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.
Impinging and Overriding Spinous Processes in Horses: A Narrative Review. The term overriding spinous processes (ORSPs), commonly known as "kissing spine syndrome," refers to a skeletal abnormality in horses that is characterized by the narrowing (<4 mm) of the interspinous space and touching or overlapping of the spinous processes (SPs). This condition primarily affects the mid- and caudal thoracic vertebrae; however, ORSP can also affect the lumbar SPs. In the veterinary community, kissing spine is widely recognized as a common condition in sport horses, as it is often associated with chronic back pain and contributes to poor performance. Despite its significant c...
Reference Values and Association of Body Weight, Age, and Sex With Echocardiographic Measurements in Non-Athletic Quarter Horses. Echocardiographic reference intervals for Quarter Horses are infrequently reported. Objective: To provide standard echocardiographic measurements for sedentary Quarter Horses and evaluate the relationship between physical characteristics (body weight, age, sex) and echocardiographic measurements. Methods: Forty-one sedentary Quarter Horses, free of cardiac disease, from a university research herd. Methods: A cross-sectional study evaluating standardized echocardiograms performed on sedentary Quarter Horses (41) between 2020 and 2022. Reference intervals were calculated for raw and weight-corre...
Quantification of immune cells in full thickness and mucosal biopsies of the duodenum and rectum in a group of slaughter horses. Limited data are available on immune cells in the intestinal wall of healthy horses, hampering interpretation of results in case of disease. Objective: Characterize and quantify the immune cell populations and their distribution in duodenal and rectal biopsies of horses without gastrointestinal disease; compare immune cell counts (ICCTs) between full thickness- and mucosal biopsies. Methods: Twenty horses fit for slaughter, slaughtered for meat production. Methods: Full-thickness and endoscopic forceps obtained mucosal biopsies were taken within 30 min after slaughter from the duodenum and rec...
Preliminary insights on the daily rhythm of CRP and IL-6 in athletic horses. Homeostasis and inflammation are two opposing physiological processes that are driven by the circadian clock. Objective: The study aim was to investigate the biological rhythm of the C-reactive protein (CRP) and Interleukin-6 (IL-6) in horses. Methods: Eight clinically healthy Italian saddle gelding horses, housed in individual boxes and subjected to a natural 12/12 L/D cycle, were enrolled. Blood samples were performed every 4 hours over a 48-hour period. Results: A positive correlation was found between CRP and IL-6 on both days of monitoring. Both parameters showed a daily rhythm; CRP acrop...
Development and validation of general urine screening method for performance enhancing drugs in racehorses utilizing liquid chromatography-high resolution mass spectrometry (LC-HRMS). The complexity of the drug market and the constant updating of drugs have been challenging issues for drug regulatory authorities. In this manuscript, a high-throughput automated assay based on Liquid Chromatography High Resolution Mass Spectrometry (LC-HRMS) suitable for use as an initial testing procedure covering multiple classes of compounds prohibited in horse racing is described. The assay requires a 250-μL urine aliquot, which is subjected to enzymatic hydrolysis followed by Biotage Isolute supported liquid extraction plates using Biotage Extrahera system, evaporation, and reconstituti...
Steamed hay for the prevention of severe equine asthma exacerbations. Steaming hay reduces respirable particles and is commonly used to feed horses with asthma. However, it showed inconsistent benefits in clinical studies. Objective: (1) To assess the effects of steamed hay on lung function and airway inflammation in horses with severe equine asthma (SEA) in remission; (2) To compare these effects with a dry hay diet. Methods: Cross-over in vivo experiment. Methods: Horses were fed steamed and dry hay for 4 weeks in a prospective, cross-over study, with a 4-week washout period. Lung function, bronchoalveolar lavage (BALF) cytology, and a 23-point weighted clin...
Three-dimensional electro-anatomical mapping of premature atrial complexes originating from the right atrial free wall and treatment by radiofrequency ablation in three horses. Frequent premature atrial complexes (PACs) can increase the risk of atrial fibrillation or atrial tachycardia, and pharmacological therapy can be challenging. Objective: To report the use of three-dimensional electro-anatomical mapping of PAC originating from the right atrial free wall and treatment by radiofrequency ablation in three horses. Methods: Retrospective case report. Methods: Frequent premature atrial complexes (PACs) were diagnosed in three horses. Twelve-lead ECG and vectorcardiography suggested an origin in the right lateral free wall in two horses and the caudal right atrium in ...
The efficacy of embryo recovery on consecutive days from Day 6.5 to obtain small embryos for vitrification. Vitrified embryos ≤300 μm give better pregnancy rates following warming and transfer than larger ones. Embryo recovery undertaken close to when the embryo enters the uterus (Day 6-6.5) helps in the recovery of embryos ≤300 μm. However, flushing early can mean missing an embryo not yet in the uterus, whereas later can result in embryos >300 μm. Objective: To evaluate if repeated embryo flushing on consecutive days from Day 6.5 would increase the number of embryos ≤300μm recovered. Methods: Retrospective case series. Methods: Four hundred and ninety-six inseminations with cooled ...
Efficacy and welfare effects of different forms of physical restraint for upper airway endoscopy of horses. Physical restraint of horses for veterinary procedures is necessary to allow completion of tasks effectively and without injury to patient or personnel. Objective: To compare physiological effects and behavioural responses to four commonly used restraint techniques for upper respiratory tract (URT) endoscopy in unsedated horses. Methods: Blocked and randomised interventional study. Methods: Twelve university owned teaching horses were blocked into groups of four and randomly allocated to one of four restraint methods (nose twitch, ear hold, Stableizer® and nil restraint) for URT endoscopy. Ho...
Multicenter results for C7-T1 ventral interbody fusion in horses using the kerf cut cylinder. To describe the surgical approach used in horses undergoing C7-T1 ventral interbody fusion using a kerf cut cylinder (KCC) implant and report the short- and long-term outcomes. Methods: Observational retrospective study. Methods: A total of 38 client-owned horses. Methods: Medical records of horses that underwent ventral interbody fusion because of C7-T1 cervical vertebral stenotic myelopathy from 2004 to 2024 were reviewed. Preoperative variables included age, sex, breed, and affected site(s). Surgical variables included types of KCC used, intraoperative complications, and anesthesia related ...
Ultra-rapid freezing in spheres yields a higher cryoresistance than in straws but remains inferior to conventional slow freezing of stallion sperm. This study evaluated the cryoresistance of stallion sperm frozen by ultra-rapid (UR) methods using microspheres and straws or by the conventionally-slow (CS) method. Sixteen ejaculates from four stallions were each divided into three aliquots according to the freezing method: UR freezing in 30-μL spheres (UR-Spheres) by direct immersion in liquid nitrogen (LN); UR freezing in 0.25-mL straws (UR-Straws) by direct horizontal submersion in LN; and CS freezing in LN vapors. Ultra-rapid freezing medium included 100 mM trehalose +1 % BSA, and the CS freezing medium contained 5 % dimethylformamid...
Temperatures of the Mouthpiece of the Bit of Carriage Horses over a Period of 11 Months. Besides oral temperature, meteorological parameters are expected to be relevant for mouthpiece temperature, potentially influenced by the material, surface area and weight of the bit. This study measured the temperature of the mouthpieces at the corner of the mouth while they were in use on 58 carriage horses during the four 2024 seasons. Stainless steel, copper, and copper-steel bits were tested in three shapes: Butterfly Liverpool, Liverpool, and Loose Ring Snaffle with four rings. Additionally, surface temperatures of inner thighs, the ground, and buildings were measured using infrared ther...
Technologies for equine welfare and performance monitoring under field conditions – Where do we stand? The need for comprehensive equine welfare assessments has become particularly evident amid ongoing debates about the social licence to operate in equestrian sports. During exercise, multiple physiological systems, principally the cardiovascular, respiratory, muscular, thermoregulatory, endocrine, and locomotory systems, undergo complex adaptations. To monitor and determine equine welfare, an approach that focuses on the quantitative monitoring of both physiological and psychological parameters to determine and understand the impact of equestrian sports on horses is essential. Existing and emer...
Sexual arousal intensity modulates copulatory behavior and semen quality in Arabian stallions: Effects of age, origin, and collection method. Stallion sexual behavior during semen collection can be influenced by multiple factors, yet the role of sexual arousal intensity remains underexplored. Understanding how arousal modulates behavioral and physiological reproductive traits is essential for improving artificial insemination (AI) efficiency and semen quality. This study aimed to evaluate the effects of sexual arousal intensity, age, origin, and semen collection method on stallion sexual behavior and the quality of fresh and frozen semen. Unassigned: Thirteen Arabian stallions (7 Tunisian, 6 foreign parentage) aged 6-20 years (total...
2D-shear wave elastographic features of normal and injured equine superficial digital flexor tendons. Superficial digital flexor tendon (SDFT) injuries cause progressive loss of its mechanical properties. Two-dimensional shear wave elastography (2D-SWE) provides information about tissue stiffness. Objective: To determine the feasibility, repeatability, and reproducibility of 2D-SWE of healthy and pathological forelimb SDFT. Methods: Prospective observational cohort study. Methods: Horses were divided into a noninjured Group (H) and a Group with tendinopathy of the SDFT (P). 2D-SWE of both fore SDFTs was performed at three metacarpal levels (A, B, and C, from proximal to distal). Qualitative an...
Effects of mixed polyphenol supplementation on lower airway inflammation in horses with Equine Asthma Syndrome. Equine Asthma Syndrome (EAS) is a chronic inflammatory respiratory disease of adult horses. While dietary polyphenols have shown anti-inflammatory effects in human asthma, their use in equine asthma has not been studied. Objective: To evaluate the effects of a mixed polyphenol supplement on systemic and pulmonary inflammation, bronchoalveolar lavage (BAL) cytology, and clinical respiratory signs in healthy and asthmatic horses. We hypothesized that polyphenol supplementation would decrease systemic and pulmonary inflammation in both healthy and asthmatic horses and would improve BAL cytology a...
Clinical audit of pre-procedural checklists in an equine referral hospital. Surgical safety checklists have demonstrated a positive impact on post-surgical morbidity/mortality in human medicine, and likely have an equal benefit in veterinary medicine. To realise their advantages, they must be correctly and regularly used. A clinical audit was planned to assess this. Objective: To determine the compliance with the pre-procedural request form/surgical safety checklist in a large multi-disciplinary equine referral hospital. Methods: Retrospective full-cycle clinical audit. Methods: One hundred and forty-eight checklists (consisting of 23 sub-sections) were examined for c...
Clinical and ultrasonographic findings in horses with desmopathy of the palmar/plantar abaxial ligaments of the proximal interphalangeal joint: 20 cases. To describe the clinical and ultrasonographic findings in horses with desmopathy of the abaxial palmar/plantar ligament (APL) of the proximal interphalangeal joint and the prevalence of concurrent musculoskeletal injuries in the pastern and foot. Unassigned: Horses presenting to New Bolton Center between March 2017 and November 2022 with an age ranging from 5 to 20 years that underwent lameness evaluation in which lameness was localized to the distal limb and had an ultrasonographic diagnosis of APL desmopathy. Unassigned: Horses included were those that (1) presented for a lameness examinatio...
Behavioral Assessment of Equine Relaxation Following Manual Therapy: A Pilot Study. The aim of this pilot study was to evaluate the relaxation, stress reduction and behavioral changes observed after manual therapy applied to horses exposed to racing and physical training stimulus. This descriptive approach is aimed at veterinary clinicians to evaluate the therapy process more effectively with behavioral feedback. For this purpose, the study was conducted in two different equestrian clubs in Adana (Adana Mediterranean and Suvari Equestrian Clubs) between 2023 and 2024. A total of 32 racehorses (16 Thoroughbred, 16 Arabian; 16 female, 16 male) of different ages, genders and bre...
Suzetrigine in Equestrian Sports: Optimized Extraction and LC-HRMS Detection Strategies. Suzetrigine, a recently approved Na1.8 sodium channel blocker, shows strong potential in the treatment of neurological, psychiatric, and pain-related conditions. Its peripheral selectivity enables effective pain management while avoiding central nervous system complications and addiction risks linked to opioid use. Following FDA approval in January 2025, concerns have emerged regarding its possible misuse for performance enhancement in sports, highlighting the need for reliable detection tools in doping control. Methods: An analytical procedure was designed and validated to detect suzetrigine ...
Commercial cytokine assay on equine cerebrospinal fluid does not distinguish equine degenerative myeloencephalopathy from cervical vertebral stenotic myelopathy. To measure and compare CSF cytokine concentrations among horses with equine neuroaxonal dystrophy (eNAD)/equine degenerative myeloencephalopathy (EDM), horses with cervical vertebral stenotic myelopathy (CVSM), and control horses and to evaluate for associations with clinical parameters. Unassigned: Banked equine CSF samples from horses with neurologic disease that underwent a complete neurologic examination and postmortem diagnosis confirmation of CVSM or eNAD/EDM or from control horses were included. Cytokines were measured with an equine-specific cytokine/chemokine magnetic bead multiplex p...
A case-matched controlled retrospective performance indexed analysis of Thoroughbred racehorses that underwent surgical repair of proximal phalanx and third meta-carpal/tarsal condylar fractures. Standing fracture repair has become established as an acceptable technique with a good long-term prognosis. However, no study has compared racing outcomes with case-matched controls. Objective: To compare racing outcomes between a large dataset of horses undergoing standing fracture repair against case-matched controls. Methods: Retrospective case-matched controlled comparative study. Methods: Thoroughbred racehorses undergoing standing repair of distal limb fracture(s) over 10 years (2012-2022) at five hospital centres across North America and Europe were included. Data retrieved included...
Effects of sand, asphalt, and a three degrees hind toe or heel elevation on equine cervical and thoracolumbosacral kinematics at walk and trot. Effects of ground surface and hoof angles on equine cervical and thoracolumbosacral kinematics are poorly understood. However, the equine cervical and thoracolumbosacral areas present frequent lesions and he management of factors that might improve treatment and rehabilitation outcomes, such as ground surface and hoof angles, requires more investigation. Objective: Our objectives were to determine the influence of ground surface (asphalt versus sand) and a 3 degrees hind toe or heel elevation on cervical and thoracolumbosacral kinematics during walking and trotting. Methods: Six saddle horses ...
A cohort study of nutritional secondary hyperparathyroidism in horses in Hawai’i. Equine nutritional secondary hyperparathyroidism (NSHP, Bighead Disease) is a consequence of diets with abnormal calcium: phosphorus ratios. With the widespread availability of fortified feeds and legume forage, the disease has largely disappeared. The Hawaiian Islands are unique in that legume forage is largely unavailable and pastures have high oxalate concentrations. This was a cohort study that included seventeen adult horses imported from the continental US to the Waiki'i region, Hawai'i that grazed on kikuyu grass pastures. Plasma ionized calcium and parathyroid hormone concentrations at...
Progress in serology and molecular biology of equine parasite diagnosis: sustainable control strategies. Internal parasitic infections are a persistent challenge for horse owners, in the absence of effective vaccines and the growing challenge of drug resistance, leading many researchers to view current control strategies as unsustainable. Despite slow progress over the past two decades, effective parasitic diagnosis remains crucial for controlling infections and preventing the growing issue of drug resistance. This review examines the research progress in serological and molecular biological diagnostic methods for major equine parasites. Currently, most diagnostic techniques are based on genes su...
Antimicrobial prescribing guidelines for horses in Australia. The growing problem of antimicrobial resistance also affects equine veterinarians with increasing frequency. Antimicrobial stewardship and responsible prescribing are essential for a future in which effective antimicrobials are available, as it is unlikely that new antimicrobials will become available for use in horses. While antimicrobials are commonly used to treat equine infections, complications with therapy are also relatively common. Antimicrobial-associated diarrhoea, immune-mediated diseases, and nephrotoxicity have been reported as sequelae of antimicrobial therapy in equine practice....
Decoding Leishmania in equines: A comparative analysis of molecular targets. Parasitic diseases caused by Leishmania spp. create considerable health concerns in animals, resulting in a considerable financial impact. They causes a complex infection in equines, affecting weight gain, skin, liver, and spleen. To date, there is a lack of reports on the occurrence of Leishmania in equines in Southern Punjab, Pakistan, highlighting the need for molecular epidemiological surveillance. The current study focused on determining the prevalence of Leishmania in the equine population from District Rahim Yar Khan, Southern Punjab, Pakistan, through amplification of mitochondrial (Cy...
Cortisol and heart rate response of mares during the in-hand breeding procedure with and without restraint. In-hand breeding involving restraint methods is likely the most common practice in the horse breeding industry worldwide. However, welfare issues that arise from such management have not been investigated in detail. Objective: (1) To investigate whether the mares show increased stress responses during in-hand breeding using (a) a lip twitch and (b) hobbles. (2) To evaluate if the use of restraint methods influences the mare's expression of oestrous behaviour. Methods: Intra-individual cross-over design. Methods: Six Franches-Montagnes stallions and 10 warmblood mares were used in these experim...
The predictive ability of blood-based biomarkers to detect bacteremia in hospitalized neonatal foals. Early and accurate identification of septicemia in neonatal foals improves survival. In human medicine, the neutrophil-to-lymphocyte ratio (NLR), neutrophil-to-monocyte ratio (NMR), monocyte-to-lymphocyte ratio (MLR), and plasma cell-free DNA (cfDNA) aid in early bacteremia detection. This study evaluated the diagnostic utility of these markers in conjunction with other clinical and hematological parameters in hospitalized foals < 5 days old to predict positive blood culture at admission and to distinguish between Gram-positive, Gram-negative, or polymicrobial bacteremia. A total of 391 foal...
Ionic composition of gastric reflux and small intestinal fluid in horses: implications for fluid replacement. Small intestinal (SI) distension and gastric reflux (GR) are common in horses with mechanical and functional ileus. Removal of GR results in fluid/ion losses. Objective: 1) Determine the capacity of healthy SI; 2) measure ion concentrations in normal SI fluid, GR, or fluid from SI undergoing resection. The authors hypothesized that Na and Cl concentrations would be lower and higher, respectively, in GR as compared to SI fluid from healthy horses, while there would be little difference in K concentration. Methods: Observational study: two to 15 meters of SI from 15 horses were distended with wa...