The occupational health of horses involves the study and management of health risks associated with the various activities and environments in which horses work. This area of research focuses on identifying and mitigating factors that can lead to physical injuries, respiratory issues, or stress-related conditions in horses engaged in occupations such as racing, farming, law enforcement, and therapy. Key considerations include ergonomic assessments, exposure to environmental hazards, and the impact of work-related stress on equine well-being. This page compiles peer-reviewed research studies and scholarly articles that explore the assessment, prevention, and management of occupational health risks in horses across different industries.
Taylor NA, Caldwell JN, Dyer R.The hottest months on northern Australian cattle stations are from September to November, and it is during these months that horseback cattle mustering occurs. Stockmen wear clothing that restricts heat loss, and protective helmets have recently been introduced. Anecdotal evidence points to the possibility that helmets may increase the probability of developing heat illness, or reducing workplace performance. In this project, we quantified the working (thermal) environment on such cattle stations, and measured the metabolic demands on, and concurrent physiological strain in stockmen during mus...
Yim VW, Yeung JH, Mak PS, Graham CA, Lai PB, Rainer TH.Professional horse riding-related injuries have not been studied before in Hong Kong, although horse racing takes place very regularly in the territory. In addition, the equestrian events of the 2008 Beijing Olympic Games will come to Hong Kong. This study analysed the pattern of horse-related injury among patients who presented to a trauma centre in a teaching hospital in Hong Kong. Methods: Information from the trauma centre database was analysed retrospectively. The database includes trauma patients who had sustained potentially severe injuries that warranted initial assessment and resuscit...
Gallagher LM, Crane J, Fitzharris P, Bates MN.To confirm that working with horses is an occupational respiratory hazard and observed associations are not attributable to confounding. Methods: A postal survey of the respiratory health of 659 horse trainers and a comparison group of 506 vegetable growers was conducted. Data were analysed using logistic regression. Results: Relative to vegetable growers, horse trainers reported higher rates of chronic bronchitis [odds ratio (OR) = 6.8, 95% confidence interval (CI): 2.2-21.4] and organic dust toxic syndrome/farmers' lung (ODTS/FL) (OR = 3.5, 95% CI: 1.8-6.8). Grinding oats, spreading hay, and...
Fürst A, von Salis B, Isenbügel E, Weishaupt M, Bertolla R, Geyer H.In the past few years marked changes in the field of farriery have been noted. In addition to the classical farrier, many new occupations concerned with hoof care have emerged, such as hoof trimmer, hoof technician, hoof orthopedist and hoof naturopath. Furthermore, a tremendous number of hoof protection systems have been developed, with an ever-increasing application to horses. However, regulations regarding alternative shoeing methods are insufficient and it is not clear, who governs the quality of the work of the individuals involved. Thus, a neutral authority composed of farriers and veter...
Siebenga J, Segers MJ, Elzinga MJ, Bakker FC, Haarman HJ, Patka P.Retrospective study and review of literature. Objective: Study of demographic data concerning spinal fractures caused by horse riding, classification of fractures according to the AO and Load Sharing classifications, evaluation of mid-term radiological results and long-term functional results. Methods: A review of medical reports and radiological examinations of patients presented to our hospital with horse riding-related spine fractures over a 13-year period; long-term functional follow-up is performed using the Roland Morris Disability Questionnaire (RMDQ-24). Results: Thirty-six spine fract...
Hendricks KJ, Myers JR, Layne LA, Goldcamp EM.It is likely that youth living on minority operated farms (<3% of U.S. farms) face hazards similar to the general farm population; however, since minority youth are not well represented by general farm surveys, this information hasn't been confirmed. Methods: Nonfatal injury and exposure data were obtained from the 2000 Minority Farm Operator Childhood Agricultural Injury Survey (M-CAIS). Results: On racial minority farms, there were an estimated 28,600 household youth. Of these, about 41% worked, 26% rode a horse, 23% drove an ATV, and 23% operated a tractor. On Hispanic farms, there ...
Thomas DR, Chalmers RM, Crook B, Stagg S, Thomas HV, Lewis G, Salmon RL, Caul EO, Morgan KL, Coleman TJ, Morgan-Capner P, Sillist M, Kench SM....Borna disease is an infectious neurological disease of horses, sheep and possibly other animals. A role for Borna disease virus (BDV) in human neurological and psychiatric illness has been proposed, but this hypothesis remains controversial. Objective: To investigate the epidemiology of BDV in UK farming communities. Methods: Retrospective cohort study. Methods: We measured the seroprevalence of BDV in the PHLS Farm Cohort, a representative sample of those employed in agriculture in the UK, and investigated the clinical significance of our findings by comparing the prevalence of symptoms of ne...
Meregillano G.Hippotherapy refers to the use of the movement of the horse asa treatment tool by physical therapists, occupational therapists,and speech-language therapists to address impairments, functional limitations, and disabilities in clients with neuromusculoskeletal dysfunction, such as cerebral palsy. Hippotherapy is used as part of an integrated treatment program to achieve functional outcomes. Hippotherapy engages the client in activities on the horse that are enjoyable and challenging. In the controlled hippotherapyenvironment, the therapist modifies the horse's movement and carefully grades sens...
Browning SR, Westneat SC, Donnelly C, Reed D.This population-based study reports the prevalent agricultural tasks and the 1-year cumulative incidence of injuries in a sample of 999 children < or = 18 years old living on family farms in Kentucky. Methods: Data were collected in 1994 to 1995 for the National Institute for Occupational Safety and Health Farm Family Health and Hazard Surveillance Project. A random sample of farm children in 60 Kentucky counties was selected using a cross-sectional, two-stage cluster design. Respondents, primarily mothers, completed a 30-minute telephone interview about work-related tasks and injuries expe...
Candler C.Occupational performance outcomes from a summer camp for children with sensory modulation disorder were examined. Sensory integration based programming was incorporated into a one week summer day camp that featured therapeutic riding. Using a modified interview format, the Canadian Occupational Performance Measure (COPM) was administered to camp participants and their families two weeks prior to and one week after camp. Ten families participated in the study. Comparison of the families' ratings revealed a significant and positive change in the children's behaviors. The COPM was highly useful a...
Roe JP, Taylor TK, Edmunds IA, Cumming RG, Ruff SJ, Plunkett-Cole MD, Mikk M, Jones RF.The objective of the present study was to determine the incidence of acute spinal cord injuries (ASCI) in all forms of horse riding in New South Wales (NSW) for the period 1976-1996. Other aims of the present study were to compare and contrast ASCI with vertebral column injuries (VCI) without neurological damage and to define appropriate safety measures in relation to spinal injury in horse-riding. Methods: A retrospective review was done of all ASCI cases (n = 32) admitted to the two acute spinal cord injury units in NSW for the cited period. A comparable review of VCI cases (n = 30) admitted...
Tutluoglu B, Atiş S, Anakkaya AN, Altug E, Tosun GA, Yaman M.This study aimed to investigate the rate of occupational sensitization to horse hair in grooms and whether occupational exposure to horse hair increases respiratory and allergic symptoms and affects lung function in grooms or not. Methods: This is a cross-sectional study. Two hundred grooms were randomly selected among 1000 grooms working in Veliefendi Hippodrome of Istanbul. One hundred and twenty-five subjects agreed to enter the study. Ninety-two workers who worked in the different parts of this hippodrome enrolled as the control group. A detailed questionnaire including respiratory and all...
Jones PJ, Field WE.The Amish and other Old Order Anabaptists have been inseparably linked with agriculture since coming to America. However few efforts have been identified which analyze the issues involved with Old Order Anabaptist farm injuries or present best practices for addressing these problems. As part of an effort to develop culturally appropriate and effective injury prevention strategies for use within the Old Order Anabaptist community, this article identifies important cultural issues that should be considered in understanding and attempting to reduce farm injures in this population, summarizes stat...
Gimsing S.Occupational injuries are notifiable in Denmark. Hitherto, occupational injuries caused by riding and horse handling have not been reported. Methods: This retrospective study comprises all cases reported to the National Working Environment Authority during the period 1992-1999. Results: There were 634 occupational accidents, and 43% of the victims were below the age of 25 years with a four-in-one female preponderance. In contrast, there were only three cases of occupational disease. Conclusions: Occupational diseases ought to be much more common than suggested by these few reported cases. Resp...
Iba K, Wada T, Kawaguchi S, Fujisaki T, Yamashita T, Ishii S.To investigate the demographic details and patterns of injuries related to horse handling, we reviewed 637 horse-related injuries in 581 stable- or stud-workers in a representative area of thoroughbred stabling in Japan. We found that (1) injuries occurred most frequently in a group of a relatively young workers, with a seasonal variation; (2) the principal mechanism of injury was kicks, which accounted for 39.2% of all injuries, including 11 serious and one lethal visceral injuries; (3) the upper half of the body was more frequently involved than the lower half; and (4) the peripheral bones (...
Langley RL, Hunter JL.To better understand the extent of animal-related fatalities in the workplace. Methods: This study utilized Census of Fatal Occupational Injuries files from the US Department of Labor for the years 1992-1997 to describe the events surrounding human workplace fatalities associated with animals. Results: During the 6-year time period, 350 workplace deaths could be associated with an animal-related event. Cattle and horses were the animals primarily involved, and workers in the agricultural industry experienced the majority of events. Many deaths involved transportation events, either direct coll...
Fleming PR, Crompton JL, Simpson DA.The aim of this study was to highlight the neuro-ophthalmological dangers associated with horse riding, and working around horses, and the importance of wearing adequate headgear to protect the rider from neuro-ophthalmic injuries. It raises the questions of whether the current laws regarding helmet use are satisfactory, and whether helmets currently used are of an adequate standard. Methods: The records over a 20-year period of one neuro-ophthalmologist in Adelaide were reviewed producing 22 patients with neuro-ophthalmological sequelae of head injuries as a result of horse-related accidents....
Kimbell-Dunn M, Bradshaw L, Slater T, Erkinjuntti-Pekkanen R, Fishwick D, Pearce N.To examine the prevalence of symptoms of asthma and allergy in different farming groups in New Zealand. Methods: A postal questionnaire was sent to a random sample of 2,500 farmers throughout New Zealand. Results: The response rate was 77% (1,706 of 2,203 eligibles). The 12-month period prevalence of current asthma was 11.8% overall, compared with 15% in the general population. Asthma prevalence was higher for horse breeders/groomers (16.5%), pig farmers (18.2%), poultry farmers (17.4%), and those working with oats (17.4%). Asthma was also significantly elevated among those working with cleani...
Fletcher J, Davies PT, Lewis T, Campbell MJ.Jockeys accept bony fractures and soft tissue injuries as occupational hazards. An average National Hunt jockey falls once in ten races with an injury rate of 4.25%. Head injury is a common cause of morbidity and the benefit of helmets is well recognized. Neck injuries are also common and usually musculoskeletal. Although rare, trauma to the neck arteries may go unnoticed yet have catastrophic consequences. Internal tears can allow arterial blood to dissect the layers of the arterial wall and obstruct the lumen. Severe obstruction may lead to cerebral ischaemia and infarction. An appreciation ...
Hartung K, Münzer B.Radiography of horses in veterinary practice is done normally with quite simple equipment. Thereby radiation protection is easily neglected. In this investigation sources of mistakes are demonstrated. The possible exposure of staff is evaluated by dose measuring over a long period of time. It can be stated that following the most simple radiation protection there will never be a significant exposure of staff.
Reif JS, Webb PA, Monath TP, Emerson JK, Poland JD, Kemp GE, Cholas G.In 1982-1983, an epizootic of vesicular stomatitis occurred in the western United States. Veterinarians, research workers, and regulatory personnel who were exposed to vesicular stomatitis virus were examined for patterns of human infection and prevalence of vesicular stomatitis New Jersey serotype neutralizing antibody. Insight into the mechanism of transmission was sought by comparing activities of antibody-positive and antibody-negative persons. A statistically significant risk factor was a history of infected animals sneezing in the face of serosurvey participants. Elevated odds ratios wer...
Holler AC.A farrier is a specialist in the shoeing of horses. It has been estimated that in the United States over 8 million horses are ridden for show and pleasure. These horses need hoof and leg care. The farrier does give this care and in so doing is subject to occupational hazards. These hazards cover a wide range and include bites from horses and farmer's dogs, ergonomic problems, noise and exposure to metal and welding fumes. Many of the hazards he encounters are unique to his profession.
Gimsing S.Occupational injuries are notifiable in Denmark. Hitherto, occupational injuries caused by riding and horse handling have not been reported. Methods: This retrospective study comprises all cases reported to the National Working Environment Authority during the period 1992-1999. Results: There were 634 occupational accidents, and 43% of the victims were below the age of 25 years with a four-in-one female preponderance. In contrast, there were only three cases of occupational disease. Conclusions: Occupational diseases ought to be much more common than suggested by these few reported cases. Resp...
Holler AC.A farrier is a specialist in the shoeing of horses. It has been estimated that in the United States over 8 million horses are ridden for show and pleasure. These horses need hoof and leg care. The farrier does give this care and in so doing is subject to occupational hazards. These hazards cover a wide range and include bites from horses and farmer's dogs, ergonomic problems, noise and exposure to metal and welding fumes. Many of the hazards he encounters are unique to his profession.
Hartung K, Münzer B.Radiography of horses in veterinary practice is done normally with quite simple equipment. Thereby radiation protection is easily neglected. In this investigation sources of mistakes are demonstrated. The possible exposure of staff is evaluated by dose measuring over a long period of time. It can be stated that following the most simple radiation protection there will never be a significant exposure of staff.
Baran Ketencioğlu B, Yilmaz I, Tutar N, Gülmez I, Oymak FS.Sensitivity and symptoms related to animal proteins have been investigated in various occupational groups. However, data from horse farm workers are limited. We aimed to determine horse allergen sensitivity in the horse farm workers, and to evaluate its relationship with respiratory symptoms and functional parameters. A total of 110 subjects were enrolled in the study. The study group consisted of 80 horse farm workers. Face-to-face surveys, skin prick tests (SPT), and pulmonary function tests (PFT) were performed in the study group. Control group consisted of 30 healthy subjects. SPT and PFTs...
Löfqvist L, Pinzke S.The horse industry in Sweden has rapidly expanded in recent years. This increasing number of horses implies a greater need for more farriers. Shoeing a horse is hard physical work, and includes awkward work postures and repetitive movements. It is well known that hard physical work increases the risk of injuries and musculoskeletal problems. The risk is especially high for musculoskeletal disorders when certain movements are constantly repeated. Heavy or repeated unilateral loads lead to considerable stress on the muscles, which can lead to rupture and fatigue that can cause long term problems...
Shaver J, McRoberts D, O'Byrne B, Morgan B, Krall K, Surjan C, Mayberry J.Agriculture is an inherently dangerous industry. We sought injury data for use with the Idaho Time Sensitive Emergency (TSE) system to formulate goals and track improvements. Methods: Registries in southern Idaho were queried for ICD-9-CM diagnoses related to agriculture in 2014. Injuries known or likely to have occurred on properties intended for farming, ranching, animal care, or milk production, and relating to those activities were included. Results: Among 72 patients, injuries were related to horses (31%), machinery (17%), ATVs (17%), and hay bales/haystacks (13%). Average age was 45 (3-8...
Hwang J, Golla V, Metwali N, Thorne PS.Adverse respiratory health effects in the agricultural industry have been linked to particulate endotoxin exposure. However, whether the endotoxin concentration is significantly correlated to the size of the particle remains an open question. To date, limited research has been conducted to assess particulate endotoxin exposures in the agricultural industry in general or the equine industry in particular. A task-based exposure assessment was conducted to characterize the endotoxin levels of inhalable and respirable particles on four Kentucky farms during the summer season. We conducted personal...
Moghtaderi M, Farjadian S, Hosseini Z, Raayat A.The aim of this study has been to investigate the frequency of sensitization to horse allergens and clinical symptoms in horse riders. Methods: A total of 42 horse riders and 50 healthy individuals were examined by means of skin prick tests for a panel of horse and common animal allergens, and pulmonary function tests were done by spirometry. Results: The rate of sensitization to horse allergens was 31% as proven by the skin prick test in horse riders whereas horse sensitization was not seen in the control group. Occupational allergy symptoms were reported by 19 horse riders. Two horse riders ...
Smit LA, Wouters IM, Heederik D, Douwes J.Endotoxins are cell-wall components of Gram-negative bacteria that are commonly present in plants and plant products and in faecal matter. This review presents an overview of endotoxin exposure levels, associated health effects, and relevance regarding veterinary practice. Exposure to airborne endotoxin is especially high in the agricultural sector and among veterinarians, and in particular among those working with horses or farm animals. Inhalation of endotoxins may cause acute airway inflammation and respiratory symptoms that can lead to (non-allergic) asthma and chronic obstructive pulmonar...
Mazzeo G, Bendixen R.Experiencing trauma has long-lasting effects on a child's well-being, which may affect their occupational performance. This scoping review synthesized research on community-based interventions for children who have experienced trauma to highlight occupational therapists' role in trauma-informed care. We searched PubMed and PTSDPubs, including community-based interventional trials that addressed childhood trauma and excluding studies specific to refugees, sex-trafficking, significant comorbid diagnoses, and reviews. Eleven articles met criteria. Psychotherapy-based interventions (e.g., trauma-i...
Fürst A, von Salis B, Isenbügel E, Weishaupt M, Bertolla R, Geyer H.In the past few years marked changes in the field of farriery have been noted. In addition to the classical farrier, many new occupations concerned with hoof care have emerged, such as hoof trimmer, hoof technician, hoof orthopedist and hoof naturopath. Furthermore, a tremendous number of hoof protection systems have been developed, with an ever-increasing application to horses. However, regulations regarding alternative shoeing methods are insufficient and it is not clear, who governs the quality of the work of the individuals involved. Thus, a neutral authority composed of farriers and veter...
Pham C, Bitonte R.Hippotherapy is the use of equine movement in physical, occupational, or speech therapy in order to obtain functional improvements in patients. Studies show improvement in motor function and sensory processing for patients with a variety of neuromuscular disabilities, developmental disorders, or skeletal impairments as a result of using hippotherapy. Objective: The primary objective of this study is to identify the pervasiveness of hippotherapy in Southern California, and any factors that impair its utilization. Methods: One hundred and fifty-two rehabilitation centers in the Southern Californ...
Lucas M, Day L, Shirangi A, Fritschi L.A high injury prevalence has been reported among veterinarians. Studies describing the factors associated with injury have been limited. Objective: To describe the characteristics of serious injuries and the use of safety precautions at the time of injury in Australian veterinarians. Methods: Graduates in veterinary medicine from Australian universities completed questionnaires asking about injuries during their professional career including type of injury and circumstances during which injury occurred. Results: A total of 2188 significant injuries were reported. Injuries were most frequently ...
Peters BC, Fields BE, Erdman EA.Objective: The use of equine movement as a therapy tool in a plan of care, or hippotherapy, has grown considerably over the past three decades. However, there is little evidence of safety rates and related practice patterns to guide key stakeholders such as clients, therapists, the health care team, and third-party payers. The purpose of this article is to describe the safety and practice patterns of contemporary use of hippotherapy. Design: A survey was distributed to occupational therapy (OT), physical therapy (PT), and speech-language pathology clinicians who incorporate hippotherapy into t...
Cocco P, Satta G, D'Andrea I, Nonne T, Udas G, Zucca M, Mannetje A', Becker N, Sanjosé Sd, Foretova L, Staines A, Maynadié M, Nieters A, Brennan P....We explored the risk of lymphoma and its most prevalent subtypes associated with occupational contact with livestock, and whether risk was modified by age at first contact, in 2,348 incident lymphoma cases and 2,462 controls who participated in the EPILYMPH case-control study. A detailed occupational history was collected in cases and controls, including working in a livestock farm, species of livestock, its approximate number and circumstances of contact. For each disease outcome, and each type of livestock, odds ratios (OR) and their 95% confidence intervals (95% CI) were calculated using un...
Bescoby SR, Davis SA, Sherriff M, Ireland AJ.Routine equine odontoplasty is performed by both Veterinary Surgeons and Equine Dental Technicians. The production of aerosolised particulates from motorised equipment has been well documented in human orthodontics but has yet to be investigated in the veterinary industry. Objective: To assess the size, quantity and composition of particulates produced during routine motorised odontoplasty and to model their deposition in the human respiratory tree. Methods: Analytic observational study. Methods: Fifteen-minute routine motorised odontoplasties were performed on cadaver heads with monitoring eq...
Flunker JC, Clouser JM, Swanberg JE.Thoroughbred horse farm workers self-report a high frequency of work-related injuries and pain. However, an analysis of Thoroughbred horse farm workers' compensation injury claims is absent from the literature, yet may benefit worker safety. We analyzed workers' compensation insurance firm data containing 2276 claims filed between 2008 and 2015. Injury frequency, cost, and lost time per cause, nature, and body part injured were examined qualitatively and via univariate tests. Factors associated with high cost and high duration lost time claims were modeled via multivariable logistic regression...
Palomar-Ciria N, Bello HJ.Alternative treatments for Post-traumatic-Stress Disorder (PTSD) have attracted attention, especially Equine-Assisted Services (EAS) including psychotherapy and occupational therapy involving horses. In this work, we measured the effectiveness of EAS in PTSD through a meta-analysis. An intensive bibliography search focusing in EAS and PTSD was conducted following the PRISMA recommendations. The search was not restricted by date. For the quantitative analyses, 5 works were selected. They were chosen based on the instrument utilized for the assessment of PTSD symptoms: the PTSD Checklist for DSM...
Weissman-Miller D, Miller RJ, Shotwell MP.Translational research is redefined in this paper using a combination of methods in statistics and data science to enhance the understanding of outcomes and practice in occupational therapy. These new methods are applied, using larger data and smaller single-subject data, to a study in hippotherapy for children with developmental disabilities (DD). The Centers for Disease Control and Prevention estimates DD affects nearly 10 million children, aged 2-19, where diagnoses may be comorbid. Hippotherapy is defined here as a treatment strategy in occupational therapy using equine movement to achieve...
Siebenga J, Segers MJ, Elzinga MJ, Bakker FC, Haarman HJ, Patka P.Retrospective study and review of literature. Objective: Study of demographic data concerning spinal fractures caused by horse riding, classification of fractures according to the AO and Load Sharing classifications, evaluation of mid-term radiological results and long-term functional results. Methods: A review of medical reports and radiological examinations of patients presented to our hospital with horse riding-related spine fractures over a 13-year period; long-term functional follow-up is performed using the Roland Morris Disability Questionnaire (RMDQ-24). Results: Thirty-six spine fract...
Reif JS, Webb PA, Monath TP, Emerson JK, Poland JD, Kemp GE, Cholas G.In 1982-1983, an epizootic of vesicular stomatitis occurred in the western United States. Veterinarians, research workers, and regulatory personnel who were exposed to vesicular stomatitis virus were examined for patterns of human infection and prevalence of vesicular stomatitis New Jersey serotype neutralizing antibody. Insight into the mechanism of transmission was sought by comparing activities of antibody-positive and antibody-negative persons. A statistically significant risk factor was a history of infected animals sneezing in the face of serosurvey participants. Elevated odds ratios wer...
