Topic:Equine Medicine
Equine Medicine encompasses the study and application of medical practices specifically related to the health and well-being of horses. This field involves the diagnosis, treatment, and prevention of diseases and disorders affecting equine species. It covers a wide range of topics, including internal medicine, surgery, reproduction, and pharmacology. Research in equine medicine often focuses on understanding the physiological and pathological processes unique to horses, as well as developing effective therapeutic interventions. This page aggregates peer-reviewed research studies and scholarly articles that explore various aspects of equine medicine, providing insights into the latest advancements and methodologies in the care and management of horse health.
Bioanalytical Uncertainty Assessment of Ultra-High-Performance Liquid Chromatography-High Resolution Mass Spectrometry Method for Caffeine and Lidocaine in Equine Antidoping: A Dual Perspective on Bottom-up and Top-Down Approaches. The quality of quantitative results in bioanalysis requires not only a validated analytical method but also a rigorous estimation of measurement uncertainty. This study examines the challenges associated with the implementation of two distinct approaches in equine anti-doping control for the assessment of uncertainty associated with an ultra-high-performance liquid chromatography-high resolution mass spectrometry quantitative method for caffeine and lidocaine in horse urine. The bottom-up approach, based on the ISO Guide to the Expression of Uncertainty in Measurement (ISO GUM), was compared t...
Understanding the roles of equine veterinary nursing teams in UK practices: A cross-sectional study. Feeling undervalued, having limited opportunities to utilise clinical skills and lack of career progression have been identified as factors negatively affecting the job satisfaction and retention of small animal registered veterinary nurses (RVNs). The aim of this study was to explore the roles and activities of equine veterinary nurses, and the barriers and facilitators associated with their professional progression. Methods: An anonymous, cross-sectional online questionnaire was distributed to all RVNs and student veterinary nurses working with equids in VetPartners practices. The questions ...
Comparing the Performance of McMaster, FLOTAC and Mini-FLOTAC Techniques in the Diagnosis of Strongylid Infections in Two Horse Populations in Portugal. The diagnosis of gastrointestinal (GI) strongyle infections in equids is still mainly performed using quantitative coprological techniques, like the McMaster (McM), but more sensitive and precise techniques, like FLOTAC (FL) and Mini-FLOTAC (MF), have been proposed over the past 20 years. The present study aimed to compare the analytical performance of these three methods in the diagnosis of strongyle infections in horses. Between October 2023 and June 2024, 32 fecal samples were processed using the McM, FL and MF techniques to identify strongyles' eggs, estimate their shedding (eggs per gram ...
Computed tomography features of the fetlock joint in elite racing Thoroughbred horses. Computed tomography (CT) is increasingly used for metacarpo/tarsophalangeal or fetlock joint (MC/TPJ) evaluation in Thoroughbred racehorses. CT features and lesion prevalence in competing Thoroughbreds are unknown. Objective: To identify standing CT features within the MC/TPJ of elite Thoroughbred staying racehorses. Methods: Retrospective cohort study. Methods: Computed tomography scans of the MC/TPJ were performed as part of pre-race screening for fracture risk and graded for CT features. Descriptive statistics and univariable logistic regression models were generated to investigate associat...
Duration of continuous fetal gastrointestinal peristalsis before parturition in mares maintained at a breeding farm or in a university hospital. Gestation length is not a reliable indicator of fetal maturity due to the variability of normal gestation length in the mare. A standard method to accurately predict equine fetal maturity is not being used clinically. The presence of continuous gastrointestinal peristalsis, as detected ultrasonographically, is an indicator that both human and canine fetuses are mature (can survive after elective cesarean section). To determine if continuous gastrointestinal peristalsis, which we termed Phase 5, was a valid indicator of fetal maturity in the horse, and whether this indicator varied in late-gest...
Recent advances in intestinal helminth parasites of horses in the Asia-Pacific region: Current trends, challenges and future directions. Over the past 25 years, significant progress has been made in understanding and managing equine gastrointestinal parasites in the Asia-Pacific region, particularly in Australia and New Zealand. This review synthesises current knowledge of the epidemiology, diagnostic methods, anthelmintic resistance (AR), and control strategies for major equine intestinal parasites, including cyathostomins, Parascaris spp., Anoplocephala perfoliata, and Strongyloides westeri. Recent studies highlight substantial regional variation in parasite prevalence, egg shedding and cyathostomin population composition, sh...
Incorporating a Behavioral Medicine Approach in the Multi-Modal Management of Chronic Equine Gastric Ulcer Syndrome (EGUS): A Clinical Commentary. Equine gastric ulcer syndrome (EGUS) refers to mucosal gastric disease in horses, including equine squamous gastric disease (ESGD) and equine glandular gastric disease (EGGD), which present as two distinct disease entities differing in pathophysiology and approach to disease management. Both diseases are a source of pain in affected horses, partly explaining why EGUS continues to receive substantial attention in the equine medical, welfare and equitation research sectors. There is a complex interplay between EGUS and a variety of physical and psychological stressors. Horses with EGUS are often...
Newly designed PCR assays based on the ema-10 and ema-11 genes confirm the circulation of Theileria haneyi in horses in Brazil. Equine Piroplasmosis (EP) is a tick-borne disease caused by the protozoan parasites Babesia caballi, Theileria equi, and Theileria haneyi, characterized by intravascular hemolysis and associated systemic illness. Although T. equi and B. caballi have been widely reported in some regions of Brazil, data from other states are limited. Additionally, despite reports of T. equi genotype C, currently recognized as T. haneyi, has been identified in Brazil, there are no investigations using T. haneyi-specific molecular tools. This study assessed the presence of these three agents in horses from Baixada...
Reliability of three scoring systems for assessing quality of anaesthetic induction in horses. Several induction quality scoring systems (IQSS) have been described to evaluate drugs and risk factors of this anaesthetic period in horses, but no attempts to compare their reliability have been performed. Objective: To elucidate the reliability of three IQSS: the visual analogue scale (VAS), a simple descriptive scale (SDS), and a composite grading scale (CGS) proposed by the authors. Methods: Reliability study. Methods: Eight randomly selected video-recorded anaesthetic inductions from horses that underwent general anaesthesia were evaluated twice by four blinded evaluators with experience...
Ultrasonography and shear wave elastography of equine skin: a preliminary study. To noninvasively characterize skin thickness and elasticity in healthy horses using B-mode ultrasound and shear wave elastography (SWE) and to verify whether there are differences between the skin of stabled and outdoor horses. Unassigned: 10 clinically healthy horses were enrolled in this study. Five animals were housed exclusively indoors (indoor group), and 5 had temporary or permanent access to an outdoor environment (outdoor group). All horses underwent bilateral ultrasonographic examination of 3 anatomical regions: neck, withers, and girth region caudal to the elbow. Skin thickness was a...
Analysis of Staphylococcal Diversity in the Skin Microbiota of Healthy Riding Horses. In animals, staphylococci constitute a significant part of the normal skin microbiota and mucous membranes. There is limited information available on staphylococci isolated from healthy horses. These skin-associated bacteria can be easily transferred between animals and horse riders via direct contact. Patients undergoing hippotherapy (i.e., medical or therapeutic sessions with horses) are especially at risk of being colonized by horse skin-associated bacteria. However, it remains unclear whether equine skin is colonized by antimicrobial-resistant (AMR) opportunistic pathogens, which may be o...
A national equine identification and traceability system for emergency preparedness and response in New Zealand. An essential component of a timely response to a disaster event or disease outbreak is an accurate understanding of the population at risk, its location, and the owners' contact details. In equines, this can be achieved through individual identification, via microchipping, and the registration of these individuals in a centralised database. This review outlines the development by the New Zealand Equine Health Association (NZEHA) of a centralised database for equines in New Zealand, the National Equine Identification and Traceability (NEIT) system, which is built using Companion Animal New Zeal...
What if Horses Were Humans? Comparing Rein Tension and Bit Pressures to Human Pressure Pain Thresholds. Bit pressure and rein tension-induced mouth pain in horses have recently become a significant welfare concern, fueling debates within the equestrian community and beyond. Evidence indicates that bits can cause pain-related behaviors and even oral lesions. Although studying pressure-induced pain in animals is challenging, the similarities in the physiology of pain processing (nociception) across mammals suggest that it is reasonable to assume that pain perception in humans and horses is principally comparable. Therefore, we compared human pressure pain detection thresholds (PPDTs) to reported r...
Surgical repair of bilateral lateral patellar luxation in a foal using block-recession trochleoplasty and polypropylene mesh reinforcement: Case report and review of literature. Patellar luxation is a rare orthopedic condition in horses, with congenital lateral patellar luxation being the most frequently reported form. A few sporadic reports have described surgical options for addressing equine patellar luxation. This report details the clinical presentation of a 2-month-old Italian Trotter foal diagnosed with bilateral lateral patellar luxation. Staged surgical correction of both stifles was performed, including block recession trochleoplasty combined with the application of polypropylene mesh for reinforcing medial imbrication sutures. Intra- and post-operative eval...
Orthopaedic Injuries in 272 Dressage Horses: A Retrospective Study. There is limited information regarding orthopaedic injuries in dressage horses. This study assessed the prevalence of injuries in a mixed referral and first opinion population of 272 horses training and competing in dressage, 238 of which were followed up one to five years after injury. Warmblood (55.8%) and Iberian (38.6%) breeds predominated. The median age was 8 years (interquartile range [IQR] 5,11; range 1,21). Horses were examined due to lameness (85.3%) or poor performance (14.7%). The median lameness grade was 2/5 (IQR 2,4; range 0,4). Forelimb lameness was more prevalent than hindlimb...
The metabolomic profile of a high starch versus no starch diet in athletic horses. Feeding a high amount of starch-rich grains is common practice for performance horses even though the horse has evolved to eat a grass based, i.e. low starch diet. To our knowledge, there are no studies using metabolomics to investigate the effects of a high-starch diet in horses. In this study we investigated differences in the plasma metabolic profile of 6 Standardbred horses fed a no-starch, forage-only (F) diet or a high-starch forage-concentrate (FC) diet for 29 days, respectively in a cross-over design. Postprandial plasma samples were collected on the morning of day 25 of each dietary ...
Morphometric changes in overweight horses following 10-week weight loss programs. Up to 70% of horses in domestic equine populations are overweight. Promotion of weight loss is an important component of limiting the detrimental co-morbidities associated with excess adipose tissue. The use of a body condition score (BCS) can help equine caregivers track their horse's weight-status. However, this single score doesn't reflect changes in individual adipose depots. The purpose of this study was to characterize morphometric changes (including 8 anatomic BCS measurements that make up the whole-BCS) in horses during 3 different weight-loss programs over 10 weeks. Methods: Thirty-tw...
Laser fenestration of the dorsal pharyngeal recess does not correct experimentally induced dorsal nasopharyngeal collapse in horses. To quantify the impact of experimentally induced dorsal nasopharyngeal collapse (NPC) on respiratory performance parameters and assess the efficacy of laser fenestration of the dorsal pharyngeal recess as a treatment option for experimentally induced NPC. Methods: Experimental interventional study. Methods: Six adult Standardbreds (one with naturally occurring disease). Methods: After an 8 week conditioning program, baseline parameters (V̇Omax, pharyngeal pressure, peak airflows, upper airway resistance) and dynamic endoscopy videos were collected in a high-speed treadmill test (T1). Dorsal N...
Wearable smart textile band for continuous equine health monitoring. Continuous physiological monitoring is well-established in human healthcare for early disease detection and management. However, translation of these technologies to large animals such as equines remains underdeveloped due to anatomical constraints, dense hair coat coverage, and requirements for unimpeded mobility. Equines, particularly racehorses, are prone to asthma and cardiovascular abnormalities, with nearly 80 % affected by mild to moderate asthma, impacting performance and long-term health. Despite the need for continuous monitoring, existing solutions require shaving hairs, often lack...
Molecular Detection and Genetic Characteristics of Equine Herpesviruses 1 and 4 in Egypt. The present study investigated the molecular detection and genetic characteristics of equine herpesvirus 1 (EHV-1) and EHV-4 circulating within Egyptian horse populations during 2019-2022. A total of 79 animals were sampled (54 nasal swabs and 25 aborted fetal tissues). PCR assays revealed that 24 (30.3%) and 7 (8.8%) samples were positive for EHV-1 and EHV-4, respectively. Additionally, 5 (6.3%) samples were concurrently infected with both viruses. Four EHV-1 and three EHV-4 isolates were genetically characterized based on partial sequencing of gB gene. The four EHV-1 strains displayed 100% n...
Dynamic Mobilization Exercises Improve Activity and Stride Parameters Measured with Accelerometry in Sedentary Horses. Dynamic mobilization exercises (DME) are an effective strategy to prevent musculoskeletal injuries and promote back health in sport horses. Previous studies focused mainly on multifidus muscle cross-sectional area, with limited data on locomotion and adaptation timing. This study evaluated locomotor changes using accelerometry, over 8 weeks of DME application in 14 sedentary horses: a DME group ( = 8) performing 10 different DME (3 neck flexions, 1 neck extension and 3 lateral bending exercises to each side), 5 repetitions of each DME per session, 3 sessions/week, and a control group ( = 6), t...
Mechanical characterization of the equine linea alba and finite element modeling of suture patterns effects on its closure. Postoperative incisional complications are common in horses following abdominal surgery, which typically involves an incision through the abdominal wall along the linea alba. The linea alba is a fibrous band running in the craniocaudal direction along the ventral abdomen. This incision is closed with sutures, where the choice of suture pattern and surgical technique has shown to influence the rate of complications. Therefore, this study investigated how different suture patterns and variations influence the stresses in the tissue by combining experimental and computational biomechanics. The me...
Effects of the Sodium-Glucose Cotransporter-2 Inhibitor Velagliflozin on Insulin Concentrations in Horses With Insulin Dysregulation. Sodium-glucose cotransporter-2 inhibitors (SGLT2i) are promising treatments to manage hyperinsulinemia in horses with insulin dysregulation (ID). Objective: The SGLT2i velagliflozin decreases insulin concentration in horses with ID. Methods: Privately-owned adult horses (n = 37) with laboratory-confirmed ID (low-dose oral sugar test insulin concentration > 75 μIU/mL). Methods: Double-blind randomized placebo-controlled trial. Horses received placebo (n = 19) or velagliflozin 0.3 mg/kg PO q24h (n = 18) for 20 weeks (Study Period 1, SP1) immediately followed by a 20-week ope...
Plasma and Urine Pharmacokinetics of Intravenous Pridinol in Thoroughbreds for Its Medication Control. We examined the pharmacokinetics of intravenous pridinol in six thoroughbred horses. Each horse received a single 20 mg dose of pridinol mesylate via the jugular vein, and plasma and urine samples were collected over 72 h. Liquid chromatography-tandem mass spectrometry (LC-MS/MS) was used to quantify pridinol concentrations in plasma and urine, allowing for the calculation of pharmacokinetic parameters. A three-compartment model best fit the plasma elimination data. Using the Toutain model, irrelevant plasma and urine concentrations were estimated to be 0.00284 and 0.000612 ng/mL, respec...
Equine Metabolism of Voxelotor and Its Impact on Hematological Indices: A Doping Control Perspective. Voxelotor, a therapeutic drug for sickle cell disease, has been reported to elevate serum erythropoietin and hemoglobin levels in healthy individuals. Because of its potential to alter blood parameters, the World Anti-Doping Agency (WADA) classified voxelotor under category M1 of the 2023 Prohibited List. Despite this classification, little is known about its metabolic behavior in either humans or animals. In this study, the metabolism of voxelotor was investigated in Thoroughbred horses after oral administration. Using liquid chromatography high-resolution mass spectrometry (LC-HRMS), 35 meta...
Generation of equine induced pluripotent stem cells from cells of embryonic, perinatal and adult tissues. Regenerative therapies are quickly expanding to application in equine patients because of their importance as sporting and companion animals. Furthermore, aligning with a One Health concept, veterinary medicine offers a unique platform for preclinical studies. While mesenchymal stem/stromal cells (MSCs) therapies are already used in treating horses, strategies involving induced pluripotent stem cells (iPSCs) are poorly developed. iPSCs present great potential for therapy and disease modelling, but their consistent generation in horses requires further investigation into the source of somatic c...
Antimicrobial use in equine patients at a veterinary teaching hospital in the northeastern United States reveals opportunities for enhanced stewardship. To assess the use of systemic antimicrobial agents in equine patients and identify areas where their use could be reduced. Unassigned: A retrospective study evaluating the electronic medical records for all equine visits in which systemic antimicrobials were given at a veterinary teaching hospital for 1 year (2021). Negative binomial regression analysis was used to evaluate factors associated with antimicrobial prescription rate. Unassigned: Systemic antimicrobials were prescribed for 33.5% (543 of 1,622) of equine visits. For most visits (89.1%), ≤ 3 antimicrobials were given. The antimicro...
Risk factors for equine strangulating lipoma colic: An international, case-control study. Obstruction by strangulating lipoma (SLO) is one of the most common causes of small intestinal strangulation in horses and is fatal without surgery. Current knowledge of risk factors for SLO is limited to horse signalment features. To date, other risk factors have not been investigated. Objective: To investigate horse- and management-level risk factors for SLO using a population of healthy horses as controls. Methods: Matched, case-control study. Methods: A prospective, international multicentre study was conducted in the UK and USA between January 2022 and May 2024. Cases were horses with SLO...
Species diversity and within-host tropism for mixed equine strongyle infections using a cytochrome c oxidase subunit I metabarcoding approach. Strongyles, especially non-migratory Strongylidae, are the most common equine gut parasites, and typically occur in mixed infections with 10 - 20 species per host. Current knowledge on strongyle species prevalence and within-host tropism is sparse. Herein species composition of mixed strongyle infections of 12 naturally infected untreated young horses, based on strongyle eggs extracted from faeces, cultured third stage larva and luminal worms collected from ventral and dorsal colon was examined. Species were identified using a cytochrome c oxidase I (COI) metabarcoding approach allowing differ...