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Topic:Physiology

The physiology of horses encompasses the study of the biological functions and processes that occur within the equine body. This includes the examination of various systems such as the cardiovascular, respiratory, musculoskeletal, digestive, and nervous systems. Understanding equine physiology is essential for comprehending how horses adapt to different environmental conditions, perform physical activities, and respond to health challenges. Research in this field often focuses on the mechanisms of energy metabolism, thermoregulation, and muscle function during exercise, as well as the physiological responses to stress and disease. This page compiles peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine physiology, providing insights into the biological processes that support the health and performance of horses.
Amino acid profile during exercise and training in Standardbreds.
Research in veterinary science    September 21, 2010   Volume 91, Issue 1 144-149 doi: 10.1016/j.rvsc.2010.08.010
Westermann CM, Dorland L, Wijnberg ID, de Sain-van der Velden MGM, van Breda E, Barneveld A, de Graaf-Roelfsema E, Keizer HA, van der Kolk JH.The objective of this study is to assess the influence of acute exercise, training and intensified training on the plasma amino acid profile. In a 32-week longitudinal study using 10 Standardbred horses, training was divided into four phases, including a phase of intensified training for five horses. At the end of each phase, a standardized exercise test, SET, was performed. Plasma amino acid concentrations before and after each SET were measured. Training significantly reduced mean plasma aspartic acid concentration, whereas exercise significantly increased the plasma concentrations of alanin...
Effects of age and loading rate on equine cortical bone failure.
Journal of the mechanical behavior of biomedical materials    September 21, 2010   Volume 4, Issue 1 57-75 doi: 10.1016/j.jmbbm.2010.09.006
Kulin RM, Jiang F, Vecchio KS.Although clinical bone fractures occur predominantly under impact loading (as occurs during sporting accidents, falls, high-speed impacts or other catastrophic events), experimentally validated studies on the dynamic fracture behavior of bone, at the loading rates associated with such events, remain limited. In this study, a series of tests were performed on femoral specimens obtained post-mortem from equine donors ranging in age from 6 months to 28 years. Fracture toughness and compressive tests were performed under both quasi-static and dynamic loading conditions in order to determine the ef...
A component of Premarin(®) enhances multiple cognitive functions and influences nicotinic receptor expression.
Hormones and behavior    September 19, 2010   Volume 58, Issue 5 917-928 doi: 10.1016/j.yhbeh.2010.09.002
Talboom JS, Engler-Chiurazzi EB, Whiteaker P, Simard AR, Lukas R, Acosta JI, Prokai L, Bimonte-Nelson HA.In women, ovarian hormone loss at menopause has been related to cognitive decline, and some studies suggest that estrogen-containing hormone therapy (HT) can mitigate these effects. Recently, the Women's Health Initiative study found that conjugated equine estrogens, the most commonly prescribed HT, do not benefit cognition. Isolated components of conjugated equine estrogens (tradename Premarin(®)) have been evaluated in vitro, with delta(8,9)-dehydroestrone (∆(8)E1) and equilin showing the strongest neuroprotective profiles. It has not been evaluated whether ∆(8)E1 or equilin impact cogn...
Temporal gene expression in equine corpora lutea based on serial biopsies in vivo.
Journal of animal science    September 17, 2010   Volume 89, Issue 2 389-396 doi: 10.2527/jas.2010-3247
Slough TL, Rispoli LA, Carnevale EM, Niswender GD, Bruemmer JE.A biopsy procedure was developed to enable repeated sampling of a single equine corpus luteum (CL) over the course of an estrous cycle. The tissue collected was utilized in characterizing mRNA abundance for genes involved in luteal formation, function, and regression in the cyclic mare. Serial biopsies of CL in cyclic mares (2.7 to 27.5 mg per biopsy) were collected using an ultrasound-guided transvaginal technique. Biopsies were collected from each mare on d 2 and 5 (d 0 = ovulation) of the estrous cycle, and every other day from d 12 through luteolysis. Samples were obtained from 4 mares wit...
Hydrophilic interaction chromatography of intact, soluble proteins.
Journal of chromatography. A    September 17, 2010   Volume 1218, Issue 35 5892-5896 doi: 10.1016/j.chroma.2010.09.027
Tetaz T, Detzner S, Friedlein A, Molitor B, Mary JL.The separation of intact proteins by means of Hydrophilic Interaction Chromatography (HILIC) was demonstrated with human apoA-I, recombinant human apoM, and equine cytochrome C. Five different commercially available HILIC columns were compared. Using one of these columns, different glycosylated isoforms of apoM were separated from each other and from the aglyco-form.
Large intestinal mast cell count and proteinase expression is associated with larval burden in cyathostomin-infected horses.
Equine veterinary journal    September 16, 2010   Volume 42, Issue 7 652-657 doi: 10.1111/j.2042-3306.2010.00106.x
Pickles KJ, Mair JA, Lopez-Villalobos N, Shaw DJ, Scott I, Pomroy W.Cyathostomins are the principal pathogenic nematode of equidae worldwide. In other species mast cell (MC) proteinases, in particular chymases, appear to have protective roles. Knowledge of the equine intestinal immune response to cyathostomins is limited. Objective: To investigate MC numbers and proteinase expression in equine cyathostomin-infected large intestine. Objective: MC populations in the large intestine are positively associated with cyathostomin burden and predominantly express chymase. Methods: The caecal cyathostomin burden of naturally infected horses (n = 25) was determined by l...
Circadian regulation of locomotor activity and skeletal muscle gene expression in the horse.
Journal of applied physiology (Bethesda, Md. : 1985)    September 16, 2010   Volume 109, Issue 5 1328-1336 doi: 10.1152/japplphysiol.01327.2009
Martin AM, Elliott JA, Duffy P, Blake CM, Ben Attia S, Katz LM, Browne JA, Gath V, McGivney BA, Hill EW, Murphy BA.Circadian rhythms are innate 24-h cycles in behavioral and biochemical processes that permit physiological anticipation of daily environmental changes. Elucidating the relationship between activity rhythms and circadian patterns of gene expression may contribute to improved human and equine athletic performance. Six healthy, untrained mares were studied to determine whether locomotor activity behavior and skeletal muscle gene expression reflect endogenous circadian regulation. Activity was recorded for three consecutive 48-h periods: as a group at pasture (P), and individually stabled under a ...
Intravenous administration of equine-derived whole IgG antivenom does not induce early adverse reactions in non-envenomed horses and cows.
Biologicals : journal of the International Association of Biological Standardization    September 15, 2010   Volume 38, Issue 6 664-669 doi: 10.1016/j.biologicals.2010.08.002
Estrada R, Herrera M, Segura A, Araya J, Boschini C, Gutiérrez JM, León G.Administration of antivenoms to treat snakebite envenomings has the potential risk of inducing early adverse reactions. The mechanisms involved in these reactions are unclear. In this study, polyspecific antivenom consisting of whole IgG purified from equine plasma by caprylic acid precipitation was administered intravenously to non-envenomed horses (n = 47) and cows (n = 20) at a dose of 0.4 mL/kg. It has been reported that, in humans, this formulation (administered at a dose of 0.4 mL/kg) induces mild noticeable early adverse reactions, such as fever, vomiting, diarrhea, urticaria, generaliz...
Comparative study between atropine and hyoscine-N-butylbromide for reversal of detomidine induced bradycardia in horses.
Equine veterinary journal    September 14, 2010   Volume 43, Issue 3 332-340 doi: 10.1111/j.2042-3306.2010.00165.x
Pimenta EL, Teixeira Neto FJ, Sá PA, Pignaton W, Garofalo NA.Bradycardia may be implicated as a cause of cardiovascular instability during anaesthesia. Objective: Hyoscine would induce positive chronotropism of shorter duration than atropine, without adversely impairing intestinal motility in detomidine sedated horses. Methods: Ten minutes after detomidine (0.02 mg/kg bwt, i.v.), physiological saline (control), atropine (0.02 mg/kg bwt) or hyoscine (0.2 mg/kg bwt) were randomly administered i.v. to 6 horses, allowing one week intervals between treatments. Investigators blinded to the treatments monitored cardiopulmonary data and intestinal auscultation ...
Nitric oxide stimulates progesterone and prostaglandin E2 secretion as well as angiogenic activity in the equine corpus luteum.
Domestic animal endocrinology    September 9, 2010   Volume 40, Issue 1 1-9 doi: 10.1016/j.domaniend.2010.08.001
Ferreira-Dias G, Costa AS, Mateus L, Korzekwa AJ, Galvão A, Redmer DA, Lukasik K, Szóstek AZ, Woclawek-Potocka I, Skarzynski DJ.Cytokines and nitric oxide (NO) are potential mediators of luteal development and maintenance, angiogenesis, and blood flow. The aim of this study was to evaluate (i) the localization and protein expression of endothelial and inducible nitric oxide synthases (eNOS and iNOS) in equine corpora lutea (CL) throughout the luteal phase and (ii) the effect of a nitric oxide donor (spermine NONOate, NONOate) on the production of progesterone (P4) and prostaglandin (PG) E(2) and factor(s) that stimulate endothelial cell proliferation using equine luteal explants. Luteal tissue was classified as corpora...
Investigation of the effects of prostaglandin E₂ on equine superficial digital flexor tendon fibroblasts in vitro.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    September 9, 2010   Volume 23, Issue 6 417-423 doi: 10.3415/VCOT-10-03-0044
Cissell JM, Milton SC, Dahlgren LA.To evaluate the effects of prostaglandin E₂ (PGE₂) treatment on the metabolism of equine tendon fibroblasts in vitro to aid in investigating the response of tendon fibroblasts to injury and novel therapeutics. Methods: Superficial digital flexor tendon fibroblasts isolated via collagenase digestion from six young adult horses were grown in monolayer in four concentrations of PGE₂ (0, 10, 50, 100 ng/ml) for 48 hours. Cells and medium were harvested for gene expression (collagen types I and III, cartilage oligomeric matrix protein [COMP], decorin, and matrix metalloproteinase-1, -3, and -1...
Three-dimensional biomechanics of simulated laryngeal abduction in horses.
American journal of veterinary research    September 3, 2010   Volume 71, Issue 9 1003-1010 doi: 10.2460/ajvr.71.9.1003
Perkins JD, Raffetto J, Thompson C, Weller R, Piercy RJ, Pfau T.To investigate the influence of simulated contraction of the cricoarytenoideus dorsalis (CAD) muscle on the 3-D motion of the arytenoid cartilage. Methods: 5 larynges from equine cadavers. Methods: Serial computed tomographic scans of each larynx were conducted at 7 incremental forces simulating contraction of medial, lateral, and combined bellies of the left CAD muscle. Three-dimensional reconstruction of radiopaque markers placed at anatomic landmarks on the left arytenoid and cricoid cartilages enabled quantification of marker displacement according to a Cartesian coordinate system. Rotatio...
Assessment of bone response to conditioning exercise in the radius and tibia of young thoroughbred horses using pQCT.
Journal of musculoskeletal & neuronal interactions    September 3, 2010   Volume 10, Issue 3 199-206 
Nicholson CL, Firth EC.To assess the effect of conditioning exercise on bone parameters at multiple sites in the radius and tibia of young Thoroughbred horses. Methods: The left and right radius and tibia were obtained from twelve horses, six of which had received conditioning exercise and six which formed the control group. Each bone was scanned at 5% intervals along its entire length using pQCT. Results: Bone strength, bone area and periosteal circumference were significantly greater for the group of conditioned horses in both the radius and tibia. Volumetric bone mineral density was lower while bone mineral conte...
Detection of reaginic antibodies against Faenia rectivirgula from the serum of horses affected with Recurrent Airway Obstruction by an in vitro bioassay.
Veterinary research communications    September 3, 2010   Volume 34, Issue 8 719-726 doi: 10.1007/s11259-010-9440-z
Morán G, Folch H, Araya O, Burgos R, Barria M.Reaginic antibodies, mainly of the IgE and some IgG subclasses, play an important role in the induction of type I immediate hypersensitivity reactions. These antibodies bind through their Fc fragment to high affinity receptors (FcεRI) present in the membrane of mast cells and basophils. Previously, several studies have investigated the role of reaginic antibodies in the pathogenesis of RAO. However, whereas immunological aspects of RAO have been extensively studied, the precise sequence of events is still not well understood and role of IgE in this disease still remains controversial. Therefo...
Physiologic effects of nasopharyngeal administration of supplemental oxygen at various flow rates in healthy neonatal foals.
American journal of veterinary research    September 3, 2010   Volume 71, Issue 9 1081-1088 doi: 10.2460/ajvr.71.9.1081
Wong DM, Alcott CJ, Wang C, Hay-Kraus BL, Buchanan BR, Brockus CW.To evaluate the effects of various flow rates of oxygen administered via 1 or 2 nasal cannulae on the fraction of inspired oxygen concentration (FIO2) and other arterial blood gas variables in healthy neonatal foals. Methods: 9 healthy neonatal (3- to 4-day-old) foals. Methods: In each foal, a nasal cannula was introduced into each naris and passed into the nasopharynx to the level of the medial canthus of each eye; oxygen was administered at 4 flow rates through either 1 or both cannulae (8 treatments/foal). Intratracheal FIO2, intratracheal end-tidal partial pressure of carbon dioxide, and a...
Selected ovarian ultrasonographic characteristics during vernal transition are useful to estimate time of first ovulation of the year.
Reproduction in domestic animals = Zuchthygiene    September 3, 2010   Volume 46, Issue 2 240-246 doi: 10.1111/j.1439-0531.2010.01650.x
Atayde L, Rocha A.It is important to get mares pregnant as early as possible after vernal transition and thus, identification signs of impending 1st ovulation of the year are warranted. To identify clinical indicators of an approaching first ovulation of the year, mares were teased with a stallion for oestrous detection starting January 3 and subjected to ultrasonographic examination. Day of first appearance of uterus oedema, follicular wall invagination, intrafollicular echogenicity, double contour of the follicle wall, increase in granulosa thickness, follicular wall hyperechogenicity and appearance of pear-s...
Influence of the chemical shift artifact on measurements of compact bone thickness in equine distal limb MR images. Dimock AN, Spriet M.The effect of the chemical shift artifact, resulting from misregistration or phase cancellation at the interface between compact and trabecular bone, on apparent bone thickness was quantified in six isolated equine limbs. Sagittal T1-weighted spin echo (SE) and in-phase three-dimensional spoiled gradient echo (SPGR) images were acquired twice with a 1.5 T magnetic resonance (MR) unit, switching the frequency encoding direction between acquisitions. Out-of-phase SPGR images were also obtained. MR images with different frequency encoding directions were compared with each other and to radiograph...
Length difference between equine ZFX and ZFY genes and its application for molecular sex determination.
Journal of assisted reproduction and genetics    September 1, 2010   Volume 27, Issue 12 725-728 doi: 10.1007/s10815-010-9467-7
Han SH, Yang BC, Ko MS, Oh HS, Lee SS.we analyzed the sex chromosome-encoding ZFX-ZFY genes and tested molecular sexing using the amplification patterns of intron 9 of ZFX-ZFY in the horse. Results: the amplification of the ZFX-ZFY produced two distinct patterns, reflecting sexual dimorphism based on a length difference between the X and Y chromosomes. The amplification products from foals showed two distinct bands: one was common to all foals and mares, indicating that this band was amplified from ZFX, while the other was specific to some foals, indicating that it was from ZFY. The result based on the PCR assay was identical to t...
Correlation of product ion profiles with molecular structures of androgenic and anabolic steroids in ESI MS/MS.
Journal of mass spectrometry : JMS    September 1, 2010   Volume 45, Issue 11 1261-1269 doi: 10.1002/jms.1803
Guan F, Uboh CE, Soma LR, You Y, Liu Y, Li X.Androgenic and anabolic steroids (AASs) are a class of chemical substances closely related to testosterone in molecular structure. They can be abused to enhance performances in human and equine athletes, and are banned by the sports authorities. To assist with method development for doping analyses of AASs, investigations were conducted to correlate their product ion profiles with the molecular structures. Although very similar in chemical structure, AASs generated noticeably different product ion profiles from collision-induced dissociation (CID). On the basis of both outlines of the product ...
Positive effect of FSH but not LH on early development of the dominant follicle in mares.
Reproduction, fertility, and development    August 28, 2010   Volume 22, Issue 7 1092-1099 doi: 10.1071/RD09275
Checura CM, Beg MA, Parrish JJ, Ginther OJ.The effects of FSH, LH or both on follicular growth and intrafollicular free insulin-like growth factor (IGF)-1 and oestradiol were investigated in mares after the beginning of deviation (largest follicle >/= 20 mm; Hour 0). A single treatment with a gonadotropin-releasing hormone antagonist (acyline) was given at Hour 3 to suppress the concentrations of FSH and LH. Five groups (n = 5 mares per group) were evaluated in the present study: (1) control; (2) acyline treated; (3) acyline + recombinant equine (re) FSH treated; (4) acyline + reLH treated; and (5) combined acyline + reFSH + reLH tr...
Administration of RRR-α-tocopherol to pregnant mares stimulates maternal IgG and IgM production in colostrum and enhances vitamin E and IgM status in foals.
Journal of animal physiology and animal nutrition    August 27, 2010   Volume 95, Issue 2 214-222 doi: 10.1111/j.1439-0396.2010.01043.x
Bondo T, Jensen SK.This study assessed the effect of a vitamin E supplement given to pregnant mares on immunoglobulins (Ig) levels in foals. In addition, the fatty acid (FA) content and composition of the mares' milk was assessed. Milk α-tocopherol concentrations were compared between pregnant Danish Warmblood mares (n = 17) given a daily oral supplement of 2500 international units (IU) RRR-α-tocopherol in the last 4 weeks of pregnancy and a group of unsupplemented mares (n = 17) receiving 170-320 IU vitamin E daily originating from the feed. Milk α-tocopherol was higher in supplemented mares (36.7, 12.4 and ...
Comparison of grass haylage digestibility and metabolic plasma profile in Icelandic and Standardbred horses.
Journal of animal physiology and animal nutrition    August 27, 2010   Volume 95, Issue 3 273-279 doi: 10.1111/j.1439-0396.2010.01049.x
Ragnarsson S, Jansson A.The aim of the present study was to compare digestibility and metabolic response in Icelandic and Standardbred horses fed two grass haylages harvested at different stages of maturity. Six horses of each breed were used in a 24-day change-over design. A total collection of faeces was made on days 15-17 and 22-24. Blood samples were collected on day 24 of each period and analysed for total plasma protein (TPP), plasma urea, non-esterified fatty acids, cortisol and insulin concentration. There were no differences in digestibility coefficients of crude protein, neutral detergent fibre or energy be...
Sympathetic innervation of the ileocecal junction in horses.
The Journal of comparative neurology    August 26, 2010   Volume 518, Issue 19 4046-4066 doi: 10.1002/cne.22443
Russo D, Bombardi C, Grandis A, Furness JB, Spadari A, Bernardini C, Chiocchetti R.The distribution and chemical phenotypes of sympathetic and dorsal root ganglion (DRG) neurons innervating the equine ileocecal junction (ICJ) were studied by combining retrograde tracing and immunohistochemistry. Immunoreactivity (IR) for tyrosine hydroxylase (TH), dopamine beta-hydroxylase (DBH), neuronal nitric oxide synthase (nNOS), calcitonin gene-related peptide (CGRP), substance P (SP), and neuropeptide Y (NPY) was investigated. Sympathetic neurons projecting to the ICJ were distributed within the celiac (CG), cranial mesenteric (CranMG), and caudal mesenteric (CaudMG) ganglia, as well ...
Muscle damage, hydration, electrolyte balance and vasopressin concentrations in successful and exhausted endurance horses.
Polish journal of veterinary sciences    August 25, 2010   Volume 13, Issue 2 373-379 
Muñoz A, Riber C, Trigo P, Castejón F.Arginine vasopressin (AVP) is released in response to depletion of the effective circulating blood volume. Endurance horses might develop exhaustion because loss of water and electrolytes in sweat with hypovolaemia and electrolytes abnormalities. Therefore, AVP should act in the control of volemia in these animals. This research evaluates the differences in AVP, hydration, electrolyte status and serum muscle enzymes in successful endurance horses in comparison with those eliminated from the competition because of exhaustion. Eighteen endurance horses, divided into two groups, successful (n = 1...
The effect of the 162 km endurance ride on equine peripheral blood neutrophil and lymphocyte functions.
Polish journal of veterinary sciences    August 25, 2010   Volume 13, Issue 2 279-285 
Cywińska A, Wyszyńska Z, Górecka R, Szarska E, Witkowski L, Dziekan P, Winnicka A, Schollenberger A.Strenuous exercise is recognized as a stress, which may induce functional immunodeficiency and increase individual susceptibility to infection. It has been shown in equine athletes, that alterations in leukocyte functions occur after moderate and submaximal exertion, however, no data deal with the effect of extreme physical exertion. In this study, we evaluated leukocyte functions (neutrophil oxidative burst and lymphocyte proliferation activity in response to mitogens) in horses following the CEI 3* 162 km endurance ride. Exercise-induced stress was manifested as neutrophilic leukocytosis and...
Direct observation of myoglobin structural dynamics from 100 picoseconds to 1 microsecond with picosecond X-ray solution scattering.
Chemical communications (Cambridge, England)    August 24, 2010   Volume 47, Issue 1 289-291 doi: 10.1039/c0cc01817a
Kim KH, Oang KY, Kim J, Lee JH, Kim Y, Ihee H.Here we report structural dynamics of equine myoglobin (Mb) in response to the CO photodissociation visualized by picosecond time-resolved X-ray solution scattering. The data clearly reveal new structural dynamics that occur in the timescale of ∼360 picoseconds (ps) and ∼9 nanoseconds (ns), which have not been clearly detected in previous studies.
Preliminary study of capsule endoscopy in the small intestine of horses.
Australian veterinary journal    August 24, 2010   Volume 88, Issue 9 342-345 doi: 10.1111/j.1751-0813.2010.00612.x
Sasaki N, Yamada H.To evaluate the visibility of various portions of the small intestine in healthy horses using capsule endoscopy. Methods: Six healthy, conscious adult Thoroughbreds were restrained and an endoscopic capsule (PillCam SB capsule) was inserted into the oesophagus using an intranasal catheter aided by a guide wire. Water (500 mL) flushed the capsule down the gastrointestinal tract. Data were collected and stored in the recorder of the endoscopic system for 6 hours after capsule insertion and the images were evaluated using an image reader and scored using a visual analogue scale. Results: Capsule ...
Electrochemical study of gelatin as a matrix for the immobilization of horse heart cytochrome c.
Talanta    August 24, 2010   Volume 82, Issue 5 1980-1985 doi: 10.1016/j.talanta.2010.08.019
De Wael K, De Belder S, Van Vlierberghe S, Van Steenberge G, Dubruel P, Adriaens A.The aim of this paper is to emphasize the strength of gelatin as a stable matrix for redox enzymes. Cyclic voltammetry has been applied for a detailed electrochemical study of horse heart cytochrome c (HHC) entrapped in a gelatin matrix immobilized on a gold electrode. The influence of the HHC concentration, the mass percentage of the gelatin and the nature of the gelatin on the electrochemical behaviour of HHC have been described in detail. In addition, attenuated total reflection infrared (ATR-IR) spectroscopy was used to prove the immobilization on a qualitative and conformational level. Th...
In vitro selection and differentiation of ivermectin resistant cyathostomin larvae.
Veterinary parasitology    August 24, 2010   Volume 174, Issue 3-4 292-299 doi: 10.1016/j.vetpar.2010.08.021
van Doorn DC, Kooyman FN, Eysker M, Hodgkinson JE, Wagenaar JA, Ploeger HW.Cyathostomins are considered to be the primary helminth pathogen of horses and macrocyclic lactones (ML) are the most frequently used anthelmintics. Therefore, ML resistance is a serious threat for the control of these parasites. In the present study ivermectin resistant cyathostomin L3 were in vitro selected, using a reiterative larval migration inhibition assay (rLMIA) and differentiated by reverse line blot (RLB). Larvae were obtained from two populations, one from a never treated, free-roaming horse population in the nature reserve Oostvaardersplassen (OVP) and the other from regularly ive...
Cross-sectional area of the tendons of the tarsal region in Standardbred trotter horses.
Equine veterinary journal    August 23, 2010   Volume 43, Issue 2 235-239 doi: 10.1111/j.2042-3306.2010.00141.x
Vilar JM, Santana A, Espinosa J, Spinella G.The assessment of a normal range for cross-sectional area (CSA) of tendons in the tarsal region is important in order to use them as reference values in the identification of pathological changes of dimensions. Objective: To provide normal reference values for the CSA of the tendons of the tarsus of Standardbred trotter horses (STH) by means of ultrasonography. Methods: Transverse echographic images of the tendons were obtained at different levels proximodistally; these images were digitised and CSA values (mean ± s.d.) were obtained for each structure. Results: The largest structure correspo...