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Scientific reports2019; 9(1); 2713; doi: 10.1038/s41598-019-39189-z

Asymmetric recurrent laryngeal nerve conduction velocities and dorsal cricoarytenoid muscle electromyographic characteristics in clinically normal horses.

Abstract: The dorsal cricoarytenoid (DCA) muscles, are a fundamental component of the athletic horse's respiratory system: as the sole abductors of the airways, they maintain the size of the rima glottis which is essential for enabling maximal air intake during intense exercise. Dysfunction of the DCA muscle leads to arytenoid collapse during exercise, resulting in poor performance. An electrodiagnostic study including electromyography of the dorsal cricoarytenoid muscles and conduction velocity testing of the innervating recurrent laryngeal nerves (RLn) was conducted in horses with normal laryngeal function. We detected reduced nerve conduction velocity of the left RLn, compared to the right, and pathologic spontaneous activity (PSA) of myoelectrical activity within the left DCA muscle in half of this horse population and the horses with the slowest nerve conduction velocities. The findings in this group of horses are consistent with left sided demyelination and axonal loss, consistent with Recurrent Laryngeal Neuropathy (RLN), a highly prevalent degenerative disorder of the RLn in horses that predominantly affects the left side. The detection of electromyographic changes compatible with RLN in clinically unaffected horses is consistent with previous studies that identified "subclinical" subjects, presenting normal laryngeal function despite neuropathologic changes within nerve and muscle confirmed histologically.
Publication Date: 2019-02-25 PubMed ID: 30804428PubMed Central: PMC6389933DOI: 10.1038/s41598-019-39189-zGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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This study investigates how the function and health of the dorsal cricoarytenoid muscles and the recurrent laryngeal nerves in horses can influence their ability to perform athletically. The research finds that slower nerve conduction in these areas, particularly on the left side, can be connected to a degenerative disorder known as Recurrent Laryngeal Neuropathy.

Background and Aim

  • The research aims to understand the relationship between the conduction velocity of recurrent laryngeal nerves (RLn) and the electromyographic (EMG) characteristics of the dorsal cricoarytenoid (DCA) muscles in clinically healthy horses.
  • The DCA muscles play a critical role in a horse’s respiratory system, primarily by controlling the size of the rima glottis, which is essential for a horse’s air intake during intense exercise.
  • Recurrent Laryngeal Neuropathy (RLN) is a common degenerative disorder in horses that often affects the left side, causing dysfunction of the DCA muscle and resulting in poor performance.

Methodology

  • An electrodiagnostic study including electromyography of the DCA muscles and conduction velocity testing of the innervating RLn was performed on horses with normal laryngeal function.
  • The study examined whether differences in conduction velocity of the left and right RLn could signal early, ‘subclinical’ signs of RLN, before overt clinical symptoms were present.

Findings

  • The researchers found reduced nerve conduction velocity of the left RLn in comparison to the right.
  • Pathologic spontaneous activity (PSA), which could indicate RLN, was found in the myoelectrical activity of the left DCA muscle in half of the tested horse population.
  • These findings suggest that the horses with the slowest nerve conduction velocities were experiencing a kind of nerve damage, called demyelination, and loss of nerve cells, particularly on the left side—both of which are consistent with symptoms of RLN.

Conclusion and Implication

  • The study concludes that the identified electromyographic changes are consistent with previous research suggesting RLN could be present in horses even when they appear clinically unaffected.
  • These “subclinical” cases represent horses that maintain normal laryngeal function despite experiencing neuropathological changes in their nerves and muscles.
  • The results could therefore be an indicator that these horses are in the early stages of RLN, which poses a potential risk to their future athletic performance.

Cite This Article

APA
Cercone M, Hokanson CM, Olsen E, Ducharme NG, Mitchell LM, Piercy RJ, Cheetham J. (2019). Asymmetric recurrent laryngeal nerve conduction velocities and dorsal cricoarytenoid muscle electromyographic characteristics in clinically normal horses. Sci Rep, 9(1), 2713. https://doi.org/10.1038/s41598-019-39189-z

Publication

ISSN: 2045-2322
NlmUniqueID: 101563288
Country: England
Language: English
Volume: 9
Issue: 1
Pages: 2713
PII: 2713

Researcher Affiliations

Cercone, Marta
  • Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
Hokanson, Caitlin M
  • Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
Olsen, Emil
  • Comparative Neuromuscular Diseases Laboratory, Department of Clinical Sciences and Services, Royal Veterinary College, London, NW1 0TU, UK.
Ducharme, Norm G
  • Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
Mitchell, Lisa M
  • Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
Piercy, Richard J
  • Comparative Neuromuscular Diseases Laboratory, Department of Clinical Sciences and Services, Royal Veterinary College, London, NW1 0TU, UK.
Cheetham, Jon
  • Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA. jc485@cornell.edu.

MeSH Terms

  • Animals
  • Electromyography
  • Female
  • Horse Diseases / diagnosis
  • Horse Diseases / physiopathology
  • Horses / injuries
  • Horses / physiology
  • Laryngeal Muscles / innervation
  • Laryngeal Muscles / physiopathology
  • Male
  • Physical Conditioning, Animal
  • Recurrent Laryngeal Nerve / physiopathology
  • Recurrent Laryngeal Nerve Injuries / diagnosis
  • Recurrent Laryngeal Nerve Injuries / physiopathology
  • Recurrent Laryngeal Nerve Injuries / veterinary

Conflict of Interest Statement

The authors declare no competing interests.

References

This article includes 52 references
  1. Poole DC, Erickson HH. Highly athletic terrestrial mammals: horses and dogs.. Compr Physiol 2011 Jan;1(1):1-37.
    pubmed: 23737162doi: 10.1002/cphy.c091001google scholar: lookup
  2. Young LE. Equine athletes, the equine athlete's heart and racing success.. Exp Physiol 2003 Sep;88(5):659-63.
    doi: 10.1113/eph8802615pubmed: 12955166google scholar: lookup
  3. Franklin SH, Van Erck-Westergren E, Bayly WM. Respiratory responses to exercise in the horse.. Equine Vet J 2012 Nov;44(6):726-32.
  4. Lafortuna CL, Saibene F, Albertini M, Clement MG. The regulation of respiratory resistance in exercising horses.. Eur J Appl Physiol 2003 Oct;90(3-4):396-404.
    doi: 10.1007/s00421-003-0925-0pubmed: 12920523google scholar: lookup
  5. Cahill JI, Goulden BE. Equine laryngeal hemiplegia. Part I. A light microscopic study of peripheral nerves.. N Z Vet J 1986 Oct;34(10):161-9.
    pubmed: 16031224doi: 10.1080/00480169.1986.35334google scholar: lookup
  6. Cahill JI, Goulden BE. Equine laryngeal hemiplegia. Part II. An electron microscopic study of peripheral nerves.. N Z Vet J 1986 Oct;34(10):170-5.
    pubmed: 16031225doi: 10.1080/00480169.1986.35335google scholar: lookup
  7. Cahill JI, Goulden BE. Equine laryngeal hemiplegia. Part III. A teased fibre study of peripheral nerves.. N Z Vet J 1986 Nov;34(11):181-5.
    doi: 10.1080/00480169.1986.35342pubmed: 16031232google scholar: lookup
  8. Duncan ID, Griffiths IR, Madrid RE. A light and electron microscopic study of the neuropathy of equine idiopathic laryngeal hemiplegia.. Neuropathol Appl Neurobiol 1978 Nov-Dec;4(6):483-501.
  9. Hahn CN, Matiasek K, Dixon PM, Molony V, Rodenacker K, Mayhew IG. Histological and ultrastructural evidence that recurrent laryngeal neuropathy is a bilateral mononeuropathy limited to recurrent laryngeal nerves.. Equine Vet J 2008 Nov;40(7):666-72.
    doi: 10.2746/042516408X335711pubmed: 19165936google scholar: lookup
  10. Draper ACE, Piercy RJ. Pathological classification of equine recurrent laryngeal neuropathy.. J Vet Intern Med 2018 Jul;32(4):1397-1409.
    doi: 10.1111/jvim.15142pmc: PMC6060325pubmed: 29691904google scholar: lookup
  11. Ducharme N. 4 Grade System for Equine Laryngeal Function. In Proceedings of a Workshop on Equine Recurrent Laryngeal Neuropathy 21 (Havemeyer Foundation, 2003).
  12. Steiss JE, Marshall AE, Humburg JM. Electromyographic evaluation of conduction time of the recurrent laryngeal nerve: findings in clinically normal horses and ponies.. Equine Vet J 1989 May;21(3):218-20.
  13. Curtis RA, Hahn CN, Evans DL, Williams T, Begg L. Thoracolaryngeal reflex latencies in Thoroughbred horses with recurrent laryngeal neuropathy.. Vet J 2005 Jul;170(1):67-76.
    pubmed: 15993790doi: 10.1016/j.tvjl.2004.03.020google scholar: lookup
  14. Nollet H, Van Ham L, Gasthuys F, Dewulf J, Vanderstraeten G, Deprez P. Influence of detomidine and buprenorphine on motor-evoked potentials in horses.. Vet Rec 2003 Apr 26;152(17):534-7.
    doi: 10.1136/vr.152.17.534pubmed: 12739602google scholar: lookup
  15. Goulden BE, Barnes GR, Quinlan TJ. The electromyographic activity of intrinsic laryngeal muscles during quiet breathing in the anaesthetized horse.. N Z Vet J 1976 Aug;24(8):157-62.
    doi: 10.1080/00480169.1976.34307pubmed: 1070612google scholar: lookup
  16. Moore MP, Andrews F, Reed SM, Grant BD. Electromyographic evaluation of horses with laryngeal hemiplegia. J. Equine Vet. Sci. 1988;8:424–427.
  17. Hawe C, Dixon PM, Mayhew IG. A study of an electrodiagnostic technique for the evaluation of equine recurrent laryngeal neuropathy.. Equine Vet J 2001 Sep;33(5):459-65.
    doi: 10.2746/042516401776254826pubmed: 11558740google scholar: lookup
  18. Daube JR, Rubin DI. Needle electromyography.. Muscle Nerve 2009 Feb;39(2):244-70.
    doi: 10.1002/mus.21180pubmed: 19145648google scholar: lookup
  19. Bischoff C, Stålberg E, Falck B, Eeg-Olofsson KE. Reference values of motor unit action potentials obtained with multi-MUAP analysis.. Muscle Nerve 1994 Aug;17(8):842-51.
    doi: 10.1002/mus.880170803pubmed: 8041391google scholar: lookup
  20. Nandedkar SD, Barkhaus PE, Charles A. Multi-motor unit action potential analysis (MMA).. Muscle Nerve 1995 Oct;18(10):1155-66.
    doi: 10.1002/mus.880181012pubmed: 7659110google scholar: lookup
  21. McFadyean, J. Inedinburgh and London (1884).
  22. Crone C, Krarup C. Neurophysiological approach to disorders of peripheral nerve.. Handb Clin Neurol 2013;115:81-114.
  23. Sonoo M, Stålberg E. The ability of MUP parameters to discriminate between normal and neurogenic MUPs in concentric EMG: analysis of the MUP "thickness" and the proposal of "size index".. Electroencephalogr Clin Neurophysiol 1993 Oct;89(5):291-303.
    doi: 10.1016/0168-5597(93)90068-Zpubmed: 7691568google scholar: lookup
  24. Stålberg E, Karlsson L. Simulation of EMG in pathological situations.. Clin Neurophysiol 2001 May;112(5):869-78.
    doi: 10.1016/S1388-2457(01)00498-9pubmed: 11336904google scholar: lookup
  25. Walker TL, Redding RW, Braund KG. Motor nerve conduction velocity and latency in the dog.. Am J Vet Res 1979 Oct;40(10):1433-9.
    pubmed: 525865
  26. Steiss JE, Argue CK. Normal values for radial, peroneal and tibial motor nerve conduction velocities in adult sheep, with comparison to adult dogs.. Vet Res Commun 1987;11(3):243-52.
    doi: 10.1007/BF00570922pubmed: 3629945google scholar: lookup
  27. Stetson DS, Albers JW, Silverstein BA, Wolfe RA. Effects of age, sex, and anthropometric factors on nerve conduction measures.. Muscle Nerve 1992 Oct;15(10):1095-104.
    doi: 10.1002/mus.880151007pubmed: 1406766google scholar: lookup
  28. Sritharan N, Chase M, Kamani D, Randolph M, Randolph GW. The vagus nerve, recurrent laryngeal nerve, and external branch of the superior laryngeal nerve have unique latencies allowing for intraoperative documentation of intact neural function during thyroid surgery.. Laryngoscope 2015 Feb;125(2):E84-9.
    doi: 10.1002/lary.24781pubmed: 24945758google scholar: lookup
  29. Olney RK, Budingen HJ, Miller RG. The effect of temporal dispersion on compound action potential area in human peripheral nerve.. Muscle Nerve 1987 Oct;10(8):728-33.
    doi: 10.1002/mus.880100809pubmed: 3683446google scholar: lookup
  30. Alexander L. Effect of stimulus site and distance on Compound Muscle Action Potentials. Muscle and Nerve 755 (1989).
  31. Puram SV, Chow H, Wu CW, Heaton JT, Kamani D, Gorti G, Chiang FY, Dionigi G, Barczynski M, Schneider R, Dralle H, Lorenz K, Randolph GW. Posterior cricoarytenoid muscle electrophysiologic changes are predictive of vocal cord paralysis with recurrent laryngeal nerve compressive injury in a canine model.. Laryngoscope 2016 Dec;126(12):2744-2751.
    pubmed: 27113438doi: 10.1002/lary.25967google scholar: lookup
  32. Bhatt NK, Park AM, Al-Lozi M, Paniello RC. Compound Motor Action Potential Quantifies Recurrent Laryngeal Nerve Innervation in a Canine Model.. Ann Otol Rhinol Laryngol 2016 Jul;125(7):584-90.
    doi: 10.1177/0003489416637386pubmed: 26969454google scholar: lookup
  33. Atkins JP Jr. An electromyographic study of recurrent laryngeal nerve conduction and its clinical applications.. Laryngoscope 1973 May;83(5):796-807.
  34. Campbell WW Jr, Ward LC, Swift TR. Nerve conduction velocity varies inversely with height.. Muscle Nerve 1981 Nov-Dec;4(6):520-3.
    doi: 10.1002/mus.880040609pubmed: 7311991google scholar: lookup
  35. Williams PL, Wendell-Smith CP. Some additional parametric variations between peripheral nerve fibre populations.. J Anat 1971 Sep;109(Pt 3):505-26.
    pmc: PMC1270992pubmed: 4949292
  36. Henry RW, Diesem CD, Wiechers DO. Evaluation of equine radial and median nerve conduction velocities.. Am J Vet Res 1979 Oct;40(10):1406-10.
    pubmed: 525862
  37. Henry RW, Diesem CD. Proximal equine radial and median motor nerve conduction velocity.. Am J Vet Res 1981 Oct;42(10):1819-22.
    pubmed: 7325449
  38. Shin T, Rabuzzi DD. Conduction studies of the canine recurrent laryngeal nerve.. Laryngoscope 1971 Apr;81(4):586-96.
  39. Hackett M. The equine nucleus ambiguus: Myotopic and neurotopic representations of motor and sensory components of the recurrent laryngeal nerve. PhD thesis. (Ithaca, NY, USA: Cornell University, 2000).
  40. Waxman SG. Determinants of conduction velocity in myelinated nerve fibers.. Muscle Nerve 1980 Mar-Apr;3(2):141-50.
    doi: 10.1002/mus.880030207pubmed: 6245357google scholar: lookup
  41. López-Plana C, Sautet JY, Pons J, Navarro G. Morphometric study of the recurrent laryngeal nerve in young 'normal' horses.. Res Vet Sci 1993 Nov;55(3):333-7.
    doi: 10.1016/0034-5288(93)90103-Mpubmed: 8284497google scholar: lookup
  42. Rhee HS, Steel CM, Derksen FJ, Robinson NE, Hoh JF. Immunohistochemical analysis of laryngeal muscles in normal horses and horses with subclinical recurrent laryngeal neuropathy.. J Histochem Cytochem 2009 Aug;57(8):787-800.
    doi: 10.1369/jhc.2009.953844pmc: PMC2713078pubmed: 19398607google scholar: lookup
  43. Hackett RP, Ducharme NG, Fubini SL, Erb HN. The reliability of endoscopic examination in assessment of arytenoid cartilage movement in horses. Part I: Subjective and objective laryngeal evaluation.. Vet Surg 1991 May-Jun;20(3):174-9.
  44. Lane JG, Bladon B, Little DR, Naylor JR, Franklin SH. Dynamic obstructions of the equine upper respiratory tract. Part 2: comparison of endoscopic findings at rest and during high-speed treadmill exercise of 600 Thoroughbred racehorses.. Equine Vet J 2006 Sep;38(5):401-7.
    doi: 10.2746/042516406778400619pubmed: 16986599google scholar: lookup
  45. Perkins JD, Salz RO, Schumacher J, Livesey L, Piercy RJ, Barakzai SZ. Variability of resting endoscopic grading for assessment of recurrent laryngeal neuropathy in horses.. Equine Vet J 2009 Apr;41(4):342-6.
    pubmed: 19562894doi: 10.2746/042516409x423073google scholar: lookup
  46. Parente EJ. Fifty years of recurring struggles with recurrent laryngeal neuropathy.. Equine Vet J 2018 Mar;50(2):155-158.
    doi: 10.1111/evj.12763pubmed: 28976020google scholar: lookup
  47. Elliott S, Cheetham J. Meta-analysis evaluating resting laryngeal endoscopy as a diagnostic tool for recurrent laryngeal neuropathy in the equine athlete.. Equine Vet J 2019 Mar;51(2):167-172.
    pubmed: 29956362doi: 10.1111/evj.12987google scholar: lookup
  48. Collins N, Milne E, Hahn C, Dixon P. Correlation of the Havemeyer endoscopic laryngeal grading system with histopathological changes in equine Cricoarytenoideus dorsalis muscles.. Ir Vet J 2009 May 1;62(5):334-8.
    doi: 10.1186/2046-0481-62-5-334pmc: PMC3113812pubmed: 21851734google scholar: lookup
  49. Quinlan TJ, Goulden BE, Barnes GR, Anderson LJ, Cahill JI. Innervation of the equine intrinsic laryngeal muscles.. N Z Vet J 1982 Apr;30(4):43-5.
    doi: 10.1080/00480169.1982.34874pubmed: 16030860google scholar: lookup
  50. Jonas D, Conrad B, Von Einsiedel HG, Bischoff C. Correlation between quantitative EMG and muscle MRI in patients with axonal neuropathy.. Muscle Nerve 2000 Aug;23(8):1265-9.
  51. Duncan ID, Griffths IR, McQueen A, Baker GO. The pathology of equine laryngeal hemiplegia.. Acta Neuropathol 1974 Apr 30;27(4):337-48.
    doi: 10.1007/BF00690698pubmed: 4407536google scholar: lookup
  52. Cahill JI, Goulden BE. Equine laryngeal hemiplegia. Part IV. Muscle pathology.. N Z Vet J 1986 Nov;34(11):186-90.
    doi: 10.1080/00480169.1986.35343pubmed: 16031233google scholar: lookup

Citations

This article has been cited 3 times.
  1. Cahalan SD, Perkins JD, Boehm I, Jones RA, Gillingwater TH, Piercy RJ. A method to identify, dissect and stain equine neuromuscular junctions for morphological analysis. J Anat 2022 Nov;241(5):1133-1147.
    doi: 10.1111/joa.13747pubmed: 36087283google scholar: lookup
  2. McGivney CL, McGivney BA, Farries G, Gough KF, Han H, Holtby AR, MacHugh DE, Katz LM, Hill EW. A genome-wide association study for recurrent laryngeal neuropathy in the Thoroughbred horse identifies a candidate gene that regulates myelin structure. Equine Vet J 2025 Jul;57(4):943-952.
    doi: 10.1111/evj.14461pubmed: 39791379google scholar: lookup
  3. Shawaf T. Jugular venous thrombosis as a risk factor for exercise-induced pulmonary hemorrhage in thoroughbred racehorses. Open Vet J 2024 May;14(5):1111-1116.
    doi: 10.5455/OVJ.2024.v14.i5.4pubmed: 38938431google scholar: lookup