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Topic:Treadmill Exercise

Treadmill exercise for horses involves the use of a controlled mechanical platform to simulate various gaits and intensities of physical activity. This form of exercise allows for consistent and measurable training conditions, which can be used for rehabilitation, fitness assessment, and performance enhancement. Treadmill exercise facilitates the study of equine locomotion, respiratory function, and cardiovascular response under standardized conditions. It is also utilized in research to evaluate the effects of different training regimens and to investigate metabolic and physiological responses to exercise. This page compiles peer-reviewed research studies and scholarly articles that explore the methodology, applications, and implications of treadmill exercise in equine practice.
Reduction of renal function in exercising horses.
Equine veterinary journal    November 28, 2000   Volume 32, Issue 6 509-514 doi: 10.2746/042516400777584668
Gleadhill A, Marlin D, Harris PA, Michell AR.Glomerular filtration rate (GFR) and extracellular volume (ECFV) were measured before, during and after treadmill exercise in 5 trained Thoroughbred horses (mean weight 483 kg). GFR/ECFV was determined by plasma disappearance of Tc-DTPA and ECFV was measured independently as thiocyanate space. Resting GFR averaged 1.6 l/min (3.3 ml/kg/min) and fell by over 40% during exercise, moreover the fall was severe even during the first walk, prior to trotting. The results suggest that rather than being protected, GFR is allowed to fall, even with mild exercise and that this is probably an adaptation to...
Body centre of mass movement in the sound horse.
Veterinary journal (London, England : 1997)    November 4, 2000   Volume 160, Issue 3 225-234 doi: 10.1053/tvjl.2000.0507
Buchner HH, Obermüller S, Scheidl M.The body centre of mass (BCM) is a key factor in the analysis of equine locomotion, as its position and movement determines the distribution and magnitude of loads on the limbs. In this study, the three-dimensional (3D) movement of the BCM in walking and trotting horses was assessed using a kinematic, segmental method. Thirty markers representing 20 body segments were recorded in 12 sound horses while standing, walking and trotting on a treadmill using a high-speed video system. Based on segmental inertial data, 3D positions of the segmental centres of mass as well as the total BCM were calcul...
Determinants of oxygen delivery and hemoglobin saturation during incremental exercise in horses.
American journal of veterinary research    October 20, 2000   Volume 61, Issue 10 1325-1332 doi: 10.2460/ajvr.2000.61.1325
Fenger CK, McKeever KH, Hinchcliff KW, Kohn CW.To determine components of the increase in oxygen consumption (VO2) and evaluate determinants of hemoglobin saturation (SO2) during incremental treadmill exercise in unfit horses. Methods: 7 unfit adult mares. Methods: Horses performed 1 preliminary exercise test (EXT) and 2 experimental EXT. Arterial and mixed venous blood samples and hemodynamic measurements were taken during the last 30 seconds of each step of the GXT to measure PO2, hemoglobin concentration ([Hb]), SO2, and determinants of acid-base state (protein, electrolytes, and PCO2). Results: Increased VO2 during exercise was facilit...
Clinical effects of exercise on subchondral bone of carpal and metacarpophalangeal joints in horses.
American journal of veterinary research    October 20, 2000   Volume 61, Issue 10 1252-1258 doi: 10.2460/ajvr.2000.61.1252
Kawcak CE, McIlwraith CW, Norrdin RW, Park RD, Steyn PS.To determine effects of treadmill exercise on subchondral bone of carpal and metacarpophalangeal joints of 2-year-old horses. Methods: 12 healthy 2-year-old horses. Methods: Horses were randomly assigned to the control (n = 6) or exercised (6) groups. Horses in the exercised group ran on a high-speed treadmill 5 d/wk for 6 months. Horses in the control group were hand walked for the same amount of time. Results of clinical, radiographic, nuclear scintigraphic, and computed tomographic examinations, and serum and synovial concentrations of biochemical markers of bone metabolism were compared be...
Haemodynamic response to exercise in Standardbred trotters with red cell hypervolaemia.
Equine veterinary journal    October 19, 2000   Volume 32, Issue 5 426-431 doi: 10.2746/042516400777591057
Funkquist P, Nyman G, Persson SG.In order to evaluate the haemodynamic response to exercise in Standardbred trotters with red cell hypervolaemia (RCHV), 12 trotters with RCHV were compared with 9 normovolaemic (NV) trotters. Haemodynamic data were recorded during exercise at 4 different speeds on a treadmill. Oxygen uptake was determined with an open bias flow system. Pulmonary artery pressure (PAP), systemic artery pressure (SAP), heart rate, packed cell volume (PCV) and plasma lactate and haemoglobin ([Hb]) concentrations were measured. Arteriovenous O2 content difference, cardiac output, stroke volume, pulmonary vascular r...
Hematological changes and athletic performance in horses in response to high altitude (3,800 m).
American journal of physiology. Regulatory, integrative and comparative physiology    September 27, 2000   Volume 279, Issue 4 R1176-R1181 doi: 10.1152/ajpregu.2000.279.4.R1176
Wickler SJ, Anderson TP.This study had two goals: 1) measure hematologic changes with high-altitude acclimatization in horses; and 2) assess the effect of 9 days at high altitude on subsequent athletic performance at low altitude. Six horses performed standardized exercise tests on a dirt track (before and during time at altitude) and treadmill (pre- and postaltitude exposure). Resting and immediate postexercise blood samples were measured for blood volume, lactate, red cell number, packed cell volume, and 2,3-diphosphoglycerate (DPG) concentrations at 225 m, over a 9-day period at 3,800 m, and shortly after returnin...
The effect of initiation of exercise training in young horses on vitamin K status.
Journal of animal science    September 14, 2000   Volume 78, Issue 9 2353-2358 doi: 10.2527/2000.7892353x
Siciliano PD, Kawcak CE, McIlwraith CW.Twelve Quarter Horses, 18 to 24 mo of age and having an average body weight of 460+/-12 kg, were randomly assigned to one of two exercise treatments (control and exercise) to study the effect of initiation of exercise training in young horses on vitamin K status. The control treatment consisted of hand-walking the horses 7 min/d and 5 d/wk for 180 d. Exercise consisted of the following treadmill exercise regimen: 2 min at 4.5 to 5.4 m/s, 3 min at 13.4 to 14.3 m/s, and 2 min at 4.5 to 5.4 m/s on 5 d/wk for 180 d. Both groups were allowed free access to brome grass hay (273 mg of phylloquinone/1...
Individual speed dependency of forelimb lameness in trotting horses.
Veterinary journal (London, England : 1997)    September 14, 2000   Volume 160, Issue 2 135-138 doi: 10.1053/tvjl.2000.0483
Peham C, Licka T, Mayr A, Scheidl M.Using a system for motion analysis, linear correlation of speed and forelimb lameness was measured in 16 horses trotting on a treadmill at a minimum of three different trotting speeds. Forelimb lameness was determined as asymmetry of vertical head motion during left and right forelimb stance. In seven horses with a moderate forelimb lameness (head motion asymmetry >40%), lameness increased significantly with trotting speed. In a further seven horses with mild or subclinical forelimb lameness (head motion asymmetry <40%) and in two horses with a moderate forelimb lameness, no significant ...
The effects of treadmill inclination and speed on the activity of two hindlimb muscles in the trotting horse.
Equine veterinary journal    August 22, 2000   Volume 32, Issue 4 312-317 doi: 10.2746/042516400777032246
Robert C, Valette JP, Denoix JM.Electromyographic activity (EMG) was used to determine how hindlimb muscle activation patterns vary with speed and incline in the horse. EMG was recorded using surface electrodes over the gluteus medius and tensor fasciae latae muscles during treadmill locomotion at trot for different combinations of speed (3.5 to 6 m/s) and inclination (0, 3 and 6%). Raw EMG signals were processed to determine stride duration, activity onset and end, and integrated EMG (IEMG). Stride and stance phase duration decreased linearly with increasing speed. Stride duration was not influenced by the slope. Onset and ...
Plasma cortisol and ACTH concentrations in the warmblood horse in response to a standardized treadmill exercise test as physiological markers for evaluation of training status.
Journal of animal science    July 25, 2000   Volume 78, Issue 7 1936-1946 doi: 10.2527/2000.7871936x
Marc M, Parvizi N, Ellendorff F, Kallweit E, Elsaesser F.Reliable physiological markers for performance evaluation in sport horses are missing. To determine the diagnostic value of plasma ACTH and cortisol measurements in the warmblood horse, 10 initially 3-yr-old geldings of the Hannovarian breed were either exposed to a training schedule or served as controls. During experimental Phase 1, horses were group-housed, and half of the horses were trained for 20 wk on a high-speed treadmill. During Phase 2, groups were switched and one group was trained for 10 wk as during Phase 1, whereas the control group was confined to boxes. During Phase 3 horses w...
Carbohydrate supplementation of horses during endurance exercise: comparison of fructose and glucose.
The Journal of nutrition    June 27, 2000   Volume 130, Issue 7 1760-1765 doi: 10.1093/jn/130.7.1760
Bullimore SR, Pagan JD, Harris PA, Hoekstra KE, Roose KA, Gardner SC, Geor RJ.To delay the onset of fatigue, endurance horses are often fed at rest stops during races. The resulting increase in blood insulin may adversely inhibit lipolysis. In humans, ingestion of fructose produces a smaller insulin rise than glucose. This study compared glucose and fructose as carbohydrate supplements for endurance horses. Three Arabian geldings were given 300 g of fructose (F), glucose (G) or 50% glucose: 50% fructose (GF), in 1.5 L water, by stomach tube. In the Resting Test, carbohydrate was administered at rest. Following treatment, blood samples were taken every 30 min for 8 h, an...
Preferred speed and cost of transport: the effect of incline.
The Journal of experimental biology    June 23, 2000   Volume 203, Issue Pt 14 2195-2200 doi: 10.1242/jeb.203.14.2195
Wickler SJ, Hoyt DF, Cogger EA, Hirschbein MH.Preferred speed is the behavioral tendency of animals to utilize a relatively narrow set of speeds near the middle of a much broader range that they are capable of using within a particular gait. Possible explanations for this behavior include minimizing musculoskeletal stresses and maximizing energetic economy. If preferred speed is determined by energetic economy (cost of transport, C(T)), then shifts in preferred speed should produce shifts in C(T). To test this hypothesis, preferred speeds were measured in trotting horses on the level and on an incline. The preferred trotting speed decreas...
Changes in kinematic variables observed during pressure-induced forelimb lameness in adult horses trotting on a treadmill.
American journal of veterinary research    June 13, 2000   Volume 61, Issue 6 612-619 doi: 10.2460/ajvr.2000.61.612
Keegan KG, Wilson DA, Smith BK, Wilson DJ.To determine whether kinematic changes induced by heel pressure in horses differ from those induced by toe pressure. Methods: 10 adult Quarter Horses. Methods: A shoe that applied pressure on the cuneus ungulae (frog) or on the toe was used. Kinematic analyses were performed before and after 2 levels of frog pressure and after 1 level of toe pressure. Values for stride displacement and time and joint angles were determined from horses trotting on a treadmill. Results: The first level of frog pressure caused decreases in metacarpophalangeal (fetlock) joint extension during stance and increases ...
Frequency domain analysis of heart rate variability in horses at rest and during exercise.
Equine veterinary journal    June 3, 2000   Volume 32, Issue 3 253-262 doi: 10.2746/042516400776563572
Physick-Sheard PW, Marlin DJ, Thornhill R, Schroter RC.The pattern of variation in heart rate on a beat-to-beat basis contains information concerning sympathetic (SNS) and parasympathetic (PNS) contributions to autonomic nervous system (ANS) modulation of heart rate (HR). In the present study, heart period (RR interval) time series data were collected at rest and during 3 different treadmill exercise protocols from 6 Thoroughbred horses. Frequency and spectral power were determined in 3 frequency bands: very low (VLF) 0-0.01-0.07-< or = 0.5 cycles/beat. Indicators of sympathetic (SNSI = LO/HI) and parasympathetic (PNSI = HI/TOTAL) activity were...
Epinephrine inhibits exogenous glucose utilization in exercising horses.
Journal of applied physiology (Bethesda, Md. : 1985)    May 8, 2000   Volume 88, Issue 5 1777-1790 doi: 10.1152/jappl.2000.88.5.1777
Geor RJ, Hinchcliff KW, McCutcheon LJ, Sams RA.This study examined the effects of preexercise glucose administration, with and without epinephrine infusion, on carbohydrate metabolism in horses during exercise. Six horses completed 60 min of treadmill exercise at 55 +/- 1% maximum O(2) uptake 1) 1 h after oral administration of glucose (2 g/kg; G trial); 2) 1 h after oral glucose and with an intravenous infusion of epinephrine (0.2 micromol. kg(-1). min(-1); GE trial) during exercise, and 3) 1 h after water only (F trial). Glucose administration (G and GE) caused hyperinsulinemia and hyperglycemia ( approximately 8 mM). In GE, plasma epine...
Cardiorespiratory impact of the nitric oxide synthase inhibitor L-NAME in the exercising horse.
Respiration physiology    April 25, 2000   Volume 120, Issue 2 151-166 doi: 10.1016/s0034-5687(00)00096-7
Kindig CA, Gallatin LL, Erickson HH, Fedde MR, Poole DC.To investigate the role of nitric oxide, NO, in facilitating cardiorespiratory function during exercise, five horses ran on a treadmill at speeds that yielded 50, 80 and 100% of peak pulmonary oxygen uptake (V(O(2)) peak) as determined on a maximal incremental test. Each horse underwent one control (C) and one (NO-synthase inhibitor; N(G)-L-nitro-arginine methyl ester (L-NAME), 20 mg/kg) trial in randomized order. Pulmonary gas exchange (open flow system), arterial and mixed-venous blood gases, cardiac output (Fick Principle), and pulmonary and systemic conductances were determined. L-NAME red...
Basic three-dimensional kinematics of the vertebral column of horses walking on a treadmill.
American journal of veterinary research    April 20, 2000   Volume 61, Issue 4 399-406 doi: 10.2460/ajvr.2000.61.399
Faber M, Schamhardt H, van Weeren R, Johnston C, Roepstorff L, Barneveld A.To determine kinematic movements of the vertebral column of horses during normal locomotion. Methods: 5 Dutch Warmblood horses without apparent lameness or problems associated with the vertebral column. Methods: Kinematics of 8 vertebrae (T6, T10, T13, T17, L1, L3, L5, and S3) and both tuber coxae were determined, using bone-fixated markers. Horses were recorded while walking on a treadmill at a constant speed of 1.6 m/s. Results: Flexion-extension was characterized by 2 periods of extension and flexion during 1 stride cycle, whereas lateral bending and axial rotation were characterized by 1 p...
Effect of single bouts of moderate and high intensity exercise and training on equine peripheral blood neutrophil function.
Research in veterinary science    April 11, 2000   Volume 68, Issue 2 141-146 doi: 10.1053/rvsc.1999.0349
Raidal SL, Love DN, Bailey GD, Rose RJ.The effects of single bouts of moderate (30 to 40 per cent VO(2)max) and high (115 per cent VO(2)max) intensity exercise on equine peripheral blood leucocyte function were evaluated by determining neutrophil phagocytosis and oxidative burst activity before and after treadmill exercise and training. Prior to all exercise tests, the possible effect of diurnal variation was evaluated in samples obtained from four resting horses. Subsequently eight horses underwent moderate and high intensity exercise protocols and then commenced a 17-week training period. High intensity exercise tests were repeat...
Heat acclimation improves regulation of plasma volume and plasma Na(+) content during exercise in horses.
Journal of applied physiology (Bethesda, Md. : 1985)    March 10, 2000   Volume 88, Issue 3 1006-1013 doi: 10.1152/jappl.2000.88.3.1006
Lindinger MI, McCutcheon LJ, Ecker GL, Geor RJ.This study determined the plasma volume (PV) and ion responses to heat acclimation and exercise in six trained Thoroughbred horses during 21 days of exposure to heat and humidity (33 degrees C, 83% relative humidity) for 4 h/day. During the 2nd h on days 0, 3, 7, 14, and 21, horses performed a standardized treadmill test, running at 50% of peak O(2) uptake until pulmonary artery temperature reached 41.5 degrees C. Heat acclimation resulted in an increase in PV from 21.3 +/- 1.1 liters on day 0 to 24.3 +/- 1.0 liters on day 14, returning to 22.6 +/- 0.9 liters on day 21. The corresponding total...
Causes of poor performance of horses during training, racing, or showing: 348 cases (1992-1996).
Journal of the American Veterinary Medical Association    February 25, 2000   Volume 216, Issue 4 554-558 doi: 10.2460/javma.2000.216.554
Martin BB, Reef VB, Parente EJ, Sage AD.To determine results for horses undergoing a high-speed treadmill examination, including videoendoscopy of the pharynx and larynx before and during exercise, echocardiography before and after exercise, and electrocardiography before, during, and after exercise, because of poor performance. Methods: Retrospective study. Methods: 348 horses. Results: A definitive diagnosis was obtained for 256 (73.5%) horses. One hundred forty-eight horses had dynamic obstruction of the airway during exercise, 33 had clinically important cardiac arrhythmias alone, 22 had a combination of dynamic airway obstructi...
Determination of the lactate breakpoint during incremental exercise in horses adapted to dietary corn oil.
American journal of veterinary research    February 24, 2000   Volume 61, Issue 2 144-151 doi: 10.2460/ajvr.2000.61.144
Kronfeld DS, Custalow SE, Ferrante PL, Taylor LE, Moll HD, Meacham TN, Tiegs W.To determine lactate breakpoint of horses and test for effects of training and dietary supplementation with corn oil on that breakpoint. Methods: 7 healthy Arabian horses. Methods: Horses received a control diet (n = 4) or a diet supplemented with 10% corn oil (4). A training program, which comprised two 5-week conditioning periods with 1 week of rest, was initiated. Submaximal incremental exercise tests (IET) were conducted before the first and after both conditioning periods. Blood samples for determination of blood lactate and plasma glucose concentrations were collected 1 minute before IET...
Advantages and disadvantages of track vs. treadmill tests.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 645-647 doi: 10.1111/j.2042-3306.1999.tb05305.x
Sloet van Oldruitenborgh-Oosterbaan MM, Clayton HM.No abstract available
The effect of supramaximal exercise on equine platelet function.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 181-183 doi: 10.1111/j.2042-3306.1999.tb05214.x
Kingston JK, Sampson SN, Beard LA, Meyers KM, Sellon DC, Bayly WM.When blood is collected into sodium citrate in the proportion of 9 parts blood:1 part sodium citrate, the concentration of plasma sodium citrate in the sample will depend on the packed cell volume (PCV) of the blood sample. This difference in plasma sodium citrate concentration secondary to alterations in PCV significantly affects human platelet aggregation responses. Since horses attain a high PCV in response to high-intensity exercise we investigated the effect of differences in sample plasma sodium citrate concentration on equine platelet aggregability. In addition, low molecular weight hep...
Effects of pre-exercise frusemide administration and post exercise anaesthesia on cardiopulmonary and acid-base parameters and blood and plasma volumes in horses exercised supramaximally to fatigue.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 174-177 doi: 10.1111/j.2042-3306.1999.tb05212.x
Keegan RD, Greene SA, Brown JA, Weil AB, Bayly WM.Six horses were randomly assigned to receive either frusemide (F) (0.5 mg/kg i.v.) or an equivalent volume of saline (S) i.v., 4 h prior to treadmill exercise. Horses were instrumented to enable measurement of heart rate (HR), systolic (SAP), mean (MAP), and diastolic (DAP) carotid arterial pressures, pulmonary artery pressure (PAP), central venous pressure (CVP), pulmonary arterial temperature (TEMP), blood gases, and cardiac output (CO). Plasma (PV) and blood volumes (BV) were measured using 2 injections of Evan's Blue dye. Baseline parameters were recorded while the horse stood quietly. Hor...
Effect of feeding thoroughbred horses a high unsaturated or saturated vegetable oil supplemented diet for 6 months following a 10 month fat acclimation.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 468-474 doi: 10.1111/j.2042-3306.1999.tb05267.x
Harris PA, Pagan JD, Crandell KG, Davidson N.This study looked at the effect of feeding diets supplemented with either a predominantly saturated or unsaturated vegetable oil over a prolonged period to exercising horses. Eight Thoroughbred horses were assigned to 2 diet treatments and for 10 months were fed Timothy hay and oats, together with a fortified sweet feed supplemented with either a predominantly unsaturated (Un) or a saturated (S) vegetable oil so that approximately 19% DE (Digestible Energy) came from dietary fat and approximately 12% from either the Un or S source (AC). An increased amount of Un or S fortified sweet feed, repl...
Muscle adenine nucleotide degradation during submaximal treadmill exercise to fatigue.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 298-302 doi: 10.1111/j.2042-3306.1999.tb05238.x
Essén-Gustavsson B, Gottlieb-Vedi M, Lindholm A.The aim was to investigate metabolic response in muscle during submaximal treadmill exercise to fatigue, with a special emphasis on adenine nucleotide degradation products such as inosine monophosphate (IMP) in muscle and hypoxanthine, xanthine and uric acid in plasma. Five Standardbred trotters performed treadmill exercise on 2 occasions, once at 7 m/s and once at 10 m/s. Venous blood samples were taken at rest, during exercise and at the end of exercise. Muscle biopsies were taken before and after exercise and muscle temperature was measured before and after exercise. Running time differed a...
The effects of training on ventilation and blood gases in exercising thoroughbreds.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 57-61 doi: 10.1111/j.2042-3306.1999.tb05189.x
Roberts CA, Marlin DJ, Lekeux P.The effects of training on ventilation and blood gases during exercise were investigated in 6 clinically normal, detrained Thoroughbred horses. They underwent a 16 week training programme similar to the type frequently used for Thoroughbred racehorses in Great Britain. Standardized treadmill exercise tests (2 min canter at 8 and 10 m/s C8 and C10[ and 2 min gallop at 12 m/s [G12], on a level surface) were performed prior to and after 16 weeks of training. Respiratory flow rates were measured using ultrasound flow transducers. Blood samples were drawn from a transverse facial artery and the rig...
Plasma ammonia and lactate responses using incremental and constant speed exercise tests.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 546-551 doi: 10.1111/j.2042-3306.1999.tb05281.x
Harris RC, Harris DB, Dunnett M, Harris PA, Fallowfield J, Naylor JR.Plasma NH3, formed during intense exercise, results principally from the deamination of AMP in muscle. Its formation during exercise may be influenced both by the pool of fibres recruited and by changes in the intracellular environment affecting ADP homeostasis. This study compared incremental and constant speed exercise as possible protocols for the investigation of plasma NH3 accumulation with intense exercise. Six trained Thoroughbred horses, one of which had recently been operated on for recurrent laryngeal neuropathy, undertook a step-wise treadmill test with 1 min incremental steps of 6,...
Ventilation-perfusion relationships during exercise in standardbred trotters with red cell hypervolaemia.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 107-113 doi: 10.1111/j.2042-3306.1999.tb05199.x
Funkquist P, Wagner PD, Hedenstierna G, Persson SG, Nyman G.In order to evaluate the pulmonary gas exchange during exercise in Standardbred trotters with red cell hypervolaemia (RCHV), 12 horses with RCHV were compared with 9 normovolaemic (NV) horses. VO2 and VCO2 were determined with an open bias flow system. Cardiovascular and haemodynamic data were recorded during exercise at 4 different speeds on a treadmill. Pulmonary gas exchange was assessed by conventional blood gas variables (arterial and mixed venous blood gas tensions), and the ventilation-perfusion distribution VA/Q was estimated by the multiple inert gas elimination technique. VA and AaDO...
Effects of frusemide on electrolyte and acid-base balance during exercise.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 370-374 doi: 10.1111/j.2042-3306.1999.tb05250.x
Carlson GP, Jones JH.This study was undertaken to evaluate the effects of frusemide on the concentration of plasma electrolytes and the relationship between changes in electrolyte concentration and the simultaneous changes in acid-base balance in arterial and venous blood during intense exercise. Five exercise-conditioned Thoroughbred horses were exercised on a high-speed treadmill at a slope of 10% at speeds known to exceed VO2max. Horses participated in 3 randomised exercise trials in which they received either placebo (control), low-dose frusemide (0.5 mg/kg bwt), or high-dose frusemide (1.0 mg/kg) 4 h prior to...
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