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Topic:Musculoskeletal System

The musculoskeletal system in horses encompasses the bones, muscles, tendons, ligaments, and joints that facilitate movement and provide structural support. This system is essential for locomotion, athletic performance, and overall health in equine species. The equine skeleton consists of approximately 205 bones, which are connected by joints and supported by a network of muscles and connective tissues. Tendons connect muscles to bones, while ligaments link bones to other bones, contributing to joint stability. The musculoskeletal system is subject to various conditions, including injuries, degenerative diseases, and developmental disorders, which can impact a horse's mobility and performance. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, pathology, and treatment of musculoskeletal conditions in horses.
The Usefulness of Mesenchymal Stem Cells beyond the Musculoskeletal System in Horses.
Animals : an open access journal from MDPI    March 25, 2021   Volume 11, Issue 4 doi: 10.3390/ani11040931
Cequier A, Sanz C, Rodellar C, Barrachina L.The differentiation ability of mesenchymal stem cells (MSCs) initially raised interest for treating musculoskeletal injuries in horses, but MSC paracrine activity has widened their scope for inflammatory and immune-mediated pathologies in both equine and human medicine. Furthermore, the similar etiopathogenesis of some diseases in both species has advanced the concept of "One Medicine, One Health". This article reviews the current knowledge on the use of MSCs for equine pathologies beyond the locomotor system, highlighting the value of the horse as translational model. Ophthalmologic and repro...
Muscle Fibre Architecture of Thoracic and Lumbar Longissimus Dorsi Muscle in the Horse.
Animals : an open access journal from MDPI    March 23, 2021   Volume 11, Issue 3 915 doi: 10.3390/ani11030915
Dietrich J, Handschuh S, Steidl R, Böhler A, Forstenpointner G, Egerbacher M, Peham C, Schöpper H.As the longissimus dorsi muscle is the largest muscle in the equine back, it has great influence on the stability of the spine and facilitates proper locomotion. The longissimus muscle provides support to the saddle and rider and thereby influences performance in the horse. Muscular dysfunction has been associated with back disorders and decline of performance. In general, muscle function is determined by its specific intramuscular architecture. However, only limited three-dimensional metrical data are available for the inner organisation of the equine longissimus dorsi muscle. Therefore, we a...
Differential Rotational Movement of the Thoracolumbosacral Spine in High-Level Dressage Horses Ridden in a Straight Line, in Sitting Trot and Seated Canter Compared to In-Hand Trot.
Animals : an open access journal from MDPI    March 20, 2021   Volume 11, Issue 3 888 doi: 10.3390/ani11030888
MacKechnie-Guire R, Pfau T.Assessing back dysfunction is a key part of the investigative process of "loss of athletic performance" in the horse and quantitative data may help veterinary decision making. Ranges of motion of differential translational and rotational movement between adjacent inertial measurement units attached to the skin over thoracic vertebrae 5, 13 and 18 (T5, T13, T18) lumbar vertebra 3 (L3) and tuber sacrale (TS) were measured in 10 dressage horses during trot in-hand and ridden in sitting trot/canter. Straight-line motion cycles were analysed using a general linear model (random factor: horse; fixed...
Electromyographic analysis of muscle activation of the trunk and lower limbs during human gait and hippotherapy using different ride mount materials.
Journal of bodywork and movement therapies    March 17, 2021   Volume 27 507-511 doi: 10.1016/j.jbmt.2021.02.013
Silva MAB, Lupianhes AFG, Lage JB, Sande LAP, Rosa RC, Lombardi LA, Espindula AP.Activation of the trunk and lower limb muscles, namely the multifidus, rectus abdominis, rectus femoris, and tibialis anterior, was analyzed using surface electromyographyin 40 young, healthy, and sedentary individuals. Methods: Data were collected from sneaker-clad subjects with independent gait and during hippotherapy using saddles and blankets, with the feet in and out of the stirrups. Results: Surface electromyography results demonstrated a statistically significantly greater activation of the rectus femoris comparison to tibialis anterior muscle during hippotherapy. No statistically signi...
Variation of skeletal muscle ultrasound imaging intensity in horses after treadmill exercise: a proof of concept for glycogen content estimation.
BMC veterinary research    March 16, 2021   Volume 17, Issue 1 121 doi: 10.1186/s12917-021-02818-9
Glycogen in skeletal muscle is a major source of energy during exercise and an important determinant of endurance capacity, so that its measurement may provide a meaningful marker of athletes' preparation and a possible predictor of performance, both in humans and in equines. Gold standard of glycogen concentration measurement is the histochemical and biochemical analysis of biopsy-derived muscle tissue, an invasive and potentially injuring procedure. Recently, high-frequency ultrasound (US) technology is being exploited in human sports medicine to estimate muscle glycogen content. Therefore, ...
Strain Elastography of Injured Equine Superficial Digital Flexor Tendons: A Reliability Study of Manual Measurements.
Animals : an open access journal from MDPI    March 12, 2021   Volume 11, Issue 3 795 doi: 10.3390/ani11030795
Secchi V, Masala G, Corda A, Corda F, Potop E, Barbero Fernandez A, Pinna Parpaglia ML, Sanna Passino E.Early diagnosis of tendon injuries and accurate long-term monitoring of the healing process are key for equine veterinarians that use conventional ultrasonography. The development of strain elastography could improve the management of clinical cases. The aim of the study was to assess the intraobserver repeatability and interobserver reproducibility of manual measurements of the colored areas of the tendons within elastograms and to standardize this manual modality by comparing the analysis of the images with ImageJ. Twenty elastograms of the injured superficial digital flexor tendons (SDFTs) ...
The equine navicular apparatus as a premier enthesis organ: Functional implications.
Veterinary surgery : VS    March 12, 2021   Volume 50, Issue 4 713-728 doi: 10.1111/vsu.13620
Osborn ML, Cornille JL, Blas-Machado U, Uhl EW.Navicular syndrome has been traditionally characterized by progressive lameness with chronic degeneration of the navicular bone. Advances in imaging techniques have revealed that its associated soft tissue structures are also affected. This distribution of lesions is explained by conceptualizing the equine navicular apparatus as an enthesis organ that facilitates the dissemination of mechanical stress throughout the tissues of the foot. The navicular apparatus has the same structural adaptations to mechanical stress as the human Achilles tendon complex. These adaptations efficiently dissipate ...
Minimally invasive tenotomy of the tibial insertion of the semitendinosus muscle: An ex vivo study in horses.
Veterinary surgery : VS    March 11, 2021   Volume 50, Issue 4 843-847 doi: 10.1111/vsu.13609
Zetterström SM, Boone LH, Weatherall KM, Caldwell FJ.To describe a minimally invasive technique for semitendinosus tenotomy with ultrasonographic guidance and to evaluate procedural complications. Methods: Experimental study. Methods: Cadaveric equine hind limbs (n = 16). Methods: A stab incision was performed distocaudal to the tibial insertion of the semitendinosus muscle with ultrasonographic assistance. After transection of the tendon with an arthroscopic retrograde knife, the tendon edges palpably retracted, and complete transection was confirmed by ultrasound. Limbs were dissected to confirm the degree of tendon transection and to identify...
Determination of Positional Parameters of the Distal Phalanx Within the Hoof Capsule in Sound Colombian Paso Horses.
Journal of equine veterinary science    March 8, 2021   Volume 101 103434 doi: 10.1016/j.jevs.2021.103434
Cardona GA, Uribe A, Ortved K.The economic relevance, populational importance and expansion of the Colombian Paso Horse to other latitudes calls for a growth in studies based on this type of horse. Lack of written reports about the relationship of the distal phalanx (DP) within the hoof in this gaited horse makes it important to establish a baseline to determine hoof health and possible alterations. The purpose of this study was to report, for the first time, the positional parameters of the distal phalanx, and its relationship within the hoof in sound Colombian Paso Horses. A latero-medial radiographic image of each dig...
A novel approach to thermographic images analysis of equine thoracolumbar region: the effect of effort and rider’s body weight on structural image complexity.
BMC veterinary research    March 2, 2021   Volume 17, Issue 1 99 doi: 10.1186/s12917-021-02803-2
Masko M, Borowska M, Domino M, Jasinski T, Zdrojkowski L, Gajewski Z.The horses' backs are particularly exposed to overload and injuries due to direct contact with the saddle and the influence of e.g. the rider's body weight. The maximal load for a horse's back during riding has been suggested not to exceed 20% of the horses' body weight. The common prevalence of back problems in riding horses prompted the popularization of thermography of the thoracolumbar region. However, the analysis methods of thermographic images used so far do not distinguish loaded horses with body weight varying between 10 and 20%. Results: The superficial body temperature (SBT) of the ...
Syndromic clubfoot beyond arthrogryposis and myelomeningocele: orthopedic treatment with Ponseti method.
Revista espanola de cirugia ortopedica y traumatologia (English ed.)    February 26, 2021   Volume 65, Issue 3 180-185 doi: 10.1016/j.recot.2020.09.005
Ferrando Meseguer E, Roig Sánchez S, Pino Almero L, Romano Bataller A, Mínguez Rey MF.Talipes equinovarus or clubfoot is a congenital deformity of the foot with bone, muscle, and tendon involvement. It's one of the most frequent foot malformations in pediatric orthopedics. Although generally idiopathic, it may have a syndromic cause and be associated with musculoskeletal, neurological, or connective tissue conditions. The treatment of choice in idiopathic clubfoot is the Ponseti method based on manipulation and fixation with serial casts that seek progressive correction of the deformity. The Ponseti method effectiveness has been demonstrated in arthrogryposis and myelomeningoce...
In vitro assessment of the motion of equine proximal sesamoid bones relative to the third metacarpal bone under physiologic midstance loads.
American journal of veterinary research    February 26, 2021   Volume 82, Issue 3 198-206 doi: 10.2460/ajvr.82.3.198
Shaffer SK, Sachs N, Garcia TC, Fyhrie DP, Stover SM.To assess the motion of the proximal sesamoid bones (PSBs) relative to the third metacarpal bone (MC3) of equine forelimbs during physiologic midstance loads. Methods: 8 musculoskeletally normal forelimbs (7 right and 1 left) from 8 adult equine cadavers. Methods: Each forelimb was harvested at the mid-radius level and mounted in a material testing system so the hoof could be moved in a dorsal direction while the radius and MC3 remained vertical. The PSBs were instrumented with 2 linear variable differential transformers to record movement between the 2 bones. The limb was sequentially loaded ...
Construction of a Realistic, Whole-Body, Three-Dimensional Equine Skeletal Model using Computed Tomography Data.
Journal of visualized experiments : JoVE    February 25, 2021   Issue 168 doi: 10.3791/62276
Lee AKK, Uhl EW, Osborn ML.Therapies based upon whole-body biomechanical assessments are successful for injury prevention and rehabilitation in human athletes. Similar approaches have rarely been used to study equine athletic injury. Degenerative osteoarthritis caused by mechanical stress can originate from chronic postural dysfunction, which, because the primary dysfunction is often distant from the site of tissue injury, is best identified through modeling whole-body biomechanics. To characterize whole-body equine kinematics, a realistic skeletal model of a horse was created from equine computed tomography (CT) data t...
Effect of Perineural Anesthesia on the Centre of Pressure (COP) Path During Stance Phase at Trot in Sound Horses.
Journal of equine veterinary science    February 24, 2021   Volume 101 103429 doi: 10.1016/j.jevs.2021.103429
Hagen J, Geburek F, Kathrinaki V, Naem MA, Roecken M, Hoffmann J.This study aimed to examine how short-term loss of proprioception in the equine foot influences the individual COP path during the stance phase of the trot in sound horses. Ten horses were evaluated to be objectively non-lame using the 'Equinosis Q System and subsequently examined using a portable pressure measuring system with pressure foils fixed directly underneath both front hooves prior to and after perineural anesthesia of the palmar digital nerves. The individual COP paths of both forelimbs was assessed prior to and after unilateral and bilateral abaxial sesamoid nerve blocks. COP from ...
Assessing mechanical behavior of ostrich and equine trabecular and cortical bone based on depth sensing indentation measurements.
Journal of the mechanical behavior of biomedical materials    February 23, 2021   Volume 117 104404 doi: 10.1016/j.jmbbm.2021.104404
Ramírez A CE, Hurtado-Macías A, Talamantes R, Flores E, Ladrón de Guevara HP, Delgado JI, Estrella RA, Riestra JM, Montes JM, Esmonde-White K....Guided bone regeneration surgeries are based on grafting a scaffold in the site to be repaired. The main focus of the scaffold is to provide mechanical support to newly formed blood vessels and cells that will colonize the grafted site, achiving bone regenertation. In this regards, the aim of this study was to characterize the anatomy, structular, surface morphologycal, chemical composition, and nanomechanical properties of ostrich and equine trabecular bone. Ostrich and equine specimens were obtained from a local abattoir and bone was obtained by blunt dissection, n = 5. Tissue bone anatomy...
Fluid Analysis in the Equine Patient: Cerebrospinal, Synovial, and Peritoneal Fluids.
The Veterinary clinics of North America. Equine practice    February 19, 2021   S0749-0739(21)00002-X doi: 10.1016/j.cveq.2021.01.002
Conrado FO, Beatty SSK.Fluid analysis is an important part of the diagnostic work-up of equine patients presenting with disorders of the nervous system, musculoskeletal system, and abdominal cavity. Proper specimen handling and processing are paramount for complete and accurate interpretation of fluid samples. Normal cerebrospinal fluid is a low-cellularity, low-protein fluid requiring specific sample handling to ensure accurate results. Joint and abdominal fluid analyses are completed in practice or submitted for analysis to a reference laboratory. This article discusses fluid sample handling and processing conside...
Markers of muscle atrophy and impact of treatment with pergolide in horses with pituitary pars intermedia dysfunction and muscle atrophy.
Domestic animal endocrinology    February 18, 2021   Volume 76 106620 doi: 10.1016/j.domaniend.2021.106620
Banse HE, Whitehead AE, McFarlane D, Chelikani PK.Pituitary pars intermedia dysfunction (PPID) is a common endocrine disorder of aged horses, with muscle atrophy as one of the clinical signs. We sought to compare muscle mass and regulation of skeletal muscle proteolysis between horses with PPID and muscle atrophy to older horses without PPID, and to assess the impact of treatment with pergolide (dopaminergic agonist) on PPID horses. We hypothesized that PPID-associated muscle atrophy is a result of increased proteolysis, and that markers of muscle atrophy and proteolysis would improve over time with pergolide treatment. Markers of muscle atro...
Implications of the neuroanatomy of the equine thoracolumbar vertebral column with regional anaesthesia and complications following desmotomy of the interspinous ligament.
Equine veterinary journal    February 15, 2021   Volume 53, Issue 4 649-655 doi: 10.1111/evj.13402
Derham AM, Schumacher J, O' Leary JM, Kelly G, Hahn CN.Impinging/overriding dorsal spinous processes (DSPs) of the thoracolumbar vertebrae are a common cause of poor performance in horses. In the last five decades, numerous surgical treatments have been reported on, from transverse transection of the affected DSPs, and endoscopic resection of the affected DSPs, to transection of the interspinous ligament. Until recently, cosmetic outcomes have been reported as good to excellent in studies. However, a previously unreported complication of neurogenic atrophy of the contralateral epaxial muscle following desmotomy of the interspinous ligament has bee...
Isolation of Mammalian Mesoangioblasts: A Subset of Pericytes with Myogenic Potential.
Methods in molecular biology (Clifton, N.J.)    February 13, 2021   Volume 2235 155-167 doi: 10.1007/978-1-0716-1056-5_11
Mesoangioblasts (MABs) are vessel-associated stem cells that express pericyte markers and are originally isolated from the embryonic dorsal aorta. From postnatal small vessels of skeletal muscle and heart, it is possible to isolate cells with similar characteristics to embryonic MABs. Adult MABs have the capacity to self-renew and to differentiate into cell types of mesodermal lineages upon proper culture conditions. To date, the origin of MABs and the relationship with other muscle stem cells are still debated. Recently, in a phase I-II clinical trial, intra-arterial HLA-matched MABs were pro...
Training Young Horses: The Science behind the Benefits.
Animals : an open access journal from MDPI    February 9, 2021   Volume 11, Issue 2 463 doi: 10.3390/ani11020463
Logan AA, Nielsen BD.Conflicting research and anecdotal evidence have created disagreement among equestrians as to whether two-year-old horses should be trained and raced. The objective of this literature review is to evaluate epidemiological studies, as well as physiological data on equine bone, articular cartilage, and tendons to better determine the impact of training and racing two-year-old horses. The evaluation of numerous studies on the topic provides evidence that a horse which is trained or raced as a two-year-old has a lower risk of injury and better adapted tissues for the rigors of racing. Unfortunatel...
Ground Reaction Forces of Dressage Horses Performing the Piaffe.
Animals : an open access journal from MDPI    February 8, 2021   Volume 11, Issue 2 436 doi: 10.3390/ani11020436
Clayton HM, Hobbs SJ.The piaffe is an artificial, diagonally coordinated movement performed in the highest levels of dressage competition. The ground reaction forces (GRFs) of horses performing the piaffe do not appear to have been reported. Therefore, the objective of this study was to describe three-dimensional GRFs in ridden dressage horses performing the piaffe. In-ground force plates were used to capture fore and hindlimb GRF data from seven well-trained dressage horses. Peak vertical GRF was significantly higher in forelimbs than in the hindlimbs (7.39 ± 0.99 N/kg vs. 6.41 ± 0.64 N/kg; < 0.001) with ve...
Equine Cervical Pain and Dysfunction: Pathology, Diagnosis and Treatment.
Animals : an open access journal from MDPI    February 6, 2021   Volume 11, Issue 2 422 doi: 10.3390/ani11020422
Story MR, Haussler KK, Nout-Lomas YS, Aboellail TA, Kawcak CE, Barrett MF, Frisbie DD, McIlwraith CW.Interest in the cervical spine as a cause of pain or dysfunction is increasingly becoming the focus of many equine practitioners. Many affected horses are presented for poor performance, while others will present with dramatic, sometimes dangerous behavior. Understanding and distinguishing the different types of neck pain is a starting point to comprehending how the clinical presentations can vary so greatly. There are many steps needed to systematically evaluate the various tissues of the cervical spine to determine which components are contributing to cervical pain and dysfunction. Osseous s...
Dietary conjugated linoleic acid supplementation alters skeletal muscle mitochondria and antioxidant status in young horses.
Journal of animal science    February 5, 2021   Volume 99, Issue 2 skab037 doi: 10.1093/jas/skab037
Mrugala D, Leatherwood JL, Morris EF, Dickson EC, Latham CM, Owen RN, Beverly MM, Kelley SF, White-Springer SH.Conjugated linoleic acid (CLA) improves oxidative stress and mitochondrial biogenesis in various species but has not been thoroughly investigated in horses. We collected blood and muscle samples from lightly exercising horses before and 6 and 12 wk after receiving either soybean oil (CON; n = 5) or CLA (CLA; n = 5) supplementation. Samples were analyzed for markers of mitochondrial characteristics, antioxidant status, oxidative stress, and muscle damage. Data were analyzed using a linear model with repeated measures. In the triceps brachii (TB), citrate synthase (CS) activity was higher in CON...
Muscle Function and Kinematics during Submaximal Equine Jumping: What Can Objective Outcomes Tell Us about Athletic Performance Indicators?
Animals : an open access journal from MDPI    February 5, 2021   Volume 11, Issue 2 414 doi: 10.3390/ani11020414
St George L, Clayton HM, Sinclair J, Richards J, Roy SH, Hobbs SJ.Selection and training practices for jumping horses have not yet been validated using objective performance analyses. This study aimed to quantify the differences and relationships between movement and muscle activation strategies in horses with varying jump technique to identify objective jumping performance indicators. Surface electromyography (sEMG) and three-dimensional kinematic data were collected from horses executing a submaximal jump. Kinematic variables were calculated based on equestrian-derived performance indicators relating to impulsion, engagement and joint articulation. Horses ...
Sprint Exercise of Juvenile Animals Does Not Impact Cartilage Glycosaminoglycan or Synovial Fluid Neopeptide Collagenase Cleavage of Type I and II Collagen Content.
Journal of equine veterinary science    February 3, 2021   Volume 101 103405 doi: 10.1016/j.jevs.2021.103405
Logan AA, Nielsen BD, Manfredi JM, Robison CI.Short sprints performed during growth can increase bone strength, mineral density, and cortical widths, but their impact on joint health is not fully understood. Some studies have found joints of young animals are damaged by forced sprints, while others found confinement hindered joint development. This study aimed to determine the impact of short sprints on synovial fluid neopeptide collagenase cleavage of type I and II collagen (C1,2C) and cartilage glycosaminoglycan (GAG) content. Calves were used as a model for young horses in this terminal study. Twenty-four Holstein bull calves were assi...
Comparative anatomy and morphology of the knee in translational models for articular cartilage disorders. Part I: Large animals.
Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft    February 3, 2021   Volume 235 151680 doi: 10.1016/j.aanat.2021.151680
Oláh T, Cai X, Michaelis JC, Madry H.The human knee is a complex joint, and affected by a variety of articular cartilage disorders. Large animal models are critical to model the complex disease mechanisms affecting a functional joint. Species-dependent differences highly affect the results of a pre-clinical study and need to be considered, necessitating specific knowledge not only of macroscopic and microscopic anatomical and pathological aspects, but also characteristics of their individual gait and joint movements. Methods: Literature search in Pubmed. Conclusions: This narrative review summarizes the most relevant anatomical s...
Effects of equine riding on static and dynamic mechanical contraction of the thighs and trunk muscles in inactive women.
Journal of back and musculoskeletal rehabilitation    February 2, 2021   Volume 34, Issue 4 521-535 doi: 10.3233/BMR-200008
Park S, Park S, Yoo J, Jee YS.This study investigated whether equine riding affects static or dynamic mechanical contractions on the thighs and trunk muscles in inactive women. Methods: Participants consisted of 30 women with a mean (SD) age of 21.06 (0.44) years. They were randomly allotted as follows: equine group (EQG, n= 15) and control group (CON, n= 15). Two types of muscle contraction properties in their thighs and trunk were measured through a tensiomyography (static muscle tester) and an isokinetic device (dynamic muscle tester), respectively. Using the body weights of EQG and CON as covariates, a 2-way between-gr...
Ex vivo effects of corticosteroids on equine deep digital flexor and navicular fibrocartilage explant cell viability.
American journal of veterinary research    January 23, 2021   Volume 82, Issue 2 125-131 doi: 10.2460/ajvr.82.2.125
Sullivan SN, Cole SL, Stewart MC, Brokken MT, Durgam S.To investigate the effects of triamcinolone acetonide (TA) and methylprednisolone acetate (MPA) on the viability of resident cells within the fibrocartilage on the dorsal surface of the deep digital flexor tendon (FC-DDFT) and fibrocartilage on the flexor surface of the navicular bone (FC-NB) of horses. Methods: 12 to 14 explants of FC-DDFT and of FC-NB from grossly normal forelimbs of 5 cadavers of horses aged 9 to 15 years without evidence of musculoskeletal disease. Methods: Explants were incubated with culture medium (control) or TA-supplemented (0.6 or 6 mg/mL) or MPA-supplemented (0.5 or...
The Risk Factors for Musculoskeletal Injuries in Thoroughbred Racehorses in Queensland, Australia: How These Vary for Two-Year-Old and Older Horses and with Type of Injury.
Animals : an open access journal from MDPI    January 21, 2021   Volume 11, Issue 2 doi: 10.3390/ani11020270
Crawford KL, Finnane A, Phillips CJC, Greer RM, Woldeyohannes SM, Perkins NR, Kidd LJ, Ahern BJ.Musculoskeletal injuries (MSI) continue to affect Thoroughbred racehorses internationally. There is a strong interest in developing training and management strategies to reduce their impact, however, studies of risk factors report inconsistent findings. Furthermore, many injuries and fatalities occur during training rather than during racing, yet most studies report racing data only. By combining racing and training data a larger exposure to risk factors and a larger number of musculoskeletal injuries are captured and the true effect of risk factors may be more accurately represented. Furtherm...
“Feel the Force”-Prevalence of Subjectively Assessed Saddle Fit Problems in Swiss Riding Horses and Their Association With Saddle Pressure Measurements and Back Pain.
Journal of equine veterinary science    January 20, 2021   Volume 99 103388 doi: 10.1016/j.jevs.2021.103388
Dittmann MT, Arpagaus S, Hungerbühler V, Weishaupt MA, Latif SN.Ill-fitting saddles can impair the well-being and performance of horses. Saddle fit is generally assessed subjectively by a trained professional or with an electronic saddle pressure mat, but little is known about the agreement between both methods. The study aims were (1) to assess the prevalence of saddle fit issues in a riding sound Swiss horse population, (2) to investigate how well the subjective assessment correlates with objectively measured pressure magnitude and distribution under the saddle during riding, and (3) how well both correlate with back pain of the horse. Only 10% of the sa...
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