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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.
Predictors of laminitis development in a cohort of nonlaminitic ponies.
Equine veterinary journal    April 1, 2022   Volume 55, Issue 1 12-23 doi: 10.1111/evj.13572
Knowles EJ, Elliott J, Harris PA, Chang YM, Menzies-Gow NJ.Quantifying risk factors for laminitis development requires improvement. Objective: To identify the most useful physical examination, metabolic and management factors to predict laminitis development in client-owned, nonlaminitic ponies. Methods: Prospective cohort study. Methods: Physical examination, metabolic and management data were collected from a pony cohort 6 monthly for up to 4 years. Ponies were monitored for the development of laminitis. Metabolic data included basal plasma concentrations of ACTH ([ACTH]), adiponectin ([adiponectin]), triglycerides and glucose. Serum insulin concen...
Prediction of gestational age based on foetal ultrasonographic biometric measurements in light breed horses.
Reproduction in domestic animals = Zuchthygiene    March 31, 2022   Volume 57, Issue 7 743-753 doi: 10.1111/rda.14116
Renaudin CD, Kass PH, Bruyas JF.A table was generated, based on foetal ultrasonographic measurements in light breed mares, for each day of gestation beginning with day 100, to provide the predicted value of four biometric parameters: biparietal diameter (BPD), eye approximated volume (EyV), foetal aortic diameter (AortD) and femur length (FL). Using this table, day of gestation was successfully predicted in 23 Quarter Horses (QH) with known mating or ovulation dates. BPD, EyV and FL were the best foetal age predictors between 100- and 200-days gestation predicting within 2 weeks of the actual day of gestation, while BPD and...
Gastrointestinal biopsy in the horse: overview of collection, interpretation, and applications. Hostetter JM, Uzal FA.Evaluation of gastrointestinal (GI) biopsies is a multistep process that includes reviewing an appropriate history, determining sample quality, and evaluating histologic sections. Selected diagnostic parameters that, in combination with intestinal histopathology, can be useful to localize disease to the intestinal tract in the horse include hypoproteinemia and hypoalbuminemia, ultrasound evidence of increased thickness of the small intestinal wall, and alterations in glucose or D-xylose absorption tests. Biopsies may be acquired either endoscopically, or via laparoscopy or standing flank incis...
Dual-contrast micro-CT enables cartilage lesion detection and tissue condition evaluation ex vivo.
Equine veterinary journal    March 30, 2022   Volume 55, Issue 2 315-324 doi: 10.1111/evj.13573
Honkanen MKM, Mohammadi A, Te Moller NCR, Ebrahimi M, Xu W, Plomp S, Pouran B, Lehto VP, Brommer H, van Weeren PR, Korhonen RK, Töyräs J....Post-traumatic osteoarthritis is a frequent joint disease in the horse. Currently, equine medicine lacks effective methods to diagnose the severity of chondral defects after an injury. Objective: To investigate the capability of dual-contrast-enhanced computed tomography (dual-CECT) for detection of chondral lesions and evaluation of the severity of articular cartilage degeneration in the equine carpus ex vivo. Methods: Pre-clinical experimental study. Methods: In nine Shetland ponies, blunt and sharp grooves were randomly created (in vivo) in the cartilage of radiocarpal and middle carpal joi...
Plantar osteochondral fragments in young Standardbreds are associated with minimal joint inflammation at the time of surgical removal.
Equine veterinary journal    March 29, 2022   Volume 55, Issue 1 33-41 doi: 10.1111/evj.13575
McCoy AM, Secor EJ, Roady PJ, Gray SM, Klein J, Gutierrez-Nibeyro SD.Plantar osteochondral fragments (POF) are common but their effect on joint health of young Standardbreds in race training is largely unknown. Objective: Evaluate the inflammatory effects of POF in metatarsophalangeal joints of young Standardbreds as a step towards developing evidence-based recommendations for surgical removal. Methods: Cohort study. Methods: Forty-nine Standardbred horses (age 11-33 months) presented for surgical removal of POF from 56 metatarsophalangeal joints. Synovial tissue collected at arthroscopy was subjected to histopathology. IL-1β, TNF-α, and PGE-2 were measured ...
Validation of ultrasonography for measurement of cartilage thickness in the equine carpus. Andersen C, Griffin JF, Jacobsen S, Østergaard S, Walters M, Mori Y, Lindegaard C.Articular cartilage thinning is an important hallmark of osteoarthritis (OA), and ultrasonography (US) is a clinically accessible tool potentially suitable for repeated evaluation. The aim of the present prospective methods comparison study was to validate US as a tool for measuring cartilage thickness in the carpus of the horse. Eight Standardbred trotters underwent US examination with 9 and 15 MHz linear transducers. Six anatomical locations in the radiocarpal joint (RCJ) and middle carpal joint (MCJ) were examined. The same joints were assessed by ultrahigh field (9.4 Tesla) magnetic reson...
Effect of a combination of butorphanol and detomidine on endoscopic assessment of laryngeal function in Thoroughbred yearlings.
The Veterinary record    March 29, 2022   Volume 190, Issue 9 e1483 doi: 10.1002/vetr.1483
Almonte H, Schumacher J, Johnson CR, Berk JT, Bell RP.To the authors' knowledge, the effect of a combination of butorphanol tartrate and detomidine hydrochloride on the laryngeal function and symmetry of the arytenoid cartilages in young Thoroughbred horses has not been examined. Therefore, this study aimed to examine the effects of administration of butorphanol and detomidine on left-to-right rima glottidis ratio (L:R RGR), cross-sectional area of the rima glottidis (CSARG) and grade of laryngeal function of Thoroughbred yearlings examined endoscopically at rest. Forty-six Thoroughbred yearlings underwent laryngeal video endoscopy, at rest, befo...
Hepatic Enzyme Profile in Horses.
Animals : an open access journal from MDPI    March 29, 2022   Volume 12, Issue 7 doi: 10.3390/ani12070861
Satué K, Miguel-Pastor L, Chicharro D, Gardón JC.For diagnostic purposes, liver enzymes are usually classified into hepatocellular and cholestatic. These two groups of equine liver-specific enzymes include sorbitol dehydrogenase (SDH), glutamate dehydrogenase (GLDH), γ-glutamyl transferase (GGT), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and alkaline phosphatase (ALP). SDH and GLDH mostly reflect hepatocellular injury and cholestasis, while GGT expresses high values in biliary necrosis or hyperplasia. Likewise, AST, LDH, and ALP also reflect hepatocellular and biliary disease, but these enzymes are not liver specific. F...
Early incisor lesions and Equine Odontoclastic Tooth Resorption and Hypercementosis: Reliability of radiographic findings.
Equine veterinary journal    March 28, 2022   Volume 55, Issue 2 261-269 doi: 10.1111/evj.13577
Albers L, Albers J, Dullin C, Staszyk C, Bienert-Zeit A.In clinical practice, early diagnosis of Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH) and other resorptive incisor diseases is difficult to achieve. The radiographic appearance of subtle pathological changes has not been described in detail and might be confused with age-related changes. Objective: The study was performed to define typical radiographic signs of early incisor lesions and to evaluate the reliability of the radiographic findings. Methods: Descriptive and comparative study using post mortem clinical, radiographic, macroscopic and µCT examination. Methods: The...
Equine ulcerative keratitis in Belgium: Associated bacterial isolates and in vitro antimicrobial resistance in 200 eyes.
Veterinary ophthalmology    March 28, 2022   Volume 25, Issue 5 326-337 doi: 10.1111/vop.12985
Vercruysse EM, Narinx FP, Rives ACM, Sauvage AC, Grauwels MF, Monclin SJ.To describe bacterial isolates and associated antibiotic resistance from horses with ulcerative keratitis in Belgium. Methods: Medical records from horses with ulcerative keratitis presented to the ophthalmology service of the Veterinary teaching hospital of Liege, Belgium, between 2014 and 2021 were evaluated. Bacterial isolates were identified and VITEK® 2 (Biomérieux) provided antimicrobial susceptibility testing and resistance detection. Results: Two hundred eyes of 196 horses were sampled. Ninety-seven eyes had a positive bacterial culture (48.5%) and 139 bacterial isolates were identif...
Association of pneumonia with concentrations of virulent Rhodococcus equi in fecal swabs of foals before and after intrabronchial infection with virulent R. equi.
Journal of veterinary internal medicine    March 24, 2022   Volume 36, Issue 3 1139-1145 doi: 10.1111/jvim.16409
Cohen ND, Kahn SK, Bordin AI, Gonzales GM, da Silveira BP, Bray JM, Legere RM, Ramirez-Cortez SC.Intragastric administration of virulent Rhodococcus equi protects foals against subsequent experimental intrabronchial (IB) infection, but it is unknown whether R. equi naturally ingested by foals contributes to their susceptibility to pneumonia. Objective: Fecal concentration of virulent R. equi before IB infection with R. equi is positively associated with protection from pneumonia in foals. Methods: Twenty-one university-owned foals. Methods: Samples were collected from experimental studies. Five foals were gavaged with live, virulent R. equi (LVRE) at age 2 and 4 days; the remaining 16 f...
Perioperative lung ultrasonography in healthy horses undergoing general anesthesia for elective surgery.
Journal of veterinary internal medicine    March 24, 2022   Volume 36, Issue 3 1160-1172 doi: 10.1111/jvim.16408
Ribonnet C, Palmers K, Saegerman C, Vanderperren K, van Galen G.Lung ultrasound (LUS) is poorly evaluated in horses, especially perioperatively. Objective: (1) Describe LUS findings in healthy horses before and after general anesthesia (GA), (2) evaluate if GA induces ultrasonographic changes in healthy horses, (3) suggest a LUS scoring system, (4) identify horse variables that are associated to LUS changes after anesthesia. Methods: Twenty-five healthy adult horses undergoing elective surgery. Methods: Prospective hypothesis-driven observational study. LUS findings were recorded before anesthesia, 5 minutes in recovery, 15 minutes, 2H, 3H, 4H, 6H, and ...
Computed tomographic features of the temporomandibular joint in 10 Jeju horses.
Journal of veterinary science    March 22, 2022   Volume 23, Issue 3 e44 doi: 10.4142/jvs.21318
Lee S, Lee EB, Park KW, Jeong H, Shin KY, Kweon YP, Seo JP.The equine temporomandibular joint (TMJ) has a complex anatomical structure that makes diagnosis of TMJ disorders difficult. Computed tomography (CT) is now available in equine medicine; hence, TMJ evaluation has become more convenient. Objective: The objectives of this study were to describe the CT features of the TMJ in Jeju horses and to compare these features with those of Thoroughbreds. Methods: In this report, the TMJs of 10 Jeju horses (mean age: 4.5 ± 1.9 yr; mean body weight: 282.6 ± 40.3 kg) and 6 Thoroughbreds (mean age: 7.3 ± 1.6 yr; mean body weight: 479.7 ± 44.0 kg) were exam...
Development of an Ultrasound Technique to Evaluate the Popliteal Complex in the Horse.
Animals : an open access journal from MDPI    March 22, 2022   Volume 12, Issue 7 800 doi: 10.3390/ani12070800
Møller-Jensen M, Blomquist MH, Mortensen CL, Olsson IKC, Cuevas-Ramos G.The popliteal tendon and muscle are major stabilizers of the human and dog knee, more specifically the postero-lateral corner. Injury to this complex causes posterior knee pain, and it is generally associated with other injured structures such as the lateral collateral ligament, lateral meniscus, and/or the cranial cruciate ligament. The popliteal complex is poorly reported in the horse, and its specific function has not been determined. Nevertheless, it is likely that it is similar to that of other species, and that injury to it could have similar clinical repercussions. Lameness due to stifl...
Reproducibility of the body condition score assessment in Silesian horses, using the 9-point BCS scale.
Veterinary research communications    March 22, 2022   Volume 47, Issue 1 273-278 doi: 10.1007/s11259-022-09916-5
Pyrek P, Siwinska N, Zak-Bochenek A.Control of body condition is an important aspect of horse management. Its correct evaluation, and the possibility of using universal indicators are of key importance for preserving the animals' wellbeing and for providing them with proper care. The objective of this study was to evaluate the agreement between body condition scores assessed by teams and individuals, using the 9-point Body Condition Score scale created by Henneke. The evaluation of a herd of 49 healthy adult Silesian horses was conducted by veterinary medicine students with adequate training in body condition assessment. Group a...
Muscular tension as an indicator of acute stress in horses.
Physiological reports    March 22, 2022   Volume 10, Issue 6 e15220 doi: 10.14814/phy2.15220
Rankins EM, Manso Filho HC, Malinowski K, McKeever KH.Horses' muscular tension during acute stress remains unexplored. Our aim was to assess muscular, behavioral, cortisol, and hematocrit responses to social isolation (ISO), novel object exposure (NOV), and sham clipping (CLIP). Altered stress responses were expected. Eight mature Standardbred horses (four mares and four geldings) were exposed to acute stressors and a control period (CON) in a balanced, replicated 4×4 Latin Square experimental design with 3 min treatment periods and 10 min washout periods. Surface electromyography collected from the masseter, brachiocephalas, cervical trapeziu...
Biomarker ratios.
Drug testing and analysis    March 20, 2022   Volume 14, Issue 5 983-990 doi: 10.1002/dta.3250
Cawley A, Keen B, Tou K, Elbourne M, Keledjian J.The concept of biomarker measurements in the form of a ratio has not been explored in detail. This is surprising considering the current and future potential for biomarkers incorporating endogenous reference compounds (ERCs) in a range of fields. A selection of these relating to clinical and forensic applications, human antidoping, equine antidoping and veterinary residues are discussed.
Altrenogest treatment reduces the stress response of three-year-old warmblood mares during their initial equestrian training.
Domestic animal endocrinology    March 20, 2022   Volume 80 106728 doi: 10.1016/j.domaniend.2022.106728
Kaps M, Lutzer A, Gautier C, Nagel C, Aurich J, Aurich C.Horse mares are frequently treated with the progestin altrenogest with the aim to suppress estrous behavior and its negative impact on equestrian performance. Progestogens, however, also have sedative effects in males, and females of different species. The aim of our study was therefore to investigate altrenogest-induced changes in the stress response of female horses during initial equestrian training. Three-yr-old Warmblood mares were randomly assigned to treatment with altrenogest (ALT; 0.044 mg/kg once daily; n = 6) or sunflower oil (CON; n = 5) for 12 wk during training. At predefined...
Concentration of amikacin sulphate in synovial fluid when given in combination with dexamethasone phosphate in intravenous regional limb perfusion in standing horses.
Journal of veterinary pharmacology and therapeutics    March 20, 2022   Volume 45, Issue 4 409-414 doi: 10.1111/jvp.13053
Gustafsson K, Tatz AJ, Britzi M, Dahan R, Sutton GA, Kelmer G.Eight horses underwent IVRLP at two occasions through a 23-gauge 2 cm long butterfly catheter. Regional anaesthesia of the ulnar, median and medial cutaneous antebrachial nerves was performed prior, and an 8 cm rubber tourniquet was placed on the proximal radius for 30 minutes following the infusion. The first infusion consisted of 2 g of amikacin sulphate and 10 mg of dexamethasone phosphate diluted with 0.9% NaCl to a total volume of 100 ml. The second perfusion was performed after a 2-week washout period, the same protocol was used but without dexamethasone phosphate. Synovial fluid s...
A Preliminary Study on the Use of HD-sEMG for the Functional Imaging of Equine Superficial Muscle Activation during Dynamic Mobilization Exercises.
Animals : an open access journal from MDPI    March 20, 2022   Volume 12, Issue 6 785 doi: 10.3390/ani12060785
Gamucci F, Pallante M, Molle S, Merlo E, Bertuglia A.Superficial skeletal muscle activation is associated with an electric activity. Bidimensional High-Density Surface Electromyography (HD-sEMG) is a non-invasive technique that uses a grid of equally spaced electrodes applied on the skin surface to detect and portray superficial skeletal muscle activation. The goal of the study was to evaluate the feasibility of HD-sEMG to detect electrical activation of skeletal muscle and its application during rehabilitation exercises in horses. To fulfil this aim, activation of the superficial descending pectoral and external abdominal oblique core muscles w...
Inflammatory Response and Electrocardiographic Examination in Horses Vaccinated against Equine Herpesvirus (Ehv-1).
Animals : an open access journal from MDPI    March 19, 2022   Volume 12, Issue 6 778 doi: 10.3390/ani12060778
Biondi V, Landi A, Pugliese M, Merola G, Passantino A.This study aimed to evaluate possible abnormalities in electrocardiographic findings, and changes in cardiac troponin I (cTnI) and inflammatory biomarkers (serum amyloid A (SAA) and C-reactive protein (CRP)) after inactivated herpesvirus vaccine administration. Eighteen healthy horses were included. All animals were vaccinated with Pneumoequine (Merial, France) according to the protocol provided by the manufacturer. They were evaluated 1 day before the first dose of vaccination (D0), and 7 days (D1) and 14 days (D2) afterwards. At D0, D1, and D2, a blood sample was taken for the evaluation of ...
Influence of screw head diameter on ex vivo fixation of equine lateral condylar fractures with 5.5 mm cortical screws.
Veterinary surgery : VS    March 18, 2022   Volume 51, Issue 4 576-591 doi: 10.1111/vsu.13797
Constant C, Zderic I, Arens D, Pugliese B, Gehweiler D, Gueorguiev-Rüegg B, Zeiter S.To determine the influence of screw head diameter on equine condylar fracture fixation with 5.5 mm cortical screws. Methods: Ex vivo, biomechanical study, blinded, matched-pair design. Methods: Fifteen pairs of equine third metacarpal (MC3) bones. Methods: Lateral condylar fractures were simulated by parasagittal osteotomies and repaired pairwise by 2 × 5.5 mm cortical screws of 8 mm (standard) or 10 mm (modified) head diameter. Interfragmentary compression at maximum screw insertion torque was measured. The instrumented specimens were pairwise stratified for biomechanical testing u...
Pharmacokinetics, Safety, and Synovial Fluid Concentrations of Single- and Multiple-Dose Oral Administration of 1 and 3 mg/kg Cannabidiol in Horses.
Journal of equine veterinary science    March 18, 2022   Volume 113 103933 doi: 10.1016/j.jevs.2022.103933
Yocom AF, O'Fallon ES, Gustafson DL, Contino EK.Cannabidiol (CBD) products are widely marketed to horse owners, trainers, and veterinarians and are readily available to the consumer despite minimal pharmacokinetic or safety data being available. The objectives of this study were to determine the plasma pharmacokinetics, short-term safety, and synovial fluid levels of CBD following oral administration in horses. A prospective, randomized, controlled study design was used. Twelve horses were administered sunflower lecithin oil-based CBD at either 1 mg/kg (Group 1) or 3 mg/kg (Group 2) for a 24-hour pharmacokinetic study. Horses then received ...
Effectiveness of Neuromuscular Electrical Stimulation and Dynamic Mobilization Exercises on Equine Multifidus Muscle Cross-Sectional Area.
Journal of equine veterinary science    March 18, 2022   Volume 113 103934 doi: 10.1016/j.jevs.2022.103934
Lucas RG, Rodríguez-Hurtado I, Álvarez CT, Ortiz G.Equine back pain can potentially initiate an unstable intervertebral situation that results in atrophy and dysfunction of the epaxial muscles even after back pain has resolved. Several physiotherapy approaches are advocated to promote the strengthening of the multifidus muscle. This study aimed to asses and compare the effect of dynamic mobilization exercises (DME) and neuromuscular electrical stimulation (NMES) in 8 adult horses (4 individuals by group) to increase the cross-sectional area (CSA) of this muscle after a 7-weeks period treatment. The epaxial muscles of NMES group were electrical...
Evaluating the Effect of Routine Hoof Trimming on Fore and Hind Hooves Impact Phase Kinetics.
Journal of equine veterinary science    March 18, 2022   Volume 114 103935 doi: 10.1016/j.jevs.2022.103935
Faramarzi B, Nelson S, Dong F.Imbalances and altered kinetics of the hoof result in lameness in horses. Previously, studies have focused on the midstance phase of a gait, hence, available information on the impact phase is scarce. This study aimed to investigate the effect of hoof trimming on the fore and hindhooves at the impact phase of the walk. Our objective was to compare the kinetic variables of force (N), contact area (cm), contact pressure (kPa), and peak contact pressure (kPa) before and after hoof trimming. Nine Arabian horses were walked straight over a pressure plate to collect the above kinetic variables for b...
An Outbreak of Equine Herpesvirus-4 in an Ecological Donkey Milk Farm in Romania.
Vaccines    March 18, 2022   Volume 10, Issue 3 468 doi: 10.3390/vaccines10030468
Mureşan A, Mureşan C, Siteavu M, Avram E, Bochynska D, Taulescu M.Equine herpesviruses are important pathogens causing significant economic loss in equine and asinine populations. EHV-1/4 strains are mainly associated with respiratory distress. The aim of this study is to report the first EHV 4-associated respiratory disease in donkeys in Romania. Thirty-seven of three hundred jennies in an ecological donkey farm in southwest Romania started initially showing signs of severe upper respiratory tract disease, with ten concomitant late abortions/neonatal deaths and three neurological cases. There were nine fatalities. Pathological examination was performed, and...
The Effectiveness of Equine Therapy Intervention on Activities of Daily Living, Quality of Life, Mood, Balance and Gait in Individuals with Parkinson’s Disease.
Healthcare (Basel, Switzerland)    March 17, 2022   Volume 10, Issue 3 561 doi: 10.3390/healthcare10030561
Berardi A, Di Napoli G, Ernesto M, Fabbrini G, Conte A, Ferrazzano G, Viselli F, Galeoto G.The objective of this study was to evaluate the efficacy of equine therapy (ET) to detect changes in the activities of daily living, quality of life, mood, balance, and gait in individuals with Parkinson's disease (PD). Methods: In the study, 17 participants with PD were recruited to participate in 10 sessions of ET. The inclusion criteria of the study were: second and third stages of the Hoehn and Yahr scale, Mini-Mental State Examination (MMSE) greater than or equal to 24 points, and age up to 85 years. The outcome measures administered at the beginning and the end of treatment relied on mea...
Aerobic Commensal Conjunctival Microflora in Healthy Donkeys.
Animals : an open access journal from MDPI    March 17, 2022   Volume 12, Issue 6 756 doi: 10.3390/ani12060756
Fraczkowska K, Zak-Bochenek A, Siwinska N, Rypula K, Ploneczka-Janeczko K.From a clinical point of view, knowledge of the commensal microbial flora of the conjunctival sac in healthy individuals proves to be of great importance. The aim of this study was to assess the presence and the composition of normal ocular microflora of healthy donkeys. Fourteen clinically healthy donkeys () participated in the study. After prior ophthalmological examination, which showed no abnormalities, a conjunctival swab was taken from each donkey from the right and left eye. Species-specific identification was based on a morphological assessment of bacterial colonies stained with the Gr...
Linear Discriminant Analysis for Investigating Differences in Upper Body Movement Symmetry in Horses before/after Diagnostic Analgesia in Relation to Expert Judgement.
Animals : an open access journal from MDPI    March 17, 2022   Volume 12, Issue 6 doi: 10.3390/ani12060762
Pfau T, Bolt DM, Fiske-Jackson A, Gerdes C, Hoenecke K, Lynch L, Perrier M, Smith RKW.Diagnostic analgesia and lunging are parts of the equine lameness examination, aiding veterinarians in localizing the anatomical region(s) causing pain-related movement deficits. Expectation bias of visual assessment and complex movement asymmetry changes in lame horses on the lunge highlight the need to investigate data-driven approaches for optimally integrating quantitative gait data into veterinary decision-making to remove bias. A retrospective analysis was conducted with inertial sensor movement symmetry data before/after diagnostic analgesia relative to subjective judgement of efficacy ...
The influence of equine-assisted services on the balance of a participant with visual impairment and autism characteristics.
Journal of bodywork and movement therapies    March 17, 2022   Volume 31 57-61 doi: 10.1016/j.jbmt.2022.03.007
Ramos MM, Nabeiro M.Balance is the basis for all body movements, and is influenced by sensory systems: visual, vestibular and proprioceptive. Therefore, the loss of any of these systems, as in the case of visual impairment (VI), may carry important consequences for body balance and, thus, motor development. The objective of this study was to evaluate changes in the static and dynamic balance of a participant with VI and autism characteristics. application of the Berg and Tinetti's Balance Scale, pre- and post-equine assisted services interventions. The study is a qualitative and descriptive case study. The data f...
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