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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.
Detection of exercising ectopic atrial and ventricular beats using non-linear analysis of clinically normal racehorse electrocardiograms at rest or low-intensity exercise.
Scientific reports    March 13, 2026   doi: 10.1038/s41598-026-41281-0
Alexeenko V, Tavanaeimanesh H, Stein F, Gold J, Hughes L, McCue M, Marr C, Durward-Akhurst S, Jeevaratnam K.Cardiac arrhythmias are common in healthy athletic horses and may lead to poor athletic performance or exercise-associated sudden death. Early detection of high-risk horses is an important goal of cardiovascular diagnostics. We hypothesised that non-linear analysis of electrocardiogram disorderliness can be used to identify horses exhibiting intermittent ectopic atrial and ventricular heart rhythm abnormalities at exercise using brief, artifact-free recordings of normal sinus rhythm electrocardiograms collected at submaximal heart rates. In a convenience prospective cross-sectional study, ambu...
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, ...
Evaluation of Pulse Pressure as a Hemodynamic Marker of Cardiac Disease in Dogs and Horses Undergoing Pre-Anesthetic Assessment.
Animals : an open access journal from MDPI    February 12, 2026   Volume 16, Issue 4 569 doi: 10.3390/ani16040569
Lutvikadic I, Preldzic D, Floriano D, Hopster K.Pulse pressure (PP) reflects ventricular stroke volume and arterial compliance, but its utility as a marker of cardiac disease in animals is not well established. This study evaluated the association between PP and echocardiographically confirmed cardiac abnormalities in dogs and horses and assessed its potential in pre-anesthetic evaluation. Clinical and echocardiography examination of 20 dogs and 20 horses was sufficient for inter-group comparisons and assignments to a Cardiac group (echocardiographically confirmed cardiac disease) or a Control group (healthy animals). Non-invasive oscillome...
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...
Spatial strategies in non-territorial societies: how feral horses maintain boundaries with other groups.
Proceedings. Biological sciences    January 21, 2026   Volume 293, Issue 2063 20252468 doi: 10.1098/rspb.2025.2468
Maeda T, Inoue S, Ringhofer M, Hirata S, Yamamoto S.Encounters between competitive individuals or groups are common in social animals and can involve costly aggression; thus, animals often employ strategies to minimize direct conflict. However, research on whether and how animals adjust their group spatial structure when they encounter or spatially co-occur with a different group remains limited. We investigated how non-territorial units in feral horse multilevel societies manage spatial encounters with neighbouring units. We observed 25 reproductive units in northern Portugal, using drones, and employed statistical analyses to quantify spatial...
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...
Development and application of a focused ultrasound protocol in neonatal foals.
Veterinary journal (London, England : 1997)    December 27, 2025   Volume 315 106543 doi: 10.1016/j.tvjl.2025.106543
Ellero N, Maggi A, Busoni V, Imposimato I, Castagnetti C, Lanci A, Mariella J, Freccero F.This study aimed to develop a standardized ultrasound (US) protocol using selected thoracic and abdominal acoustic windows, to assess its feasibility and applicability in healthy foals, and to evaluate its usefulness for detecting common thoracic and abdominal conditions in sick foals. The Focused US (FUS) protocol included 12 thoraco-abdominal windows (4 right-side, 3 ventral, 5 left-side) using a curved-array probe. It was applied to cohorts of healthy (n = 17) and sick (n = 23) foals by a veterinary clinician with limited US experience. The FUS showed good feasibility and applicabil...
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...
Comparison of body temperatures and pulse rate between athletic and non-athletic horses during the hot-humid condition.
International journal of biometeorology    December 24, 2025   Volume 70, Issue 1 1 doi: 10.1007/s00484-025-03106-z
Ake AS, Akinniyi OO.Clinical assessment of parameters that give indications of the health status and fitness of horses are very important in equine practice. The study aimed to compare the resting body temperatures at different anatomical sites and resting pulse rates of athletic and non-athletic horses. Eighteen horses were used for the study, comprising ten athletic and eight non-athletic horses. Measurements of environmental parameters, rectal temperature (RT), body surface temperature (BST) and pulse rate were recorded between 9 and 11 am twice with one week interval at the Ibadan Polo Club, Eleyele, Ibadan, ...
Proof of concept of a wearable IoT-based system for monitoring respiratory rate and surface temperature in horses.
Journal of equine veterinary science    November 8, 2025   Volume 155 105729 doi: 10.1016/j.jevs.2025.105729
Farias BJP, Furtado DA, Barbosa do Nascimento JW, Neto JPL, de Morais FTL, Santos TLS, Vasconcelos AS, Silva RC, Alves JIP, Mcmanus C, Silveira RMF....This study presents the development and proof of concept of a wearable monitoring system designed to measure respiratory rate (RR) and coat surface temperature (CST) in horses. The device integrates an embedded system based on an ESP-32 microcontroller equipped with sensors for RR (strain gauge) and CST (DS18B20) Data are transmitted in real time via Wi-Fi and stored locally on SD cards. The system was validated against conventional manual methods under field conditions. Agreement between methods was evaluated using Intraclass Correlation Coefficients (ICC) and Bland-Altman plots. Results show...
Standing excision of the nasal septum of 12 horses.
Veterinary surgery : VS    October 30, 2025   Volume 55, Issue 1 110-117 doi: 10.1111/vsu.70049
Brink P, Schumacher J, Ducharme NG, Caniglia CJ, Caruso MA, Ortved K.To describe the technique of and complications associated with excising the nasal septum of horses with the horse standing and to report the outcome of horses undergoing this procedure. Methods: Retrospective study. Methods: A total of Twelve horses affected with disease of the nasal septum. Methods: The septum of each horse was excised with the horse sedated. All horses underwent rhinotomy, and six also underwent laryngotomy, to position three loops of obstetrical wire used to make three of four septal incisions. The sites of laryngotomy and rhinotomy were desensitized by infiltrating local a...
Using detrended fluctuation analysis and fast Fourier transformation of major peaks to estimate maximal lactate steady state from electrocardiograms of exercising horses.
American journal of veterinary research    October 24, 2025   Volume 87, Issue 2 ajvr.25.06.0192 doi: 10.2460/ajvr.25.06.0192
Sande A, Santosuosso E, Scharf JE, Shoemaker SJ, Temple S, Hemmerling K, Kell T, Leguillette R, Bayly WM.To compare maximal lactate steady-state (MLSS) speeds determined using a treadmill-dependent invasive reference method (RM) with 2 noninvasive methods based on heart rate variability-focused analysis of exercise ECGs. Unassigned: This was a randomized, blinded study using 7 fit Thoroughbreds. A standardized incremental exercise treadmill test (SET) where blood lactate concentration ([La]) was measured after every step facilitated calculation of speeds at which [La] was 1.5, 2.0, and 2.5 mmol/L. The RM required steady-state exercise (SS) at each of these speeds for 25 minutes or until [La] incr...
Ultrasonography and shear wave elastography of equine skin: a preliminary study.
American journal of veterinary research    October 16, 2025   Volume 87, Issue 1 ajvr.25.05.0186 doi: 10.2460/ajvr.25.05.0186
Braga C, Prazeres J, Borges J, Ribeiro G.To noninvasively characterize skin thickness and elasticity in healthy horses using B-mode ultrasound and shear wave elastography (SWE) and to verify whether there are differences between the skin of stabled and outdoor horses. Unassigned: 10 clinically healthy horses were enrolled in this study. Five animals were housed exclusively indoors (indoor group), and 5 had temporary or permanent access to an outdoor environment (outdoor group). All horses underwent bilateral ultrasonographic examination of 3 anatomical regions: neck, withers, and girth region caudal to the elbow. Skin thickness was a...
Effect of N-Butylscopolammonium Bromide and Metamizol Sodium on Heart Rate, Blood Pressure, and Echocardiographic Measurements in Warmblood Horses With Aortic and Mitral Valve Regurgitation.
Journal of veterinary internal medicine    October 10, 2025   Volume 39, Issue 6 e70254 doi: 10.1111/jvim.70254
Dufourni A, Demeyere M, Vernemmen I, Van Steenkiste G, Verhaeghe LM, van Loon G, Decloedt A.Administration of N-butylscopolammonium bromide (NBB) with metamizol sodium (NBBM) causes tachycardia and hypertension, and has been associated with accentuated cardiac murmurs. Objective: To evaluate the effect of a pharmacological challenge using NBBM on valvular regurgitation and cardiac murmurs in horses with aortic (AR) and mitral valve regurgitation (MR). Methods: Twenty Warmblood horses with AR and 20 with MR. Methods: Cardiac auscultation and two-dimensional (2D), M-mode, color flow, pulsed wave Doppler flow, and tissue Doppler echocardiography were performed with simultaneous ECG reco...
Wearable smart textile band for continuous equine health monitoring.
Biosensors & bioelectronics    October 10, 2025   Volume 292 118073 doi: 10.1016/j.bios.2025.118073
Park T, Hong S, Murray L, Lee J, Shah A, Mesa JC, Lee H, Couetil L, Lee CH.Continuous physiological monitoring is well-established in human healthcare for early disease detection and management. However, translation of these technologies to large animals such as equines remains underdeveloped due to anatomical constraints, dense hair coat coverage, and requirements for unimpeded mobility. Equines, particularly racehorses, are prone to asthma and cardiovascular abnormalities, with nearly 80 % affected by mild to moderate asthma, impacting performance and long-term health. Despite the need for continuous monitoring, existing solutions require shaving hairs, often lack...
Intraday and Interday Evaluation of pH and Hydrogen Peroxide in the Exhaled Breath Condensate of Horses Using A Portable Device.
ACS omega    October 6, 2025   Volume 10, Issue 41 48412-48417 doi: 10.1021/acsomega.5c05941
Barbosa B, Santi TF, Rodak AC, Nogara MF, Leite LMB, Weber SH, Niels C, Daros RR, Michelotto PV.The analysis of equine exhaled breath condensate (EBC) lacks standardized methodology, and current collection devices are often adapted for research. This study evaluates a novel horse-specific EBC collector and assesses the variability of EBC pH and hydrogen peroxide (HO) levels, exploring potential correlations with bronchoalveolar lavage (BAL) and tracheal wash (TW) cytology. Eleven healthy mixed-breed mares from a teaching herd, with no evidence of airway abnormalities, were included in this randomized observational study. The collection efficiency of the proposed device was assessed, 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,...
Current and Emerging Quantitative Imaging Modalities for Diagnosing and Monitoring Equine Tendon and Ligament Injuries.
The Veterinary clinics of North America. Equine practice    June 14, 2025   Volume 41, Issue 2 265-278 doi: 10.1016/j.cveq.2025.05.001
Urion R, Lustgarten M, Hostnik ET.Technological developments in imaging modalities have advanced the diagnostic capabilities for equine tendon and ligament injuries beyond the traditional methods. This review examines elastography techniques in ultrasonography that assess tissue stiffness and strain properties, computed tomography (CT) innovations including PET/CT fusion and dual-energy CT, and emerging applications of diffusion-weighted MRI for evaluating fiber microstructure and functionality. These complementary approaches offer veterinarians improved means to detect early injuries, assess structural integrity, monitor heal...
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...
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