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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Cutaneous epitheliotropic T-cell lymphoma in a donkey – a case report.
BMC veterinary research    July 11, 2022   Volume 18, Issue 1 267 doi: 10.1186/s12917-022-03365-7
Kondratjeva J, Julien F, Coutelier C, Humeau L, Moog F, Combarros D, Fourquaux I, Pressanti C, Delverdier M, Moore PF, Cadiergues MC.Cutaneous epitheliotropic T-cell lymphoma is a malignant tumour of the skin already reported in humans, dogs, cats, horses, and other species, but not previously in donkeys. The standard diagnosis is based on clinical, morphological and immunophenotypic data. Differentiation of malignant versus benign proliferation of lymphocytes is crucial; in ambiguous cases T-cell receptor gamma (TRG) molecular clonality should be tested. In the present paper, we report a case of mycosis fungoides diagnosed in a donkey whose diagnosis was based on clinical, histological and immunohistochemical aspects and a...
Use of dexmedetomidine repeated subcutaneous administration for balanced anaesthesia in horses.
BMC veterinary research    July 11, 2022   Volume 18, Issue 1 269 doi: 10.1186/s12917-022-03350-0
Rabbogliatti V, Amari M, Brioschi FA, Di Cesare F, Zani DD, De Zani D, Di Giancamillo M, Cagnardi P, Ravasio G.A balanced anaesthetic protocol is a common concept in modern veterinary anaesthesia and aims to maintain good intraoperative cardiopulmonary function. In horses, alpha-2-agonists produce sedation and analgesia and have been shown to reduce inhalational anaesthetic requirements when administered intravenously. Furthermore, these drugs can improve recovery quality. Preliminary investigations of subcutaneous dexmedetomidine administration in humans demonstrated a reduced haemodynamic impact if compared with the intravenous route suggesting that dexmedetomidine is adequately absorbed with both ad...
Lipidomic analysis of surfactant and plasma from horses with asthma and age-matched healthy horses.
American journal of veterinary research    July 11, 2022   Volume 83, Issue 9 ajvr.21.11.0179 doi: 10.2460/ajvr.21.11.0179
Christmann U, Page AE, Horohov DW, Adams AA, Chapman SE, Hancock CL, Emery AL, Poovey JR, Hagg C, Ortega Morales SM, Duncan AR, Morgan J, Couetil LL....To perform lipidomic analysis of surfactant and plasma from asthmatic and healthy horses. Methods: 30 horses with clinical signs of asthma and 30 age-matched control horses. Methods: Detailed history, physical examination, CBC, and bronchoalveolar lavage fluid (BALF) cytologies were obtained. Asthmatic horses were grouped based on their BALF inflammatory profile: severe equine asthma (SEA), mild equine asthma with neutrophilic airway inflammation (MEA-N), or mild equine asthma with eosinophilic airway inflammation (MEA-E). Each asthma group was assigned its own age-matched control group. Lipid...
Noninvasive diode laser-an effective and safe treatment of iris cysts in 46 eyes of 35 horses.
Equine veterinary journal    July 11, 2022   Volume 55, Issue 2 205-213 doi: 10.1111/evj.13590
Stas EKL, Hermans H, Slenter IJM, Veraa S, Ensink JM.Iris cysts in horses are often asymptomatic and noticed incidentally. However, cysts can cause local corneal oedema and erratic behaviour like shying, decreased performance and head-shaking. Objective: To describe the use of diode laser as a noninvasive treatment option for iris cysts in the horse and to document factors influencing its efficacy, associated complications, long-term outcome and rate of recurrence. Methods: Retrospective case series. Methods: Case records of horses treated for iris cysts by diode laser at the Utrecht University Equine Clinic were reviewed between 2008 and 2020. ...
Equine Incisor Lesions: Histologic Confirmation of Radiographic, Macroscopic, and Micro-Computed Tomographic Findings.
Veterinary sciences    July 11, 2022   Volume 9, Issue 7 348 doi: 10.3390/vetsci9070348
Albers L, Bienert-Zeit A, Staszyk C.Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH) and other incisor lesions are often diagnosed only in advanced stages. The incisors of 20 horses were examined radiographically, macroscopically, and via micro-computed tomography (µCT) to discriminate EORTH-affected teeth. Five categories from healthy to severely affected teeth were formed and teeth from each category were examined histologically to evaluate the opportunity of earlier radiographic diagnosis. Histologically, odontoclastic resorptive lesions, leukocytic infiltrations, and areas of irregular cementum and granulat...
The effect of repeated freezing and thawing on the suture pull-out strength in equine arytenoid and cricoid cartilages.
Veterinary surgery : VS    July 11, 2022   Volume 51, Issue 7 1106-1110 doi: 10.1111/vsu.13855
Gray SM, Gutierrez-Nibeyro SD, Horn GP, McCoy AM, Schaeffer DJ, Stewart M.To assess the effect of repeated freezing and thawing on the suture pull-out strength in arytenoid and cricoid cartilages subjected to the laryngoplasty (LP) procedure. Methods: Ex vivo experimental study. Methods: Ten grossly normal equine cadaveric larynges. Methods: Bilateral LP constructs were created using a standard LP technique. One hemilarynx was randomly allocated to the single freeze and thaw group and the other allocated to the repeated freeze and thaw (3 complete cycles) group. The suture ends of each LP construct were attached to a load frame and subjected to monotonic loading unt...
The Differences in Histoarchitecture of Hoof Lamellae between Obese and Lean Draft Horses.
Animals : an open access journal from MDPI    July 11, 2022   Volume 12, Issue 14 1774 doi: 10.3390/ani12141774
Senderska-Płonowska M, Siwińska N, Zak-Bochenek A, Rykała M, Słowikowska M, Madej JP, Kaleta-Kuratewicz K, Niedźwiedź A.Obesity is a common problem in horses. The associations between obesity and equine metabolic syndrome (EMS) and between EMS and laminitis are known. However, there is a lack of data on whether obesity itself can affect hoof lamellae. Forelimbs and blood from 12 draft horses (six obese and six lean) from a slaughterhouse were acquired. To exclude laminitis and EMS horses, insulin concentration was measured, and hooves were radiographed. Histological evaluation was performed. The shape of the primary and secondary epidermal lamellae (PEL and SEL) was evaluated, and the length of the keratinized ...
Luteal Tissue Area and Immunoreactive Concentration of Progesterone in Plasma of Bred and Non-bred Mares.
Journal of equine veterinary science    July 10, 2022   Volume 118 104075 doi: 10.1016/j.jevs.2022.104075
Colombo I, Podico G, Rudolf-Vegas A, Bauersachs S, Canisso IF.Progesterone is pivotal to maintain pregnancy in the first trimester and low concentration ( .05). Multiple ovulations were associated with greater progesterone concentration and luteal tissue area (P = .0001). There was a moderate positive association between the number of ovulations and luteal tissue area (r = 0.54; P = .0001). The lack of change in the progesterone concentration and luteal tissue area between bred and non-bred mares suggests that horse seminal plasma does not affect luteal function in mares. As all mares had progesterone above 4 ng/mL after 5-days post-ovulation; it i...
Outcomes and Complications Associated with Superior and Inferior Subpalpebral Lavage Treatment Systems Placed in 61 Equine Eyes (2004-2021).
Journal of equine veterinary science    July 10, 2022   Volume 117 104076 doi: 10.1016/j.jevs.2022.104076
Quéré E, Chahory S.Painful eye conditions are a therapeutic challenge in horses. Subpalpebral lavage (SPL) treatment systems allow topical aqueous medications to be conveniently, safely, and frequently administered to the ocular surface. The aim of this retrospective study was to describe the outcomes and the complications associated with the location of the SPL treatment systems, in the superior or inferior eyelid in horses in a university practice. Clinical records of all horses admitted to the National Veterinary School of Alfort between January 2004 and October 2021, in which a SPL treatment system was used ...
Mental health benefits of mounted equine-assisted therapies: A scoping review.
Health & social care in the community    July 10, 2022   Volume 30, Issue 6 e4920-e4935 doi: 10.1111/hsc.13904
Ward J, Hovey A, Brownlee K.Across mental health professionals, there is growing interest in the field of Equine-Assisted Therapy (EAT). Preliminary evidence suggests EAT is beneficial for a wide spectrum of client populations. EAT programs may be based on groundwork alone, where participants interact with the horses from the ground only, or they may incorporate mounted activities. It remains unclear whether mounted activities add therapeutic benefits to the EAT experience for participants. This scoping review explored whether mounted activities, specifically where the client rides the horse, contribute to distinct thera...
Functional Electrical Stimulation (FES) in the Diagnosis and Treatment of Musculoskeletal and Neuromuscular Control Abnormalities in Horses – Selected Case Studies.
Journal of equine veterinary science    July 10, 2022   Volume 117 104078 doi: 10.1016/j.jevs.2022.104078
Schils S, Ober T.When diagnosing neuromuscular injury and pain, the use of biomechanical evaluations to assess the mechanics of movement patterns has been useful in the human population. Functional electrical stimulation (FES) is a technology that can create action potentials to produce musculoskeletal movement that is almost indistinguishable from the voluntary kinematics produced by the nervous system. To create controlled and precise musculoskeletal movements in humans and in horses, FES has been shown to be effective. In humans, the kinematic information obtained from FES data has been utilized to direct f...
A prospective study of serum amyloid A in relation to plasma administration in neonatal foals.
Research in veterinary science    July 10, 2022   Volume 151 96-99 doi: 10.1016/j.rvsc.2022.06.028
Hunyadi L, Chigerwe M, Sundman E.SAA is a commonly used biomarker for measuring acute inflammation in equine practice, and the administration of prophylactic plasma to foals is a routine practice in large breeding farms. Despite this, limited information is available on the values of SAA in healthy or sick neonatal foals following this common procedure. A prospective study was conducted with 31 foals from a veterinary hospital in Texas in one year. Enrolled foals were part of a foaling program, where a prophylactic hyperimmunized plasma was administered 12 h after birth. Blood was collected for SAA measurements at birth and ...
Roan coat color in livestock.
Animal genetics    July 10, 2022   Volume 53, Issue 5 549-556 doi: 10.1111/age.13240
Voß K, Blaj I, Tetens JL, Thaller G, Becker D.Since domestication, a wide variety of phenotypes including coat color variation has developed in livestock. This variation is mostly based on selective breeding. During the beginning of selective breeding, potential negative consequences did not become immediately evident due to low frequencies of homozygous animals and have been occasionally neglected. However, numerous studies of coat color genetics have been carried out over more than a century and, meanwhile, pleiotropic effects for several coat color genes, including disorders of even lethal impact, were described. Similar coat color phe...
Catastrophic Musculoskeletal Injuries in Thoroughbred Racehorses in Uruguay, 2011-2017.
Journal of equine veterinary science    July 9, 2022   Volume 117 104074 doi: 10.1016/j.jevs.2022.104074
Bimson NH, Morrice-West AV, Wong ASM, Hitchens PL, Rocca MR, Whitton RC.Catastrophic musculoskeletal injuries (CMI) pose a major welfare concern to horses and their riders, yet limited data are available describing their occurrence in South America. Using a retrospective cohort and case-control design, the objective of the study was to determine the incidence of CMI for Thoroughbreds in training and racing, and associated horse-level risk factors in Uruguay. Seventy-seven Thoroughbreds sustained a CMI, 37 of which were age- and sex-matched to 111 control horses in the same race. Training and racing data from 2011 to 2017 were collected. Incidence of race day CMI p...
Quantitative Gait Analysis Before and After a Cross-country Test in a Population of Elite Eventing Horses.
Journal of equine veterinary science    July 9, 2022   Volume 117 104077 doi: 10.1016/j.jevs.2022.104077
Scheidegger MD, Gerber V, Dolf G, Burger D, Flammer SA, Ramseyer A.Early recognition of lameness is crucial for injury prevention. Quantitative gait analysis systems can detect low-grade asymmetries better than the human eye and may be useful in early lameness recognition. The aims of this study were (1) to investigate the frequency of gait asymmetries based on head and pelvic movement in elite eventing horses using inertial mounted measurement units and (2) to assess the association between asymmetries and muscle enzymes and blood lactate (LA) levelspost-exercise. Movement asymmetry of the head, wither, and pelvis were quantified in 33 elite eventing horses ...
Mild-moderate equine asthma: A scoping review of evidence supporting the consensus definition.
Veterinary journal (London, England : 1997)    July 8, 2022   Volume 286 105865 doi: 10.1016/j.tvjl.2022.105865
Kinnison T, McGilvray TA, Couëtil LL, Smith KC, Wylie CE, Bacigalupo SA, Gomez-Grau E, Cardwell JM.Current consensus defines mild-moderate equine asthma (mEA; previously inflammatory airway disease) by a hierarchy of indicators of lung pathology: cough, poor performance, increased tracheobronchial mucus, inflammatory bronchoalveolar lavage (BAL) cytology and pulmonary dysfunction. Exclusion criteria include fever, systemic disease, or increased resting respiratory effort. The aim of this review was to inform future research by identifying gaps, strengths and weaknesses in the current body of evidence supporting this consensus-proposed definition. Objectives were to critique evidence support...
Systemic calcinosis in a Quarter Horse gelding homozygous for a myosin heavy chain 1 mutation.
Journal of veterinary internal medicine    July 8, 2022   Volume 36, Issue 4 1543-1549 doi: 10.1111/jvim.16481
Sponseller BT, Wong DM, Ruby R, Ware WA, Wilson S, Haynes JS.A 9-year-old Quarter Horse gelding was presented for lethargy, decreased appetite, polyuria and polydipsia (PU/PD), and severe muscle wasting suggestive of immune-mediated myositis. Results: The horse displayed lethargy, fever, tachyarrhythmia, inappetence, PU/PD, and severe epaxial and gluteal muscle wasting. Clinicopathologic findings were consistent with previously reported cases of systemic calcinosis in horses, including increased muscle enzyme activity, hyperphosphatemia, increased calcium-phosphorus product, hypoproteinemia, and an inflammatory leukogram. A diagnosis of systemic calcino...
Viscum album L., a Therapeutic Option for Neoplastic Diseases in Companion Animals? A Systematic Review.
Complementary medicine research    July 8, 2022   Volume 29, Issue 6 465-482 doi: 10.1159/000525035
Biegel U, Mevissen M, Schuller S, Ruess K, Christen O, Ayrle H, Koch C, Walkenhorst M.Cancer is a common disease in humans and in companion animals and treatment is challenging. The aim of this systematic review was to identify and assess the potential use of Viscum album L. extracts (VAE) for treatment of neoplastic diseases in companion animals. Peer-reviewed animal, in vivo and in vitro studies were included, considering the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and A Measurement Tool to Assess Systematic Reviews (AMSTAR). Overall, 6,148 references were identified. Following a predefined protocol, 114 full-text references were ...
The cannabinoid receptors system in horses: Tissue distribution and cellular identification in skin.
Journal of veterinary internal medicine    July 8, 2022   Volume 36, Issue 4 1508-1524 doi: 10.1111/jvim.16467
Kupczyk P, Rykala M, Serek P, Pawlak A, Slowikowski B, Holysz M, Chodaczek G, Madej JP, Ziolkowski P, Niedzwiedz A.The endocannabinoid system (ECS) is composed of cannabinoid receptors type 1 (CBR1) and type 2 (CBR2), cannabinoid-based ligands (endogenous chemically synthesized phytocannabinoids), and endogenous enzymes controlling their concentrations. Cannabinoid receptors (CBRs) have been identified in invertebrates and in almost all vertebrate species in the central and peripheral nervous system as well as in immune cells, where they control neuroimmune homeostasis. In humans, rodents, dogs, and cats, CBRs expression has been confirmed in the skin, and their expression and tissue distribution become di...
Equine Histoplasmosis in Ethiopia: Phylogenetic Analysis by Sequencing of the Internal Transcribed Spacer Region of rRNA Genes.
Frontiers in cellular and infection microbiology    July 8, 2022   Volume 12 789157 doi: 10.3389/fcimb.2022.789157
Ameni G, Messele Kebede A, Zewude A, Girma Abdulla M, Asfaw R, Gobena MM, Kyalo M, Stomeo F, Gumi B, Sori T.Equine histoplasmosis commonly known as epizootic lymphangitis (EL) is a neglected granulomatous disease of equine that is endemic to Ethiopia. It is caused by variety , a dimorphic fungus that is closely related to variety c The objective of this study was to undertake a phylogenetic analysis of isolated from EL cases of horses in central Ethiopia and evaluate their relationship with isolates in other countries and/or clades using the internal transcribed spacer (ITS) region of rRNA genes. Clinical and mycological examinations, DNA extraction, polymerase chain reaction (PCR), Sanger seque...
DNA fragmentation of equine cumulus cells from Cumulus-Oocyte complexes submitted to vitrification and its relationship to the developmental competence of the oocyte.
Reproduction in domestic animals = Zuchthygiene    July 8, 2022   Volume 57 Suppl 5, Issue Suppl 5 64-67 doi: 10.1111/rda.14197
Ortiz I, Dorado J, Pereira B, Diaz-Jimenez M, Consuegra C, Gosalvez J, Hidalgo M.The objectives of this study were to evaluate the effect of vitrification on the DNA fragmentation rate of equine cumulus cells and to assess its relationship to oocyte in vitro maturation (IVM) after vitrification. Cumulus cells (CC) from 14 mares were recovered from COCs, previously submitted to vitrification (VIT) and IVM. The DNA fragmentation rate of the cumulus cells (CC-DF) was assessed using a chromatin dispersion test. CC-DF rates between vitrified and control COCs were statistically compared by Student's t-test. The rates of CC-DF from control COCs were lower than in vitrified COCs...
Investigating the Relationship Between Cardiac Function and Insulin Sensitivity in Horses: A Pilot Study.
Frontiers in veterinary science    July 8, 2022   Volume 9 899951 doi: 10.3389/fvets.2022.899951
Williams NJ, Furr M, Navas de Solis C, Campolo A, Davis M, Lacombe VA.Metabolic syndrome in humans is commonly associated with cardiovascular dysfunction, including atrial fibrillation and left ventricular diastolic dysfunction. Although many differences exist between human and equine metabolic syndrome, both of these conditions share some degree of insulin resistance. The aims of this pilot study were to investigate the relationship between insulin sensitivity and cardiac function. Seven horses (five mares, two geldings, aged 17.2 ± 4.2 years, weight 524 ± 73 kg) underwent insulin-modified frequently sampled intravenous glucose tolerance testing to determine ...
Preliminary study of the pharmacokinetics, tissue distribution, and behavioral and select physiological effects of morphine 6-glucuronide (M6G) following intravenous administration to horses. Hamamoto-Hardman BD, Steffey EP, Seminoff K, McKemie DS, Kass P, Knych HK.Although morphine has demonstrated antinociceptive effects in horses, its administration has been associated with dose-dependent adverse effects. In humans and rats, part of the analgesic effect of morphine has been attributed to the active metabolite, morphine-6-glucuronide (M6G). Although morphine can cause several undesirable effects, M6G has a more favorable safety profile. The objective of this study was to characterize the pharmacokinetics, tissue distribution, and behavioral and select physiological effects of M6G following intravenous administration to a small group of horses. In Part ...
Using systemic serum amyloid A as a biomarker for synovial structure infections in horses with acute limb wounds.
The Veterinary record    July 8, 2022   Volume 191, Issue 2 e1841 doi: 10.1002/vetr.1841
Müller AC, Büttner K, Röcken M.In postoperative monitoring of synovial structure infection due to limb wounds, early recognition of a recurrence of synovial infection is indispensable to prevent further damage to the affected synovial structure. This study evaluated the role of serum amyloid A (SAA) as a systemic biomarker in disease monitoring and correlated this tool with clinical variables. In this prospective cohort study, 55 horses with acute limb wounds were divided into two groups: those with (group 1, n = 26) or without (group 2, n = 29) a diagnosis of synovial structure penetration. SAA, lameness and body tempe...
Rehabilitation Strategies for the Neurologic Horse.
The Veterinary clinics of North America. Equine practice    July 7, 2022   Volume 38, Issue 2 379-396 doi: 10.1016/j.cveq.2022.05.007
Johnson SA.Rehabilitation of the neurologic horse represents a unique challenge for the equine practitioner. Improving postural stability and balance control through improving the strength of the spinal stabilizer muscle multifidus remains one of the most promising rehabilitative targets. This muscle can be targeted through the use of physiotherapeutic exercises, various forms of perturbation, and even whole-body vibration. Neuroanatomic localization and diagnosis specificity enable the practitioner to determine suitability for such rehabilitative tasks, and with the advent of evolving strategies and com...
Pathologic Conditions of the Nervous System in Horses.
The Veterinary clinics of North America. Equine practice    July 7, 2022   Volume 38, Issue 2 427-443 doi: 10.1016/j.cveq.2022.04.006
Ruby RE, Janes JG.The variety of neurologic diseases which affect horses makes pathologic examination of the nervous system a complex and lengthy process. An understanding of the common causes of neurologic disease, antemortem neurolocalization, and supplementation of the necropsy examination with ancillary testing will help to diagnose a large number of causes of neurologic disease. A general understanding of neuropathology and collaborative relationship with your local pathologists will aid in the definitive diagnosis of neurologic diseases.
Equine Protozoal Myeloencephalitis.
The Veterinary clinics of North America. Equine practice    July 7, 2022   Volume 38, Issue 2 249-268 doi: 10.1016/j.cveq.2022.05.003
MacKay RJ, Howe DK.Advances in the understanding of equine protozoal myeloencephalitis (EPM) are reviewed. It is now apparent that EPM can be caused by either of 2 related protozoan parasites, Sarcocystis neurona and Neospora hughesi, although S neurona is the most common etiologic pathogen. Horses are commonly infected, but clinical disease occurs only infrequently; the factors influencing disease occurrence are not well understood. Epidemiologic studies have identified risk factors for the development of EPM, including the presence of opossums and prior stressful health-related events. Attempts to reproduce EP...
Relationship between Thoroughbred workloads in racing and the fatigue life of equine subchondral bone.
Scientific reports    July 7, 2022   Volume 12, Issue 1 11528 doi: 10.1038/s41598-022-14274-y
Morrice-West AV, Hitchens PL, Walmsley EA, Tasker K, Lim SL, Smith AD, Whitton RC.Fatigue life (FL) is the number of cycles of load sustained by a material before failure, and is dependent on the load magnitude. For athletes, 'cycles' translates to number of strides, with load proportional to speed. To improve previous investigations estimating workload from distance, we used speed (m/s, x) per stride collected using 5 Hz GPS/800 Hz accelerometer sensors as a proxy for limb load to investigate factors associated with FL in a Thoroughbred race start model over 25,234 race starts, using a combination of mathematical and regression modelling. Fore-limb vertical force (NKg) w...
Transcranial Magnetic Stimulation and Transcranial Electrical Stimulation in Horses.
The Veterinary clinics of North America. Equine practice    July 7, 2022   Volume 38, Issue 2 189-211 doi: 10.1016/j.cveq.2022.04.002
Journée HL, Journée SL.Depending on the localization of the lesion, spinal cord ataxia is the most common type of ataxia in horses. Most prevalent diagnoses include cervical vertebral stenotic myelopathy (CVSM), equine protozoal myeloencephalitis (EPM), trauma and equine degenerative myeloencephalopathy (EDM). Other causes of ataxia and weakness are associated with infectious causes, trauma and neoplasia. A neurologic examination is indispensable to identify the type of ataxia. In addition, clinical neurophysiology offers tools to locate functional abnormalities in the central and peripheral nervous system. Clinical...
Traumatic Nervous System Injury.
The Veterinary clinics of North America. Equine practice    July 7, 2022   Volume 38, Issue 2 363-377 doi: 10.1016/j.cveq.2022.04.005
Nout-Lomas YS.Mechanisms of traumatic nervous system injury to a degree are similar, but differences exist in etiology, pathophysiology, and treatment of brain, spinal cord, and peripheral nerve injury. The most common clinical abnormalities seen in the horse are abnormal level of consciousness, abnormal behavior, seizures, cranial nerve deficits, vestibular disease, tetra- and paraparesis or paraplegia, cauda equina syndrome, specific gait deficits, and muscle atrophy. Treatments are directed toward reducing inflammation and swelling, halting secondary injury, and promoting mechanisms of neuroregeneration ...