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Topic:Muscle

The topic of muscle in horses encompasses the study of equine muscle structure, function, and physiology. Muscles in horses are responsible for movement, posture, and various metabolic processes. They are composed of muscle fibers that contract and relax to produce motion and generate force. Research in this area often focuses on muscle development, adaptation to exercise, and the impact of nutrition and training on muscle performance. Conditions such as muscle fatigue, injury, and disorders like equine exertional rhabdomyolysis are also explored. This page compiles peer-reviewed research studies and scholarly articles that investigate the anatomy, physiology, and clinical aspects of muscle in equine species.
The effect of intramuscular atipamezole on head height and sedation scores in detomidine-sedated horses.
Veterinary anaesthesia and analgesia    November 26, 2024   S1467-2987(24)00345-3 doi: 10.1016/j.vaa.2024.11.008
Mascarenhas C, Castro D, Lascola KM, Hofmeister E, Clark-Price SC.To assess the effect of two different doses of intramuscular atipamezole on head height (HH) in horses after sedation with detomidine. Methods: Randomized, blinded, triple crossover study. Methods: Eight healthy adult horses. Methods: Baseline HH was measured before detomidine (40 μg kg) was injected intravenously. HH was measured at 10 and 20 minutes after injection. Then, saline, atipamezole 60 μg kg (AT60) or 120 μg kg (AT120) was injected intramuscularly. HH measurements were repeated at 10 minutes intervals for 100 minutes. HH data were analyzed with a linear mixed model. Significance ...
The effect of long term astaxanthin supplementation on the antioxidant status of racing Arabian horses – preliminary study.
Scientific reports    November 14, 2024   Volume 14, Issue 1 27991 doi: 10.1038/s41598-024-77732-9
Giercuszkiewicz-Hecold B, Kulka M, Czopowicz M, Wilczak J, Szarska E, Strzelec K, Grzeczka A, Graczyk S, Hryniszyn A, Mularczyk M, Marycz K....Astaxanthin due to its strong antioxidant activity is believed to reduce oxidative stress and therefore is considered as feed additive in pathological conditions and also for the athletes. It is promoted by several equine web portals, however, data supporting that concept in horses is limited. Thus, the aim of this study was to evaluate the effect of astaxanthin supplementation on the parameters of oxidative status in 3 years old, racing Arabian horses during long term observation and the changes related to a single training session of high intensity. Six horses were supplemented with astaxant...
Gross Anatomy of the Equine Masseter Muscle: Lamination and Intramuscular Course of the N. Massetericus.
Anatomia, histologia, embryologia    October 27, 2024   Volume 53, Issue 6 e70000 doi: 10.1111/ahe.70000
Süß F, Guth S, Müller-Ehrenberg H, Röcken M, Staszyk C.The masticatory muscles of the horse are arranged in an asymmetrical pattern. Four individual muscles on the medial side of the mandible are opposed by one muscle (M. masseter) on the lateral side. However, recent studies on various herbivorous mammals indicate that the masseter muscle features a complex stratigraphic structure that might account for a functional diversity resembling an arrangement of several individual muscles. The functional consideration of the multidirectional equine masticatory movements leads to a similar hypothesis. In order to elucidate the detailed anatomy of the equi...
Postanesthetic rhabdomyolysis in 7 warmblood horses.
Journal of the American Veterinary Medical Association    October 25, 2024   Volume 263, Issue 2 248-258 doi: 10.2460/javma.24.08.0522
Hepworth-Warren KL, Goldsmith D, Tsoi M, Gerras A, Noll C, Pinn-Woodcock T, Moreira A, Penttila K, Ballou ME, Dembek KA, Valberg SJ.To describe the clinical findings, outcomes, and muscle histopathology in warmblood horses that developed severe rhabdomyolysis in the perianesthetic period despite remaining stable while under general anesthesia. Methods: 7 warmblood horses, 6 geldings and 1 mare, with a median age of 9 years (range, 4 to 18 years) and median weight of 615 kg (range, 550 to 703 kg). Records from the Valberg Neuromuscular Diagnostic Laboratory and Michigan State University were reviewed (2016 to 2023) to identify warmbloods with postanesthetic myopathy (PAM). Methods: Warmblood horses with no history of myopat...
Clinical and pathological findings of Africanized bee (Apis mellifera) envenomation in horses.
Toxicon : official journal of the International Society on Toxinology    October 19, 2024   Volume 251 108136 doi: 10.1016/j.toxicon.2024.108136
Costa Kamura BD, Albertino LG, Cavallari RR, Queiroz de Souza L, Rodrigues LT, Barros de Sousa Pereira I, Rocha NS, Takahira RK, Briscola Pereira WA....Africanized crossbred bees (Apis mellifera) originated in Brazil in 1957, and since then, the number of accidents involving humans and animals has significantly increased. Although they are considered clinical emergencies, there are few reports describing the clinical and pathological aspects of bee envenomation in horses. In this context, this report aims to describe the clinical and pathological features of bee toxicity after massive bee envenomation in three horses. The horses were referred to the veterinary hospital the day following the attack, and after clinical and laboratory examinatio...
Assessing muscle function and oxidative profile in criollo horses participating in long loop rodeo before and after exercise.
Brazilian journal of veterinary medicine    October 11, 2024   Volume 46 e005823 doi: 10.29374/2527-2179.bjvm005823
Pereira AT, Pozzobon R, Dos Anjos BL, Chaves LT, Smilgys ÉC, Thoma AJS, Lunkes VL, de Oliveira JS, de Andrade CM, Soares JCM.Criollo breed is quite popular in Brazil, mainly in the Southern Region, and the long loop rodeo is one of the main sports modality adapted to this breed. The purpose of this study was to assess changes in the muscle and oxidative functions caused by exercises practiced in this sports modality. Data such as exercising frequency, covered distance, mean duration time and number of runs, and blood samples at the following times: before the tournament, on the final day of the event, and 18-24 h after the end of the tournament were collected. Were assessed lactate and the enzymes aspartate aminotra...
A proteomics perspective on 2 years of high-intensity training in horses: a pilot study.
Scientific reports    October 10, 2024   Volume 14, Issue 1 23684 doi: 10.1038/s41598-024-75266-8
Johansson L, Ringmark S, Bergquist J, Skiöldebrand E, Widgren A, Jansson A.The human plasma proteome is rather well studied, but not that of other species, including horses. The aims of this study were to (1), explore differences in plasma proteomic profile of young elite harness trotters kept under standardised conditions and subjected to two different training programmes for 2 years and (2) explore changes in proteomic profile over time during the training period. From September at age 1.5 year to March at age 2 years, 16 Standardbred horses were exposed to the same training programme. In March, high-intensity training was introduced and the horses were divided int...
Gray fox (Urocyon cinereoargenteus) identified as a new intermediate host for Sarcocystis neurona.
Veterinary parasitology, regional studies and reports    September 28, 2024   Volume 56 101122 doi: 10.1016/j.vprsr.2024.101122
Dubey JP, Gupta A, Calero-Bernal R, de Araujo LS, García-Gil ML, Battle J, Ankarah A, Van Why K, Brown JD, Rosenthal BM.The protozoan Sarcocystis neurona can cause severe disease in horses, marine mammals, and several other animal species in North America. The Virginia opossum (Didelphis virginiana) is its definitive host, and the raccoon (Procyon lotor) has been considered its primary intermediate host in the USA. Although canids have not previously been identified as important intermediate hosts for this parasite, we here report several natural cases in the gray fox (Urocyon cinereoargenteus). We identified muscular infections in 11 (23.9 %) of 46 gray foxes from Pennsylvania, USA. In hematoxylin and eosin ...
Isolation of Toxoplasma gondii from the masseter muscles of equines destined for human consumption in a slaughterhouse in southern Brazil.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    September 25, 2024   Volume 49, Issue 1 121-129 doi: 10.1007/s12639-024-01744-5
de Oliveira UV, Varjão JL, de Jesus Deiró AG, Maciel BM, Silva FL, Pinheiro AM, Gondim LFP, Munhoz AD.The aim of this study was to isolate from equids destined for slaughter in a Brazilian slaughterhouse. A total of 354 equids were analyzed, with blood samples collected from all the animals and samples of masseter muscle and brain tissue collected from 319 animals. A serological test was conducted to detect equids with specific antibodies for . Molecular detection of by nested PCR was performed on the tissue samples collected. Tissue samples were tested by murine bioassay in an attempt to isolate either the parasite or the parasite DNA. Real-time PCR was performed on the brain samples from 1...
Electromyographic and behavioral analysis of horses submitted to medial patellar desmotomy.
Veterinary research communications    September 21, 2024   doi: 10.1007/s11259-024-10548-0
da Silva NV, Bernardino Júnior R, Nomelini QSS, Pereira GF, Delfiol DJZ, Nogueira GM.The passive stay apparatus works by blocking flexion of the knee and tarsus joints in the horse, preventing muscle fatigue. During ambulation, if this mechanism fails to release, the animal will present upward fixation of the patella, which in severe cases, can only be treated by medial patellar desmotomy (MPD). The objective of this study was to investigate the possible electromyographic and behavioral changes, after the impairment of the passive stay apparatus, in horses who have undergone MPD surgery. Five horses presenting dorsal fixation of the patella underwent electromyographic measurem...
Effects of hippotherapy on motor function of children with cerebral palsy: a systematic review study.
Italian journal of pediatrics    September 19, 2024   Volume 50, Issue 1 188 doi: 10.1186/s13052-024-01715-9
Cerebral palsy includes a spectrum of neurodevelopmental disorders caused by brain damage, leading to impairment of movement, posture, and balance for a lifetime. There are many therapeutic interventions for cerebral palsy. One of them is hippotherapy, an alternative physical therapy. It is a type of equine-assisted activity and therapy where children with cerebral palsy and motor function skills interact with a horse. We aimed to study the effects of hippotherapy, as an alternative therapy, on the motor function of children with cerebral palsy. We performed a review of the latest literature o...
Revealing the Therapeutic Potential of Muscle-Derived Mesenchymal Stem/Stromal Cells: An In Vitro Model for Equine Laminitis Based on Activated Neutrophils, Anoxia-Reoxygenation, and Myeloperoxidase.
Animals : an open access journal from MDPI    September 14, 2024   Volume 14, Issue 18 doi: 10.3390/ani14182681
Serteyn D, Storms N, Mouithys-Mickalad A, Sandersen C, Niesten A, Duysens J, Graide H, Ceusters J, Franck T.Laminitis in horses is a crippling condition marked by the deterioration of the dermal-epidermal interface, leading to intense lameness and discomfort, often necessitating euthanasia. This study aimed to establish an in vitro model of laminitis using a continuous keratinocyte cell line exposed to anoxia-reoxygenation and an activated neutrophil supernatant. A significant decrease in the keratinocytes' metabolism was noted during the reoxygenation period, indicative of cellular stress. Adding muscle-derived mesenchymal stem/stromal cells during the reoxygenation demonstrated a protective effect...
Anatomy of the Right and Left Ventricular Subvalvular Apparatus of the Horse (Equus caballus).
Animals : an open access journal from MDPI    September 3, 2024   Volume 14, Issue 17 2563 doi: 10.3390/ani14172563
Bielińska K, Butkiewicz AF, Ziemak H, Zdun M.Due to the growing interest among veterinarians and the increasing market demands, the development of equine cardiology is necessary. Currently, veterinary medicine for companion animals needs to catch up to human medicine-equine medicine included. A common condition in older horses is aortic valve regurgitation resulting from fibrosis, while its more severe form occurs in younger horses or develops due to a bacterial infection. Mitral valve regurgitation, especially dangerous due to the possibility of sudden death, has a better prognosis if the horse has valve prolapse. Tricuspid valve regurg...
Man versus horse: who wins?
Nature    August 27, 2024   doi: 10.1038/d41586-024-02667-0
No abstract available
The effect of the fat to starch ratio in young horses’ diet on plasma metabolites, muscle endurance and fear responses.
Journal of animal physiology and animal nutrition    August 20, 2024   Volume 109, Issue 1 113-123 doi: 10.1111/jpn.14037
Lashkari S, Beblein C, Christensen JW, Jensen SK.High-starch diets may affect equine hindgut microbiota and increase blood glucose levels, which may cause unwanted physiological changes, but may also elicit behavioural changes such as increased fear reactions. The purpose of the current study was to feed a high starch (300) and low fat (43; HS_LF) or a low starch (60) and high fat (85; LS_HF, g/kg of DM) concentrate within the available commercial range and investigate how muscle endurance and fear reactions of horses respond to different diets. Twenty Danish Warmblood stallions (4 years) were randomly allocated to two treatments: LS_HF (nâ€...
Effect of balanced vs. standard protein on muscle mass development in exercising horses.
Translational animal science    August 16, 2024   Volume 8 txae118 doi: 10.1093/tas/txae118
Graham-Thiers PM, Bowen LK.Twelve horses weighing 570 ± 35 kg were split into two groups (standard protein, STD, and balanced protein, BAL) to evaluate the effect of balanced vs. unbalanced protein on muscle mass. Groups were fed grass hay and a 12% CP feed (one formulated for balanced protein). Horses were out of work for 14 wk prior and participated in 1 to 2 h of light-to-moderate exercise 5 d/wk for 12 wk. A 4-d total urine and feces collection period was conducted at the start and end of the study. Urine and feces samples were analyzed for nitrogen (N) to calculate N balance. Muscle mass status was evalua...
Correlation between kinematic parameters, ataxia and ground-to-lip distance in detomidine sedated horses.
Equine veterinary journal    August 14, 2024   doi: 10.1111/evj.14207
Izquierdo-Moreno J, de Paz MI, Manso-Díaz G, Villalba-Orero M, López-Sanromán J.An accurate evaluation of the degree of sedation is mandatory to adjust the dosage of sedative drugs. Objective: To determine the correlation between head height above the ground and ataxia degree in horses sedated with detomidine and the correlation existing between accelerometric variables and both parameters. Methods: Retrospective study. Methods: Twelve horses were given 0.01 mg/kg of detomidine hydrochloride iv. Measured accelerometric parameters, with one accelerometer positioned between both sacral tuberosities, included speed, stride frequency and length, regularity, dorsoventral, lo...
Enhancing the Horse Grimace Scale (HGS): Proposed updates and anatomical descriptors for pain assessment.
Veterinary journal (London, England : 1997)    August 12, 2024   Volume 307 106223 doi: 10.1016/j.tvjl.2024.106223
Werner LC, de Oliveira GM, Daros RR, Costa ED, Michelotto PV.The use of grimace scales enables the clinical identification of changes in the facial expressions of animals caused by pain. The Horse Grimace Scale (HGS) is one such tool, comprising a pain coding system based on facial expressions and assessing six Facial Action Units (FAUs). Each FAU is accompanied by descriptions and anatomical details to assist the evaluator. However, the morphological descriptions for certain FAUs in the HGS are not sufficiently detailed, potentially hindering accurate interpretation. This study is an analytical investigation aimed at enhancing the morphoanatomical deta...
Effects of pacing strategy on metabolic responses to 2-min intense exercise in Thoroughbred horses.
Scientific reports    August 7, 2024   Volume 14, Issue 1 18352 doi: 10.1038/s41598-024-69339-x
Takahashi K, Mukai K, Ebisuda Y, Sugiyama F, Yoshida T, Hatta H, Kitaoka Y.Evidence suggests that positive pacing strategy improves exercise performance and fatigue tolerance in athletic events lasting 1-5 min. This study investigated muscle metabolic responses to positive and negative pacing strategies in Thoroughbred horses. Eight Thoroughbred horses performed 2 min treadmill running using positive (1 min at 110% maximal O uptake [V̇Omax], followed by 1 min at 90% V̇Omax) and negative (1 min at 90% V̇Omax, followed by 1 min at 110% V̇Omax) pacing strategies. The arterial-mixed venous O difference did not significantly differ between the two strategies. Pl...
Equine Sarcocystosis in the Northern Region of the Republic of Kazakhstan.
Animals : an open access journal from MDPI    August 7, 2024   Volume 14, Issue 16 2299 doi: 10.3390/ani14162299
Bermukhametov Z, Suleimanova K, Tomaruk O, Baimenov B, Shevchenko P, Batyrbekov A, Mikniene Z, Onur GiriÅŸgin A, Rychshanova R.A total of 396 samples were taken from the hearts, oesophagi, and diaphragms of 132 horses slaughtered at slaughterhouses in 2023 for subsequent examination. Methods: The histological method revealed pathomorphological changes in the muscle tissue. The molecular method identified the pathogen species. Results: Histological examination revealed thick-walled cysts with internal septa and numerous bradyzoites, and mononuclear inflammatory cells with pericyst infiltrates. Microcyst samples were amplified by polymerase chain reaction. Molecular genetic analysis allowed for the identification of 18 ...
Nerve entry points in the mimic musculature of the horse head.
Anatomia, histologia, embryologia    August 5, 2024   Volume 53, Issue 5 e13099 doi: 10.1111/ahe.13099
Wolschrijn CF, Smit IH, Schouten J, Moller Te NCR.Facial expressions are important in pain recognition in horses, but current observation-based pain scales remain subjective. A promising technique to quantitatively measure subtle changes in expression patterns, including changes invisible to the human eye, is surface electromyography (sEMG). To achieve high-quality and reliable sEMG signals, unilateral placement of bipolar electrodes is required in relation to the motor endplates (MEP). We aimed to localize the nerve entry points (NEPs; where the nerve branch first pierced the muscle belly) and the direction of the terminal nerve endings to e...
Return to sport activity following ultrasonographic diagnosis and conservative management of spontaneous injuries of the serratus cervicis ventralis and serratus thoracis ventralis muscles in 11 endurance horses.
Journal of the American Veterinary Medical Association    August 2, 2024   1-6 doi: 10.2460/javma.24.03.0211
Puccetti M, Pilati N, Beccati F, Denoix JM.To describe the clinical diagnosis, ultrasound findings, and outcome of 11 endurance horses with injuries to the serratus ventralis thoracis (SVT) or serratus ventralis cervicis (SVC) muscle. Methods: 11 endurance horses competing in medium- to high-level competitions and presenting with lameness caused by injuries to the SVT or SVC muscle, as confirmed by ultrasonography. Methods: Physical examinations revealed swelling caudal to the shoulder region associated with dorsocranial displacement of the scapula and edema of the ventral thorax for horses with SVT injuries. Swelling cranial to the sc...
Culture and Immunomodulation of Equine Muscle-Derived Mesenchymal Stromal Cells: A Comparative Study of Innovative 2D versus 3D Models Using Equine Platelet Lysate.
Cells    July 31, 2024   Volume 13, Issue 15 1290 doi: 10.3390/cells13151290
Duysens J, Graide H, Niesten A, Mouithys-Mickalad A, Deby-Dupont G, Franck T, Ceusters J, Serteyn D.Muscle-derived mesenchymal stromal cells (mdMSCs) hold great promise in regenerative medicine due to their immunomodulatory properties, multipotent differentiation capacity and ease of collection. However, traditional in vitro expansion methods use fetal bovine serum (FBS) and have numerous limitations including ethical concerns, batch-to-batch variability, immunogenicity, xenogenic contamination and regulatory compliance issues. This study investigates the use of 10% equine platelet lysate (ePL) obtained by plasmapheresis as a substitute for FBS in the culture of mdMSCs in innovative 2D and 3...
Large-scale study of blood markers in equine atypical myopathy reveals subclinical poisoning and advances in diagnostic and prognostic criteria.
Environmental toxicology and pharmacology    July 18, 2024   Volume 110 104515 doi: 10.1016/j.etap.2024.104515
Renaud B, Kruse CJ, François AC, Cesarini C, van Loon G, Palmers K, Boemer F, Luis G, Gustin P, Votion DM.Equine atypical myopathy (AM) is a severe rhabdomyolysis syndrome primarily caused by hypoglycin A (HGA) and methylenecyclopropylglycine protoxins. This study aimed to refine diagnostic and prognostic criteria for AM while exploring apparently healthy cograzers. Blood samples from 263 horses, including AM cases (n= 95), cograzers (n= 73), colic horses (n= 19), and controls (n= 76), were analyzed for HGA, its toxic metabolite, and acylcarnitines profile. Diseased horses exhibited alterations in acylcarnitines that strongly distinguished them from controls and colic horses. Regression analyses i...
The efficacy of an eight-week exercise program for the management of chronic low back pain in the equestrian population.
The Journal of sports medicine and physical fitness    July 17, 2024   Volume 64, Issue 11 1188-1193 doi: 10.23736/S0022-4707.24.15830-6
Weeks RA, McLAUGHLIN PA, Vaughan BR.Equestrians (horse riders) are more susceptible to low back pain than the general population due to loads placed on their bodies during the activity. A specific eight-week exercise intervention program targeting the muscles used during horse riding was implemented for a group of equestrians with low back pain. Methods: Volunteers were invited to participate in the study through social media posts in Melbourne, Australia. The participants were required to complete an exercise screening test prior to enrolment in the study to ensure they were suitable to participate in the iteration program. Par...
Changes of mRNA, miRNA and lncRNA expression contributing to skeletal muscle differences between fetus and adult Mongolian horses.
Comparative biochemistry and physiology. Part D, Genomics & proteomics    July 16, 2024   Volume 52 101294 doi: 10.1016/j.cbd.2024.101294
Ding W, Gong W, Liu H, Hu H, Shi L, Ren X, Cao Y, Zhang A, Shi X, Li Z, Bou T, Dugarjaviin M, Bai D.The growth and development of myofibers, as the fundamental units comprising muscle tissue, and their composition type are indeed among the most crucial factors influencing skeletal muscle types. Muscle fiber adaptation is closely associated with alterations in physiological conditions. Muscle fiber types undergo dynamic changes in fetus and adult horses. Our aim is to investigate the mechanisms influencing the differences in muscle fiber types between fetal and adult stages of Mongolian horses. The study investigated the distribution of muscle fiber types within longissimus dorsi muscle of fe...
Muscle-Driven Predictive Physics Simulations of Quadrupedal Locomotion in the Horse.
Integrative and comparative biology    July 14, 2024   Volume 64, Issue 3 694-714 doi: 10.1093/icb/icae095
van Bijlert PA, Geijtenbeek T, Smit IH, Schulp AS, Bates KT.Musculoskeletal simulations can provide insights into the underlying mechanisms that govern animal locomotion. In this study, we describe the development of a new musculoskeletal model of the horse, and to our knowledge present the first fully muscle-driven, predictive simulations of equine locomotion. Our goal was to simulate a model that captures only the gross musculoskeletal structure of a horse, without specialized morphological features. We mostly present simulations acquired using feedforward control, without state feedback ("top-down control"). Without using kinematics or motion captur...
Characterisation of phenotypic patterns in equine exercise-associated myopathies.
Equine veterinary journal    July 5, 2024   doi: 10.1111/evj.14128
Lindsay-McGee V, Massey C, Li YT, Clark EL, Psifidi A, Piercy RJ.Equine exercise-associated myopathies are prevalent, clinically heterogeneous, generally idiopathic disorders characterised by episodes of myofibre damage that occur in association with exercise. Episodes are intermittent and vary within and between affected horses and across breeds. The aetiopathogenesis is often unclear; there might be multiple causes. Poor phenotypic characterisation hinders genetic and other disease analyses. Objective: The aim of this study was to characterise phenotypic patterns across exercise-associated myopathies in horses. Methods: Historical cross-sectional study, w...
Timing of feeding a protein supplement on nitrogen balance and plasma amino acids during exercise recovery in horses.
Journal of animal physiology and animal nutrition    July 2, 2024   doi: 10.1111/jpn.14012
Graham-Thiers P, Bowen K.Eight geldings weighing 544 ± 16 kg were used to evaluate feeding a postexercise protein meal on plasma amino acids during recovery. Horses were fed sweet feed, corn, grass hay and equal amounts of a protein pellet (32% CP) with meals (MP group) or postexercise (EP group). Horses exercised 1-2 h/day, 5 days/week, for 12 weeks. A pre and poststudy 4 days total urine and feces collection was conducted. Urine and fecal samples were analyzed for nitrogen (N) to calculate N balance. Blood samples were drawn immediately after and at 1 and 3 h postexercise at the start and end of the stud...
Physiological comparison of conditioned and non-conditioned university horses following semester break.
Journal of equine veterinary science    June 28, 2024   105143 doi: 10.1016/j.jevs.2024.105143
Stellmack JM, Logan AA, Higgins AH, Hoffman RM.Periods of limited activity during semester break may reduce performance during return to ridden work. This study evaluated fitness and muscling of horses when returning to work, following a 12-week period during which horses either continued (conditioned) or discontinued (non-conditioned) ridden work. It was hypothesized that non-conditioned horses would have a lower level of fitness, resulting in higher resting and peak heart rates and lower levels of muscling. Twelve mature, stock type horses aged 16 ± 5 years were assigned to either a conditioned group that maintained light-to-moderate ri...
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