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Topic:Veterinary Research

Veterinary research in horses encompasses the study of diseases, health management, and medical treatments specific to equine species. This field investigates various aspects of horse health, including infectious diseases, metabolic disorders, and musculoskeletal conditions. Researchers focus on understanding the pathophysiology of equine ailments, developing diagnostic tools, and evaluating therapeutic interventions. The study of horse health also involves examining preventive measures such as vaccination protocols and nutritional management to promote overall well-being. This page collects peer-reviewed research studies and scholarly articles that explore the diverse areas of veterinary science related to horses, providing insights into disease mechanisms, treatment strategies, and advancements in equine healthcare.
Volumetric measurements of paranasal sinuses and examination of sinonasal communication in healthy Shetland ponies: anatomical and morphometric characteristics using computed tomography.
BMC veterinary research    January 21, 2021   Volume 17, Issue 1 41 doi: 10.1186/s12917-021-02748-6
Köhler L, Schulz-Kornas E, Vervuert I, Gittel C, Winter K, Berner D, Gerlach K.Despite clinical importance and frequent occurrence of sinus disease, little is known about the size of paranasal sinuses and their communication in ponies and small horses. To examine the shape and volume of the paranasal sinuses and evaluate the sinonasal communication, three-dimensional (3D) reconstructions of computed tomography (CT) datasets of 12 healthy adult Shetland ponies were performed and analysed. Linear measurements of head length and width were taken. Using semi-automatic segmentation, 3D-models of all sinus compartments were created. Volumetric measurement of the seven sinus co...
The Risk Factors for Musculoskeletal Injuries in Thoroughbred Racehorses in Queensland, Australia: How These Vary for Two-Year-Old and Older Horses and with Type of Injury.
Animals : an open access journal from MDPI    January 21, 2021   Volume 11, Issue 2 doi: 10.3390/ani11020270
Crawford KL, Finnane A, Phillips CJC, Greer RM, Woldeyohannes SM, Perkins NR, Kidd LJ, Ahern BJ.Musculoskeletal injuries (MSI) continue to affect Thoroughbred racehorses internationally. There is a strong interest in developing training and management strategies to reduce their impact, however, studies of risk factors report inconsistent findings. Furthermore, many injuries and fatalities occur during training rather than during racing, yet most studies report racing data only. By combining racing and training data a larger exposure to risk factors and a larger number of musculoskeletal injuries are captured and the true effect of risk factors may be more accurately represented. Furtherm...
Detection and longitudinal distribution of GW1516 and its metabolites in equine hair for doping control using liquid chromatography/high-resolution mass spectrometry.
Rapid communications in mass spectrometry : RCM    January 21, 2021   Volume 35, Issue 8 e9050 doi: 10.1002/rcm.9050
Ishii H, Shibuya M, Leung GN, Nozawa S, Yamashita S, Yamada M, Kushiro A, Kasashima Y, Okada J, Kawasaki K, Kijima-Suda I.GW1516 is a peroxisome proliferator-activated receptor-δ (PPAR-δ) agonist that is banned in horseracing and equestrian sports. Long-term detection and longitudinal distribution of GW1516 in the mane of a horse are reported for the first time and this hair analysis could prolong the detection window of GW1516 for doping control. Methods: Mane hairs were divided into three segments (0-7, 7-15, and >15 cm from the cut end) and completely pulverized and homogenized for analysis. The pulverized hair samples were extracted with methanol followed by further purification and the extracts were a...
Scalable Production of Equine Platelet Lysate for Multipotent Mesenchymal Stromal Cell Culture.
Frontiers in bioengineering and biotechnology    January 21, 2021   Volume 8 613621 doi: 10.3389/fbioe.2020.613621
Hagen A, Lehmann H, Aurich S, Bauer N, Melzer M, Moellerberndt J, Patané V, Schnabel CL, Burk J.Translation of multipotent mesenchymal stromal cell (MSC)-based therapies is advancing in human and veterinary medicine. One critical issue is the culture of MSC before clinical use. Using fetal bovine serum (FBS) as supplement to the basal medium is still the gold standard for cultivation of many cell types including equine MSC. Alternatives are being explored, with substantial success using platelet lysate-supplemented media for human MSC. However, progress lags behind in the veterinary field. The aim of this study was to establish a scalable protocol for equine platelet lysate (ePL) produc...
Discriminant Canonical Analysis of the Contribution of Spanish and Arabian Purebred Horses to the Genetic Diversity and Population Structure of Hispano-Arabian Horses.
Animals : an open access journal from MDPI    January 21, 2021   Volume 11, Issue 2 269 doi: 10.3390/ani11020269
Marín Navas C, Delgado Bermejo JV, McLean AK, León Jurado JM, Torres ARBYR, Navas González FJ.Genetic diversity and population structure were analyzed using the historical and current pedigree information of the Arabian (PRá), Spanish Purebred (PRE), and Hispano-Arabian (Há) horse breeds. Genetic diversity parameters were computed and a canonical discriminant analysis was used to determine the contributions of ancestor breeds to the genetic diversity of the Há horse. Pedigree records were available for 207,100 animals born between 1884 and 2019. Nei's distances and the equivalent subpopulations number indicated the existence of a highly structured, integrated population for the Há ...
“Feel the Force”-Prevalence of Subjectively Assessed Saddle Fit Problems in Swiss Riding Horses and Their Association With Saddle Pressure Measurements and Back Pain.
Journal of equine veterinary science    January 20, 2021   Volume 99 103388 doi: 10.1016/j.jevs.2021.103388
Dittmann MT, Arpagaus S, Hungerbühler V, Weishaupt MA, Latif SN.Ill-fitting saddles can impair the well-being and performance of horses. Saddle fit is generally assessed subjectively by a trained professional or with an electronic saddle pressure mat, but little is known about the agreement between both methods. The study aims were (1) to assess the prevalence of saddle fit issues in a riding sound Swiss horse population, (2) to investigate how well the subjective assessment correlates with objectively measured pressure magnitude and distribution under the saddle during riding, and (3) how well both correlate with back pain of the horse. Only 10% of the sa...
The effect of equine bone marrow-derived mesenchymal stem cells on the expression of apoptotic genes in neutrophils.
Veterinary medicine and science    January 20, 2021   Volume 7, Issue 3 626-633 doi: 10.1002/vms3.427
Salami F, Ghodrati M, Parham A, Mehrzad J.Bone marrow mesenchymal stem cells (BM-MSCs), as multipotent cells with self-renewal and plastic-adherent properties, have immunomodulatory effects on immune cells, including neutrophils. These cells are in close proximity in bone marrow (BM) sinusoids with non-multiplicative immature neutrophils. BM-MSCs exert their immunomodulatory effects on adjacent cells both directly (cell-to-cell contact) and indirectly (secretion of soluble factors). The aim of this study was to evaluate the effect of equine bone marrow mesenchymal stem cells (BM-MSCs) on the expression of some pro- and anti-apoptotic ...
Animals as potential reservoirs for dengue transmission: A systematic review.
One health (Amsterdam, Netherlands)    January 20, 2021   Volume 12 100216 doi: 10.1016/j.onehlt.2021.100216
Gwee SXW, St John AL, Gray GC, Pang J.Dengue is a rapidly spreading mosquito-borne flavivirus infection that is prevalent in tropical and sub-tropical regions. Humans are known to be the main reservoir host maintaining the epidemic cycles of dengue but it is unclear if dengue virus is also maintained in a similar enzootic cycle. The systematic review was conducted in accordance to Cochrane's PRISMA recommendations. A search was done on PubMed, EMBASE, Scopus and Cochrane Library. Key data on animal dengue positivity was extracted and classified according to animal type and diagnostic modes. Of the 3818 articles identified, 56 arti...
Commercial amniotic membrane extract for treatment of corneal ulcers in adult horses.
Equine veterinary journal    January 19, 2021   Volume 53, Issue 6 1268-1276 doi: 10.1111/evj.13399
Lyons VN, Townsend WM, Moore GE, Liang S.Amniotic membrane extract enhances the rate of epithelialisation after corneal ulceration in several species but has not been studied in the equine cornea. Objective: To evaluate the effect of amniotic membrane extract on re-epithelialisation of equine corneal ulcers compared with ulcers treated with antibiotic, antifungal and mydriatic medical therapy alone, and to evaluate equine corneal healing after experimentally induced superficial ulceration. Methods: Masked, randomised, controlled experimental trial. Methods: Superficial, 8 mm corneal ulcers were created bilaterally in each horse. One...
Practical protocols for timed artificial insemination of jennies using cooled or frozen donkey semen.
Equine veterinary journal    January 19, 2021   Volume 53, Issue 6 1218-1226 doi: 10.1111/evj.13412
Yang F, Li N, Liu B, Yu J, Wu S, Zhang R, Yang W, Ji C, Sun Q, Ma J, Li M, Zhou J, Zhou X, Pietrani M, Losinno L, Zeng S.With the expansion of the donkey industry, timed artificial insemination (TAI) is becoming increasingly important in the reproductive management of jennies, however, TAI has not been widely investigated in donkeys. Objective: To develop efficient TAI protocols for cooled or frozen semen in jennies, based around ovulation induction with a GnRH analogue. Methods: Experimental exploratory study. Results: In experiment 1, the effects of different GnRH analogue (deslorelin) doses, follicle diameter (FD) at induction, repeated use of a GnRH analogue, and the influence of season on induction efficien...
Detection of Ehrlichia sp. in Amblyomma sculptum parasitizing horses from Brazilian Pantanal wetland.
Ticks and tick-borne diseases    January 19, 2021   Volume 12, Issue 3 101658 doi: 10.1016/j.ttbdis.2021.101658
Muraro LS, Nogueira MF, Borges AMCM, Souza AO, Vieira TSWJ, de Aguiar DM.Bacteria of the genus Ehrlichia are transmitted by ticks and also are an important cause of infection in wild and domestic mammals. Infection with Ehrlichia spp. has been reported in horses, especially in the USA, Nicaragua and Brazil. In this study, we report the parasitism by Amblyomma sculptum, Rhipicephalus microplus and Dermacentor nitens ticks in horses from a ranch located in south Pantanal wetland. Molecular and serological analyzes to determine infection by Ehrlichia spp. in horses and their respective ticks were carried out. A total of 12 horses were submitted to blood collection to ...
Comparison of chlorhexidine and alcohol-based antisepsis of the distal limbs of horses.
Equine veterinary journal    January 19, 2021   Volume 53, Issue 6 1234-1238 doi: 10.1111/evj.13417
Doyle AJ, Saab ME, Lewis KM, McClure JT.An alcohol-based rub has been confirmed effective at reducing bacterial counts on equine skin. Skin sites with expected high bacterial burden have not been tested or has a comparison to a common protocol been performed. Objective: To determine if ethanol-based antisepsis reduces bacterial counts on the equine distal limb comparable to a current chlorhexidine scrub method and determine the most effective application technique for the product. Methods: Randomised trial. Methods: Forty-one horses were used in the study. By horse, each limb was randomly assigned to a treatment group: 5min scrub us...
Isolation and Characterization of Equine Uterine Extracellular Vesicles: A Comparative Methodological Study.
International journal of molecular sciences    January 19, 2021   Volume 22, Issue 2 979 doi: 10.3390/ijms22020979
Almiñana C, Rudolf Vegas A, Tekin M, Hassan M, Uzbekov R, Fröhlich T, Bollwein H, Bauersachs S.Extracellular vesicles (EVs) have been identified in the uterine fluid in different species and have been pointed as key players in the embryo-maternal dialogue, maternal recognition of pregnancy and establishment of pregnancy. However, little is known about the uterine EVs in the mare. Therefore, the present study aimed at characterizing EVs from uterine lavage of cyclic mares by comparing five EVs isolation methods and the combination of them: (1) ultracentrifugation (UC); (2) concentration of lavage volume by Centricon ultrafiltration (CE); (3) the use of CE with different washing steps (ph...
Equine Sarcoids-Causes, Molecular Changes, and Clinicopathologic Features: A Review.
Veterinary pathology    January 19, 2021   Volume 58, Issue 3 472-482 doi: 10.1177/0300985820985114
Ogłuszka M, Starzyński RR, Pierzchała M, Otrocka-Domagała I, Raś A.Equine sarcoid is the most common skin tumor of horses. Clinically, it occurs as a locally invasive, fibroblastic, wart-like lesion of equine skin, which has 6 clinical classes: occult, verrucose, nodular, fibroblastic, mixed, and malignant. Sarcoids may be single but multiple lesions are more frequent. The typical histological feature is increased density of dermal fibroblasts which form interlacing bundles and whorls within the dermis. Lesions are mostly persistent, resist therapy, and tend to recur following treatment. In general, sarcoids are not fatal but their location, size, and progres...
Optimisation and validation of immunohistochemical axonal markers for morphological and functional characterisation of equine peripheral nerves.
Equine veterinary journal    January 19, 2021   Volume 53, Issue 6 1188-1198 doi: 10.1111/evj.13403
Almuhanna AH, Cahalan SD, Lane A, Goodwin D, Perkins J, Piercy RJ.Horses are affected by various peripheral nerve disorders but defining their aetiology and pathophysiology is hampered by limited understanding of associated morphological and pathological changes and involvement of specific axonal types. Objective: To investigate the hypothesis that selected antibody markers, used in conjunction with various tissue processing methods, would enable identification of axons with different functional modalities within a range of equine peripheral nerves. Methods: Optimisation and validation study. Methods: A range of antibodies were evaluated immunohistochemicall...
Influence of osteochondrosis on the longevity and racing performance of standardbred trotters and pacers.
Veterinary surgery : VS    January 18, 2021   Volume 50, Issue 3 507-516 doi: 10.1111/vsu.13568
Boorman S, Hofmeister EH, Ross MW, Ralston S, Bell G, Mackie S, Ortved K.To determine the influence of clinical osteochondrosis (OC) on the short-term (2, 3, and 4-year-old) and long-term racing performance and longevity of standardbred racehorses. Methods: Retrospective case-control study. Methods: Standardbred racehorses from a single breeding farm born between 2009 and 2017 that survived to racing age (n = 2711). Three hundred eighty-two (14%) horses were OC-affected (829 lesions confirmed arthroscopically during surgical treatment), and 2329 (86%) horses were nonaffected. Methods: Racing performance data were obtained from an online database and evaluated with ...
The contraceptive efficacy of a self-assembling intra-uterine device in domestic mares.
Australian veterinary journal    January 18, 2021   Volume 99, Issue 4 130-136 doi: 10.1111/avj.13055
Joonè CJ, Gradil CM, Picard JA, Taylor JD, de Tonnerre D, Cavalieri J.The primary aim of this study was to investigate the contraceptive efficacy of a self-assembling uterine device (iUPOD™) in the mare. In addition, the effects of iUPODs on oestrous cyclicity, uterine health and circulating concentrations of cortisol were evaluated. Methods: Domestic mares underwent oestrous monitoring and artificial insemination. After subsequent ovulation, mares underwent either placement (n = 7) or sham placement (n = 7; controls) of an iUPOD device. Devices were left in place for at least 3 months. Pregnancy diagnoses were carried out 14 days post-ovulation, with any pr...
A Scoping Review of the Evidence for the Medicinal Use of Natural Honey in Animals.
Frontiers in veterinary science    January 18, 2021   Volume 7 618301 doi: 10.3389/fvets.2020.618301
Vogt NA, Vriezen E, Nwosu A, Sargeant JM.Honey has a history of medicinal use that predates written records. In recent decades, there has been renewed interest in the use of honey in human medicine, particularly for the treatment of burns and other wounds. Several recent systematic reviews in the human literature have demonstrated the efficacy of honey in the treatment of a number of conditions, including burns, wounds and oral mucositis. The goal of this scoping review was to describe the nature and extent of the current body of evidence addressing the medicinal use of natural honey and/or its derivatives in animals. Although the fo...
Hard ticks (Acari: Ixodidae) infesting domestic animals in Egypt: diagnostic characters and a taxonomic key to the collected species.
Medical and veterinary entomology    January 16, 2021   Volume 35, Issue 3 333-351 doi: 10.1111/mve.12502
Okely M, Anan R, Gad-Allah S, Samy AM.Ticks are important vectors of emerging health problems in humans and animals. We conducted several field surveillances to investigate the fauna of hard ticks on domestic animals in seven governorates of Egypt during 2018-2019. A total of 3265 individual tick specimens were collected and identified to the species level; the specimens belong to 11 species within three genera (Amblyomma, Hyalomma, and Rhipicephalus). Tick infestation was highest in dromedary camels (70%), followed by dogs (52.5%), cattle (50%), buffaloes (38%), and horses (12%). Ten species were collected from dromedary camels, ...
Influence of Milk Thistle (Silybum marianum) Seed Cakes on Biochemical Values of Equine Plasma Subjected to Physical Exertion.
Animals : an open access journal from MDPI    January 16, 2021   Volume 11, Issue 1 210 doi: 10.3390/ani11010210
Dockalova H, Zeman L, Horky P.Veterinarians can recommend milk thistle for the treatment of equine liver disease and laminitis. Milk thistle seed cakes were fed in the range of normal feed doses in this study. The milk thistle seed cakes were fed (twice a day) to the experimental group of the horses ( = 5) and biochemical blood markers (TP, Albumin, ALT (alanine transaminase), AST (aspartate transaminase), ALP (alkaline phosphatase), GGT (gamma-glutamyltransferase), Bilirubin, Cholesterol, HDL (high-density lipoprotein), LDL (low-density lipoprotein), TAG (triacylglycerol), BHB (beta-hydroxybutyric acid), NEFA (non-esterif...
Detecting acute kidney injury in horses by measuring the concentration of symmetric dimethylarginine in serum.
Acta veterinaria Scandinavica    January 15, 2021   Volume 63, Issue 1 3 doi: 10.1186/s13028-021-00568-0
Siwinska N, Zak A, Paslawska U.Acute kidney injury (AKI) in horses may develop as a complication of a primary disease or following the administration of nephrotoxic drugs, and may pose a diagnostic challenge. Hence, the main objective of this study was to evaluate the concentrations and diagnostic significance of serum symmetric dimethylarginine (SDMA) and conventional renal dysfunction biomarkers in healthy horses, horses at risk of developing AKI, and horses with clinically evident AKI. A second aim was to assess how gastrointestinal disease and exposure to potentially nephrotoxic drugs affected SDMA levels. Thirty health...
The effects of an alpha-2-adrenoceptor agonist, antagonist, and their combination on the blood insulin, glucose, and glucagon concentrations in insulin sensitive and dysregulated horses.
Veterinary journal (London, England : 1997)    January 15, 2021   Volume 269 105610 doi: 10.1016/j.tvjl.2021.105610
Box JR, Karikoski NP, Tanskanen HE, Raekallio MR.Alpha-2-adrenoceptor agonists are sedatives that can cause fluctuations in serum insulin and blood glucose (BG) concentrations in horses. The objectives of this study were to investigate the effects of detomidine and vatinoxan on BG, insulin, and glucagon concentrations in horses with and without insulin dysregulation (ID). In a blinded cross-over design, eight horses with ID and eight horses without ID were assigned to each of four treatments: detomidine (0.02 mg/kg; DET), vatinoxan (0.2 mg/kg; VAT), detomidine + vatinoxan (DET + VAT), and saline control (SAL). Blood samples were taken at 0, ...
Importance of broth-enrichment culture in equine endometritis diagnosis.
The new microbiologica    January 14, 2021   Volume 44, Issue 1 19-23 
The objective of this study was to investigate the diagnostic accuracy of the standard microbiological protocol to assure the evaluation of bacterial endometritis in the equine clinical practice. Four hundred fifty-two equine uterine swabs were seeded on different types of agar plates and then in a broth-enrichment (Brain Heart Infusion Broth) before plating by using the same media the day after. The prevalence of positivity was 33.7% following direct plating and 66.3% following use of added enrichment-broth phase before seeding on solid media. Furthermore, the prevalence of isolated bacteria ...
Exploratory behaviour towards novel objects is associated with enhanced learning in young horses.
Scientific reports    January 14, 2021   Volume 11, Issue 1 1428 doi: 10.1038/s41598-020-80833-w
Christensen JW, Ahrendt LP, Malmkvist J, Nicol C.The mechanisms underlying individual variation in learning are key to understanding the development of cognitive abilities. In humans and primates, curiosity has been suggested as an important intrinsic factor that enhances learning, whereas in domesticated species research has primarily identified factors with a negative effect on cognitive abilities, such as stress and fearfulness. This study presents the first evidence of a link between object-directed curiosity and learning performance in young horses in two very different learning tasks (visual discrimination and pressure-release). We exp...
Intrauterine infusion of killed semen adversely affects uterine blood flow and endometrial gene expression of inflammatory cytokines in mares susceptible to persistent breeding-induced endometritis.
Theriogenology    January 14, 2021   Volume 163 18-30 doi: 10.1016/j.theriogenology.2020.12.029
Lüttgenau J, Imboden I, Wellnitz O, Romer R, Scaravaggi I, Neves AP, Borel N, Bruckmaier RM, Janett F, Bollwein H.Persistent breeding-induced endometritis (PBIE) is a leading cause of infertility in mares. The objective of the study was to assess genital perfusion and endometrial gene expression of inflammatory cytokines in mares classified as susceptible (n = 5) or resistant (n = 5) to PBIE. Ten mares were examined daily during estrus until 6 d after hCG-induced ovulation for two estrous cycles. Twenty-four hours after application of 1500 IU hCG, 4 mL of killed (by repeated freezing in liquid nitrogen and thawing at 50 °C) deep-frozen semen or sterile saline was instilled into the uterine body an...
A Review of Methods for Detecting Soreness in Horses
National Academies of Sciences, Engineering, and Medicine    January 13, 2021   doi: 10.17226/25949
During the last century and today, the Tennessee walking horse has been used primarily for pleasure and show competition. Unique and natural to the breed is a smooth four-beat “running walk” gait. In the 1950s the accentuated or exaggerated running walk, known as the “big lick” became popular at high-level competitions. The combination of exaggerated high-action step in front and long stride behind is still considered desirable in today's horse show competitions, and it is often achieved through soring. Soring is the practice of applying a substance or mechanical device to the lower li...
Successful Surgical and Medical Management of a Pararectal Abscess in a Horse.
Journal of equine veterinary science    January 13, 2021   Volume 99 103387 doi: 10.1016/j.jevs.2021.103387
Ortolani F, Nannarone S, Scilimati N, Gialletti R.Pararectal abscesses are life-threatening conditions that can rupture and cause septic peritonitis. The objective of this case report is to describe aggressive treatment of a pararectal abscess to allow a quick return to competitions. A 14-year-old pony was admitted to the Veterinary Teaching Hospital (VTH) of the University of Perugia because of a suspected intra-abdominal mass. Two weeks earlier, it exhibited clinical signs compatible with colic which was treated medically; however, because of the persistence of a firm mass on the right side of the abdomen noted on rectal palpation, the pony...
Interactions Between Allogeneic Mesenchymal Stromal Cells and the Recipient Immune System: A Comparative Review With Relevance to Equine Outcomes.
Frontiers in veterinary science    January 13, 2021   Volume 7 617647 doi: 10.3389/fvets.2020.617647
Kamm JL, Riley CB, Parlane N, Gee EK, McIlwraith CW.Despite significant immunosuppressive activity, allogeneic mesenchymal stromal cells (MSCs) carry an inherent risk of immune rejection when transferred into a recipient. In naïve recipients, this immune response is initially driven by the innate immune system, an immediate reaction to the foreign cells, and later, the adaptive immune system, a delayed response that causes cell death due to recognition of specific alloantigens by host cells and antibodies. This review describes the actions of MSCs to both suppress and activate the different arms of the immune system. We then review the surviva...
Analysis of the Pedigree and Ancestors of the Cutting Population of the Quarter Horse Breed.
Journal of equine veterinary science    January 13, 2021   Volume 99 103385 doi: 10.1016/j.jevs.2021.103385
Yahagi Rodrigues L, da Silva Faria RA, de Vasconcelos Silva JAI.The aim of this study was to evaluate the genetic diversity and to identify the most influential ancestors in the population of Brazilian Quarter Horses participating in cutting competitions. Data from 1,590 elite horses born between 1970 and 2015, which participated in cutting competitions between 1981 and 2018, were evaluated based on the pedigree file that contained 5,832 animals born since 1834. Evaluation of the quality of the pedigree data showed a mean number of known equivalent generations of 5.4 ± 1.5 and a mean generation interval of 11.7 ± 8.8 years. The inbreeding coefficient (1...
Evaluation of Overground Endoscopy Findings in Colombian Criollo Paso Horses.
Journal of equine veterinary science    January 12, 2021   Volume 99 103374 doi: 10.1016/j.jevs.2021.103374
Joó K, Duque Betancourt D, Vasquez Marin T, Parra Moyano LA.The dynamic upper airway functional (URT) problems of Colombian paso horses (CPH) have not been investigated in literature up to date. These horses perform special walking gaits with high poll flexion of the neck. Our goal is to evaluate the upper airway mechanics in CPH, showing abnormal respiratory sounds and poor performance during exercise. Resting and overground endoscopy was performed in 40 CPHs. Statistical analyses were performed using the sciPy package. One-tailed Fisher exact tests were used to check for positive contingency between each pair of upper respiratory tract disorder (P < ...