Analyze Diet

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.
Comparison of exercise tests in French trotters under training track, racetrack and treadmill conditions.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 528-532 doi: 10.1111/j.2042-3306.1999.tb05278.x
Couroucé A, Geffroy O, Barrey E, Auvinet B, Rose RJ.Standardised exercise tests were performed at 2 different tracks and on an uninclined treadmill during the same week to determine the influence of exercise surface on different measured variables such as heart rate (HR), blood lactate concentration, packed cell volume, stride frequency, stride length, gait symmetry and regularity and on different derived physiological variables such as the speed at a HR of 200 beats/min (V200), the speed at a blood lactate concentration of 4 mmol/l (V4), the speed at a maximal HR (VHRmax). Five French Trotters, age 3 years, in training for 3 months prior to th...
Effect of exercise on concentrations of immunoreactive endothelin in bronchoalveolar lavage fluid of normal horses and horses with chronic obstructive pulmonary disease.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 92-95 doi: 10.1111/j.2042-3306.1999.tb05196.x
Benamou AE, Art T, Marlin DJ, Roberts CA, Lekeux P.Chronic obstructive pulmonary disease (COPD) represents a major cause of loss of performance in the horse. The role of endothelin (ET), a potent bronchoconstrictive and vasoactive peptide, is currently being investigated in asthma and other obstructive respiratory diseases in man. We have previously found elevated systemic and pulmonary endothelin levels in horses during exacerbation of COPD. In the present study, our aim was to examine possible variations in ET concentrations occurring during exercise in COPD horses. We compared the effects of intense treadmill exercise on the recovery of end...
Metabolic and hormonal changes after exercise in relation to muscle glycogen concentrations.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 332-336 doi: 10.1111/j.2042-3306.1999.tb05244.x
Reeta Pösö A, Hyyppä S.To test whether, in horses, the concentration of muscle glycogen can be influenced by increasing the uptake of glucose into the muscle cells or by providing a gluconeogenic precursor, 9 trained half-bred riding horses performed on a treadmill a 1.5 h competition exercise test (CET). Each horse performed CET 3 times and 30 min after CET, each was given one of the following solutions: isotonic glucose-electrolyte (GE) solution, GE supplemented with 50 g leucine (GEL) to increase insulin secretion, or GE supplemented with 200 ml propionic acid (GEP), a gluconeogenic precursor. Administration of G...
Blood gas, plasma lactate and bronchoalveolar lavage cytology analyses in racehorses with respiratory disease.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 77-82 doi: 10.1111/j.2042-3306.1999.tb05193.x
Couëtil LL, Denicola DB.The purpose of this study was to evaluate the relationship between bronchoalveolar lavage (BAL) cytology, arterial blood gases and plasma lactate concentration during a standardised treadmill test (STT) in racehorses with small-airway inflammation (SAI), or exercise-induced pulmonary haemorrhage (EIPH). Sixteen Thoroughbred and 20 Standardbred actively racing racehorses, were divided into a control group (n = 10), EIPH group (n = 13) and SAI group (n = 13). Each STT consisted of a 2 min trot at 4 m/s followed by 5 x 1 min, incremental speed steps (6, 8, 10, 11 and 12 m/s) at 10% incline for Th...
Is ventilation during maximal exercise limited by dynamic airway closure?
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 39-44 doi: 10.1111/j.2042-3306.1999.tb05185.x
Hobo S, Hiraga A, Birks EK, Takahashi T, Hada T, Jones JH.A study was undertaken to find if the reason why horses hypoventilate when running is that they experience expiratory flow limitation due to dynamic airway closure. To test this hypothesis, we measured peak expiratory flows on a Thoroughbred galloping on a treadmill and hypoventilating and compared those flows with the peak dynamically-limited flow that the same horse could achieve during a forced expiratory flow-volume manoeuvre. At the approximate lung volumes at which the horse was ventilating while running, it did not appear to be mechanically limited and appeared to have reserve capacity ...
The kinematics of loading and fatigue in the standardbred trotter.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 249-253 doi: 10.1111/j.2042-3306.1999.tb05228.x
Johnston C, Gottlieb-Vedi M, Drevemo S, Roepstorff L.The Standardbred trotter must pull a considerable load when racing and, consequently, draught loading is a common method of training in the Standardbred and the effects of loading and fatigue due to loading on the locomotor pattern was the purpose of this investigation. Four mature healthy Standardbred horses trotted with and without a horizontal-pulling loading of 34 kg until the horses were no longer willing to keep pace with the treadmill despite encouragement. Heart rate was monitored every min using a bipolar electrocardiogram. The kinematics for 5 consecutive strides were filmed. Horses ...
Plasma adrenocorticotropin, cortisol and catecholamines response to various exercises.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 570-574 doi: 10.1111/j.2042-3306.1999.tb05286.x
Nagata S, Takeda F, Kurosawa M, Mima K, Hiraga A, Kai M, Taya K.The responses of plasma adrenocorticotropin (ACTH), cortisol, noradrenaline and adrenaline in 5 Thoroughbred horses to an incremental exercise and 2 relative workload exercises, at 105 and 80% maximal oxygen consumption (VO2max), on a treadmill were examined. These hormone concentrations increased (P < 0.05) with each exercise and the maximal plasma concentrations of ACTH, cortisol were observed between 5 and 30 min after the end of the exercise, while maximal catecholamine concentrations occurred just at exhaustion time. The plasma ACTH, noradrenaline and adrenaline responses during exerci...
Plasma cortisol and beta-endorphin concentrations in trained and over-trained standardbred racehorses.
Pflugers Archiv : European journal of physiology    January 29, 2000   Volume 439, Issue 1-2 11-17 doi: 10.1007/s004249900111
Golland LC, Evans DL, Stone GM, Tyler-McGowan CM, Hodgson DR, Rose RJ.The effects of training and over-training on plasma cortisol and beta-endorphin (betaEP) concentrations at rest and after standardised exercise tests and the cortisol responses to adrenocorticotropin (ACTH) administration were investigated in standardbred horses. Twelve horses were divided randomly into control and over-trained (OT) groups after 17 weeks slow- and moderate-intensity treadmill training. The standardised treadmill exercise test consisted of 2 min at velocities corresponding to 30, 50, 70 and 100% of maximum O2 consumption. Over-training, defined as a significant decrease in body...
Comparison of some responses to exercise on the track and the treadmill in French trotters: determination of the optimal treadmill incline.
Veterinary journal (London, England : 1997)    January 21, 2000   Volume 159, Issue 1 57-63 doi: 10.1053/tvjl.1999.0381
Couroucé A, Corde R, Valette JP, Cassiat G, Hodgson DR, Rose RJ.The purpose of this study was to determine the optimal treadmill slope for trotters to produce the same heart rate and blood lactate responses as on the track during a standardized exercise test. Nine 2-year-old French trotters performed exercise tests on a training track and on a treadmill set at an incline of 0, 2 or 4%. For all horses, track testing was performed on day 1 and then on the treadmill according to a Latin-square design. The track test utilized three steps each of 3 min at speeds of 470, 530, 590 m/min and the same speeds were used on the treadmill. Derived physiological variabl...
Time of contact and step length: the effect of limb length, running speed, load carrying and incline.
The Journal of experimental biology    December 23, 1999   Volume 203, Issue Pt 2 221-227 doi: 10.1242/jeb.203.2.221
Hoyt DF, Wickler SJ, Cogger EA.Using published values for twelve species of birds and mammals, we investigated the effects of limb length and running speed on time of contact and step length. In addition, we measured the time of contact in horses trotting up a 10 % incline and when carrying a load averaging 19 % of their body mass. From these values, we calculated stride period and step length. Our analysis of the interspecific data yielded the following relationship between time of contact (t(c) in s) and leg length (L in m) and running speed (v in m s(-)(1)): t(c)=0.80L(0.84)/v(0.87) (r(2)=0.97). Both exponents in this re...
Exercise affects the mechanical properties and histological appearance of equine articular cartilage.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    November 24, 1999   Volume 17, Issue 5 725-731 doi: 10.1002/jor.1100170516
Murray RC, Zhu CF, Goodship AE, Lakhani KH, Agrawal CM, Athanasiou KA.Dorsal carpal osteochondral injury is a major cause of reduced performance in horses undergoing high-intensity training. It was hypothesised that the mechanical behaviour and histology of cartilage are influenced by the intensity of exercise and by location within a joint. Relationships between histology and mechanical behaviour were identified in 2-year-old horses undergoing 19 weeks of high-intensity treadmill training or low-intensity exercise and then compared between groups. Dorsal and palmar test sites were identified on radial, intermediate, and third carpal articular surfaces after eut...
Effects of prior exercise on muscle metabolism during sprint exercise in horses.
Journal of applied physiology (Bethesda, Md. : 1985)    November 24, 1999   Volume 87, Issue 5 1914-1922 doi: 10.1152/jappl.1999.87.5.1914
McCutcheon LJ, Geor RJ, Hinchcliff KW.The effect of warm-up exercise on energy metabolism and muscle glycogenolysis during sprint exercise (Spr) was examined in six fit Standardbred horses exercised at 115% of maximal O(2) consumption (VO(2 max)) until fatigued, 5 min after each of three protocols: 1) no warm-up (NWU); 2) 10 min at 50% of VO(2 max) [low-intensity warm-up (LWU)]; and 3) 7 min at 50% VO(2 max) followed by 45-s intervals at 80, 90, and 100% VO(2 max) [high-intensity warm-up (HWU)]. Warm-up increased (P < 0.0001) muscle temperature (T(m)) at the onset of Spr in LWU (38.3 +/- 0.2 degrees C) and HWU (40.0 +/- 0. 3 de...
Effect of intravenous administration of furosemide on mass-specific maximal oxygen consumption and breathing mechanics in exercising horses.
American journal of veterinary research    November 24, 1999   Volume 60, Issue 11 1415-1422 
Bayly WM, Slocombe RF, Schott HC, Hodgson DR.To determine whether i.v. administration of furosemide (250 mg) to horses before maximal exercise affected maximal oxygen consumption (VO2max), breathing mechanics, or gas exchange during exercise. Methods: 7 healthy, well-conditioned Thoroughbred horses. Methods: 5 horses initially performed an incremental treadmill exercise test to determine VO2max 4 hours after i.v. administration of furosemide (250 mg i.v.) or placebo (saline [0.9% NaCl] solution). Time to fatigue and distance run were recorded. All 7 horses were then used to determine the effects of furosemide on gas exchange and breathin...
Effects of muscle glycogen depletion on some metabolic and physiological responses to submaximal treadmill exercise.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 26, 1999   Volume 63, Issue 4 241-247 
Davie AJ, Evans DL, Hodgson DR, Rose RJ.The aim of this study was to investigate the effects of reduced muscle glycogen concentration on some physiological and metabolic responses during moderate intensity treadmill exercise in horses. Six Thoroughbred geldings were randomly allocated to 2 treatments (protocols A and B) or control in a 3 x 3 replicated Latin square design. In protocol A, horses performed low intensity exercise while horses in protocol B performed short bursts of high intensity exercise. Protocol A was designed to induce glycogen depletion mainly of slow twitch muscle fibers while protocol B aimed to deplete mainly f...
Correlation between surface electromyography and kinematics of the hindlimb of horses at trot on a treadmill.
Cells, tissues, organs    October 12, 1999   Volume 165, Issue 2 113-122 doi: 10.1159/000016681
Robert C, Valette JP, Degueurce C, Denoix JM.The purpose of this study was to demonstrate the feasibility of surface electromyography in the horse and to correlate electromyographic activity with kinematic data. Surface electromyography of seven hindlimb muscles was recorded in five horses at trot on a treadmill. Simultaneously, kinematic analysis of the hindlimb was performed using a three-dimensional system and a unidirectional accelerometer was attached to the hoof. Electromyographic activities of the gluteus medius, vastus lateralis and two parts of the biceps femoris started in the late part of the swing phase and ended in the late ...
Cardiovascular demands of competition on low-goal (non-elite) polo ponies.
Equine veterinary journal    October 3, 1999   Volume 31, Issue 5 378-382 doi: 10.1111/j.2042-3306.1999.tb03836.x
Marlin DJ, Allen JC.Knowledge of the competitive demands of different sports or activities is important for designing appropriate training programmes to ensure that animals reach a sufficient level of fitness to reduce the risk of overexertion and injury or illness and to achieve the best possible performance in relation to an individual's genetic potential. Whilst the physiological demands of many equestrian sports have been described, to the best of our knowledge the cardiovascular demands of polo have not. The aims of the present study were therefore to record heart rate during and after competitive polo games...
Supporting forelimb lameness: clinical judgement vs. computerised symmetry measurement.
Equine veterinary journal    October 3, 1999   Volume 31, Issue 5 417-421 doi: 10.1111/j.2042-3306.1999.tb03842.x
Peham C, Licka T, Girtler D, Scheidl M.The aim of this study was to compare supporting forelimb lameness determined by a motion analysis system with the subjective grading of a trained equine orthopaedic surgeon. Trotting on a treadmill, 29 individuals with a supporting forelimb lameness were measured with the SELSPOT II system and judged by the clinician. The vertical motion of the head was measured, analysed using Fourier transform, and the percentages of symmetry determined. The veterinarian evaluated the lameness and graded it according to a clinical routine. Veterinarian and system for motion analysis assigned the lameness to ...
Limb locomotion–speed distribution analysis as a new method for stance phase detection.
Journal of biomechanics    September 7, 1999   Volume 32, Issue 10 1119-1124 doi: 10.1016/s0021-9290(99)00102-5
Peham C, Scheidl M, Licka T.The stance phase is used for the determination of many parameters in motion analysis. In this technical note the authors present a new kinematical method for determination of stance phase. From the high-speed video data, the speed distribution of the horizontal motion of the distal limb is calculated. The speed with the maximum occurrence within the motion cycle defines the stance phase, and this speed is used as threshold for beginning and end of the stance phase. In seven horses the results obtained with the presented method were compared to synchronous stance phase determination using a for...
Hemothorax in 2 horses.
Journal of veterinary internal medicine    August 17, 1999   Volume 13, Issue 4 375-378 doi: 10.1892/0891-6640(1999)013<0375:hih>2.3.co;2
Perkins G, Ainsworth DM, Yeager A.This report documents the successful conservative medical management of hemothorax in 2 horses. Hemothorax occurred after a lung biopsy procedure (horse 1) and strenuous exercise on a treadmill (horse 2). The horses had tachypnea, tachycardia, nostril flaring, hemoptysis, and pawing. Hemothorax was suspected based upon absence of auscultable ventral lung sounds; development of cool extremities and pale, tacky mucous membranes; the ultrasonographic appearance of moderate to severe amounts of pleural fluid; and a concurrent decrease in hematocrit and total plasma protein. Both horses were treate...
The relationship between mechanical work and energy expenditure of locomotion in horses.
The Journal of experimental biology    August 10, 1999   Volume 202, Issue Pt 17 2329-2338 doi: 10.1242/jeb.202.17.2329
Minetti AE, ArdigO LP, Reinach E, Saibene F.Three-dimensional motion capture and metabolic assessment were performed on four standardbred horses while walking, trotting and galloping on a motorized treadmill at different speeds. The mechanical work was partitioned into the internal work (W(INT)), due to the speed changes of body segments with respect to the body centre of mass, and the external work (W(EXT)), due to the position and speed changes of the body centre of mass with respect to the environment. The estimated total mechanical work (W(TOT)=W(INT)+W(EXT)) increased with speed, while metabolic work (C) remained rather constant. A...
A comparison of the ultrastructure and metabolic response of the skeletal muscle of horses performing intense treadmill exercise at 20 and 35 degrees C.
Zentralblatt fur Veterinarmedizin. Reihe A    July 10, 1999   Volume 46, Issue 4 209-218 doi: 10.1046/j.1439-0442.1999.00204.x
Gottlieb-Vedi M, Essén-Gustavsson B, Thornell LE, Lindholm A.The aim of this study was to determine whether the metabolic response and ultrastructure of muscle differed when horses performed intense exercise at different ambient temperatures. Four Standardbred geldings performed treadmill exercise, including an intensive trot of 2600 m on two different occasions, either at a high ambient temperature of 35 degrees C or at a temperature of 20 degrees C. The horses had a warm-up period of 23.5 min of submaximal exercise, followed by 2 h of box rest before the intensive exercise. Muscle biopsy data of adenine nucleotides, creatine phosphate, lactate and gly...
Anesthesia of horses with a combination of detomidine, zolazepam, tiletamine, and isoflurane immediately after strenuous treadmill exercise.
American journal of veterinary research    June 22, 1999   Volume 60, Issue 6 743-748 
Rankin DC, Greene SA, Keegan RD, Weil AB, Schneider RK, Bayly WM.To evaluate effects of strenuous exercise in adult horses immediately before anesthesia and to determine whether prior exercise affects anesthesia induction, recovery, or both. Methods: 6 healthy Thoroughbreds in good condition and trained to run on a treadmill, each horse serving as its own control. Methods: Horses ran on a treadmill until fatigued, then were sedated immediately with detomidine hydrochloride and anesthetized with a zolazepam hydrochloride-tiletamine combination. Anesthesia was maintained with isoflurane in oxygen for another 90 minutes. Blood samples were taken before, during...
Galloping exercise induces regional changes in bone density within the third and radial carpal bones of Thoroughbred horses.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 111-115 doi: 10.1111/j.2042-3306.1999.tb03802.x
Firth EC, Delahunt J, Wichtel JW, Birch HL, Goodship AE.This study was performed to test the hypothesis that a localised bone hypertrophy could occur within the subchondral cancellous architecture of the third and radial carpal bones. Using 2 levels of controlled and defined exercise, it was observed that a high intensity treadmill exercise protocol resulted in functional adaptation of the carpal bones. The increase in trabecular thickening and density was seen to be localised to those regions underlying common sites of cartilage degradation, the interface of the thickened trabeculae with the normal architecture in the third carpal bone was coincid...
V(O2) recovery kinetics in the horse following moderate, heavy, and severe exercise.
Journal of applied physiology (Bethesda, Md. : 1985)    April 8, 1999   Volume 86, Issue 4 1170-1177 doi: 10.1152/jappl.1999.86.4.1170
Langsetmo I, Poole DC.At the onset of exercise, horses exhibit O2 uptake (VO2) kinetics that are qualitatively similar to those of humans. In humans, there is a marked dissymmetry between on- and off-kinetics for VO2. This investigation sought to formally characterize the off-transient (recovery) VO2 kinetics in the horse within the moderate (M), heavy (H), and severe (S) exercise domains. Six horses were run on a high-speed treadmill at M, H, and S exercise intensities (i.e., that speed which yielded approximately 50, 85, 100% peak VO2, respectively, on the maximal incremental test). The time courses for the recov...
Cytologic examination of specimens obtained by means of tracheal washes performed before and after high-speed treadmill exercise in horses with a history of poor performance.
Journal of the American Veterinary Medical Association    March 24, 1999   Volume 214, Issue 5 673-677 
Martin BB, Beech J, Parente EJ.To evaluate results of cytologic examination of specimens obtained by means of tracheal washes (TW) in 42 horses with a history of poor performance. Methods: Cross-sectional case series. Methods: 42 horses with a history of poor performance. Methods: A TW was performed via endoscopy before and after horses exercised on a high-speed treadmill, and specimens were evaluated microscopically and graded. Results: Ten (24%) horses were considered to be clinically normal before and after exercise. Pulmonary hemorrhage was diagnosed in 8 (19%) horses. One horse had evidence of exercise-induced pulmonar...
The effect of orthopaedic shoeing on the force exerted by the deep digital flexor tendon on the navicular bone in horses.
Equine veterinary journal    February 10, 1999   Volume 31, Issue 1 25-30 doi: 10.1111/j.2042-3306.1999.tb03787.x
Willemen MA, Savelberg HH, Barneveld A.This study quantifies both the intended effect of orthopaedic shoeing to decrease the load on the navicular bone and the eventual undesired effects on gait performance. The compressive force exerted by the deep digital flexor tendon on the navicular bone and on the quality of the trot and redistribution of forces over the flexor tendons and the suspensory ligament were studied as a function of orthopaedic shoeing in 12 sound Dutch Warmblood horses. A modified CODA-3 gait analysis system and a force plate were used to quantify objectively the load on the lower limb. The quality of the trot was ...
Effects of inhaled dry powder ipratropium bromide on recovery from exercise of horses with COPD.
Equine veterinary journal    February 10, 1999   Volume 31, Issue 1 20-24 doi: 10.1111/j.2042-3306.1999.tb03786.x
Duvivier DH, Bayly WM, Votion D, Vandenput S, Art T, Farnir F, Lekeux P.The present study evaluated ventilatory, cardiovascular and metabolic parameters during recovery from strenuous exercise in horses suffering from a crisis of chronic obstructive pulmonary disease (COPD) and to determine whether ipratropium dry powder inhalation (DPI) before exercise has an effect on these parameters. When 6 saddle horses, affected with COPD, developed airway obstruction, they inhaled placebo and ipratropium (2400 microg/horse), the order being randomly chosen. Pulmonary function tests were then recorded 15 min after inhalation. Following these tests, the horses underwent a str...
Physiological responses of horses to a treadmill simulated speed and endurance test in high heat and humidity before and after humid heat acclimation.
Equine veterinary journal    February 10, 1999   Volume 31, Issue 1 31-42 doi: 10.1111/j.2042-3306.1999.tb03788.x
Marlin DJ, Scott CM, Schroter RC, Harris RC, Harris PA, Roberts CA, Mills PC.To investigate whether horses were able to acclimate to conditions of high temperature and humidity, 5 horses of different breeds were trained for 80 min on 15 consecutive days on a treadmill at 30 degrees C and 80%RH. Training consisted of a combination of long duration low-intensity exercise, medium duration medium intensity exercise and short duration high intensity exercise. Between training sessions the horses were maintained at 11+/-3 degrees C and 74+/-2%RH. Before (PRE-ACC) and after acclimation (POST-ACC) the horses undertook a simulated Competition Exercise Test (CET), designed to re...
Sarcoplasmic reticulum responses to repeated sprints are affected by conditioning of horses.
Journal of animal science    February 3, 1999   Volume 76, Issue 12 3065-3071 doi: 10.2527/1998.76123065x
Wilson JA, Kronfeld DS, Gay LS, Williams JH, Wilson TM, Lindinger MI.Sarcoplasmic reticulum (SR) responses to repeated sprints and to physical conditioning were studied in 10 Quarter Horses. Exercise tests (four repeated sprints on a treadmill) were conducted before and after 12 wk of sprint conditioning. Muscle samples from the middle gluteal muscle were taken before and after each exercise test, and SR vesicles were isolated. Calcium uptake was determined spectrophotometrically using antipyrylazo III, and Ca2+-ATPase activity was determined using an enzyme-linked optical assay. Conditioning increased calcium uptake rate and Ca2+-ATPase activity by 14 and 38%,...
Effects of 6alpha-methylprednisolone acetate on an equine osteochondral fragment exercise model.
American journal of veterinary research    December 19, 1998   Volume 59, Issue 12 1619-1628 
Frisbie DD, Kawcak CE, Baxter GM, Trotter GW, Powers BE, Lassen ED, McIlwraith CW.To determine effects of intra-articularly administered 6alpha-methylprednisolone acetate (MPA) in exercised horses with carpal osteochondral fragmentation. Methods: 18 horses: 3 groups of 6 each. Methods: An osteochondral (chip) fragment was created in 1 randomly chosen middle carpal joint of each horse. Polyionic fluid (PF) was injected into both middle carpal joints of horses in the control group. In horses of the MPA-control group, MPA was injected into the middle carpal joint without an osteochondral fragment; a similar volume of PF was injected into the contralateral middle carpal joint. ...
1 … 17 18 19 20 21 … 29