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Topic:Noninvasive Procedures

Noninvasive procedures in horses refer to diagnostic and therapeutic techniques that do not require incision into the body or removal of tissue. These procedures are designed to minimize discomfort and risk to the animal while providing valuable information for veterinary care. Common noninvasive methods include ultrasonography, thermography, and endoscopy, which allow for the examination of internal structures without surgery. Additionally, techniques such as laser therapy and extracorporeal shock wave therapy are employed for treatment purposes. These procedures are beneficial for assessing and managing a variety of conditions, including musculoskeletal disorders and soft tissue injuries. This page compiles peer-reviewed research studies and scholarly articles that explore the application, effectiveness, and advancements of noninvasive procedures in equine medicine.
Equine Corneal Stromal Invasive Squamous Cell Carcinoma: Clinical and in Vivo Confocal Microscopic Features of 7 Cases.
Veterinary ophthalmology    February 24, 2026   Volume 29, Issue 2 e70158 doi: 10.1111/vop.70158
Ledbetter EC, Knickelbein KE, Irby NL, Schmidt C.To describe the clinical and in vivo confocal microscopy (IVCM) characteristics of horses with corneal stromal invasive squamous cell carcinoma (CSI-SCC). Methods: Retrospective study of 7 horses with histopathologically confirmed unilateral CSI-SCC. Methods: Horses with corneal CSI-SCC were examined by laser scanning IVCM. Signalment, clinical findings, and histopathology results were compared with IVCM findings. Results: Clinical ocular lesions in all horses included a heavily vascularized, opaque, gray or tan, anterior or midstromal opacity invading the cornea from the limbus. The corneal ...
Standing superficial keratectomy provides long-term control of epithelial and stromal equine immune-mediated keratitis.
Journal of the American Veterinary Medical Association    February 13, 2026   1-7 doi: 10.2460/javma.25.11.0754
Toddy T, Ledbetter EC, Knickelbein KE.To describe the demographics and treatment outcomes of horses definitively diagnosed with epithelial or stromal immune-mediated keratitis (IMMK) by use of in vivo confocal microscopy (IVCM) and/or histopathology. Unassigned: Medical records of horses presented to the Cornell University Equine Hospital definitively diagnosed with epithelial or stromal IMMK with IVCM and/or histopathology between 2020 and 2024 were reviewed. Patient signalment, affected eye(s), diagnostics, treatments, and outcomes were assessed. Unassigned: 22 horses met the inclusion criteria. The mean age was 16.9 years (SD, ...
Translational human and equine regenerative medicine in musculoskeletal conditions.
Journal of equine veterinary science    February 1, 2026   Volume 158 105798 doi: 10.1016/j.jevs.2026.105798
Bosman LM, Logan MG, Miszewski A, Pepper MS.Translational regenerative medicine, integrating human and veterinary approaches within the "One Health" framework, increasingly uses horses as models for human musculoskeletal conditions due to shared anatomical and functional features. Osteoarthritis and tendon disorders affect both species, often resulting from high-impact or repetitive strain activities. Regenerative medicine offers therapeutic opportunities by promoting tissue repair and modulating inflammation. Cellular orthobiologics such as mesenchymal stromal/stem cells (MSCs) show promise for treating osteoarthritis and tendon injuri...
Left and right-side echocardiographic measurement of pulmonary artery stiffness in thoroughbred racehorses.
Journal of equine veterinary science    January 19, 2026   Volume 158 105784 doi: 10.1016/j.jevs.2026.105784
Bozzola C, Stucchi L, Sala G, Schinardi L, Stancari G, Zucca E.Pulmonary Artery Stiffness (PAS) is a non-invasive echocardiographic index of pulmonary artery elasticity. In horses, PAS has been measured only from the right parasternal short-axis view, while the influence of alternative imaging windows remains unknown. Objective: To assess the repeatability and reproducibility of Acceleration Time (AT), Maximal Frequency Shift (MFS), and PAS measurements from the left parasternal angled view of the right ventricular inflow/outflow, and to compare these parameters with those obtained from the right parasternal short-axis view in Thoroughbred racehorses. Met...
Multiplanar intersegmental angular velocity in the assessment of topline movement in horses.
American journal of veterinary research    January 19, 2026   1-10 doi: 10.2460/ajvr.25.09.0331
Ursini TL, Clayton HM, Levine D, Richards J.To measure intersegmental movement in the sagittal, dorsal, and transverse planes of the cranial thoracic to caudal thoracic, caudal thoracic to lumbar, and lumbar to sacral segments using range of motion and angular velocity as measures of quality of movement. Unassigned: 6-degrees-of-freedom spinal motion was measured at the walk and trot in 3 sound Thoroughbred and Thoroughbred cross horses, and the data were pooled, giving a total of 54 gait cycles at walk and 33 at trot. These were compared against 8 cycles at walk and 13 at trot from 1 Thoroughbred horse that was confirmed as having mode...
The Effect of Magnetotherapy on Back Pain Sensitivity and Muscle Tension in Recreational Horses-A Pilot Study.
Animals : an open access journal from MDPI    December 26, 2025   Volume 16, Issue 1 77 doi: 10.3390/ani16010077
Jastrzębska E, Dobbek D, Pawłowska A.Back pain in horses is a frequent musculoskeletal issue that affects performance and welfare. Magnetotherapy has been proposed as a complementary, non-invasive treatment to reduce pain and support soft tissue recovery, but studies in horses remain limited. This pilot study aimed to evaluate the effects of low-frequency pulsed magnetic field therapy on horses with hypersensitivity to palpation along the longissimus dorsi muscle. Four recreational horses participated in a 10-session magnetotherapy program, with changes assessed using palpation, neck flexibility tests, heart rate measurements and...
Variation in Four Horse Gait Categories Illustrated by Quantitative Analysis With ANALOC-E.
Veterinary medicine international    August 6, 2025   Volume 2025 4906015 doi: 10.1155/vmi/4906015
Staiger EA, Pereira de Toledo A, Rizzato Paschoal V, Patterson Rosa L.Horse gaits are a trait highly selected and prized in diverse breeds. Meanwhile, gait classification relies mostly on subjective visual observations by evaluators. Noninvasive equipment able to track locomotion in horses and output quantitative gait parameters is not only helpful in evaluating locomotion but also in designating gait types and its variations. Equine locomotion pattern designation based solely on observer evaluation can be subjective; therefore, utilizing tools that provide quantitative results and track individual limb movements, especially during intermediate-speed gaits, can ...
A Markerless Approach for Full-Body Biomechanics of Horses.
Animals : an open access journal from MDPI    August 5, 2025   Volume 15, Issue 15 2281 doi: 10.3390/ani15152281
Shaffer SK, Medjaouri O, Swenson B, Eliason T, Nicolella DP.The ability to quantify equine kinematics is essential for clinical evaluation, research, and performance feedback. However, current methods are challenging to implement. This study presents a motion capture methodology for horses, where three-dimensional, full-body kinematics are calculated without instrumentation on the animal, offering a more scalable and labor-efficient approach when compared with traditional techniques. Kinematic trajectories are calculated from multi-camera video data. First, a neural network identifies skeletal landmarks (markers) in each camera view and the 3D location...
Does Low-Field MRI Tenography Improve the Detection of Naturally Occurring Manica Flexoria Tears in Horses?
Animals : an open access journal from MDPI    July 31, 2025   Volume 15, Issue 15 2250 doi: 10.3390/ani15152250
Aßmann AD, Sànchez-Andrade JS, Argüelles D, Bischofberger AS.Diagnosing digital flexor tendon sheath (DFTS) pathologies, particularly manica flexoria (MF) tears, can be challenging with standard imaging modalities. Standing low-field MRI tenography (MRIt) may improve the detection rate of MF tears. This study aimed to compare ultrasonography, contrast radiography, pre-contrast MRI, and MRIt to detect naturally occurring MF lesions in horses undergoing tenoscopy. Ten horses with a positive DFTS block, which underwent contrast radiography, ultrasonography, MRI, MRIt, and tenoscopy were included. Two radiologists evaluated the images and recorded whether a...
Artificial intelligence in smartphone video analysis for equine asthma diagnostic support.
Equine veterinary journal    July 21, 2025   doi: 10.1111/evj.14559
Gomes C, Coheur L, Tilley P.Equine asthma is a prevalent respiratory disease that negatively impacts horses' health and athletic performance. Traditional diagnostic methods are invasive and require specialised equipment. There is a need for a non-invasive, cost-effective screening tool that can be used by veterinarians and horse handlers in ambulatory settings. Objective: To assess the willingness of veterinarians and horse handlers to adopt such a tool (Questionnaire 1) and the challenges associated with visually recognising equine asthma (Questionnaire 2) and to develop EquiBreathe, an artificial intelligence (AI)-powe...
Non-contrast enhanced visualization of the equine foot vasculature in a cadaver model using time-of-flight sequence.
Frontiers in veterinary science    July 18, 2025   Volume 12 1585940 doi: 10.3389/fvets.2025.1585940
Underberg BA, Kaessmeyer S, Schweizer D, Drews B, Van der Vekens E.The objective of this study was to establish a non-contrast enhanced MR angiography (NC-MRA) sequence for the equine foot (EF) using a post-mortem angiography model. Unassigned: Time-of-flight (TOF) sequences were tested using variable parameter settings and 3 slice orientations during vascular perfusion of frozen-thawed cadaver EF with paraffine oil. Transverse and dorsal orientations were planned perpendicular or parallel to the sublamellar vascular plexus at the dorsal aspect of P3, or approximately perpendicular to the coronary plexus. Visibility of the coronary plexus, sublamellar plexus,...
Preimplantation genetic testing in horses: biopsy of Piezo-ICSI embryos for sex, coat color, and disease alleles.
Theriogenology    June 11, 2025   Volume 246 117525 doi: 10.1016/j.theriogenology.2025.117525
Barandalla M, Colleoni S, Perota A, Galli C, Lazzari G.The introduction of ovum pick-up, Intracytoplasmic Sperm Injection (ICSI) and in vitro embryo production in equine reproduction offers significant advantages, including overcoming infertility, high blastocyst yields, embryo cryopreservation, and preimplantation genetic testing (PGT) by collecting few cells extruded spontaneously during embryo growth using a mouth pipette. PGT enables embryo selection before transfer and is particularly useful in breeds with a preference for specific offspring genders, coat color, and detecting genetic diseases. Here, we present the first large-scale validation...
Evaluation of a thermal camera in measuring surface temperature in horses.
Journal of equine veterinary science    May 31, 2025   Volume 151 105614 doi: 10.1016/j.jevs.2025.105614
Ribeiro RM, Oliveira TO, Ribeiro DSF.The use of thermal cameras in horses has proven effective for monitoring surface body temperature non-invasively, enabling the early identification of disease and inflammation. This study evaluated the agreement between a thermal camera compared to an infrared thermometer in the measurement of surface temperatures of 60 healthy horses (27 mares, 33 stallions; 7.88 ± 4.01 years; 466 ± 50.1 kg). Measurements were taken at the neck, thorax, and coronary band between 8:00-9:00 a.m., under controlled environmental conditions. Analysis revealed strong correlations between the two methods at the co...
Equine Standing Multidetector Computed Tomography of the Distal Thoracic Limb and Tarsus Has a Lower Cumulative Radiation Dose than Digital Radiography. Gaida JL, Steinberg T, Stieger-Vanegas SM, Merle R, Lischer CJ.Recent technological advancements in CT have improved the ability to scan standing sedated horses. However, the impact of radiation exposure on veterinary staff while scanning the extremities of standing horses using this technique, compared with digital radiography (DR), remains unknown. This study compares the radiation exposure of imaging technicians assisting with multidetector CT (MDCT) and DR of the distal thoracic limb and tarsus in standing horses. Personal dose equivalent was measured on four body locations: thyroid gland, gonads, hand, and feet. Images of the distal thoracic limb (n ...
Use of 2D-Shear Wave Elastography for the Evaluation of Lens in Horses. Bandera L, Guerri G, Straticò P, Pincelli MC, Celani G, Varasano V, Vignoli M, Petrizzi L.Although lens diseases are uncommon in horses, they can be disabling in advanced stages. The B-mode ultrasound is useful for diagnosing and monitoring the progression of ocular diseases such as cataracts. Elastography is an ultrasonographic technique that allows the detection and measurement of tissue stiffness. This observational cohort prospective study aimed to determine the feasibility, reproducibility, and repeatability of 2D-shear wave elastography (2D-SWE) of lenses in horses. Forty-six eyes of 23 horses with no evidence of ocular disease were included in this study. The horses underwen...
Short-Term Impact of Dry Needling Treatment for Myofascial Pain on Equine Biomechanics Through Artificial Intelligence-Based Gait Analysis.
Animals : an open access journal from MDPI    May 22, 2025   Volume 15, Issue 11 doi: 10.3390/ani15111517
Resano-Zuazu M, Carmona JU, Argüelles D.Myofascial pain syndrome (MPS) is a common source of musculoskeletal pain, characterized by trigger points (TrPs). In horses, MPS is frequently underdiagnosed, and evidence on DN effectiveness is limited. This study investigated whether DN can improve the biomechanics in horses using an artificial intelligence (AI)-based markerless smartphone application (app). Fourteen horses participated, including nine used in assisted therapy, four leisure horses, and one with mixed use. The presence of TrPs was evaluated in six muscles through manual palpation: brachiocephalicus, trapezius, gluteus medius...
Assessing thermal changes in the equine thoracolumbar region following different capacitive-resistive electrical transfer protocols.
Frontiers in veterinary science    May 21, 2025   Volume 12 1570120 doi: 10.3389/fvets.2025.1570120
Calle-González N, Rivero JL, Olivares J, Miró F, Argüelles D, Requena F, Munoz A.Capacitive-resistive electrical transfer (CRET) is an endogenous non-invasive technique, used as deep diathermy. We pursue to analyze the temperature changes by applying different CRET protocols in the thoracolumbar spine of horses, between thoracic vertebrae 15 and lumbar 2. Unassigned: Ten clinically sound horses without thoracolumbar pain underwent various CRET protocols applied to a standardized thoracolumbar region (T15-L2). The protocols included sham (device off), low intensity (LIP, 5%), medium intensity (MIP, 30%), and high intensity (HIP, 40%). The HIP protocol was further divided in...
Exploring the impact of housing routine on lying behavior in horses measured with triaxial accelerometer.
Frontiers in veterinary science    May 12, 2025   Volume 12 1572051 doi: 10.3389/fvets.2025.1572051
Gobbo E, Maccario C, Zupan Šemrov M, Bovo M, Atallah E, Minero M, Dalla Costa E.Methods to assess the positive behavior of horses in relation to their environment can be used to provide information to enhance animal welfare. One of the most important experiences that can be observed in mammals is sleep, a universal behavior relevant for the welfare of all species. To achieve paradoxical sleep, horses must lie down in lateral recumbency for a sufficient time, but they only do so when feeling safe and comfortable. Recently, technological tools like accelerometers have opened the possibility of non-invasive continuous monitoring of lying behavior, thus implementing the way w...
Molograph 4.0: A demonstration of a non-invasive, automated system for evaluating aspects of the masticatory process in the horse.
Veterinary and animal science    April 26, 2025   Volume 28 100452 doi: 10.1016/j.vas.2025.100452
Sterkenburgh TR, Ordieres-Meré J, Villalba-Diez J.We outlined a monitoring system as a demonstration of the Internet of Medical Things (IoMT) in horses that provided the ability to record aspects of the equine chewing process. Here we take up the idea of a Molograph, which was already proposed in the mechanical form in 1941 by Leue and transferred into today's world. As a substantial practical advantage, the system now involved a non-invasive measurement that was taken in the horse's familiar environment. All patients were fed roughage. In terms of the examination scenario, we focused on the determination of the direction of chewing. The syst...
Performance of a non-contact veterinary infrared thermometer and reference intervals of equine temperature at different body sites.
Frontiers in veterinary science    April 17, 2025   Volume 12 1583839 doi: 10.3389/fvets.2025.1583839
Alberghina D, Tombolani C, Quintavalla F.Evaluating the body temperature of horses () is essential for monitoring their health. Rectal thermometry is the most common method for determining the temperatures of adult horses and foals. However, this method requires restraining the animals for several seconds, and it poses potential risks to both horses and humans. This study compared infrared and rectal thermometry in 126 horses, evaluating age and measurement site influences on body temperature. Horses were divided into three groups: foals (4-12 months), Shetland ponies (8-12 months), and adult horses (2-30 years). Rectal, ocular...
Equine cadaveric study suggests tibial and fibular nerve block is feasible with a single ultrasound-guided injection via a caudocranial midfemoral approach.
Journal of the American Veterinary Medical Association    March 26, 2025   1-6 doi: 10.2460/javma.25.01.0002
Strugava L, Gomes ARC, Lorga AD, Bosak VL, Rossa AP, Janiszewski JDR, Machado M, Dornbusch PT, Moreno JCD.To describe anatomical references and sonoanatomy of an echo-guided injection for blocking the tibial and common fibular nerves with the use of a caudocranial midfemoral approach and to evaluate dye spreading in horse cadavers. Unassigned: 1 horse cadaver preserved in glycerin was used for the anatomical study, and 14 fresh horse cadavers were used for the dye spreading study. The experimental procedures were conducted on the first cadaver on March 25, 2021, and on the last cadaver on October 5, 2022. A glycerin-preserved horse cadaver's pelvic limb was dissected to identify anatomical landmar...
Comparison of Nose Wipes, Stall Sponges, and Air Samples with Nasal Secretions for the Molecular Detection of Equine Influenza Virus in Clinically and Subclinically Infected Horses.
Viruses    March 20, 2025   Volume 17, Issue 3 449 doi: 10.3390/v17030449
Pusterla N, Lawton K, Barnum S, Magdesian KG.In recent years, the use of non-invasive host and environmental samples for the detection and monitoring of equine respiratory pathogens has shown promise and a high overall agreement with the gold standard of nasal secretions. The present study looked at comparing nose wipes, stall sponges, and air samples with nasal swabs collected from 27 horses involved in an equine influenza (EI) outbreak. The outbreak involved 5 clinical, 6 subclinical, and 16 uninfected horses. Samples sets were collected at the onset of the index case and retested every 2-3 days thereafter until all horses tested qPCR-...
Resistivity and Pulsatility Indexes Renal Values Do Not Differ When Obtained from Abdominal or Transrectal Approaches in Healthy Horses. Rosse NDS, Tavares RA, Nunes MC, de Freitas BW, Reis ECC.Early detection of renal deficient function is imperative for the success of treatments and determining prognosis. In horses, a renal ultrasound can be performed through the abdominal wall (TA) or transrectally (TR), being an important tool for the evaluation of the kidneys. Besides renal morphology, resistivity (RI) and pulsatility indexes (PI) may be early tools to detect renal injury as they reflect arterial compliance. Twenty-nine healthy adult horses were sonographically evaluated by TA and TR approaches, measuring RI and PI on both kidneys. The mean values from the TA for RI and PI in th...
Investigation of the role of exercise in the detection of selected respiratory pathogens from nose wipes collected from healthy horses.
Journal of equine veterinary science    February 8, 2025   Volume 146 105377 doi: 10.1016/j.jevs.2025.105377
Wright CA, Lawton K, Barnum S, Craig BW, Farwell BR, Blea J, McCook C, Pusterla N.This study aimed to determine if exercise increases the frequency of selected respiratory viruses/bacteria shedding in non-clinical horses using nose wipes. Nose wipes were taken pre- and post- exercise from 133 healthy horses of various ages and disciplines. Wipes were assayed for the presence of selected common (equine herpesvirus-1 (EHV), EHV-4, S. equi spp equi) and commensal (EHV-2, EHV-5, S. equi spp zooepidemicus) respiratory pathogens. The frequency of detection increased significantly (p < 0.05) in the post-exercise wipes for EHV-1, EHV-2, EHV-5, and S. zooepidemicus. EHV-4 and S. equ...
Pulse oximetry at two sensor placement sites in conscious foals.
Acta veterinaria Scandinavica    January 23, 2025   Volume 67, Issue 1 6 doi: 10.1186/s13028-025-00794-w
Rossi HS, Mykkänen AK, Junnila JJT, Hyytiäinen HK.Pulse oximetry has not been thoroughly evaluated for assessment of oxygenation in conscious foals. Compared with invasive arterial blood sampling, it is a painless and non-invasive method for real-time monitoring of blood oxygen saturation. The aim of this prospective clinical study was to evaluate the usability, validity, and reliability of pulse oximetry at two measuring sites (lip and caudal abdominal skin fold) for blood oxygen saturation measurement in conscious foals with and without respiratory compromise. Thirty-two foals under one month of age were used. Nineteen foals had normal resp...
Phosphorylation of SNW1 protein associated with equine melanocytic neoplasm identified in serum and feces.
Scientific reports    December 28, 2024   Volume 14, Issue 1 30842 doi: 10.1038/s41598-024-81338-6
Vinijkumthorn R, Kingkaw A, Yanyongsirikarn P, Phaonakrop N, Roytrakul S, Vongsangnak W, Tesena P.Equine melanocytic neoplasm (EMN) represents a form of skin tumor observed predominantly in grey horses aged over 15 years. Despite its prevalence, current therapeutic and preventive strategies for EMN have been subject to limited investigation. This study endeavors to shed light on potential phosphoproteins present in equine serum and fecal samples, potentially linked to EMN, with a specific focus on functional interactions in EMN pathogenesis. We examined 50 samples (25 serum, 25 feces), divided into three groups based on EMN severity: normal (n = 16), mild (n = 18), and severe EMN (...
Reference intervals for equine fecal calprotectin and calprotectin:protein ratio and preliminary clinical evaluation in horses with colic and colitis.
American journal of veterinary research    November 27, 2024   Volume 86, Issue 1 doi: 10.2460/ajvr.24.09.0271
Bishop RC, Shanthappa N, Connolly SL, Wilkins PA, McCoy AM.To establish the reference interval (RI) of fecal calprotectin (fCP) and fCP:protein ratio in the feces of healthy horses and demonstrate preliminary clinical utility for the quantification of intestinal inflammation. Methods: Feces were collected from healthy horses (n = 103) and horses with colic (n = 15) or colitis (n = 13). Feces were suspended in buffer to create fecal supernatant. Fecal calprotectin concentration was determined by ELISA, fecal total protein concentration was determined by bicinchoninic acid assay, and the fCP:protein ratio was calculated. Reference intervals for fCP and ...
Competition and stereotypic behavior in Thoroughbred horses: The value of saliva as a diagnostic marker of stress.
PloS one    October 7, 2024   Volume 19, Issue 10 e0311697 doi: 10.1371/journal.pone.0311697
Bazzano M, Marchegiani A, La Gualana F, Petriti B, Petrucelli M, Accorroni L, Laus F.Many horses exhibit stereotypies, especially when living in human controlled environments that may prevent horses from satisfying natural needs in terms of feeding, drinking, moving, and socializing. In human medicine, obsessive compulsive disorder and other severe psychiatric disturbances are associated with stereotypic behaviors; salivary biomarkers evaluation is considered a reliable tool for diagnosis of common mental health disorders because saliva collection easy to obtain and noninvasive. In this study, we hypothesized that salivary cortisol concentrations, in addition to alpha-amylase ...
Validation of a Commercial ELISA Kit for Non-Invasive Measurement of Biologically Relevant Changes in Equine Cortisol Concentrations.
Animals : an open access journal from MDPI    October 1, 2024   Volume 14, Issue 19 2831 doi: 10.3390/ani14192831
Share ER, Mastellar SL, Suagee-Bedore JK, Eastridge ML.The measurement of fecal cortisol/corticosterone metabolites (FCMs) is often used to quantify the stress response. The sampling method is relatively non-invasive, reduces concern for elevation of cortisol from the sampling method, and has been shown to measure cortisol more consistently without the daily diurnal rhythm observed in blood. Commercial ELISA (enzyme-linked immunoassay) kits offer benefits over previously validated immunoassay methods but lack validation. The objective of this study was to evaluate a commercial ELISA kit (Arbor Assays DetectX Cortisol ELISA kit, K003-H1, Ann Arbor,...
Transdermal carbon dioxide may accelerate hoof growth in healthy, sound horses in a short-term, randomized, controlled clinical trial.
American journal of veterinary research    September 10, 2024   Volume 85, Issue 11 doi: 10.2460/ajvr.24.06.0161
Rudnick MJ, Stewart HL, Burleson MD, Levine DG.Slow hoof growth poses a clinical challenge when hoof wear exceeds natural growth. Many treatment options have been reported without controlled prospective trials. The objective of this study was to evaluate the effect of transdermal CO2 on the rate of growth in treated hooves. Methods: A prospective, randomized, blinded, crossover study of 14 Warmblood mares. Horses were randomly assigned a number and allocated for treatment of the front feet with room air or CO2 for 30 minutes 3 times per week, and groups were switched after 5 weeks. Hoof growth was measured on the dorsal midline and the qua...
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