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Topic:Sports Medicine
Sports Medicine and horses is a field focused on the study and application of medical and scientific principles to the care and performance of equine athletes. This discipline involves the prevention, diagnosis, treatment, and rehabilitation of injuries or conditions that affect horses engaged in various sports. It encompasses a wide range of topics, including biomechanics, exercise physiology, nutrition, and the management of musculoskeletal disorders. Sports medicine practitioners work to optimize the health and performance of sport horses through evidence-based approaches. This page gathers peer-reviewed research studies and scholarly articles that explore the methodologies, treatments, and outcomes associated with sports medicine practices in equine athletes.
Rider dislodgement events in U.S. steeplechase racing: participation outcomes in riders and horses. Steeplechase jockeys compete in high-risk races requiring horses and riders to clear fixed obstacles at speed. Although rider dislodgement events are recognized hazards, their incidence and participation consequences are not well characterized. Methods: This retrospective observational study used publicly available race charts from United States National Steeplechase Association races (2023-2025). Dislodgement events were defined as falls or lost rider events. Incidence rates were calculated per 1,000 starts, and timber and hurdle races were compared using Poisson regression. Rider interruptio...
Musculoskeletal Burden in German Equestrians: Hip-Specific Symptoms and Risk Factors. Equestrian sport is a major component of German athletics, with broad recreational participation and a strong competitive sector. In 2019, about 2.32 million people identified as active riders, and more than 60,000 competitional licences were issued in 2021, reflecting substantial competitive engagement across the Olympic disciplines and national performance levels. Hip pain is a frequent and clinically relevant complaint among athletes and can stem from structural, degenerative, or overuse-related causes. In riding, the hip joint is crucial for transmitting forces and coordinating rider-horse...
Post exercise hydration responses to an electrolyte, glycerol, and creatine supplement in horses: a preliminary study. Electrolyte supplementation is utilized to support hydration in horses. However, limited data are available on formulations that include osmotically active compounds such as glycerol and creatine. These additional ingredients may enhance fluid retention, yet their physiologic effects in equine athletes have not been evaluated. This preliminary study assessed hematologic responses, body mass recovery, and voluntary water intake following moderate exercise with and without supplementation using a commercially available hydration supplement containing electrolytes, creatine, and glycerol. Six hea...
Chasing safety: Race-day falls and injuries in Irish professional and amateur horseracing from 2016 to 2024. This study aimed to: 1) examine fall and injury incidence in Irish horseracing between 2016 and 2024, 2) establish injury characteristics, 3) compare incidence rates between professional and amateur racing and 4) investigate changes in incidence rates over time. Methods: Descriptive epidemiology study. Methods: Fall and injury data was recorded by Irish Horseracing Regulatory Board (IHRB)-appointed medical doctors using a standardised injury report form at every Irish race meeting between 2016 and 2024. Fall and injury incidence, injury location and type of injury were reported with 95% Confid...
Descriptive epidemiology of long-term injuries in jump racing Thoroughbreds in Great Britain. Race-related injuries in horse racing, especially those requiring extended recovery, are a welfare concern and threaten the sport's social licence. Previous studies predominantly report on fatalities; however, serious non-fatal musculoskeletal injuries often end horses' racing careers or have a high recurrence risk. No recent studies have described or quantified long-term injuries (LTIs) in racing Thoroughbreds, which is essential to inform targeted risk prevention strategies. Objective: To describe the types, frequencies and incidences of LTIs in British jump racing. Methods: Retrospective co...
Traumatic injuries in polo players. To determine the frequency of traumatic injuries in polo players in England. Methods: The survey included data on body location and reason for injury derived from accident reports using a retrospective cohort design from 26 participating English polo clubs between the years 2018 and 2024. Results: The study population included injuries in 236 polo players. The most common injury site was the limb (arm, hand, leg, wrist, shoulder) 47.9% (95% CI: 41.4-54.5), and face or head 38.6% (95% CI: 32.3-45.1), of which 12.1% (95% CI: 6.2-20.6) affected the eyes. The most common reason to require hospital...
Frequent location and severity of sports-related fractures in children in a tertiary care-center. A retrospective observational cohort study. Despite benefits in children, sport practice has been reported with higher risk of fractures. Our objective was to report the characteristics of sport-related fractures in children and to compare them to fractures sustained in a domestic context. Our hypothesis was that sports-related fractures more frequently required surgical treatment, and could therefore be considered more severe METHODS: We conducted a retrospective cohort study including patients under 16 years old, diagnosed with a fracture at the emergency department, excluding skull and face fractures. Demographic data, context of inj...
Equestrian STAR: Development of an Experimental Methodology for Assessing the Biomechanical Performance of Equestrian Helmets. The current equestrian helmet standards set minimal requirements for passing helmets, highlighting the need for a rating system that differentiates helmets based on their impact performance. This study's objectives were to compare equestrian helmet impact response kinematics between linear-driven and oblique impact conditions and then to evaluate the effect of incorporating oblique drop tests into a previously established equestrian helmet rating system, Equestrian STAR. Methods: Oblique drop tests were conducted with 45 equestrian helmet models at two impact locations, front boss and rear bos...
Factors associated with time to return to horse racing following a clavicle fracture in jockeys competing in Great Britain: A review and analysis of medical records. Competitive horse racing is the second largest sport in Great Britain by spectator attendance, employability, and revenue. It is a lucrative yet hazardous sport, with high injury rates, particularly from falls. Clavicular fractures are one of the most common injuries reported, yet their management, especially regarding return to racing, is under-researched. The purpose of this study was to explore the factors associated with the time to return to competition following a clavicular fracture in jockeys competing in Great Britain. Methods: This review of medical records utilised data from the Bri...
Workday Habits and Fatigue of American Jockeys. The study aims to characterize the workday habits of American jockeys and evaluate the relationship between workday habits and fatigue through changes in postural stability (balance) across their workday. Methods: Thirty-seven jockeys participated in prerace and postrace day testing. Jockeys completed questionnaires on workday habits and a 2-minute balance test with triaxial accelerometers on the unstable surface and sacrum. Results: The median caloric intake during their workday was 263.8 kcal. Wilcoxon signed rank tests reported no significant changes in balance across the workday. Statistic...
Does Equestrian Helmet Type Affect Head Injury? A Study on Equestrian Helmet Use Among Collegiate Athletes. To characterize helmet use, head injury risk, and to examine rider-related factors that influence these variables. Methods: Cross-sectional study. Methods: The University of Alabama at Birmingham Equestrian Sports Medicine Collaborative. Methods: In total, 357 equestrians competing at the collegiate level participated in this study. Unassigned: χ 2 tests were used to evaluate potential associations between a rider's experience level, riding style, and use of helmet designed with MIPS with number of falls, past head injuries, and helmet use frequency. Methods: Data regarding helmet use and equ...
Equestrian-associated injuries of the hand: a retrospective analysis of injury mechanisms and patterns. Hand injuries are frequently caused by sports and are associated with long periods of inability to work and high economic health costs. After ball sports and cycling, the most common cause of hand injuries is horseback riding. Therefore, measures should be taken to prevent these risks and increase safety in sports, however data characterizing equestrian sports-associated injuries are limited. Methods: A retrospective monocentric cohort study was performed including 39 patients (mean age: 35 ± 2.6 (range 9-65) years, female 89.7% who sustained an injury to the hand while practicing equestr...
Assessing muscle function and oxidative profile in criollo horses participating in long loop rodeo before and after exercise. Criollo breed is quite popular in Brazil, mainly in the Southern Region, and the long loop rodeo is one of the main sports modality adapted to this breed. The purpose of this study was to assess changes in the muscle and oxidative functions caused by exercises practiced in this sports modality. Data such as exercising frequency, covered distance, mean duration time and number of runs, and blood samples at the following times: before the tournament, on the final day of the event, and 18-24 h after the end of the tournament were collected. Were assessed lactate and the enzymes aspartate aminotra...
International survey of equine orthopaedic specialists reveals diverse treatment strategies for horses with overriding spinous processes. Overriding spinous processes, also known as 'kissing spines', are one of the most common causes of back pain in horses. The aim of this study was to investigate which options for diagnosis and treatment are preferred by equine orthopaedic specialists and assess which techniques are used for local injection. An online survey was distributed among members of the European/American College of Veterinary Surgeons, the European/American College of Veterinary Sports Medicine and Rehabilitation, the International Society of Equine Locomotor Pathology and nationally recognised advanced equine orthopaed...
Visually Assessing Equine Quality of Movement: A Survey to Identify Key Movements and Patient-Specific Measures. Outcome measures are essential for monitoring treatment efficacy. The lack of measures for quality of movement in equine physiotherapy and rehabilitation impairs evidence-based practice. To develop a new field-based outcome measure, it is necessary to determine movements most frequently observed during assessment of rehabilitation and performance management cases. An online survey of 81 equine sports medicine veterinarians and equine allied-health clinicians was conducted. The key movements identified included walk and trot on both firm and soft surfaces in a straight line and on a small circl...
Electrocardiographic Reference Values in Clinically Healthy Lusitano Horses. The Lusitano horse is gaining popularity in the equestrian world, and as a result, the significance of applied sports medicine for this breed is growing. As cardiology plays a crucial role in this field, numerous studies have been conducted to establish electrocardiographic reference values in various breeds to ensure a more accurate evaluation. However, studies regarding healthy Lusitano horses are lacking. So, this study aimed to establish electrocardiographic reference values for Lusitano horses, utilizing a sample of 82 clinically healthy animals. The evaluation involved lead II and base-a...
No correlation found between palpation and ultrasound for evaluation of effusion in the medial femorotibial and femoropatellar joint compartments of horses. To compare palpation and ultrasound scores of effusion of the medial femorotibial and femoropatellar joints of horses. Methods: 40 horses (80 stifles) were evaluated over a 12-week period. Methods: Horses > 1 year of age without history of stifle disease were enrolled from September to December 2022. Palpation of right and left medial femorotibial and femoropatellar joint compartments was performed. Amount of effusion was scored by a board-certified large animal surgeon, a third-year large animal surgery resident, and an equine sports medicine intern. Effusion of right and left medial femor...
Video analysis of jockey fall characteristics in horse racing. To identify characteristics of jockey falls associated with high-risk landings using a modified Equestrian Fall Assessment Instrument. Methods: Cross-sectional study. Methods: Video footage of 22 flat and 58 jump racing falls (N = 80) which occurred in Great Britain, Ireland, and New Zealand from 2013 to 2018 was systematically analysed using the modified Equestrian Fall Assessment Instrument. Race, horse, and jockey-level factors, including the nature of ground contact (landings), were characterised identifying factors associated with high-risk landings. High-risk landings refer to cases ...
Kinematic Analysis During Straight Line Free Swimming in Horses: Part 1 – Forelimbs. Background: Swimming is used for rehabilitation and conditioning purposes in equine sports medicine despite the lack of understanding of equine swimming kinematics. The aim of this study was to assess forelimb joints kinematics (elbow, carpus, and fetlock) in swimming horses. The specific objectives were 1- to calculate and compare joint angles in swimming vs. passive mobilizations (PM), 2- to determine joint angular velocities during a swimming stride cycle. Methods: Eleven elite endurance horses swam in a 100-m straight pool. Underwater (swimming) and overground (PM) videos were recorded fro...
A Cross Sectional Survey of International Horse-Racing Authorities on Injury Data Collection and Reporting Practices For Professional Jockeys. Jockey injuries are common in professional horse-racing and can result in life-threatening or career-ending outcomes. Robust injury data are essential to understand the circumstances of injury occurrence and ultimately identify prevention opportunities. This study aimed to identify jockey injury surveillance practices of international horse-racing authorities (HRAs) and the specific data items collected and reported by each HRA. A cross-sectional survey of representatives (e.g. Chief Medical Officer) from international HRAs was conducted. An online and paper questionnaire was designed comprise...
Medicine in the Sport of Horse Racing. Horseracing is among the most popular and increasingly lucrative industry sports in the nation. The average jockey must control a thoroughbred horse 10 times their weight that may act unpredictably whether at rest or full gallop resulting in falls, kicks, or even biting injuries. Despite the risks, jockeys do not have access to the same quality of medical care that is standard in similarly profitable sports organizations. Beyond the mental and physical demands of training and performance endured by any professional athlete, jockeys are confronted with health challenges unique to their sport. I...
In vivo metabolism of the designer anabolic steroid hemapolin in the thoroughbred horse. Hemapolin (2α,3α-epithio-17α-methyl-5α-androstan-17β-ol) is a designer steroid that is an ingredient in several "dietary" and "nutritional" supplements available online. As an unusual chemical modification to the steroid A-ring could allow this compound to pass through antidoping screens undetected, the metabolism of hemapolin was investigated by an in vivo equine drug administration study coupled with GC-MS analysis. Following administration of synthetically prepared hemapolin to a thoroughbred horse, madol (17α-methyl-5α-androst-2-en-17β-ol), reduced and dihydroxylated madol (17α-me...
Proposed injury thresholds for concussion in equestrian sports. Equestrian helmets are designed to pass certification standards based on linear drop tests onto rigid steel surfaces. However, concussions in equestrian sports occur most commonly when a rider is thrown off a horse and obliquely impacts a compliant surface such as turf or sand. This paper seeks to elucidate the mechanics of such impacts and thereby propose corresponding thresholds for the occurrence of concussion that can improve equestrian helmet standards and designs. Methods: The present study examined the biomechanics of real-world equestrian accidents and developed thresholds for the occu...
The influence of impact surface on head kinematics and brain tissue response during impacts with equestrian helmets. Current equestrian standards employ a drop test to a rigid steel anvil. However, falls in equestrian sports often result in impacts with soft ground. The purpose of this study was to compare head kinematics and brain tissue response associated with surfaces impacted during equestrian accidents and corresponding helmet certification tests. A helmeted Hybrid III headform was dropped freely onto three different anvils (steel, turf and sand) at three impact locations. Peak linear acceleration, rotational acceleration and impact duration of the headform were measured. Resulting accelerations served...
Doping control analysis of four JWH-250 metabolites in equine urine by liquid chromatography-tandem mass spectrometry. JWH-250 is a synthetic cannabinoid. Its use is prohibited in equine sport according to the Association of Racing Commissioners International (ARCI) and the Fédération Équestre Internationale (FEI). A doping control method to confirm the presence of four JWH-250 metabolites (JWH-250 4-OH-pentyl, JWH-250 5-OH-pentyl, JWH-250 5-OH-indole, and JWH-250 N-pentanoic acid) in equine urine was developed and validated. Urine samples were treated with acetonitrile and evaporated to concentrate the analytes prior to the analysis by liquid chromatography-tandem mass spectrometry (LC-MS/MS). The chromat...
Circulating miRNAs as Putative Biomarkers of Exercise Adaptation in Endurance Horses. Endurance exercise induces metabolic adaptations and has recently been reported associated with the modulation of a particular class of small noncoding RNAs, microRNAs, that act as post-transcriptional regulators of gene expression. Released into body fluids, they termed circulating miRNAs, and they have been recognized as more effective and accurate biomarkers than classical serum markers. This study examined serum profile of miRNAs through massive parallel sequencing in response to prolonged endurance exercise in samples obtained from four competitive Arabian horses before and 2 h after the ...
Epidemiology of Injury Due to Race-Day Jockey Falls in Professional Flat and Jump Horse Racing in Ireland, 2011-2015. Professional horse racing is considered a high-risk sport, yet the last analysis of fall and injury incidence in this sport in Ireland was completed between 1999 and 2006. Objective: To provide an updated analysis of the fall and injury incidence in professional flat and jump horse racing in Ireland from 2011 through 2015, compare it with the previous analysis, and detail the specific types and locations of injuries. Methods: Descriptive epidemiology study. Methods: A medical doctor recorded all injuries that occurred at every official flat and jump race meeting for the 2011 th...
