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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.
Transferrin receptor expression in serum exosomes as a marker of regenerative anaemia in the horse.
Equine veterinary journal    March 13, 2014   Volume 47, Issue 1 101-106 doi: 10.1111/evj.12235
Rout ED, Webb TL, Laurence HM, Long L, Olver CS.Evaluation of erythrocyte regeneration in horses is challenging, as they do not release reticulocytes into the peripheral blood. This study investigated transferrin receptor 1 (TfR1) expression in exosomes as a noninvasive method of characterising the regenerative response in anaemic horses. Objective: To quantify TfR1 in ultraprecipitate of serum in horses before and after phlebotomy-induced anaemia, and to identify exosomes as the source of TfR1. The hypothesis was that serum exosomal TfR1 expression would increase during a regenerative response. Methods: Experimental model of anaemia. Metho...
Luteoprotective role of equine chorionic gonadotropin (eCG) during pregnancy in the mare.
Reproduction in domestic animals = Zuchthygiene    March 12, 2014   Volume 49, Issue 3 420-426 doi: 10.1111/rda.12290
Flores-Flores G, Velázquez-Cantón E, Boeta M, Zarco L.The effects of repeated cloprostenol administration were compared in mares impregnated by horses and mares impregnated by donkeys in order to assess the role of eCG on the development of pregnancy-associated resistance to the luteolytic and abortifacient effects of PGF2α. Eleven mares impregnated by donkey (mule pregnancy) and 9 mares impregnated by horse (horse pregnancy) were used. Six mares with mule pregnancy and four with horse pregnancy were injected with cloprostenol (0.25 mg) when they were between day 65 and day 75 of pregnancy, and the treatment was repeated 48, 72 and 96 h latter...
Development of a single-tube duplex EvaGreen real-time PCR for the detection and identification of EHV-1 and EHV-4.
Applied microbiology and biotechnology    March 11, 2014   Volume 98, Issue 9 4179-4186 doi: 10.1007/s00253-014-5626-6
Hu Z, Zhu C, Chang H, Guo W, Liu D, Xiang W, Wang X.The objective of this study was to develop a novel EvaGreen (EG) based real-time PCR technique for the simultaneous detection of Equine herpesvirus 1 (EHV-1) and Equine herpesvirus 4 (EHV-4) genomes from equine nasal swabs. Viral genomes were identified based on their specific melting temperatures (T m), which are 88.0 and 84.4 °C for EHV-1 and EHV-4, respectively. The detection limitation of this method was 50 copies/μl or 0.15 pg/μl for EHV-1 and 5 copies/μl or 2.5 fg/μl for EHV-4. This assay was 50-1,000 times more sensitive than the SYBR Green (SG)-based assay using the same primer...
Unraveling the equine lymphocyte proteome: differential septin 7 expression associates with immune cells in equine recurrent uveitis.
PloS one    March 10, 2014   Volume 9, Issue 3 e91684 doi: 10.1371/journal.pone.0091684
Degroote RL, Hauck SM, Amann B, Hirmer S, Ueffing M, Deeg CA.Equine recurrent uveitis is a spontaneous, lymphocyte-driven autoimmune disease. It affects horses worldwide and presents with painful remitting-relapsing inflammatory attacks of inner eye structures eventually leading to blindness. Since lymphocytes are the key players in equine recurrent uveitis, we were interested in potential changes of their protein repertoire which may be involved in disease pathogenesis. To create a reference for differential proteome analysis, we first unraveled the equine lymphocyte proteome by two-dimensional sodium dodecyl sulfate-polyacrylamide gel electrophoresis ...
Pharmacological characterization of muscarinic receptors in the contractions of isolated bronchi in the horse.
Journal of veterinary pharmacology and therapeutics    March 7, 2014   Volume 37, Issue 4 325-331 doi: 10.1111/jvp.12108
Menozzi A, Pozzoli C, Poli E, Delvescovo B, Serventi P, Bertini S.We investigated the effects of nonselective muscarinic antagonist (atropine) and of selective muscarinic subtype 1 (M1), 2 (M2), 3 (M3) antagonists (VU0255035, methoctramine, pFHHSiD, respectively) on the contractions evoked by electrical field stimulation (EFS) or by exogenous ACh in isolated horse bronchial muscle. Atropine completely inhibited neurogenic contractions in a concentration-dependent fashion, whereas selective muscarinic antagonists induced relevant modifications only at the highest concentration tested. Experiments with selective muscarinic antagonists in combination showed tha...
A review of equid herpesvirus 1 for the veterinary practitioner. Part A: clinical presentation, diagnosis and treatment.
New Zealand veterinary journal    March 7, 2014   Volume 62, Issue 4 171-178 doi: 10.1080/00480169.2014.899945
Dunowska M.Equid herpesvirus (EHV) type 1 is a common pathogen of horses with worldwide distribution. Although severe tracheobronchitis has been described in some field outbreaks of EHV-1 respiratory disease, many EHV-1 infections occur asymptomatically or are accompanied only by signs of mild respiratory disease. However, EHV-1 infection can also result in outcomes other than respiratory disease such as abortion, neonatal death or neurological disease. This review provides an overview of the diagnosis, treatment and prognosis for EHV-1-associated diseases, with an emphasis on neurological presentations ...
Stability of 1% voriconazole solution in a constant-rate infusion pump for topical ocular delivery to horses.
Veterinary ophthalmology    March 7, 2014   Volume 17 Suppl 1 82-89 doi: 10.1111/vop.12155
Smith KM, Maxwell L, Gull T, Payton ME, Gilmour MA.To establish the effect of storage in a constant-rate infusion (CRI) pump on the sterility and stability of voriconazole 1% solution. Methods: Nine vials of voriconazole (Vfend(®) I.V.) 1% solution were prepared. Approximately half of each solution was used to prime a commercially available CRI pump with attached subpalpebral lavage system (CRI/SPL unit) with the remaining solution stored in the commercial glass vial. Three CRI/SPL units and their three corresponding vials were stored at one of three temperatures: 23 °C, 33 °C, and 40 °C. The CRI pumps ran for 7 days, and the vials were st...
Field and in vitro insecticidal efficacy of alphacypermethrin-treated high density polyethylene mesh against Culicoides biting midges in South Africa.
Veterinary parasitology    March 6, 2014   Volume 203, Issue 1-2 184-188 doi: 10.1016/j.vetpar.2014.02.051
Page PC, Labuschagne K, Venter GJ, Schoeman JP, Guthrie AJ.The efficacy of untreated and alphacypermethrin-treated high density polyethylene (HDPE) mesh against Culicoides biting midges (Diptera: Ceratopogonidae) was determined using Onderstepoort downdraught black light traps and a contact bioassay. Three traps were operated overnight in four replicates of a 3×3 randomised Latin square design near horses under South African field conditions. Both the untreated and alphacypermethrin-treated HDPE mesh significantly (P<0.05) reduced the numbers of Culicoides midges, predominantly Culicoides (Avaritia) imicola Kieffer, collected in the light traps by...
Corneal dystrophy in Friesian horses may represent a variant of pellucid marginal degeneration.
Veterinary ophthalmology    March 6, 2014   Volume 17 Suppl 1 186-194 doi: 10.1111/vop.12152
Lassaline-Utter M, Gemensky-Metzler AJ, Scherrer NM, Stoppini R, Latimer CA, MacLaren NE, Myrna KE.To describe the clinical presentation, treatment, and outcome of a corneal dystrophy in Friesian horses and to analyze affected horses' pedigrees to investigate its heritability. Methods: Nine Friesians with bilateral disease were identified. Methods: Retrospective medical record review was used to identify Friesian horses exhibiting bilateral symmetric corneal lesions. Variables identified from medical records included patient sex and age at diagnosis; location, depth and size of corneal lesions; medical and surgical therapy instituted; and visual outcome. A four-generation pedigree for each ...
Indigenous West Nile virus infections in horses in Albania.
Transboundary and emerging diseases    March 5, 2014   Volume 60 Suppl 2 45-50 doi: 10.1111/tbed.12141
Berxholi K, Ziegler U, Rexhepi A, Schmidt K, Mertens M, Korro K, Cuko A, Angenvoort J, Groschup MH.Serum samples collected from 167 equines of 12 districts in Albania were tested for West Nile virus-specific antibodies by enzyme-linked immunosorbent assay and virus neutralization assay, using WNV lineage 1 and 2. In addition, 95 bird serum samples from Albania and 29 horse samples from Kosovo were tested in ELISA. An overall seroprevalence rate of 22% was found in horses from Albania, whereas no specific antibodies were found in the equine samples from Kosovo and the bird samples. This is the first report indicating WNV infections in animals in Albania, and the first reported seroprevalence...
Influence of feeding status, time of the day, and season on baseline adrenocorticotropic hormone and the response to thyrotropin releasing hormone-stimulation test in healthy horses.
Domestic animal endocrinology    March 5, 2014   Volume 48 77-83 doi: 10.1016/j.domaniend.2014.02.004
Diez de Castro E, Lopez I, Cortes B, Pineda C, Garfia B, Aguilera-Tejero E.Equine pituitary pars intermedia function can be assessed by the measurement of baseline and thyrotropin releasing hormone (TRH)-induced concentrations of adrenocorticotropic hormone (ACTH); however, these measurements may be affected by the environment. Therefore, a prospective observational study evaluated the influence of feeding, time of the day, and season on baseline and TRH-induced concentrations of ACTH in healthy horses. Baseline ACTH was measured in 50 horses before and 2 h after feeding. Six research horses were subjected to a crossover study in which 6 TRH tests were performed in ...
Diagnostic ophthalmology.
The Canadian veterinary journal = La revue veterinaire canadienne    March 4, 2014   Volume 55, Issue 3 281-283 
Sandmeyer LS, Bauer BS, Robinson K, Grahn BH.No abstract available
Expression and regulation of facilitative glucose transporters in equine insulin-sensitive tissue: from physiology to pathology.
ISRN veterinary science    March 4, 2014   Volume 2014 409547 doi: 10.1155/2014/409547
Lacombe VA.Glucose uptake is the rate-limiting step in glucose utilization in mammalians and is tightly regulated by a family of specialized proteins, called the facilitated glucose transporters (GLUTs/SLC2). GLUT4, the major isoform in insulin-responsive tissue, translocates from an intracellular pool to the cell surface and as such determines insulin-stimulated glucose uptake. However, despite intensive research over 50 years, the insulin-dependent and -independent pathways that mediate GLUT4 translocation are not fully elucidated in any species. Insulin resistance (IR) is one of the hallmarks of equin...
Rapid Salmonella detection in experimentally inoculated equine faecal and veterinary hospital environmental samples using commercially available lateral flow immunoassays.
Equine veterinary journal    March 4, 2014   Volume 47, Issue 1 119-122 doi: 10.1111/evj.12234
Burgess BA, Noyes NR, Bolte DS, Hyatt DR, van Metre DC, Morley PS.Salmonella enterica is the most commonly reported cause of outbreaks of nosocomial infections in large animal veterinary teaching hospitals and the closure of equine hospitals. Rapid detection may facilitate effective control practices in equine populations. Shipping and laboratory testing typically require ≥48 h to obtain results. Lateral flow immunoassays developed for use in food-safety microbiology provide an alternative that has not been evaluated for use with faeces or environmental samples. Objective: We aimed to identify enrichment methods that would allow commercially available ra...
Stallion spermatozoa: putative target of estrogens; presence of the estrogen receptors ESR1, ESR2 and identification of the estrogen-membrane receptor GPER.
General and comparative endocrinology    March 4, 2014   Volume 200 35-43 doi: 10.1016/j.ygcen.2014.02.016
Arkoun B, Gautier C, Delalande C, Barrier-Battut I, Guénon I, Goux D, Bouraïma-Lelong H.Among mammals, the stallion produces the largest amount of testicular estrogens. These steroid hormones are produced mainly by Leydig and Sertoli cells in the testis and also in the epididymis. Their role in horse testicular physiology and their ability to act on spermatozoa are still unknown. In order to determine if spermatozoa are targets for estrogens, the presence of estrogen receptors in mature ejaculated spermatozoa has been investigated. The presence of a single isoform of ESR1 (66kDa) and ESR2 (61kDa) was found by Western-blot analysis in samples from seven stallions. Confocal analysi...
Equine mesenchymal stem cells inhibit T cell proliferation through different mechanisms depending on tissue source.
Stem cells and development    March 4, 2014   Volume 23, Issue 11 1258-1265 doi: 10.1089/scd.2013.0537
Carrade Holt DD, Wood JA, Granick JL, Walker NJ, Clark KC, Borjesson DL.Mesenchymal stem cells (MSCs) are used in both human clinical trials and veterinary medicine for the treatment of inflammatory and immune-mediated diseases. MSCs modulate inflammation by decreasing the cells and products of the inflammatory response. Stimulated equine MSCs from bone marrow (BM), adipose tissue (AT), cord blood (CB), and umbilical cord tissue (CT) inhibit lymphocyte proliferation and decrease inflammatory cytokine production. We hypothesized that equine MSCs inhibit T cell proliferation through secreted mediators and that MSCs from different tissue sources decrease T cell proli...
Hypoxia-conditioned media allows species-specific attraction of bone marrow stromal cells without need for recombinant proteins.
BMC veterinary research    March 4, 2014   Volume 10 56 doi: 10.1186/1746-6148-10-56
Gabrielyan A, Knaak S, Gelinsky M, Arnhold S, Rösen-Wolff A.In vivo tissue regeneration depends on migration of stem cells into injured areas, their differentiation into specific cell types, and their interaction with other cells that are necessary to generate new tissue. Human mesenchymal stem cells, a subset of bone marrow stromal cells (BMSCs), can migrate and differentiate into osteoblasts in bone tissue. This can be facilitated by recombinant growth factors and cytokines. In many animal species, the availability of genomic sequences, recombinant proteins, and/or antibodies is limited so that new approaches are needed to generate resources that fac...
A case of Candida guilliermondii abortion in an Arab mare.
Medical mycology case reports    March 3, 2014   Volume 4 19-22 doi: 10.1016/j.mmcr.2014.02.003
Stefanetti V, Marenzoni ML, Lepri E, Coletti M, Casagrande Proietti P, Agnetti F, Crotti S, Pitzurra L, Del Sero A, Passamonti F.Ascending infections of equine uterus frequently result in placentitis and abortions; most of these infections are bacterial and are less commonly due to fungi. This report describes an abortion case in an Arab mare due to Candida guilliermondii that was diagnosed via cytological, histological, cultural and biomolecular assays. The histological lesions found were severe necrotizing placentitis associated with fetal pneumonia. To our knowledge this is the first case of C. guilliermondii abortion reported in equine species.
A 4-years monitoring of Hypoderma diana in horses from the Czech Republic.
Parasitology research    February 28, 2014   Volume 113, Issue 5 1735-1738 doi: 10.1007/s00436-014-3818-8
Kudrnáčová M, Langrová I, Maršálek M, Jankovská I, Scháňková S, Brožová A, Truněčková J.The occurrence of Hypoderma diana (Diptera: Hypodermatidae) in a herd of 15 horses was observed during a 4-year period (2010-2013) in northwest Bohemia. During this period, infestation by the warble fly H. diana increased from 12.5% in 2010 to 53.3% in 2013. Nodules were observed on the neck, back, stomach, legs, and head. The incidence of H. diana was probably influenced by the presence of a specific host mouflon (Ovis orientalis musimon).
Doping control analysis of filgrastim in equine plasma and its application to a co-administration study of filgrastim and recombinant human erythropoietin in the horse.
Journal of chromatography. A    February 28, 2014   Volume 1338 92-101 doi: 10.1016/j.chroma.2014.02.064
Ho EN, Kwok WH, Lau MY, Wong AS, Lam KK, Stewart BD, Wan TS.Granulocyte colony-stimulating factor (G-CSF) is a hematopoietic growth factor regulating granulopoiesis. The recombinant human granulocyte colony-stimulating factor (rhG-CSF) is widely used for the treatment of granulopenia in humans. Filgrastim is a rhG-CSF analogue and is marketed under various brand names, including Neupogen(®) (Amgen), Imumax(®) (Abbott Laboratories), Neukine(®) (Intas Biopharmaceuticals) and others. It is banned in both human and equine sports owing to its potential for misuse. In order to control the abuse of filgrastim in equine sports, a method to identify unequivo...
Evidence for natural Borna disease virus infection in healthy domestic animals in three areas of western China.
Archives of virology    February 27, 2014   Volume 159, Issue 8 1941-1949 doi: 10.1007/s00705-013-1971-5
Zhang L, Wang X, Zhan Q, Wang Z, Xu M, Zhu D, He F, Liu X, Huang R, Li D, Lei Y, Xie P.Borna disease virus (BDV) is a non-cytolytic, neurotropic RNA virus that can infect many vertebrate species, including humans. To date, BDV infection has been reported in a range of animal species across a broad global geographic distribution. However, a systematic epidemiological survey of BDV infection in domesticated animals in China has yet to be performed. In current study, BDV RNA and antibodies in 2353 blood samples from apparently healthy animals of eight species (horse, donkey, dog, pig, rabbit, cattle, goat, sheep) from three areas in western China (Xinjiang province, Chongqing munic...
Hyoscine-N-butylbromide premedication on cardiovascular variables of horses sedated with medetomidine.
Veterinary anaesthesia and analgesia    February 27, 2014   Volume 41, Issue 4 357-364 doi: 10.1111/vaa.12139
Perotta JH, Canola PA, Lopes MC, Evora PM, Martinez PE, Escobar A, Valadão CA.To evaluate the effects of intravenous (IV) or intramuscular (IM) hyoscine premedication on physiologic variables following IV administration of medetomidine in horses. Methods: Randomized, crossover experimental study. Methods: Eight healthy crossbred horses weighing 330 ± 39 kg and aged 7 ± 4 years. Methods: Baseline measurements of heart rate (HR), cardiac index (CI), respiratory rate, systemic vascular resistance (SVR), percentage of patients with second degree atrioventricular (2(o) AV) block, mean arterial pressure (MAP), pH, and arterial partial pressures of carbon dioxide (PaCO2 ) an...
The influence of various confounding factors on mechanical nociceptive thresholds in the donkey.
Veterinary anaesthesia and analgesia    February 27, 2014   Volume 41, Issue 4 421-429 doi: 10.1111/vaa.12132
Grint NJ, Beths T, Yvorchuk K, Taylor PM, Dixon M, Whay HR, Murrell JC.To evaluate a mechanical nociceptive threshold (MNT) testing device in the donkey, and to investigate the influence of potential confounders on MNTs generated. Methods: Prospective, randomised. Methods: Sixteen castrated male donkeys aged 4-9 years, weighing 105-170 kg. Methods: Mechanical nociceptive thresholds were measured using an actuator with three pins placed on the dorsal aspect of the distal limb, connected to a force meter. The pins (surface area 15 mm(2) ) were extruded onto the limb by pressurising an air-filled syringe, until the MNT force (when foot-lift was observed) or 25 N (cu...
Fertility after fetotomy: a clinical study focusing on heavy draft mares.
The Veterinary record    February 25, 2014   Volume 174, Issue 16 407 doi: 10.1136/vr.101751
Raś A, Rapacz-Leonard A, Raś-Noryńska M, Barański W.Although fetotomy is recommended for all mares when the fetus is dead and difficult to extract, little has been written about fetotomy and heavy draft mares. This lack includes indications for fetotomy in heavy draft mares, differences in treatment and prognosis of heavy mares kept by farmers of low socioeconomic status, and how this procedure affects the mare's further fertility. The literature on mares, in general, also differs on the survival rate of mares that undergo fetotomy, the prevalence of postpartum complications, and further fertility. To answer these questions, we reviewed the me...
N-butylscopolammonium bromide causes fewer side effects than atropine when assessing bronchoconstriction reversibility in horses with heaves.
Equine veterinary journal    February 25, 2014   Volume 46, Issue 4 474-478 doi: 10.1111/evj.12229
de Lagarde M, Rodrigues N, Chevigny M, Beauchamp G, Albrecht B, Lavoie JP.Bronchospasm results in airway obstruction in horses with heaves. Atropine is the most potent bronchodilator drug currently available for horses, but is associated with side effects that limit its use. Like atropine, N-butylscopolammonium bromide (NBB) is an anticholinergic agent with bronchodilatory properties. Objective: To compare the bronchodilating effects and side effects of atropine and NBB in horses with heaves. Methods: Cross-over experiment using horses with heaves. Methods: Eight horses with heaves were administered atropine and NBB, using a cross-over design. Heart rate, pupillary ...
Accuracy of distal limb fracture diagnosis at British racecourses 1999-2005.
The Veterinary record    February 25, 2014   Volume 174, Issue 19 477 doi: 10.1136/vr.102053
Reardon RJ, Boden L, Stirk AJ, Parkin TD.Accurate diagnosis of racing injuries can be difficult. The objectives of this study were to describe the postmortem (PM) defined distribution of fatal distal limb fractures (DLF) affecting Thoroughbreds racing in Great Britain between February 1999 and August 2005 and then assess the accuracy of veterinary racecourse diagnoses and examine whether these improved following introduction of a computerised recording system. PM examinations were performed on limbs distal to radius or tibia from all cases of fatal DLF occurring on British racecourses during the study period. Results of these examina...
Septic sialoadenitis in equids: a retrospective study of 18 cases (1998-2010).
Equine veterinary journal    February 25, 2014   Volume 47, Issue 1 54-59 doi: 10.1111/evj.12228
Kilcoyne I, Watson JL, Spier SJ, Whitcomb MB, Vaughan B.Septic sialoadenitis, although uncommonly reported in equids, is a significant cause of pain, inappetence, dysphagia and discomfort. There are currently few reported cases possibly as a result of its infrequent occurrence. Objective: To review cases presenting with sialoadenitis and describe the presenting complaints, results of diagnostic tests, treatment and outcome. Methods: Retrospective case series. Methods: Records were reviewed for equids presenting to the UC Davis William R. Pritchard Veterinary Medical Teaching Hospital between 1998 and 2010 for salivary gland swelling. Equids were in...
Survey of the UK veterinary profession: common species and conditions nominated by veterinarians in practice.
The Veterinary record    February 25, 2014   Volume 174, Issue 13 324 doi: 10.1136/vr.101745
Nielsen TD, Dean RS, Robinson NJ, Massey A, Brennan ML.The practice of evidence-based veterinary medicine involves the utilisation of scientific evidence for clinical decision making. To enable this, research topics pertinent to clinical practice need to be identified, and veterinary clinicians are best placed to do this. The main aim of this study was to describe the veterinary population, the common species and conditions veterinary clinicians nominated they saw in practice and how much information clinicians perceived was available in the literature for these. A questionnaire was distributed to all Royal College of Veterinary Surgeons registere...
A high-throughput LC-MS/MS screen for GHRP in equine and human urine, featuring peptide derivatization for improved chromatography.
Drug testing and analysis    February 24, 2014   Volume 6, Issue 10 985-995 doi: 10.1002/dta.1624
Timms M, Hall N, Levina V, Vine J, Steel R.The growth hormone releasing peptides (GHRPs) hexarelin, ipamorelin, alexamorelin, GHRP-1, GHRP-2, GHRP-4, GHRP-5, and GHRP-6 are all synthetic met-enkephalin analogues that include unnatural D-amino acids. They were designed specifically for their ability to stimulate growth hormone release and may serve as performance enhancing drugs. To regulate the use of these peptides within the horse racing industry and by human athletes, a method is presented for the extraction, derivatization, and detection of GHRPs from equine and human urine. This method takes advantage of a highly specific solid-ph...
Rater agreement on gait assessment during neurologic examination of horses.
Journal of veterinary internal medicine    February 24, 2014   Volume 28, Issue 2 630-638 doi: 10.1111/jvim.12320
Olsen E, Dunkel B, Barker WH, Finding EJ, Perkins JD, Witte TH, Yates LJ, Andersen PH, Baiker K, Piercy RJ.Reproducible and accurate recognition of presence and severity of ataxia in horses with neurologic disease is important when establishing a diagnosis, assessing response to treatment, and making recommendations that might influence rider safety or a decision for euthanasia. Objective: To determine the reproducibility and validity of the gait assessment component in the neurologic examination of horses. Methods: Twenty-five horses referred to the Royal Veterinary College Equine Referral Hospital for neurological assessment (n = 15), purchased (without a history of gait abnormalities) for an u...