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Topic:Endurance

Endurance in horses refers to the ability of these animals to sustain prolonged physical activity, often assessed in the context of endurance racing or long-distance riding. This capability is influenced by a combination of physiological, genetic, and environmental factors. Key aspects of equine endurance include cardiovascular efficiency, muscular stamina, and metabolic adaptations that allow for sustained energy production. Research in this area often focuses on the mechanisms of energy metabolism, the impact of training regimens, and the genetic markers associated with endurance performance. This page compiles peer-reviewed research studies and scholarly articles that explore the physiological, genetic, and environmental determinants of endurance in horses.
Clinical, hematologic, and electrolyte changes with 0.9% sodium chloride or acetated fluids in endurance horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    June 19, 2012   Volume 22, Issue 3 327-331 doi: 10.1111/j.1476-4431.2012.00745.x
Fielding CL, Magdesian KG, Meier CA, Rhodes DM.To describe the clinical and laboratory changes associated with the use of IV0.9% sodium chloride and a commercially available acetated fluid (CAF) to treat endurance horses requiring emergency medical treatment. Methods: Randomized, controlled clinical trial from 2007 to 2010. Methods: Emergency treatment centers of the Western States 100-mile (220 km) endurance ride. Methods: Twelve horses requiring emergency medical treatment in the form of IVfluids completed the study. Methods: Horses were assigned to either the 0.9% sodium chloride group (6 horses) or CAF group (6 horses) and received a t...
Rib fracture in a horse during an endurance race.
The Canadian veterinary journal = La revue veterinaire canadienne    May 2, 2012   Volume 52, Issue 11 1226-1227 
Trigo P, Muñoz A, Castejón F, Riber C, Hassel DM.We describe a fatal case, in which a horse suffered a fall and as a consequence, rib fractures. Diagnosis was made postmortem and the horse died without showing clear signs of respiratory dysfunction. The retrospective reports of injuries can be important to reduce these traumatic events and to avoid fatalities. Nous décrivons un cas mortel, chez un cheval ayant subi une chute qui a causé des fractures des côtes. Un diagnostic a été posé à l’autopsie et le cheval est mort sans avoir montré de symptômes évidents de troubles respiratoires. Les rapports rétrospectifs de blessures pe...
Myosin heavy chain pattern in the Akhal-Teke horses.
Animal : an international journal of animal bioscience    March 24, 2012   Volume 5, Issue 5 658-662 doi: 10.1017/S1751731110002375
Leisson K, Alev K, Kaasik P, Jaakma Ü, Seene T.This study investigates the myosin heavy chain (MyHC) isoform composition in the gluteus medius muscle of the Akhal-Teke horses using SDS-PAGE (sodium dodecyl sulfate polyacrylamide gel electrophoresis). Fifteen horses aged between 1.5 and 23.5 years were used in this study and divided into three age groups: 1.5 to 4 (n = 6), 9 to 13 (n = 5) and 18.5 to 23.5 years (n = 4). The average content of the MyHC I isoform was 11.72 ± 1.07% (variation between individuals: 7.09% to 20.14%). The relative content of the MyHC IIa and IIx isoforms was subsequently 38.20 ± 1.46% (30.73% to 48.78%) and 50.0...
Effect of different blood-guided conditioning programmes on skeletal muscle ultrastructure and histochemistry of sport horses.
Journal of animal physiology and animal nutrition    March 8, 2012   Volume 97, Issue 2 374-386 doi: 10.1111/j.1439-0396.2012.01283.x
Lindner A, Dag Erginsoy S, Kissenbeck S, Mosen H, Hetzel U, Drommer W, Chamizo VE, Rivero JL.The effects of three different blood-guided conditioning programmes on ultrastructural and histochemical features of the gluteus medius muscle of 2-year-old sport horses were examined. Six non-trained Haflinger horses performed three consecutive conditioning programmes of varying lactate-guided intensities [velocities eliciting blood lactate concentrations of 1.5 (v1.5 ), 2.5 (v2.5 ) and 4 (v4 ) mm respectively] and durations (25 and 45 min). Each conditioning programme lasted 6 weeks and was followed by a 5-week resting period. Pre-, post- and deconditioning muscle biopsies were analyse...
Acute phase protein concentrations after limited distance and long distance endurance rides in horses.
Research in veterinary science    March 3, 2012   Volume 93, Issue 3 1402-1406 doi: 10.1016/j.rvsc.2012.02.008
Cywińska A, Szarska E, Górecka R, Witkowski L, Hecold M, Bereznowski A, Schollenberger A, Winnicka A.Acute phase proteins (APP) have been described as useful for assessing health in human and animal patients, as they closely reflect the acute phase reaction (APR). In humans and dogs a reaction analogous to APR has also been described after prolonged or strenuous exercise. The aim of this study was to determine, if similar reactions occur in endurance horses after limited and long distance rides. Seventeen horses that successfully completed various distance competitions were tested. Routine haematological and biochemical tests were performed and the concentrations of serum amyloid A (SAA), C-r...
Colic in competing endurance horses presenting to referral centres: 36 cases.
Equine veterinary journal    November 3, 2011   Volume 44, Issue 4 472-475 doi: 10.1111/j.2042-3306.2011.00462.x
Fielding CL, Dechant JE.Colic is a common reason for elimination from equine endurance competitions and has recently been identified as the leading cause of mortality in this group of horses. Hydration and electrolyte derangements are often severe, but are probably related to endurance exercise and not necessarily the episode of colic. Better understanding of the causes of colic and the expected outcome is needed to guide treatment decisions in endurance horses. Objective: To describe the history, case details, clinical examination, laboratory, treatment and outcomes for horses presenting to equine referral centres f...
Risk factors for the elimination of endurance horses from competition.
Journal of the American Veterinary Medical Association    August 16, 2011   Volume 239, Issue 4 493-498 doi: 10.2460/javma.239.4.493
Fielding CL, Meier CA, Balch OK, Kass PH.To identify risk factors such as signalment, previous competition miles completed, ride characteristics, and physical examination variables associated with the elimination of horses during endurance competitions. Methods: Retrospective observational study. Methods: Veterinary records for 3,493 endurance horse competition starts. Methods: Records were requested of all sanctioned 2007 endurance horse competitions in the United States. Only rides that provided data from all horses were included. The horse's signalment, previous endurance competition record, specific ride characteristics, weight d...
Subclinical diseases underlying poor performance in endurance horses: diagnostic methods and predictive tests.
The Veterinary record    July 27, 2011   Volume 169, Issue 6 154 doi: 10.1136/vr.d4142
Fraipont A, Van Erck E, Ramery E, Richard E, Denoix JM, Lekeux P, Art T.Thirty-eight endurance horses underwent clinical and ancillary examinations, including haematological and biochemical evaluation, standardised exercise tests both on a treadmill and in the field, Doppler echocardiography, impulse oscillometry, video endoscopy and collection of respiratory fluids. All of the examined poorly performing horses were affected by subclinical diseases, and most of them had multiple concomitant disorders. On the contrary, the well-performing horses were free of any subclinical disease. The most frequently diagnosed diseases were respiratory disorders, followed by musc...
Altered systolic left ventricular function in horses completing a long distance endurance race.
Equine veterinary journal. Supplement    May 28, 2011   Issue 38 216-219 doi: 10.1111/j.2042-3306.2010.00253.x
Amory H, Votion DM, Fraipont A, Goachet AG, Robert C, Farnir F, Van Erck E.It is unknown whether or not exercise-induced cardiac fatigue (EICF), as demonstrated in human athletes performing long duration exercise, occurs in endurance horses. Objective: To examine the effects of a long distance endurance race on left ventricular systolic function in horses. Methods: Echocardiography was performed before, and after, a 2 or 3 star international endurance race (106-132 km) in 11 horses. Systolic (s) and diastolic (d) interventricular and left ventricular free wall thickness (IVS and LVFW, respectively), left ventricular, left atrial and aortic internal diameter (LVID, LA...
Alterations in mitochondrial respiratory function in response to endurance training and endurance racing.
Equine veterinary journal. Supplement    May 28, 2011   Issue 38 268-274 doi: 10.1111/j.2042-3306.2010.00271.x
Votion DM, Fraipont A, Goachet AG, Robert C, van Erck E, Amory H, Ceusters J, de la Rebière de Pouyade G, Franck T, Mouithys-Mickalad A, Niesten A....Limited information exists about the muscle mitochondrial respiratory function changes that occur in horses during an endurance season. Objective: To determine effects of training and racing on muscle oxidative phosphorylation (OXPHOS) and electron transport system (ETS) capacities in horses with high resolution respirometry (HRR). Methods: Mitochondrial respiration was measured in microbiopsies taken from the triceps brachii (tb) and gluteus medius (gm) muscles in 8 endurance horses (7 purebred Arabians and 1 crossbred Arabian) before training (T0), after two 10 week training periods (T1, T2)...
Hydration and electrolyte balance in horses during an endurance season.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 98-104 doi: 10.1111/j.2042-3306.2010.00198.x
Robert C, Goachet AG, Fraipont A, Votion DM, Van Erck E, Leclerc JL.Limited information exists about the physiological training-induced changes in electrolyte balance of horses competing in long distance endurance races. Objective: To determine the effects of endurance training and racing on hydration and electrolyte balance in horses. Methods: Blood and urine were sampled at rest in 8 endurance horses before training and after two 11 week training periods (T1 and T2). Each training was followed by a 120 km endurance ride and horses were sampled before, during and 2 h after the rides. Blood was analysed for packed cell volume (PCV), total protein (TP), urea, c...
Long-term effects of endurance training on total tract apparent digestibility, total mean retention time and faecal microbial ecosystem in competing Arabian horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 387-392 doi: 10.1111/j.2042-3306.2010.00188.x
Goachet AG, Varloud M, Philippeau C, Julliand V.In endurance horses, commonly fed 80% forage, energy is provided mainly by VFA produced in the hindgut during cell wall degradation, but cell wall digestibility has been reported to be impaired by exercise. Objective: To assess the influence of a long-term endurance conditioning on cell wall digestion in horses. Methods: The total tract apparent digestibility of dry matter, organic matter and fibrous constituents, solid and liquid total mean retention time and the faecal microbial ecosystem of purebred Arabian horses were measured for 2 years in 2 longitudinal experiments. Methods: Performed a...
Sweat composition in Arabian horses performing endurance exercise on forage-based, low Na rations.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 382-386 doi: 10.1111/j.2042-3306.2010.00208.x
Spooner HS, Nielsen BD, Schott HC, Harris PA.Excessive sweat loss during endurance exercise may lead to electrolyte disturbances and previous research suggests dietary factors may affect hydration status. While investigating the effect of dietary fibre type on hydration status, sweat samples were collected which allowed for the evaluation of sweat composition in horses consuming forage-based, low sodium (Na) rations. Objective: To investigate sweat composition in Arabian horses performing endurance type exercise while fed forage-based, rations low in Na. Methods: Six 2-year-old Arabian horses were fed, according to a replicated 3 × 3 La...
Oxygen consumption and gait variables of Arabian endurance horses measured during a field exercise test.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 1-5 doi: 10.1111/j.2042-3306.2010.00184.x
Cottin F, Metayer N, Goachet AG, Julliand V, Slawinski J, Billat V, Barrey E.Arabian horses have morphological, muscular and metabolic features designed for endurance races. Their gas exchange and gait variables were therefore measured during a field exercise test. This study presents original respiratory and locomotor data recorded in endurance horses under field conditions. Objective: Respiratory gas exchange ratio (RER) of Arabian horses at the speed required to win endurance races (18 km/h for 120-160 km) are <1 and running economy (RE) is also low in order to maintain exercise intensity using aerobic metabolism for long intervals. The purpose of this study was to ...
Effect of intensive exercise on plasmatic neutrophil elastase level in eventing and endurance horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 12-16 doi: 10.1111/j.2042-3306.2010.00242.x
Lejeune JP, Sandersen C, Votion D, Caudron I, Vander Heyden L, Franck T, Ceusters J, Mouithys-Mickalad A, Niesten A, De La Rebière de Pouyade G....Intensive exercise induces a systemic inflammatory response characterised by an increase of blood neutrophil count and myeloperoxidase (MPO) release. Neutrophil elastase (NE) could also contribute to tissues lesions by its proteinase activities. Objective: To compare plasmatic NE concentrations before and after different forms of intensive exercise. Methods: EDTA blood samples were taken from 51 eventing horses (EvH) and 32 endurance horses (EndH) were sampled before the race (T0). Blood sampling was performed 2 h (T1) after completing either phase D of a one or 2 star eventing competition (n ...
Elimination from elite endurance rides in nine countries: a preliminary study.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 637-643 doi: 10.1111/j.2042-3306.2010.00220.x
Nagy A, Murray JK, Dyson S.Endurance is the fastest growing Féderation Équestre International (FEI) discipline and the large number of eliminations on veterinary grounds needs to be investigated. Objective: To document elimination rates and explore potential risk factors for elimination due to lameness or metabolic reasons in 9 countries representing 5 continents. Methods: Data for rides of ≥ 100 km ('elite endurance rides') in Australia, France, Italy, South Africa, Spain, United Arab Emirates (UAE), UK, Uruguay and USA were collected from the FEI website. Data were collected for all started horses on the country, ...
Specific immuno-extraction followed by enzymatic detection (SIEFED) of myeloperoxidase and mitochondrial complex I in muscular microbiopsies: preliminary results in endurance horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 296-302 doi: 10.1111/j.2042-3306.2010.00270.x
Franck T, Votion DM, Ceusters J, De La Rebière de Pouyade G, Mouithys-Mickalad A, Niesten A, Fraipont A, VAN Erck E, Goachet AG, Robert C, Serteyn D.Intense exercise in horses induces an increase of creatine kinase (CK) and stimulation of neutrophils which release the strong oxidant enzyme, myeloperoxidase (MPO) into the blood. It is not known whether active MPO is found in equine muscles and whether oxidant activity of neutrophils could affect muscular tissues and mitochondrial activity. Objective: Specific immuno-extraction followed by enzymatic detection (SIEFED) methods will be employed for the first time to assess both the normal range of MPO and mitochondrial complex I (MCI) activities in equine muscular microbiopsies and to study th...
Dehydration, electrolyte imbalances and renin-angiotensin-aldosterone-vasopressin axis in successful and unsuccessful endurance horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 83-90 doi: 10.1111/j.2042-3306.2010.00211.x
Muñoz A, Riber C, Trigo P, Castejón-Riber C, Castejón FM.Limited information exists concerning the defence of homeostasis during endurance competitions and the relationship with performance. Objective: This research analysed renin (REN), angiotensin II (ANG), aldosterone (ALD) and vasopressin (AVP) in horses covering different distances, assesses differences between successful and eliminated horses and evaluates correlations between hydration status, renal function, electrolytes, REN, ANG, ALD and AVP. Methods: Packed cell volume (PCV), velocity and serum concentrations of REN, ANG, ALD, AVP, Na, K, Cl, Ca, Mg, P, creatine kinase, aspartate aminotra...
Effect of a 120 km endurance race on plasma and muscular neutrophil elastase and myeloperoxidase concentrations in horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 275-279 doi: 10.1111/j.2042-3306.2010.00269.x
Serteyn D, Sandersen C, Lejeune JP, de la Rebière de Pouyade G, Ceusters J, Mouithys-Mickalad A, Niesten A, Fraipont A, van Erck E, Goachet AG....Intense physical exercise can induce the degranulation of neutrophils leading to an increase in plasma concentration of the neutrophil marker enzymes myeloperoxidase (MPO) and elastase (ELT). These enzymes have pro-oxidative and pro-inflammatory properties and may play a role in the exercised-induced muscular damage. Objective: To measure MPO and ELT concentrations in plasma and muscles of endurance horses and to correlate them to the extent of exercise-induced muscular damage. Methods: Seven endurance horses qualified on 120 km races were tested in this study. Neutrophil count, serum creatine...
Endurance veterinarians detect physiologically compromised horses in a 160 km ride.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 6-11 doi: 10.1111/j.2042-3306.2010.00225.x
Barnes A, Kingston J, Beetson S, Kuiper C.This study investigated the physiology of endurance horses competing in warm weather over technical terrain, a situation where horses may become metabolically compromised. Objective: There will be changes in physiological, haematological and biochemical variables as horses progress through the 160 km ride and horses detected clinically at the veterinary inspections as metabolically compromised will have significant differences in measured laboratory variables compared to horses that complete the ride successfully. Methods: Forty-eight horses competing in the Australian Tom Quilty 160 km endura...
Acid-base imbalances during a 120 km endurance race compared by traditional and simplified strong ion difference methods.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 76-82 doi: 10.1111/j.2042-3306.2010.00213.x
Viu J, Jose-Cunilleras E, Armengou L, Cesarini C, Tarancón I, Rios J, Monreal L.Acid-base disturbances are traditionally assessed using the Henderson-Hasselbach equation. The simplified strong ion approach describes more accurately the complex acid-base and electrolyte abnormalities present in endurance horses. Objective: To describe acid-base and electrolytes changes in fit horses competing in a FEI*** 120 km endurance race and to compare the traditional vs. strong ion approaches. Methods: Thirty horses were initially enrolled in the study. Venous blood samples were obtained before the race (n = 25), at the second (n = 29; 65.4 km) and third vet-gates (n = 23, 97.4 km) a...
Circulating angiotensin converting enzyme in endurance horses: effect of exercise on blood levels and its value in predicting performance.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 152-154 doi: 10.1111/j.2042-3306.2010.00171.x
De Mello Costa MF, Anderson GA, Davies HM, El-Hage CM, Slocombe RF.Investigate angiotensin converting enzyme (ACE) activity in equine plasma as a predictor of performance in endurance competitions and the effect of endurance exercise on ACE activity. Objective: Precompetition values of ACE activity in equine blood are correlated with performance results and with heart rates pre- and post competition used as indicators of fitness. Endurance exercise increases ACE activity. Methods: Nineteen horses participating in an 80 km endurance competition had venous blood samples collected before and after the ride. ACE activity and total protein were measured in the blo...
Serum amyloid A level as a potential indicator of the status of endurance horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 23-27 doi: 10.1111/j.2042-3306.2010.00280.x
Cywinska A, Gorecka R, Szarska E, Witkowski L, Dziekan P, Schollenberger A.Changes in serum levels of acute phase proteins (APPs) reflect the acute phase reaction, a rapid and nonspecific response to any tissue damage. Serum amyloid A (SAA) is the main APP in horses, which increases in various diseases, surgical injuries and after long distance endurance rides; however, this nonspecific parameter has not been investigated as an indicator of subclinical disorders, which may result in elimination during endurance competitions. Objective: To evaluate the serum concentration of SAA as a potential indicator for the status of horses prepared for long distance endurance rid...
Use of biochemical parameters to predict metabolic elimination in endurance rides.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 142-146 doi: 10.1111/j.2042-3306.2010.00238.x
Trigo P, Castejon F, Riber C, Muñoz A.Endurance races are the competition with the biggest metabolic demands for the sport horse. During races, some horses show homeostasis alterations, having repercussions in diverse biochemical parameters and negative consequences on performance and health. Objective: To evaluate the utility of biochemical analysis in the early diagnosis of metabolic stress and to determine cut-off values of biochemical parameters to assist in the prevention of metabolic alterations in endurance horses. Methods: This study involved 36 CEI races and 283 horses (41 eliminated because of metabolic disturbances). Bl...
A pilot study on factors influencing the career of Dutch sport horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 28-32 doi: 10.1111/j.2042-3306.2010.00251.x
Sloet van Oldruitenborgh-Oosterbaan MM, Genzel W, van Weeren PR.Welfare concerns over the reasons for interruption or termination of a sporting career in horses have been expressed. Objective: To study the career of competition horses and factors that influence career length. Methods: In 2004, 46,576 rider-horse combinations were registered with the Dutch National Equestrian Federation (KNHS) in dressage, show jumping, eventing and endurance. From this population, approximately 1% of horses in each discipline were selected at random and all recorded competition data from the KNHS registration system collected and supplemented by detailed rider/owner teleph...
Single-injection glucose kinetics with compartmental modelling during rest and low-intensity exercise in horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 361-369 doi: 10.1111/j.2042-3306.2010.00239.x
Treiber KH, Boston RC, Geor RJ, Hess TM, Harris PA, Kronfeld DS.Tools and criteria to evaluate and understand glucose metabolism are essential to optimise equine energy utilisation for exercise performance and reduced metabolic health risks. Objective: To re-evaluate models of glucose kinetics in the horse at rest and during endurance type exercise using a single injection technique and compartmental modelling. Methods: Twelve exercise trained Arabian geldings received a bolus of 100 µmol/kg bwt [6,6-(2) H]glucose i.v. while at rest and while running at ∼ 4 m/s on a treadmill. Tracer and tracee glucose curves from 4-150 min after the bolus dose (while t...
Neuroendocrine and non-neuroendocrine markers of inflammation associated with performance in endurance horses.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 123-128 doi: 10.1111/j.2042-3306.2010.00256.x
Holbrook TC, McFarlane D, Schott HC.The inflammatory and neuroendocrine response to endurance exercise and relationship of these parameters to performance is not well documented in horses. HYPOTHESES OR OBJECTIVES: Evidence of systemic inflammation is associated with poor performance in horses competing in endurance events. Methods: Blood was collected prior to and at the finish or elimination point from horses competing in both the 80 and 160 km American Endurance Ride National Championship competitions in 2006. Immunoreactive alpha-melanocyte stimulating hormone (α-MSH) and tumour necrosis factor-alpha (TNF-α) were quantifie...
Prevalence of gastric ulcer syndrome in high-level endurance horses.
Equine veterinary journal    May 20, 2011   Volume 43, Issue 2 141-144 doi: 10.1111/j.2042-3306.2010.00129.x
Tamzali Y, Marguet C, Priymenko N, Lyazrhi F.Equine gastric ulcers syndrome (EGUS) prevalence studies are rare in the endurance horse and none has been carried out to date in horses competing at high level. Objective: To determine the prevalence of EGUS in high-level endurance horses. Methods: Thirty endurance horses competing at high level were selected and submitted to 2 gastroscopic examinations. The first gastroscopy was performed during the interseason period, and the second during the competition season within 2-3 days following a ride of 90-160 km. Data related to housing, feeding, training system as well as age, breed and gender ...
Differences in Muscle Fiber Recruitment Patterns between Continuous and Interval Exercises.
Journal of equine science    January 29, 2011   Volume 21, Issue 4 59-65 doi: 10.1294/jes.21.59
Yamano S, Kawai M, Minami Y, Hiraga A, Miyata H.We evaluated differences in muscle fiber recruitment patterns between continuous and interval training to develop an optimal training program for Thoroughbred horses. Five well trained female thoroughbred horses (3-4 years old) were used. The horses performed two different exercises on a 10% inclined treadmill: 90%VO2 max for 4 min (continuous) and 90% VO2 max for 2 min × 2 times with 10-min interval (interval). Muscle samples were obtained from the middle gluteal muscle before and immediately after the exercises. Four muscle fiber types (type I, IIA, IIA/X, and IIX) were immunohistochemicall...
Lactate-driven equine conditioning programmes.
Veterinary journal (London, England : 1997)    December 24, 2010   Volume 190, Issue 2 199-207 doi: 10.1016/j.tvjl.2010.11.012
Campbell EH.Equine conditioning programmes are rarely driven by science. Indeed, the scientific literature on conditioning responses often refers to conventional technique rather than physiological driving parameters. This, alongside poor classification of conditioning protocols, has reduced the possibility of comparative data analysis. Recent interest into lactate-driven conditioning programmes has driven this review which provides a summary of equine protocols used to date and their responses. Key areas identified for further standardisation and/or investigation include (1) the treadmill acclimation pro...
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