Analyze Diet

Topic:Exercise

Exercise in horses encompasses the physical activities that horses engage in, either through natural behaviors or structured training programs. These activities impact a horse's musculoskeletal, cardiovascular, and respiratory systems, influencing overall health and performance. Exercise can vary in intensity, duration, and frequency, and its effects are studied to understand conditioning, endurance, and recovery processes in equines. Research in this field often focuses on the physiological adaptations to different types of exercise, the prevention of exercise-related injuries, and the optimization of training regimens for various equestrian disciplines. This page compiles peer-reviewed research studies and scholarly articles that explore the physiological, biomechanical, and health-related aspects of exercise in horses.
A comparison of survival models for assessing risk of racehorse fatality.
Preventive veterinary medicine    March 20, 2006   Volume 74, Issue 1 3-20 doi: 10.1016/j.prevetmed.2006.01.003
Henley WE, Rogers K, Harkins L, Wood JL.Survival analysis was used to assess risk factors for fatal injuries on UK race courses. This allowed assessment of variation due to temporal horse-level effects, including previous racing intensity and historical distribution of race types, as well as race-level factors. Comparisons were made between measuring survival time as number of days and as number of races to injury from the first race. Two related models were presented for time as number of races to injury: a Cox regression model fitted using partial likelihood, with the Efron approximation to handling ties, and a discrete-time logit...
Clinical findings, diagnosis, prevalence and predisposing factors for lameness localised to the middle carpal joint in young Standardbred racehorses.
Equine veterinary journal    March 16, 2006   Volume 38, Issue 2 152-157 doi: 10.2746/042516406776563332
Steel CM, Hopper BJ, Richardson JL, Alexander GR, Robertson ID.Lameness related to the middle carpal joint (MCJ) occurs in up to 30% of young Standardbred horses in race training and the incidence increase with radiographic severity of third carpal bone (C3) sclerosis on DPr-DDIO (skyline) view of the carpus. Factors predisposing horses to carpal injury have not been well investigated. Objective: To determine the importance of MCJ lameness as a cause of wastage in young Standardbred racehorses, stage of training at which it occurs and predisposing factors, and to describe clinical findings and diagnosis. Methods: Standardbred horses (n = 114) entering the...
Workload and stress in horses: comparison in horses ridden deep and round (‘rollkur’) with a draw rein and horses ridden in a natural frame with only light rein contact.
Tijdschrift voor diergeneeskunde    March 15, 2006   Volume 131, Issue 5 152-157 
Sloet van Oldruitenborgh-Oosterbaan MM, Blok MB, Begeman L, Kamphuis MC, Lameris MC, Spierenburg AJ, Lashley MJ.'Rollkur' or 'overbending' is the low and deep riding of a dressage horse during training or warming up. Lately, this technique has been criticized, and not necessarily objectively, on welfare grounds. To be able to evaluate these criticisms, more needs to be known about the workload and stress of horses being ridden 'rollkur'. The aim of the present study was to compare the workload of eight riding-school horses when being ridden deep and round with a draw rein ('rollkur') and when being ridden in a natural frame with only light rein contact ('free'). Workload (as measured by heart rate and b...
Changes in adipopnectin, leptin, and fat mass after clenbuterol treatment in horses.
Medicine and science in sports and exercise    March 15, 2006   Volume 38, Issue 2 262-267 doi: 10.1249/01.mss.0000185108.63028.04
Kearns CF, McKeever KH, Malinowski K.Adipose tissue plays complex role(s) in metabolic and endocrine control. To date, little work has been done in the horse regarding adipocytokines. Objective: This study was conducted to determine whether therapeutic levels of chronic beta-agonist administration, exercise, or both could alter their concentrations. Methods: A total of 23 standard-bred mares were divided into four experimental groups: clenbuterol (2.4 microg.kg(-1) bw twice daily for 8 wk) plus exercise (8 wk, 20 min.d(-1) at 50% VO2max; CLENEX; N = 6), clenbuterol only (CLEN; N = 6), exercise only (EX; N = 5), and control (CON; ...
Exercise-induced alterations in plasma concentrations of ghrelin, adiponectin, leptin, glucose, insulin, and cortisol in horses.
Veterinary journal (London, England : 1997)    March 3, 2006   Volume 173, Issue 3 532-540 doi: 10.1016/j.tvjl.2006.01.003
Gordon ME, McKeever KH, Betros CL, Manso Filho HC.Six Standardbred (STB) mares (11+/-2 years, 521+/-77 kg; means+/-SD) performed an exercise trial (EX) where they underwent an incremental exercise test (GXT) as well as a parallel control trial (CON) to test the hypothesis that short-term, high intensity exercise would alter plasma concentrations of glucose, leptin, adiponectin, ghrelin, insulin and cortisol. Plasma samples were taken before (0 min), during (last 10s at 6, 8m/s, and the velocity eliciting VO(2max)), and after exercise (2, 10, 30, 60 min; 12 and 24h post-GXT). A second set of blood samples was collected before and after an afte...
Risk factors for musculoskeletal injuries in 2-year-old Thoroughbred racehorses.
Preventive veterinary medicine    February 14, 2006   Volume 74, Issue 1 36-43 doi: 10.1016/j.prevetmed.2006.01.005
Cogger N, Perkins N, Hodgson DR, Reid SW, Evans DL.Musculoskeletal injuries (MSI) in racehorses have been identified as the most common cause of lost training days and weeks spent resting at pasture. Several training-, track- and horse-related risk factors have been identified. However, there is no clear understanding of the inter-relationship between these factors. The aim of this longitudinal cohort study was to investigate risk factors for MSI in 2-year-old Thoroughbred racehorses. Australian Thoroughbred trainers were convenience sampled and enrolled in a 27-month longitudinal cohort study. The study population consisted of all 2-year-old ...
A case-control study of factors associated with pelvic and tibial stress fractures in Thoroughbred racehorses in training in the UK.
Preventive veterinary medicine    February 13, 2006   Volume 74, Issue 1 21-35 doi: 10.1016/j.prevetmed.2006.01.004
Verheyen KL, Newton JR, Price JS, Wood JL.Few epidemiological studies have investigated risk factors for musculoskeletal injury occurring in Thoroughbred racehorses during training, although it is the major cause of wastage in the racing industry. We recently conducted a large-scale epidemiological study to estimate the incidence of fracture in racehorses in training in the UK and to identify associated risk factors. Thirteen racehorse trainers provided data on horses in their care, with daily recording of training information and provision of details on any fractures incurred. Data were collected for 2 years, including two consecutiv...
Mechanical nociceptive thresholds in the axial skeleton of horses.
Equine veterinary journal    January 18, 2006   Volume 38, Issue 1 70-75 doi: 10.2746/042516406775374315
Haussler KK, Erb HN.An objective measure of neck, back and croup pain is needed in horses with musculoskeletal injuries, vague upper limb lameness or poor performance. Objective: To establish mechanical nociceptive thresholds (MNTs) within the axial skeleton and evaluate the effects of subject status and ridden exercise. Methods: Thirty-six mature horses (10 nonridden; 26 actively ridden) were used to assess MNTs evoked by a pressure algometer (PA) with a 1 cm2 rubber plunger tip at 62 midline and bilaterally symmetrical anatomical landmarks along the axial skeleton. Pressure was applied at a uniform rate of appl...
Rupture of the gastrocnemius muscle in six foals.
Journal of the American Veterinary Medical Association    December 29, 2005   Volume 227, Issue 12 1965-1929 doi: 10.2460/javma.2005.227.1965
Jesty SA, Palmer JE, Parente EJ, Schaer TP, Wilkins PA.Rupture of the gastrocnemius muscle and subsequent disruption of the reciprocal mechanism of the hind limb was diagnosed in 6 foals examined at 7 hours to 3 weeks of age. In 2 foals, the musculoskeletal injury was detected as an ancillary finding to clinical signs of neurologic dysfunction ascribed to hypoxic ischemic insult during delivery, whereas in the other 4 foals, musculoskeletal injury, manifested as inability to rise or stand unsupported, was the chief complaint at admission. Five foals had a history of dystocia and assisted delivery. Common clinical signs were inability to rise, disr...
Plasma leptin, ghrelin and adiponectin concentrations in young fit racehorses versus mature unfit standardbreds.
Veterinary journal (London, England : 1997)    December 27, 2005   Volume 173, Issue 1 91-100 doi: 10.1016/j.tvjl.2005.11.004
Gordon ME, McKeever KH, Betros CL, Manso Filho HC.Concentrations of hormones related to energy homeostasis may differ between populations with varied body compositions, acting as signals to increase or decrease energy intake and/or expenditure. How these parameters correlate with body composition in horses and how they vary in fit (F) versus unfit (UF) Standardbred racehorses is unclear. The purpose of this study was to test the hypothesis that plasma concentrations of glucose (GLU), insulin (INS), cortisol (CORT), ghrelin (GHRL), adiponectin (ADIP) and leptin (LEP) would be correlated with body composition and differ in fit (F) versus unfit ...
Upper airway dysfunction associated with collapse of the apex of the corniculate process of the left arytenoid cartilage during exercise in 15 horses.
Veterinary surgery : VS    December 14, 2005   Volume 34, Issue 6 543-547 doi: 10.1111/j.1532-950X.2005.00085.x
Dart AJ, Dowling BA, Smith CL.To report dynamic collapse of the apex of the left corniculate process under the right corniculate process into the airway at the dorsal apposition of the paired arytenoid cartilages during exercise as a cause of upper airway dysfunction in horses. Methods: Retrospective study. Methods: Fifteen horses with a history of poor performance and/or upper respiratory tract noise during exercise. Methods: Video recordings of all horses referred for upper airway evaluation using high-speed treadmill videoendoscopy (HSTV) between January 1998 and December 2003 were reviewed. Records of horses that devel...
Investigation of the immediate analgesic effects of extracorporeal shock wave therapy for treatment of navicular disease in horses.
Veterinary surgery : VS    December 14, 2005   Volume 34, Issue 6 554-558 doi: 10.1111/j.1532-950X.2005.00087.x
Brown KE, Nickels FA, Caron JP, Mullineaux DR, Clayton HM.To measure the acute analgesic properties of extracorporeal shock wave therapy (ESWT) in horses with navicular disease using objective ground reaction forces (GRF). Methods: Prospective study. Methods: Nine client-owned horses with unilateral forelimb lameness caused by navicular disease. Methods: Horses were trotted at 3 m/s over a force plate to record pre-treatment GRF of the lame and contra-lateral forelimbs. After ESWT of the lame limb, applied with a radial unit to each of the frog and heel bulb areas with 1500 pulses at 4 bar and 10 Hz, GRF measurements were repeated at 15 minutes and 2...
Effect of exercise intensity and repetition on heart rate variability during training in elite trotting horse.
International journal of sports medicine    December 2, 2005   Volume 26, Issue 10 859-867 doi: 10.1055/s-2005-837462
Cottin F, Médigue C, Lopes P, Petit E, Papelier Y, Billat VL.RR intervals of ten elite trotting horses were recorded during an interval training session performed on track. This study examined two hypotheses. Firstly, like in humans, the hyperpnea combined with a decrease in cardiac autonomic control on heart rate during heavy exercise could result in a prevalence of high frequency heart rate variability. Secondly, this prevalence could increase with the heavy exercise repetition. Two exercise intensities were compared: moderate (ME) and heavy (HE). Furthermore, heavy exercise repetitions were compared between the beginning and the end of the interval t...
Musculoskeletal responses of 2-year-old Thoroughbred horses to early training. Conclusions.
New Zealand veterinary journal    December 1, 2005   Volume 53, Issue 6 377-383 doi: 10.1080/00480169.2005.36581
Firth EC, Rogers CW.This paper summarises and presents in context the main findings of an extensive series of studies of early training lasting 13 weeks in which the tissue responses of 2-year-old Thoroughbred horses were assessed using a combination of methods. Negligible clinical injury was detected and thus the study fulfilled the intention of investigating adaptive change rather than injury. Cancellous and cortical bone, some digital tendons, and articular cartilage responded to early training exercise to a greater or lesser degree. Clinical examination and ancillary diagnostic aids currently in veterinary cl...
Use of color Doppler echocardiography to assess the development of valvular regurgitation in Standardbred trotters.
Journal of the American Veterinary Medical Association    November 30, 2005   Volume 227, Issue 10 1630-1635 doi: 10.2460/javma.2005.227.1630
Buhl R, Ersbøll AK, Eriksen L, Koch J.To evaluate the incidence and development of valvular regurgitation and its effect on racing performance in Standardbred trotters from 2 to 3.5 years of age. Methods: Longitudinal observational study. Methods: 103 horses. Methods: Horses were examined via echocardiographic imaging 4 times at 6-month intervals. Two-dimensional and M-mode echocardiographic examinations were performed in each horse, and color Doppler imaging was used to detect and evaluate regurgitant blood flow at each valve. Results: For all cardiac valves, the frequency of valvular regurgitation increased significantly during ...
Pulmonary artery wedge pressure during treadmill exercise in warmblood horses with atrial fibrillation.
Research in veterinary science    November 28, 2005   Volume 81, Issue 1 134-139 doi: 10.1016/j.rvsc.2005.09.008
Gehlen H, Bubeck K, Rohn K, Stadler P.The heart rate and the pulmonary artery wedge pressure (PWP) was measured in 10 healthy warmblood horses and in six warmblood horses with atrial fibrillation (AF) at rest and during standardised treadmill exercise. During treadmill exercise, the increase in heart rate was significantly higher in the horses with AF than in the healthy horses. Horses with AF showed a significantly higher increase in PWP at treadmill velocities of 5m/s and faster, than did the healthy horses. The differences in PWP between both groups increased with treadmill strain. The present study demonstrates that there is a...
Amino acid supplementation improves muscle mass in aged and young horses.
Journal of animal science    November 12, 2005   Volume 83, Issue 12 2783-2788 doi: 10.2527/2005.83122783x
Graham-Thiers PM, Kronfeld DS.The objective of the study was to evaluate the effect of supplementary AA on the ability to support muscle mass in aging horses. Sixteen horses of light horse type were used in a 2 x 2 factorial arrangement of treatments with two age groups [ or = 20 yr (average = 22.4 +/- 0.87 yr)] and two diet groups [no supplementation (N) or supplementary lysine and threonine (S; 20.0 and 15 g/d, respectively)]. Horses were fed the diets for 14 wk and received regular light exercise throughout the study. Body weight, BCS, and venous blood samples were taken every 2 wk. Plasma was analyzed for total protein...
Serum creatine kinase response to exercise during dexamethasone-induced insulin resistance in Quarter Horses with polysaccharide storage myopathy.
American journal of veterinary research    November 9, 2005   Volume 66, Issue 10 1718-1723 doi: 10.2460/ajvr.2005.66.1718
Firshman AM, Valberg SJ, Karges TL, Benedict LE, Annandale EJ, Seaquist ER.To determine effects of dexamethasone on insulin sensitivity, serum creatine kinase (CK) activity 4 hours after exercise, and muscle glycogen concentration in Quarter Horses with polysaccharide storage myopathy (PSSM). Methods: 4 adult Quarter Horses with PSSM. Methods: A 2 x 2 crossover design was used with dexamethasone (0.08 mg/kg) or saline (0.9% NaCl) solution administered IV every 48 hours. Horses were exercised on a treadmill daily for 3 wk/treatment with a 2-week washout period between treatments. Serum CK activity was measured daily 4 hours after exercise. At the end of each treatment...
Assessment of scintigraphic and thermographic changes after focused extracorporeal shock wave therapy on the origin of the suspensory ligament and the fourth metatarsal bone in horses without lameness.
American journal of veterinary research    November 9, 2005   Volume 66, Issue 10 1836-1842 doi: 10.2460/ajvr.2005.66.1836
Ringer SK, Lischer CJ, Ueltschi G.To monitor the effect of focused extra-corporeal shock wave therapy (ESWT) on bone and bone-tendon junction of horses without lameness by use of nuclear scintigraphy and thermography. Methods: 6 warmblood horses without lameness. Methods: The origin of the suspensory ligament at the metacarpus (OSL-MC) and the fourth metatarsal bone were treated at 2 time points (days 0 and 16) with 2,000 shocks applied by a focused ESWT device at an energy flux density of 0.15 mJ/mm2. One forelimb and 1 hind limb were treated, and the contralateral limbs served as controls. To document the effect of focused E...
Comparison on plasma caesium kinetics in goats and horses with special emphasis on exercising horses.
Acta physiologica Scandinavica    November 4, 2005   Volume 185, Issue 4 335-340 doi: 10.1111/j.1365-201X.2005.01489.x
Kaikkonen M, Hyyppä S.Like potassium (K+), caesium (Cs+) tends to concentrate intracellularly. The aim here was to determine how moderate exercise affects the uptake of Cs+ from blood plasma. Methods: After an intravenous Cs+ dose of 5 micromol kg(-1), plasma Cs+ concentration was followed for 100 min in goats and for 60 min in horses. The latter were divided into two groups, one resting and the other trotting on a treadmill (inclination 3 degrees, speed 5 m s(-1)). Results: The plasma Cs+ concentration follows a multiphase exponential decay curve, which initially could be approximated with a two-phase curve. The i...
Effect of exercise on scrotal surface temperature in the stallion.
Animal reproduction science    November 3, 2005   Volume 89, Issue 1-4 237-239 
Staempfli S, Janett F, Burger D, Kuendig H, Haessig M, Thun R.In this study the effect of exercise (treadmill, riding) on scrotal surface temperature (SST) in the stallion with and without suspensory was evaluated. Our results show that SST was significantly influenced by exercise and suspensory the latter causing in general a rise in SST. Furthermore, from SST measurements in stallions exercised on treadmill and by riding, it is concluded that air circulation near the scrotum must be considered an important thermoregulatory factor.
Predisposition for venoconstriction in the equine laminar dermis: implications in equine laminitis.
Journal of applied physiology (Bethesda, Md. : 1985)    November 3, 2005   Volume 100, Issue 3 759-763 doi: 10.1152/japplphysiol.00794.2005
Peroni JF, Moore JN, Noschka E, Grafton ME, Aceves-Avila M, Lewis SJ, Robertson TP.Equine laminitis is a crippling condition associated with a variety of systemic diseases. Although it is apparent that the prodromal stages of laminitis involve microvascular dysfunction, little is known regarding the physiology of this vasculature. The aim of the present study was to determine the relative responses of equine laminar arteries and veins to the vasoconstrictor agonists phenylephrine (1 nM-10 microM), 5-HT (1 nM-10 microM), PGF2alpha (1 nM-100 microM), and endothelin-1 (1 pM-1 microM). We have determined that laminar veins were more sensitive, with respect to the concentration o...
Transvascular fluid flux from the pulmonary vasculature at rest and during exercise in horses.
The Journal of physiology    November 3, 2005   Volume 570, Issue Pt 2 397-405 doi: 10.1113/jphysiol.2005.098723
Vengust M, Staempfli H, Viel L, Heigenhauser G.Exercise causes changes in pulmonary haemodynamics through redistribution of blood flow, increase in the pulmonary surface area, and increase in pulmonary vascular pressures. These changes contribute to the increase in fluid exchange across the alveolar-capillary barrier. To determine the extent of the fluid exchange across the alveolar-capillary barrier at rest and during exercise, six horses were exercised on a high-speed treadmill until fatigue. Arterial and mixed venous blood were sampled at rest and during exercise and recovery. Blood volume changes across the lung (DeltaBV; measured in p...
Prevalence of ulcers of the squamous gastric mucosa in standardbred horses.
Journal of veterinary internal medicine    October 20, 2005   Volume 19, Issue 5 744-750 doi: 10.1892/0891-6640(2005)19[744:pouots]2.0.co;2
Roy MA, Vrins A, Beauchamp G, Doucet MY.This study was performed to determine the prevalence of ulcers in the gastric squamous mucosa in Standardbred racehorses. Observations were performed at monthly intervals between the beginning of their training season and their 1st qualifying race. This study also identified risk factors at different levels of race training. Forty-eight Standardbred racehorses from 3 training stables in Quebec, Canada, were studied. Baseline historical information and gastroscopic findings were recorded at the beginning of the trial, and once a month thereafter, between December 2001 and June 2002, until the h...
Association between exercise-induced pulmonary hemorrhage and performance in Thoroughbred racehorses.
Journal of the American Veterinary Medical Association    September 24, 2005   Volume 227, Issue 5 768-774 doi: 10.2460/javma.2005.227.768
Hinchcliff KW, Jackson MA, Morley PS, Brown JA, Dredge AE, O'Callaghan PA, McCaffrey JP, Slocombe RE, Clarke AE.To determine whether exercise-induced pulmonary hemorrhage (EIPH) was associated with racing performance inThoroughbred horses not medicated with furosemide and not using nasal dilator strips. Methods: Observational cross-sectional study. Methods: 744 two- to 10-year-old Thoroughbred horses racing in Melbourne, Australia. Methods: Horses were enrolled prior to racing, and a tracheobronchoscopic examination was performed after 1 race. Examinations were recorded on videotape, and presence and severity (grade 0 to 4) of EIPH were subsequently determined by 3 observers blinded to the horses' ident...
Gastric ulcer development in horses in a simulated show or training environment.
Journal of the American Veterinary Medical Association    September 24, 2005   Volume 227, Issue 5 775-777 doi: 10.2460/javma.2005.227.775
McClure SR, Carithers DS, Gross SJ, Murray MJ.To determine whether conditions representing activities that are typical in the recreational use of horses, including transport to and from show grounds, stall confinement in unfamiliar surroundings, and light exercise, are associated with increased incidence of gastric ulcers in horses. Methods: Randomized controlled study. Methods: 20 client-owned horses. Methods: Horses had no gastric ulcers as determined by endoscopic examination on study day -1. Ten control horses were maintained on-site with no changes in management variables. Ten horses were transported via trailer for 4 hours on day 0 ...
Evaluation of horseshoe characteristics and high-speed exercise history as possible risk factors for catastrophic musculoskeletal injury in thoroughbred racehorses.
American journal of veterinary research    September 22, 2005   Volume 66, Issue 8 1314-1320 doi: 10.2460/ajvr.2005.66.1314
Hernandez JA, Scollay MC, Hawkins DL, Corda JA, Krueger TM.To evaluate horseshoe characteristics and high-speed exercise history as risk factors for catastrophic musculoskeletal injury in Thoroughbred racehorses. Methods: 377 horses (37,529 race starts). Methods: Shoe characteristics included material, toe grab height, heel traction device, pads, and rim shoes. Racing variables were obtained from a computerized database. Forty-three horses that had a musculoskeletal injury and then failed to race or train for 6 months (cases) and 334 noninjured horses from the same race in which a horse was injured (controls) were compared regarding risk factors. Resu...
Effect of exercise on iron metabolism in horses.
Biological trace element research    September 20, 2005   Volume 107, Issue 1 33-42 doi: 10.1385/BTER:107:1:033
Inoue Y, Matsui A, Asai Y, Aoki F, Matsui T, Yano H.We investigated the effect of exercise on iron metabolism in horses. Four horses were walked on a mechanical walker for 1 wk (pre-exercise). They then performed moderate exercise on a high-speed treadmill in the first week of the exercise and relative high in the second week and high in the third week. Serum iron was significantly lower in the third week of exercise than in the pre-exercise. Transferrin saturation (TS) was significantly lower in the first and third weeks of exercise than in the pre-exercise. Serum haptoglobin was significantly lower in the first week of exercise than in the pr...
Is there a characteristic distal tarsal subchondral bone plate thickness pattern in horses with no history of hindlimb lameness?
Equine veterinary journal    September 17, 2005   Volume 37, Issue 5 450-455 doi: 10.2746/042516405774479951
Branch MV, Murray RC, Dyson SJ, Goodship AE.Osteoarthritis (OA) is a common cause of distal tarsal pain, but disease development is poorly understood. Awareness of normal tarsal structure and function is important in order to understand the pathogenesis of OA. Thickening of the subchondral bone (SCB) plate has been related to the development of OA, but SCB plate patterns in the equine tarsus have not been documented. Objective: There is a repeatable pattern of SCB thickness across the distal tarsal joints, and specifically that thickness would be greatest dorsally and laterally. Methods: Twenty cadaver tarsi were collected from mature h...
Training-related factors associated with dorsometacarpal disease in young Thoroughbred racehorses in the UK.
Equine veterinary journal    September 17, 2005   Volume 37, Issue 5 442-448 doi: 10.2746/042516405774480085
Verheyen KL, Henley WE, Price JS, Wood JL.Dorsometacarpal disease (DMD) is common in young Thoroughbred (TB) racehorses, often interfering with their training programme. No reports exist on incidence rate or associated risk factors in the UK. Objective: To estimate the incidence rate of DMD in TB horses in training for flat racing in the UK and identify associated risk factors, particularly in relation to training regimens. Methods: Data were drawn from a large prospective study in which TB horses in 13 training yards were monitored for a period of up to 2 years, recording daily training information and details of musculoskeletal inju...
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