Accelerometric Changes before and after Capacitive Resistive Electric Transfer Therapy in Horses with Thoracolumbar Pain Compared to a SHAM Procedure.
- Journal Article
- Athletic Horses
- Athletic Performance
- Back Pain
- Biomechanics
- Clinical Examination
- Clinical Study
- Comparative Study
- Equine Diseases
- Equine Health
- Exercise Physiology
- Horses
- Locomotion
- Musculoskeletal System
- Pain Management
- Rehabilitation
- Sport Horses
- Treatment
- Veterinary Medicine
- Veterinary Procedure
- Veterinary Research
Summary
The research studied the effects of a specific treatment, Capacitive Resistive Electric Transfer (CRET), on horses experiencing back pain, concluding that this treatment increased back flexibility and reduced back and muscle pain.
Introduction
In the field of equine sports medicine, the treatment of thoracolumbar pain, which affects the horse’s middle and lower back, is a pertinent issue. This research was driven by a desire to mitigate this issue using Capacitive Resistive Electric Transfer (CRET). This type of therapy leverages radio frequency at 448 kHz, and it has been shown to increase the flexibility in the quadriceps muscles of human athletes.
Methodology
- Sample size: 18 sport horses were utilized during this study, they were split into two groups. The CRET group consisted of nine horses that underwent four therapy sessions over a two-week span. The SHAM group was also composed of nine horses and given a sham treatment, where the CRET device was switched off during their respective sessions.
- Data Collection: The study administered clinical examinations and used accelerometry, a method of biomechanical assessment, before and after the four sessions. It should be noted that the horses were still undergoing their regular training and competing actively throughout the duration of this study. No other therapeutic procedures were employed during this time.
- Statistical Testing: Mann-Whitney tests were used to compare data between the SHAM and CRET groups. Meanwhile, the Wilcoxon Matched Pair tests were used to evaluate data before and after the CRET sessions.
Findings
Following the intervention, the CRET group experienced an increase in dorsoventral, mediolateral, and total power, indicative of enhanced back flexibility. However, the SHAM group did not show any such improvements. In either group, no changes were detected in the dorsoventral displacement of the gravity centre.
The study discovered a significant decrease in thoracolumbar pain and muscle pain following the treatment. Specifically, thoracolumbar pain reduced by one degree after CRET treatment and showed no change after the sham treatment. Meanwhile, the muscle pain decreased two degrees after CRET, and only one degree after SHAM.
Conclusion
The results suggested that CRET could indeed benefit horses suffering from thoracolumbar pain, enhancing their back flexibility and alleviating associated pain. The SHAM group was useful as a control that lacked the CRET treatment, showing no such advantages. Thus, this therapy could be seen as an effective tool in equine sports medicine.
Cite This Article
Publication
Researcher Affiliations
- Department of Animal Medicine and Surgery, School of Veterinary Medicine, University of Córdoba, 14004 Córdoba, Spain.
- Veterinary Teaching Hospital, School of Veterinary Medicine, University of Córdoba, 14004 Córdoba, Spain.
- Veterinary Teaching Hospital, School of Veterinary Medicine, University of Córdoba, 14004 Córdoba, Spain.
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, 14004 Córdoba, Spain.
- Department of Animal Medicine and Surgery, School of Veterinary Medicine, University of Córdoba, 14004 Córdoba, Spain.
- Equine Sport Medicine Center CEMEDE, School of Veterinary Medicine, University of Córdoba, 14004 Córdoba, Spain.
- Veterinary Teaching Hospital, School of Veterinary Medicine, University of Córdoba, 14004 Córdoba, Spain.
- Physiotherapy and Osteopathy Equine Practice, 08913 Barcelona, Spain.
- Department of Animal Medicine and Surgery, School of Veterinary Medicine, Autonomous University of Barcelona, 08193 Bellaterra, Spain.
- Department of Animal Medicine and Surgery, School of Veterinary Medicine, University of Córdoba, 14004 Córdoba, Spain.
- Veterinary Teaching Hospital, School of Veterinary Medicine, University of Córdoba, 14004 Córdoba, Spain.
- Department of Animal Medicine and Surgery, School of Veterinary Medicine, Autonomous University of Barcelona, 08193 Bellaterra, Spain.
Conflict of Interest Statement
References
- Denoix J.-M.D.. Spinal biomechanics and functional anatomy.. Veter Clin. N. Am. Equine Pr. 1999;15:27–60.
- Peham C., Frey A., Licka T., Scheild M.. Evaluation of the EMG activity of the long back muscle during induced back movements in stance.. Equine Vet. J. 2001;33:165–168.
- Wennerstrand J., Johnston C., Roethlisberger-Holm K., Erichsen C., Eksell P., Drevemo S.. Kinematic evaluation of the back in the sport horse with back pain.. Equine Veter J. 2004;36:707–711.
- Stubbs N.C., Riggs C.M., Hodges P.W., Jeffcott L.B., Hodgson D.R., Clayton H.M., Mc Gowan C.M.. Osseous spinal pathology and epaxial muscle ultrasonography in Thoroughbred racehorses.. Equine Veter J. 2010;42:654–661.
- Brown K., Davidson E.J., Ortved K.F., Ross M.W., Ms D.S., Wulster K.B., Levine D.G.. Long-term outcome and effect of diagnostic analgesia in horses undergoing interspinous ligament desmotomy for overriding dorsal spinous processes.. Veter Surg. 2020;49:590–599.
- Trager L.R., Funk R.A., Clapp K.S., Dahlgren L.A., Werre S.R., Hodgson D.R., Pleasant R.S.. Extracorporeal shockwave therapy raises mechanical nociceptive threshold in horses with thoracolumbar pain.. Equine Veter J. 2020;52:250–257.
- Ranner W., Gerhards H., Klee W.. Diagnostic validity of palpation in horses with back problems.. Berl. Munch. Tierarztl. Wochenschr. 2002;115:420–424.
- Munroe G.A.. The investigation of back pathology: The clinical examination.. In: Henson M.D., editor. Equine Back Pathology: Diagnosis and Treatment. Blackwell Publishing; Chichester, UK: 2009. pp. 67–73.
- Clayton H.. Equine back pain reviewed from a motor control perspective.. Comp. Exerc. Physiol. 2012;8:145–152.
- Tashiro Y., Hasegawa S., Yokota Y., Nishiguchi S., Fukutani N., Shirooka H., Tasaka S., Matsushita T., Matsubara K., Nakayama Y.. Effect of Capacitive and Resistive electric transfer on haemoglobin saturation and tissue temperature.. Int. J. Hyperth. 2017;33:696–702.
- Hernández-Bule M.L., Paíno C.L., Trillo M.Á., Úbeda A.. Electric Stimulation at 448 kHz Promotes Proliferation of Human Mesenchymal Stem Cells.. Cell. Physiol. Biochem. 2014;34:1741–1755.
- Yokota Y., Tashiro Y., Suzuki Y., Tasaka S., Matsushita T., Matsubara K., Kawagoe M., Sonoda T., Nakayama Y., Hasegawa S.. Effect of Capacitive and Resistive Electric Transfer on Tissue Temperature, Muscle Flexibility, and Blood Circulation.. J. Nov. Physiother. 2017;7:1000325.
- López-De-Celis C., García C.H., Pérez-Bellmunt A., Fanlo-Mazas P., González-Rueda V., Tricás-Moreno J.M., Ortiz S., Rodríguez-Sanz J.. Thermal and non-thermal effects off capacitive-resistive electric transfer application on the Achilles tendon and musculotendinous junction of the gastrocnemius muscle: A cadaveric study.. BMC Musculoskelet. Disord. 2020;21:46.
- Yokota Y., Sonoda T., Tashiro Y., Suzuki Y., Kajiwara Y., Zeidan H., Nakayama Y., Kawagoe M., Shimoura K., Tatsumi M.. Effect of Capacitive and Resistive electric transfer on changes in muscle flexibility and lumbopelvic alignment after fatiguing exercise.. J. Phys. Ther. Sci. 2018;30:719–725.
- Becero M., Saitua A., Argüelles D., De Medina A.L.S., Castejón-Riber C., Riber C., Muñoz A.. Capacitive resistive electric transfer modifies gait pattern in horses exercised on a treadmill.. BMC Veter Res. 2020;16:10.
- Wennerstrand J., Gómez-Álvarez C.B., Meulenbelt R., Johnston C., Van Weeren P.R., Roethlisberger-Holm K., Drevemo S.. Spinal kinematics in horses with induced back pain.. Veter Comp. Orthop. Traumatol. 2009;22:448–454.
- Aujol K., Burgaud I., Biau S.. Impacts of Osteopathic Treatment on the Locomotion of Sport Horse. Proceedings of the 37th Journée de la Recherche Equine; le Pin au Haras, France. 24 February 2011; pp. 207–210.
- Calvo-Santasmases A., Manso-Díaz. G., López-Sanromán F.J., Gómez-Cisneros D., Forés P.. Correlación entre datos clínicos, signos radiológicos y acelerometría en patologías del dorso equino. Proceedings of the XVII Congreso Internacional de Medicina y Cirugía Equina; Sevilla, Spain. 6–7 December 2016; pp. 111–112.
- Denoix J., Dyson S.. Thoracolumbar spine.. In: Ross M., Dyson S., editors. Diagnosis and Management of Lameness in the Horse. 1st ed. Elsevier Science; St. Louis, MO, USA: 2003. pp. 509–521.
- Zimmerman M., Dyson S., Murray R.. Close, impinging and overriding spinous processes in the thoracolumbar spine: The relationship between radiological and scintigraphic findings and clinical signs.. Equine Veter. J. 2012;44:178–184.
- Osti R., Pari C., Salvatori G., Massari L.. Tri-length laser therapy associated to tecar therapy in the treatment of low-back pain in adults: A preliminary report of a prospective case series.. Lasers Med. Sci. 2015;30:407–412.
- Diego I.M.A., Fernández-Carnero J., Val S.L., La Cuerda R.C.-D., Lobo C.C., Piédrola R.M., Oliva L.C.L., Rueda F.. Analgesic effects of a capacitive-resistive monopolar radiofrequency in patients with myofascial chronic neck pain: A pilot randomized controlled trial.. Rev. Assoc. Méd. Bras. 2019;65:156–164.
- Coccetta C.A., Sale P., Ferrara P.E., Specchia A., Maccauro G., Ferriero G., Ronconi G.. Effects of capacitive and resistive electric transfer therapy in patients with knee osteoarthritis: A randomized controlled trial.. Int. J. Rehabil. Res. 2019;42:106–111.
- López-Sanromán F., Holmbak-Petersen R., Santiago I., De Segura I.G., Barrey E., De Segura I., Álvarez G.. Gait analysis using 3D accelerometry in horses sedated with xylazine.. Veter J. 2012;193:212–216.
- Barrey E.. Biomechanics of locomotion in the athletic horse.. In: Hinchcliff K.W., Kaneps A.J., Geor R.J., editors. Equine Sports Medicine and Surgery-Basic and Clinical Sciences of the Equine Athlete. 2nd ed. Saunders Elsevier; Philadelphia, PA, USA: 2014. pp. 189–211.
- Argüelles D., Saitua A., De Medina A.S., Muñoz J.A., Muñoz A.. Clinical efficacy of clodronic acid in horses diagnosed with navicular syndrome: A field study using objective and subjective lameness evaluation.. Res. Veter Sci. 2019;125:298–304.
- Saitua A., Becero M., Argüelles D., Castejon-Riber C., De Medina A.S., Satué K., Muñoz A.. Combined Effects of Water Depth and Velocity on the Accelerometric Parameters Measured in Horses Exercised on a Water Treadmill.. Animals. 2020;10:236.
- Barrey E., Evans S.E., Evans D.L., Curtis R.A., Quinton R., Rose R.J.. Locomotion evaluation for racing in Thoroughbreds.. Equine Veter J. 2001;33:99–103.
- Barrey E., Desliens F., Poirel D., Biau S., Lemaire S., Rivero J.L., Langlois B.. Early evaluation of dressage ability in different breeds.. Equine Veter J. 2002;34:319–324.
- Leleu C., Bariller F., Cotrel C., Barrey E.. Reproducibility of a locomotor test for trotter horses.. Veter J. 2004;168:160–166.
- Weishaupt M.A., Wiestner T., Hogg H.P., Jordan P., Auer J.A., Barrey E.. Assessment of gait irregularities in the horse: Eye vs. gait analysis.. Equine Veter J. 2001;33:135–140.
- Frigerio M.A., Gómez Cisneros D., Santiago Llorente I., Manso-Díaz G., López-Sanromán J.. A kinematic comparison of the locomotor pattern of horses sedated with detomidine alone and in combination with low doses of butorphanol.. Equine Veter. J. 2019;51:825–830.
- Barrey E., Galloux P.. Analysis of the equine jumping technique by accelerometry.. Equine Veter J. 2010;29:45–49.
- Leleu C., Gloria E., Renault G., Barrey E.. Analysis of trotter gait on the track by accelerometry and image analysis.. Equine Veter J. 2002;34:344–348.
- Riccio B., Fraschetto C., Villanueva J., Cantatore F., Bertuglia A.. Two Multicenter Surveys on Equine Back-Pain 10 Years a Part.. Front. Veter Sci. 2018;5:195.
- Holm K.R., Wennerstrand J., Lagerquist U., Eksell P., Johnston C.. Effect of local analgesia on movement of the equine back.. Equine Veter J. 2010;38:65–69.
- Barrey E., Biau S.. Locomotion of dressage horses.. In: Lindner A., editor. The Elite Dressage and Three-Day Event Horse. Conference on Equine Sports Medicine and Science, 2002. Arbeitsgruppe Pferd; Jülich, Germany: 2003. pp. 17–32.
- Kumaran B., Watson T.. Treatment using 448 kHz capacitive resistive monopolar radiofrequency improves pain and function in patients with osteoarthritis of the knee joint: A randomised controlled trial.. Physiotherapy. 2019;105:98–107.
- Paolucci T., Pezzi L., Centra M.A., Porreca A., Barbato C., Bellomo R.G., Saggini R.. Effects of capacitive and resistive electric transfer therapy in patients with painful shoulder impingement syndrome: A comparative study.. J. Int. Med Res. 2020;48:0300060519883090.
- Zimmerman M., Dyson S.J., Murray R.. Comparison of radiographic and scintigraphic findings of the spinous processes in the equine thoracolumbar region.. Equine Veter J. 2011;52:661–671.
- Cousty M., Retureau C., Tricaud C., Geffroy O., Caure S.. Location of radiological lesions of the thoracolumbar column in French trotters with and without signs of back pain.. Veter Rec. 2010;166:41–45.
- Faber M., Johnston C., Weeren P.R., Barneveld A.. Repeatability of back kinematics in horses during treadmill locomotion.. Equine Veter J. 2010;34:235–241.
- Duñabeitia I., Arrieta H., Torres-Unda J., Gil J., Santos-Concejero J., Gil S.M., Irazusta J., Bidaurrazaga-Letona I.. Effects of a capacitive-resistive electric transfer therapy on physiological and biomechanical parameters in recreational runners: A randomized controlled crossover trial.. Phys. Ther. Sport. 2018;32:227–234.
Citations
This article has been cited 4 times.- Calle-González N, Rivero JL, Olivares J, Miró F, Argüelles D, Requena F, Munoz A. Assessing thermal changes in the equine thoracolumbar region following different capacitive-resistive electrical transfer protocols. Front Vet Sci 2025;12:1570120.
- Argüelles D, Saitua A, Miraz R, Calle-González N, Requena F, Nocera I, Vitale V, Sgorbini M, Muñoz A. The application of a single session of capacitive resistive electric transfer 24 h before exercise modifies the accelerometric pattern in standardbred racing trotters. BMC Vet Res 2024 May 22;20(1):217.
- Canet-Vintró M, Rodríguez-Sanz J, López-de-Celis C, Hidalgo-García C, Oviedo GR, Rodríguez-Rodríguez S, Pérez-Bellmunt A. Changes in the Sprint, Vertical Jump and Quadriceps Strength after a Capacitive Resistive Electric Transfer Therapy Intervention-A Randomized Clinical Trial. Sports (Basel) 2024 Jan 22;12(1).
- Benito M, Jasny T, Roger V, Pflieger C, Grandjean D. Short-Term Efficacy of Capacitive-Resistive Electrical Transfer Therapy in Short-Haired Sled Dogs in Middle-Distance Competition. Animals (Basel) 2022 Dec 14;12(24).