Alterations in thoracolumbosacral movement when pain causing lameness has been improved by diagnostic analgesia.
Abstract: Lameness, thoracolumbosacral pain and reduced range of motion (ROM) often coexist; better understanding of their relationship is needed. The objectives were to determine if thoracolumbosacral movement of horses changes when pain causing lameness is improved by diagnostic analgesia. We hypothesised that reduction of lameness will increase ROM of the thoracolumbosacral region. Thirteen horses with different types of hind limb lameness were trotted in straight lines and lunged on a 10m diameter circle on left and right reins before and after lameness was subjectively substantially improved by diagnostic analgesia. Inertial sensor data were collected from the withers, thirteenth (T13) and eighteenth thoracic (T18) vertebrae, third lumbar (L3) vertebra, tubera sacrale (TS), left and right tubera coxae. ROM of flexion-extension, axial rotation, lateral bending, dorsoventral, lateral-lateral motion and vertical movement symmetry were quantified at each thoracolumbar site. Hiphike difference (HHD), maximum difference (MaxDiff) and minimum difference (MinDiff) for the pelvic sensors were measured. Percentage changes for before and after diagnostic analgesia were calculated; mean±standard deviation (SD) or median [interquartile range] were determined. Associations between the change in pelvic versus thoracolumbar movement symmetry after each local analgesic technique were tested. After resolution of lameness, HHD decreased by 7% [68%] (P=0.006). The MinDiff decreased significantly by 33% [61%] (P=0.01), 45±13% (P=0.005) and 52±23% (P=0.04), for TS, L3 and T18, respectively. There was significantly increased ROM in flexion-extension at T13, in axial rotation at T13, T18, L3 and in lateral-lateral ROM at L3. Thoracolumbosacral asymmetry and reduced ROM associated with lameness were both altered immediately by improvement in lameness using diagnostic analgesia.
Copyright © 2017 Elsevier Ltd. All rights reserved.
Publication Date: 2017-05-03 PubMed ID: 28697877DOI: 10.1016/j.tvjl.2017.03.009Google Scholar: Lookup
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- Journal Article
Summary
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This research investigated how alleviating lameness in horses through diagnostic analgesia could affect their thoracolumbosacral movement. The results suggest that as lameness is reduced, the range of movement in the thoracolumbosacral region improves.
Study Purpose and Hypothesis
- The main objective of the research was to investigate whether changes occur in the movement of the thoracolumbosacral region (the central and lower parts of the spine) of horses when pain-induced lameness is alleviated using diagnostic analgesia. This is a type of pain relief used in veterinary medicine for diagnosis purposes.
- The researchers hypothesized that lessening the lameness in horses would lead to an increase in the range of movement of the thoracolumbosacral area.
Methodology
- The study involved 13 horses that were suffering from various types of hind limb lameness. The horses were made to trot in straight lines and lunge on a 10m diameter circle on left and right reins. Observations were made before and after the lameness improved because of the use of the diagnostic analgesia.
- Data was collected from multiple sites along the horse’s spine (withers, thirteenth (T13) and eighteenth thoracic (T18) vertebrae, third lumbar (L3) and tubera sacrale (TS)) using inertial sensors.
- The researchers recorded several parameters, such as flexion-extension, axial rotation, lateral bending, dorsoventral, lateral-lateral motion and vertical movement symmetry. They also calculated the Hiphike Difference (HHD), maximum difference (MaxDiff) and minimum difference (MinDiff) for the pelvic sensors. The percentage changes for these before and after diagnostic analgesia were evaluated later.
Results and Conclusions
- Upon resolving lameness, it was noted that HHD was decreased by 7%. The MinDiff also significantly dropped by 33%, 45% and 52% respectively for TS, L3 and T18.
- There was a significant increase in the range of movement in both flexion-extension at T13, axial rotation at T13, T18, L3, and in lateral-lateral motion at L3.
- The research concluded that asymmetry and reduced movement in the thoracolumbosacral area, which are commonly associated with lameness, could be immediately improved by remedying the lameness with diagnostic analgesia.
Cite This Article
APA
Greve L, Dyson S, Pfau T.
(2017).
Alterations in thoracolumbosacral movement when pain causing lameness has been improved by diagnostic analgesia.
Vet J, 224, 55-63.
https://doi.org/10.1016/j.tvjl.2017.03.009 Publication
Researcher Affiliations
- Centre for Equine Studies, Animal Health Trust,Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK; Department of Clinical Science and Services, The Royal Veterinary College, University of London,Hawkshead Lane, North Mymms, Hatfield AL9 7TA, UK. Electronic address: line.greve@aht.org.uk.
- Centre for Equine Studies, Animal Health Trust,Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK.
- Department of Clinical Science and Services, The Royal Veterinary College, University of London,Hawkshead Lane, North Mymms, Hatfield AL9 7TA, UK.
MeSH Terms
- Analgesia / methods
- Analgesia / veterinary
- Animals
- Biomechanical Phenomena
- Horse Diseases / diagnosis
- Horse Diseases / physiopathology
- Horse Diseases / therapy
- Horses
- Lameness, Animal / diagnosis
- Lameness, Animal / physiopathology
- Lameness, Animal / therapy
- Locomotion / physiology
- Lumbar Vertebrae / physiopathology
- Pain / complications
- Pain / drug therapy
- Pain / veterinary
- Pain Management / veterinary
- Prospective Studies
- Range of Motion, Articular / physiology
- Sacrum / physiopathology
- Spine / physiopathology
- Thoracic Vertebrae / physiopathology
Citations
This article has been cited 11 times.- Boado A, Pollard D, Dyson S. A Retrospective Study of the Evolution of Orthopaedic Injuries in 70 Dressage Horses. Animals (Basel) 2025 Jun 12;15(12).
- Tranquille CA, Chojnacka K, Murray RC. Musculoskeletal Injury and Illness Patterns in British Eventing Horses: A Descriptive Study. Animals (Basel) 2024 Sep 13;14(18).
- Maldonado MD, Parkinson SD, Story MR, Haussler KK. The Effect of Chiropractic Treatment on Limb Lameness and Concurrent Axial Skeleton Pain and Dysfunction in Horses. Animals (Basel) 2022 Oct 19;12(20).
- Pfau T, Scott WM, Sternberg Allen T. Upper Body Movement Symmetry in Reining Quarter Horses during Trot In-Hand, on the Lunge and during Ridden Exercise. Animals (Basel) 2022 Feb 27;12(5).
- Byström A, Hardeman AM, Serra Bragança FM, Roepstorff L, Swagemakers JH, van Weeren PR, Egenvall A. Differences in equine spinal kinematics between straight line and circle in trot. Sci Rep 2021 Jun 18;11(1):12832.
- MacKechnie-Guire R, Fisher M, Mathie H, Kuczynska K, Fairfax V, Fisher D, Pfau T. A Systematic Approach to Comparing Thermal Activity of the Thoracic Region and Saddle Pressure Distribution beneath the Saddle in a Group of Non-Lame Sports Horses. Animals (Basel) 2021 Apr 13;11(4).
- MacKechnie-Guire R, Pfau T. Differential Rotational Movement of the Thoracolumbosacral Spine in High-Level Dressage Horses Ridden in a Straight Line, in Sitting Trot and Seated Canter Compared to In-Hand Trot. Animals (Basel) 2021 Mar 20;11(3).
- Mayaki AM, Abdul Razak IS, Adzahan NM, Mazlan M, Rasedee A. Clinical assessment and grading of back pain in horses. J Vet Sci 2020 Nov;21(6):e82.
- Dyson S, Pollard D. Application of a Ridden Horse Pain Ethogram and Its Relationship with Gait in a Convenience Sample of 60 Riding Horses. Animals (Basel) 2020 Jun 17;10(6).
- MacKechnie-Guire R, MacKechnie-Guire E, Fairfax V, Fisher D, Fisher M, Pfau T. The Effect of Tree Width on Thoracolumbar and Limb Kinematics, Saddle Pressure Distribution, and Thoracolumbar Dimensions in Sports Horses in Trot and Canter. Animals (Basel) 2019 Oct 21;9(10).
- Riccio B, Fraschetto C, Villanueva J, Cantatore F, Bertuglia A. Two Multicenter Surveys on Equine Back-Pain 10 Years a Part. Front Vet Sci 2018;5:195.
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