 63 days after treatment. Procedures done at these intervals included microfilarial counts of 6-mm skin biopsy specimens of affected ventral midline, grading of gross lesions, and photography and h...
Fasciola in horses in the Republic of South Africa: a single natural case of Fasciola hepatica and the failure to infest ten horses either with F. hepatica or Fasciola gigantica. The faeces of 11 horses were examined for Fasciola spp. eggs. One of them was positive for Fasciola hepatica, a finding which was confirmed post-mortem. The 10 negative horses were subsequently infested with either F. hepatica or Fasciola gigantica, each animal receiving orally from 500-9,500 metacercariae. No clinical signs were observed and no fluke eggs were detected in the faeces, and neither immature nor adult Fasciola worms were recovered from the horses slaughtered 16-26 weeks post-infestation with F. hepatica and 28-34 weeks post-infestation with F. gigantica, respectively. The results...
