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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.
Air Speed to Increase Rate of Cool Out for Horses After Intense Exercise.
Journal of equine veterinary science    April 28, 2021   Volume 102 103641 doi: 10.1016/j.jevs.2021.103641
McGill S, Coleman B, Hayes M.Cooling out horses is a common practice after intense exercise. Typical cooling procedures include both walking and drenching (often with scraping). The cool out is performed to ensure the horses physiologic responses returned to a baseline range as quickly as possible. The use of water in cool out provides the greatest potential for removing heat from the animals. However, adding air velocities that can increase evaporation rates from the horses can potentially increase the rate of cool out; thereby reducing the time until the horses' physiologic measurements return to baseline. This study me...
Equine sarcoid of the glans penis with bovine papillomavirus type 1 in a miniature horse (Falabella).
The Journal of veterinary medical science    April 28, 2021   Volume 83, Issue 6 1016-1021 doi: 10.1292/jvms.21-0170
Ogihara K, Ishihara A, Nagai M, Yamada K, Mizutani T, Harafuji M, Nishio H, Madarame H.A 23-year-old Falabella gelding kept in Tochigi, Japan, for more than 20 years presented with a recurrent mass of the glans penis that was first noticed about a year earlier. Partial phallectomy was performed with no adjunctive therapy for local regrowth of the mass. The horse was euthanized 3 months after surgery for urinary retention due to suspected regrowth. The resected mass affected the genital and urethral mucosa of the glans penis, and was diagnosed as equine sarcoid by histopathology and identification of bovine papillomavirus (BPV) DNA. Phylogenetic analysis of the BPV genome of the ...
Electrolytes and pH of Mammary Gland Secretions Assessments to Detect Impending Parturition and Associations With Placental and Neonate Features in Donkeys.
Journal of equine veterinary science    April 28, 2021   Volume 102 103636 doi: 10.1016/j.jevs.2021.103636
Magalhaes HB, Canuto LEF, Canisso IF.The objectives of this study were to determine (i) the usefulness of serial assessment of mammary gland electrolytes concentrations and correspondent pH to detect impending parturition in jennies; and (ii2) the associations between mammary gland secretions, and gestation length, foal sex, maternal, placental, and foal birth weights. Multiparous jennies (n = 37) were monitored daily from 350 to 355 days of gestation until parturition. The pH of mammary gland secretions was assessed daily with a hand-held device. Aliquots of mammary secretions were frozen daily and then retrospectively assesse...
Outcomes Following Transcorneal Diode Laser Ablation of Uveal Cysts: 48 Horses (2006-2020).
Journal of equine veterinary science    April 28, 2021   Volume 102 103640 doi: 10.1016/j.jevs.2021.103640
Lam K, Pumphrey SA.Uveal cysts can lead to undesirable behaviors and poor performance in horses. Transcorneal laser ablation has been proposed as a safe and effective treatment for uveal cysts suspected of causing behavioral changes but outcomes have been reported in only a small number of horses. In this retrospective study, records were identified for horses who had undergone transcorneal cyst ablation using a diode laser. Information was collected regarding signalment, behavioral or performance issues reported prior to the procedure, and complications. Owners were contacted to provide follow-up information re...
Evaluation of transpalpebral ultrasonographic measurement of optic nerve sheath diameter for indirect assessment of intracranial pressure in anesthetized and standing healthy adult horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    April 27, 2021   Volume 31, Issue 3 315-322 doi: 10.1111/vec.13061
Bramski JH, Reed RA, Diehl KA, Epstein KL, Ryan CA.To determine whether an association exists between direct intracranial pressure (ICP) measurement and ultrasonographic measurement of optic nerve sheath diameter (ONSD) in anesthetized and standing horses. Methods: Cross-sectional study performed on a convenience sample of healthy adult horses. Methods: University teaching hospital. Methods: Eight adult horses donated to the University. Enrolled horses were free of abnormalities on physical examination, CBC, neurological evaluation, and ophthalmological examination. Results: Horses were anesthetized in lateral recumbency for placement of an IC...
Development of a stable transgenic Theileria equi parasite expressing an enhanced green fluorescent protein/blasticidin S deaminase.
Scientific reports    April 27, 2021   Volume 11, Issue 1 9107 doi: 10.1038/s41598-021-88594-w
Tuvshintulga B, Nugraha AB, Mizutani T, Liu M, Ishizaki T, Sivakumar T, Xuan X, Yokoyama N, Igarashi I.Theileria equi, an intraerythrocytic protozoan parasite, causes equine piroplasmosis, a disease which negatively impacts the global horse industry. Genetic manipulation is one of the research tools under development as a control method for protozoan parasites, but this technique needs to be established for T. equi. Herein, we report on the first development of a stable transgenic T. equi line expressing enhanced green fluorescent protein/blasticidin S deaminase (eGFP/BSD). To express the exogenous fusion gene in T. equi, regulatory regions of the elongation factor-1 alpha (ef-1α) gene were id...
A Fast PCR Test for the Simultaneous Identification of Species and Gender in Horses, Donkeys, Mules and Hinnies.
Journal of equine veterinary science    April 27, 2021   Volume 102 103458 doi: 10.1016/j.jevs.2021.103458
Wang X, Bou G, Zhang X, Tao L, Shen Y, Na R, Liu G, Ren H, Ren X, Song L, Su S, Bai D, Zhao Y, Li B, Dugarjaviin M.Having considered that the current methods are costly and time-consuming, we designed an only 3 pairs primer-based PCR test to accurately identify the species and gender in horses, donkeys, mules and hinnies. Through a thorough sequence comparison between horse and donkey's highly similar genomes, and a vast amount of preliminary confirmation, we found that three fragments, CNGB3 gene on an autosome, displacement loop region on mitochondrial DNA and SRY genes on chromosome Y, within these equine DNA, are enough to enable us achieving our goal. The PCR test described here would be an economical...
[New drugs for horses and production animals in 2020].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 26, 2021   Volume 49, Issue 2 133-138 doi: 10.1055/a-1428-8570
Emmerich IU.In 2020, one novel pharmaceutical agent for horses or food-producing animals was released on the German market, rendering the inhaled glucocorticoid ciclesonide (Aservo EquiHaler) available for horses for the first time. The authorization of one established veterinary active ingredient was extended to an additional species: The anthelmintic fenbendazole (Gallifen) from the benzimidazole group is now also authorized for pheasants. Additionally, 3 veterinary drugs with a new combination of active ingredients (ketoprofen + tilmicosin, ketoprofen + tulathromycin, prednisolone + lidoc...
Ischaemic postconditioning reduces apoptosis in experimental jejunal ischaemia in horses.
BMC veterinary research    April 26, 2021   Volume 17, Issue 1 175 doi: 10.1186/s12917-021-02877-y
Verhaar N, de Buhr N, von Köckritz-Blickwede M, Hewicker-Trautwein M, Pfarrer C, Mazzuoli-Weber G, Schulte H, Kästner S.Ischaemic postconditioning (IPoC) refers to brief periods of reocclusion of blood supply following an ischaemic event. This has been shown to ameliorate ischaemia reperfusion injury in different tissues, and it may represent a feasible therapeutic strategy for ischaemia reperfusion injury following strangulating small intestinal lesions in horses. The objective of this study was to assess the degree cell death, inflammation, oxidative stress, and heat shock response in an equine experimental jejunal ischaemia model with and without IPoC. Methods: In this randomized, controlled, experimental in...
Author Correction: Improving gait classification in horses by using inertial measurement unit (IMU) generated data and machine learning.
Scientific reports    April 26, 2021   Volume 11, Issue 1 9379 doi: 10.1038/s41598-021-88880-7
Serra Bragança FM, Broomé S, Rhodin M, Björnsdóttir S, Gunnarsson V, Voskamp JP, Persson-Sjodin E, Back W, Lindgren G, Novoa-Bravo M, Gmel AI....No abstract available
Horse owners’ attitudes towards and motivators for using complementary and alternative veterinary medicine.
The Veterinary record    April 26, 2021   Volume 189, Issue 2 e303 doi: 10.1002/vetr.303
Keller P, Vanwesenbeeck I, Hudders L, Decloedt A.Complementary and alternative veterinary medicine (CAVM) is becoming increasingly popular in horses. Online, cross-sectional survey in 1532 horse owners. Attitude towards CAVM, subjective norms, perceived behavioural control and intention for future CAVM use were measured based on the theory of planned behaviour. Structural equation modelling was performed to characterize factors influencing intention to use CAVM. Past use of CAVM, predominantly manual therapies and herbal supplements, was reported by 72.5% of all participants. Frequently reported indications were improving horse's well-being,...
Capturing Beneficial Changes to Racehorse Veterinary Care Implemented during the COVID-19 Pandemic.
Animals : an open access journal from MDPI    April 26, 2021   Volume 11, Issue 5 1251 doi: 10.3390/ani11051251
Butler D, Upton L, Mullan S.In March 2020, the World Health Organisation called for countries to take urgent and aggressive action against a global pandemic caused by COVID-19. Restrictions were introduced in many countries to reduce transmission of COVID-19 and ultimately deaths. Such restrictions have been colloquially referred to as "lockdown". Anecdotal evidence of the beneficial practices that facilitated safe veterinary treatment and equine care had been reported together with an increase in the use of electronic communication and information technologies during the first "lockdown". Thus, the aim of this qualitati...
Utility of cell-free DNA concentrations and illness severity scores to predict survival in critically ill neonatal foals.
PloS one    April 26, 2021   Volume 16, Issue 4 e0242635 doi: 10.1371/journal.pone.0242635
Colmer SF, Luethy D, Abraham M, Stefanovski D, Hurcombe SD.Plasma cell-free DNA (cfDNA) levels have been associated with disease and survival status in septic humans and dogs. To date, studies investigating cfDNA levels in association with critical illness in foals are lacking. We hypothesized that cfDNA would be detectable in the plasma of foals, that septic and sick-nonseptic foals would have significantly higher cfDNA levels compared to healthy foals, and that increased cfDNA levels would be associated with non-survival. Animals used include 80 foals of 10 days of age or less admitted to a tertiary referral center between January and July, 2020 wer...
Epidemiology of Chlamydia psittaci infections in pregnant Thoroughbred mares and foals.
Veterinary journal (London, England : 1997)    April 26, 2021   Volume 273 105683 doi: 10.1016/j.tvjl.2021.105683
Anstey S, Lizárraga D, Nyari S, Chalmers G, Carrick J, Chicken C, Jenkins C, Perkins N, Timms P, Jelocnik M.Late-term foal loss due to the traditional avian pathogen Chlamydia psittaci recently emerged as a threat to the Australian Thoroughbred industry. A longitudinal study of 14 stud farms was undertaken to better understand C. psittaci infection in pregnant mares and their foals by evaluating C. psittaci prevalence, equine herpesvirus-1 (EHV-1) co-infection, avian reservoirs, and potential risk factors. Mucosal swabs taken from 228 healthy pregnant mares and their foals were tested for C. psittaci and EHV-1 using species-specific qPCR assays. No foal loss was recorded due to either pathogen, and ...
Biochemical and hematologic changes in whole blood from Brazilian horses stored in citrate-phosphate-dextrose-adenine pouches for up to 28 days.
Veterinary clinical pathology    April 25, 2021   Volume 50, Issue 2 221-226 doi: 10.1111/vcp.12973
Dorneles TEA, Costa Junior JD, Almeida RM, Teixeira Neto AR.Anaerobic cellular metabolism causes a series of structural and physiologic changes during storage that could compromise post-transfusion viability, reducing the safety of using blood stored for an extended period. Objective: We aimed to follow the biochemical and hematologic alterations of equine blood stored in plastic bags containing citrate-phosphate-dextrose-adenine (CPDA-1) for up to 28 days. Methods: Whole blood samples (450 mL) were collected from 20 Brazilian Saddle horses into CPDA-1 pouches and stored between 2°C and 6°C in a blood bank. On days 0, 7, 14, 21, and 28 of storage, ...
The equine hindgut as a reservoir of mobile genetic elements and antimicrobial resistance genes.
Critical reviews in microbiology    April 24, 2021   Volume 47, Issue 5 543-561 doi: 10.1080/1040841X.2021.1907301
Mitchell S, Bull M, Muscatello G, Chapman B, Coleman NV.Antibiotic resistance in bacterial pathogens is a growing problem for both human and veterinary medicine. Mobile genetic elements (MGEs) such as plasmids, transposons, and integrons enable the spread of antibiotic resistance genes (ARGs) among bacteria, and the overuse of antibiotics drives this process by providing the selection pressure for resistance genes to establish and persist in bacterial populations. Because bacteria, MGEs, and resistance genes can readily spread between different ecological compartments (e.g. soil, plants, animals, humans, wastewater), a "One Health" approach is need...
Evaluation of buffered Trypanosoma evansi antigen and rapid serum agglutination test (BA/Te) for the detection of anti-T. evansi antibodies in horses in Brazil.
Current research in parasitology & vector-borne diseases    April 24, 2021   Volume 1 100024 doi: 10.1016/j.crpvbd.2021.100024
Reck C, Menin Á, Batista F, Meira Santos PO, Miletti LC.Surra is an infectious disease caused by , which affects a large number of domestic and wild animal species. Infection control is based on rapid diagnosis followed by treatment of sick animals. This study aimed to evaluate a buffered antigen and rapid serum agglutination test (BA/Te) for the detection of anti- antibodies in serum samples of horses. For this purpose, 445 serum samples from horses were evaluated and the results compared with the diagnosis by CATT/. Our data show a sensitivity of 92%, specificity of 91% and a degree of agreement kappa () of 0.82 (95% CI: 0.771-0.877,  < 0...
Molecular and Serological Detection of Piroplasms in Horses from Nigeria.
Pathogens (Basel, Switzerland)    April 23, 2021   Volume 10, Issue 5 508 doi: 10.3390/pathogens10050508
Idoko IS, Edeh RE, Adamu AM, Machunga-Mambula S, Okubanjo OO, Balogun EO, Adamu S, Johnson W, Kappmeyer L, Mousel M, Ueti MW.Equine piroplasmosis, an economically important disease of equids caused by the hemoprotozoan parasites , , and , has a worldwide distribution. These parasites are transmitted by ixodid ticks. To improve the detection of horses in Nigeria exposed to piroplasm parasites, 72 horses with variable clinical signs of piroplasmosis were sampled from Northwest and Northcentral Nigeria and tested by nPCR and cELISA. Blood and serum samples were collected from each horse via jugular venesection. Individually, nPCR or cELISA failed to identify all horses exposed to piroplasms. A combination of species-sp...
Intrauterine Blood Plasma Platelet-Therapy Mitigates Persistent Breeding-Induced Endometritis, Reduces Uterine Infections, and Improves Embryo Recovery in Mares.
Antibiotics (Basel, Switzerland)    April 23, 2021   Volume 10, Issue 5 doi: 10.3390/antibiotics10050490
Segabinazzi LGTM, Canisso IF, Podico G, Cunha LL, Novello G, Rosser MF, Loux SC, Lima FS, Alvarenga MA.Microorganisms, including pathogenic or opportunistic bacteria and fungi, may gain access to the uterus during breeding, and infectious endometritis plays a major role in equine subfertility. This study aimed to assess the post-breeding inflammatory response, endometrial culture, and embryo recovery of mares susceptible to persistent breeding-induced endometritis (PBIE) treated with plasma-rich (PRP) or -poor (PPP) plasma. Mares (n = 12) susceptible to PBIE had three cycles randomly assigned to receive intrauterine infusions of lactate ringer solution (LRS, control), or autologous PRP or PPP p...
Effects of head position on internal and external carotid pressures in standing sedated horses. Caffey SR, Lund CM, Farnsworth KD, Fransson BA, Ragle CA.The effects of head position on internal carotid artery (ICA) and external carotid artery (ECA) pressures in standing sedated horses were evaluated in this study. The common carotid artery (CCA) was catheterized in 6 horses using an ultrasound-guided technique to facilitate placement of a pressure transducer within the ICA and ECA at the level of the guttural pouch. Transducer position was confirmed by endoscopic visualization. Mean arterial pressure (MAP) was measured with horses in both a head-up and head-down position. The dorsal metatarsal artery was catheterized as a control. Maintaining ...
Social buffering in horses is influenced by context but not by the familiarity and habituation of a companion.
Scientific reports    April 23, 2021   Volume 11, Issue 1 8862 doi: 10.1038/s41598-021-88319-z
Ricci-Bonot C, Romero T, Nicol C, Mills D.Social buffering occurs when the presence of one animal attenuates another's stress response during a stressful event and/or helps the subject to recover more quickly after a stressful event. Inconsistent previous results might reflect previously unrecognised contextual influences, such as the nature of the stimulus presented or social factors. We addressed these issues in a two-part study of horses paired with familiar (16 subjects) or unfamiliar (16 subjects) companions. Each subject performed 4 tests in a counterbalanced order: novel object test (static ball)-alone or with companion; and um...
Response of UK Horse, Pony and Donkey Owners to the Early Stages of the COVID-19 Pandemic.
Animals : an open access journal from MDPI    April 23, 2021   Volume 11, Issue 5 1215 doi: 10.3390/ani11051215
Hockenhull J, Bell C, White J, Rogers S.In the UK, March 2020 was a time of great uncertainty as COVID-19 became increasingly widespread. The government responded by making suggestions about how people could reduce the risk of spread on 16 March, moved swiftly into closing schools on the 18 March before announcing a mandatory lockdown on the 23rd March. This was a challenging time for UK equestrians who had to balance maintaining their equine's routine and daily care alongside the increasing biosecurity measures. A cross-sectional survey was distributed to UK equestrians via social media over two days (28 and 29 March 2020) to bette...
Nasopharyngeal Microbiomes in Donkeys Shedding Streptococcus equi Subspecies equi in Comparison to Healthy Donkeys.
Frontiers in veterinary science    April 22, 2021   Volume 8 645627 doi: 10.3389/fvets.2021.645627
Zhu Y, Chen S, Yi Z, Holyoak R, Wang T, Ding Z, Li J. subsp. equi () is the pathogen causing strangles, a highly infectious disease that can affect equids including donkeys of all ages. It can persistently colonize the upper respiratory tract of animals asymptomatically for years, which serves as a source of infection. Several strangles outbreaks have been reported in the donkey industry in China in the last few years and pose a great threat to health, production, and the welfare of donkeys. Nasopharyngeal swab samples for culture and PCR are used widely in strangles diagnosis. Additionally, microbiomes within and on the body are essential to ho...
Correlations of corpus luteum blood flow with fertility and progesterone in embryo recipient mares.
Tropical animal health and production    April 22, 2021   Volume 53, Issue 2 280 doi: 10.1007/s11250-021-02583-9
Sales FABM, Azevedo MV, Souza NM, Ferreira-Silva JC, Chaves MS, Junior VR, Rocha JM, Dos Santos Filho JP, Freitas VJF, Oliveira MAL.The aim of this study was to evaluate the correlation between the corpus luteum vascularization with the concentration of progesterone and the fertility of embryo recipient mares. Mangalarga Marchador mares (n = 33) were distributed into groups according to the days (D) after ovulation, as follows: D3 (n = 8), D4 (n = 8), D5 (n = 9), and D6 (n = 8). The evaluations of the corpus luteum, endometrium, and blood collection to quantify the progesterone concentration were carried out on D3, D4, D5, and D6. Among the parameters evaluated, only progesterone concentration on D6 differed from the other...
Gastrointestinal Parasitism in Przewalski Horses (Equus ferus przewalskii).
Acta parasitologica    April 22, 2021   Volume 66, Issue 4 1095-1101 doi: 10.1007/s11686-021-00391-7
Jota Baptista C, Sós E, Madeira de Carvalho L.Przewalski's horse (Equus ferus przewalskii) is a subspecies of Equus ferus classified as endangered by the International Union for Conservation of Nature (IUCN), whose gastrointestinal (GI) parasitism has been studied in different populations, in situ and ex situ, during the last decades. We aimed to summarize the information available on the subject. Methods: In this review, we collected information from distinct published literature, interpreted it, compared it and related the Przewalski's horse biology and ecology with different findings. Results: Many similarities can be found between the...
Quantification of 17 Endogenous and Exogenous Steroidal Hormones in Equine and Bovine Blood for Doping Control with UHPLC-MS/MS.
Pharmaceuticals (Basel, Switzerland)    April 21, 2021   Volume 14, Issue 5 393 doi: 10.3390/ph14050393
Caprioli G, Genangeli M, Mustafa AM, Petrelli R, Ricciutelli M, Sagratini G, Sartori S, Laus F, Vittori S, Cortese M.A simple and fast analytical method able to simultaneously identify and quantify 17 endogenous and exogenous steroidal hormones was developed in bovine and equine blood using UHPLC-MS/MS. A total amount of 500 µL of sample was deproteinized with 500 µL of a mixture of methanol and zinc sulfate and evaporated. The mixture was reconstituted with 50 µL of a solution of 25% methanol and injected in the UHPLC-MS/MS triple quadrupole. The correlation coefficients of the calibration curves of the analyzed compounds were in the range of 0.9932-0.9999, and the limits of detection and quantification ...
Application of the Ridden Horse Pain Ethogram to Elite Dressage Horses Competing in World Cup Grand Prix Competitions.
Animals : an open access journal from MDPI    April 21, 2021   Volume 11, Issue 5 doi: 10.3390/ani11051187
Dyson S, Pollard D.There is considerable debate about the social license to compete with horses and controversy about training methods for dressage horses. The objectives were to: 1. apply the Ridden Horse Pain Ethogram (RHpE) to dressage horses competing at elite Grand Prix level; 2. compare RHpE and judges' scores; and 3. document deviations in gaits from Fédération Equestre Internationale (FEI) guidelines. Video recordings of 147 competitors from nine World Cup competitions were assessed. Spearman's rank correlation coefficient tested the correlation between RHpE and judges' scores. The median RHpE score wa...
Standing laparoscopic abdominal lavage using a suction-irrigation device in 2 horses with primary suppurative peritonitis.
The Canadian veterinary journal = La revue veterinaire canadienne    April 20, 2021   Volume 62, Issue 4 397-402 
Cribb NC, Arroyo LG, Bouré L.The use of a laparoscopic suction-irrigation device in 2 standing horses for lavage of the abdomen for the treatment of primary suppurative peritonitis is reported. Two horses were presented with a 1- to 2-week history of weight loss. Abdominocentesis revealed highly elevated total nucleated cell count. Peritoneal lavage systems were placed in both horses, but complications prevented adequate lavage. Both horses underwent standing laparoscopy; the dorsal abdomen was explored and the abdomen was profusely lavaged, using a suction-irrigation device. The procedure was efficient and allowed adequa...
Radiation safety practices among Canadian equine veterinary workers during diagnostic procedures with portable X-ray equipment.
The Canadian veterinary journal = La revue veterinaire canadienne    April 20, 2021   Volume 62, Issue 4 349-356 
Belotta AF, Mayer MN, Waldner CL, Robinson K, Sidhu N, Carmalt J, Bell CD, Koehncke NK.The objective of this study was to report observed radiation safety practices among equine workers using portable X-ray units at 3 veterinary practices in Canada. Practice 1 was comprised of equine field service workers from an academic institution, whereas Practices 2 and 3 were comprised of workers from private equine referral practices. Out of 2969 exposure-worker observations, protective aprons were worn for > 99% (2968/2969), thyroid shields for 87% (2584/2969), and eyeglasses for 10% (310/2969). The cassette was held by hand for 97% (1078/1114) of observations, and the X-ray unit was ...
How does bone strain vary between the third metacarpal and the proximal phalangeal bones of the equine distal limb?
Journal of biomechanics    April 20, 2021   Volume 123 110455 doi: 10.1016/j.jbiomech.2021.110455
Singer E, Garcia T, Stover S.Strain parameters at injury prone sites of the equine third metacarpal (MC3) and proximal phalangeal (P1) bones were investigated with the aim of improving understanding of injury pathogenesis. We hypothesized that dorsal principal and shear strain patterns, magnitudes and directions would differ from proximal-to-distal; and would be similar from medial-to-lateral across each bone. Unilateral limbs from nine equine cadavers were instrumented with rosette strain gauges during limb loading to 10,500 N. Gauges were attached at seven dorsal sites: middle MC3, distal MC3 (medial, middle, lateral) ...