Abstract: To describe the prevalence of postrace airway abnormalities in a population of barrel racing horses competing in Oklahoma. Unassigned: A descriptive field study was conducted at a single event. Horses underwent resting endoscopy within 60 minutes of competition. Recordings were evaluated and numerical and/or binary scores assigned for pharyngeal lymphoid hyperplasia, recurrent laryngeal neuropathy, dorsal displacement of the soft palate, epiglottic entrapment, and exercise-induced pulmonary hemorrhage. Clients completed a questionnaire detailing the horse's medical history and run time. A linear regression model was used for analysis of pharyngeal lymphoid hyperplasia, recurrent laryngeal neuropathy, and effect of medications on run time. A Poisson regression was used for analysis of combined exercise-induced pulmonary hemorrhage scores. A logistic regression was used for analysis of exercise-induced pulmonary hemorrhage and dorsal displacement of the soft palate binary scores. Unassigned: Airway examinations were evaluated for 106 horses. Abnormalities, including recurrent laryngeal neuropathy, severe pharyngeal lymphoid hyperplasia, and exercise-induced pulmonary hemorrhage, were diagnosed in 83 horses (78.3%). The most common abnormality detected was pharyngeal lymphoid hyperplasia (104 of 106 horses [98.1%]), though only 25 of 104 (24.0%) were severe and included in the 78.3% prevalence. Recurrent laryngeal neuropathy was identified in 65 of 106 horses (61.3%). Presence of pharyngeal lymphoid hyperplasia or recurrent laryngeal neuropathy was not associated with run time. Exercise-induced pulmonary hemorrhage was observed in 30 of 106 horses (28.3%) but had a positive association with run time. Medications did not affect run time. Unassigned: Mild airway abnormalities were common but not performance limiting in this population of barrel racing horses. Unassigned: Subclinical airway abnormalities detectable on endoscopic evaluation may be common in competitive barrel racing horses. Additional studies using dynamic endoscopy are warranted.
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Overview
This study investigated how common airway abnormalities are in barrel racing horses after they race, and whether these issues affect their performance.
The research found that many horses showed mild airway abnormalities, though these did not limit their run times.
Study Objective
To determine the prevalence of airway abnormalities detected after racing in barrel racing horses.
To examine associations between airway abnormalities and race performance (run time).
Methods
A descriptive field study was conducted at a single barrel racing event in Oklahoma.
Resting endoscopy (a procedure using a camera to view upper airways) was performed on 106 horses within 60 minutes after their competition.
Endoscopic recordings were evaluated and scored for several airway disorders:
Pharyngeal lymphoid hyperplasia (PLH) – inflammation/enlargement of lymphoid tissue in the throat.
Recurrent laryngeal neuropathy (RLN) – nerve dysfunction causing partial paralysis of the larynx.
Dorsal displacement of the soft palate (DDSP) – abnormal position of the soft palate affecting breathing.
Epiglottic entrapment – a condition where the epiglottis is trapped by surrounding tissue.
Exercise-induced pulmonary hemorrhage (EIPH) – bleeding in the lungs during intense exercise.
Owners completed questionnaires regarding each horse’s medical history and race run time.
Statistical analyses included:
Linear regression to analyze the effects of PLH, RLN, and medications on run time.
Poisson regression for combined EIPH scores.
Logistic regression for binary outcomes of EIPH and DDSP.
Key Findings
Abnormal airway findings were very common: 78.3% (83 out of 106 horses) showed at least one significant abnormality.
Pharyngeal lymphoid hyperplasia was the most common abnormality, seen in 98.1% (104/106) of horses, though only 24% (25/104) of these cases were classified as severe.
Recurrent laryngeal neuropathy was found in 61.3% (65/106) of horses.
Exercise-induced pulmonary hemorrhage occurred in 28.3% (30/106) of horses and was positively associated with slower run times, indicating a potential impact on performance.
The presence of PLH or RLN was not linked to changes in run time, suggesting these conditions did not affect immediate race performance.
Use of medications did not have a significant effect on run times.
Conclusions
Mild airway abnormalities are common in barrel racing horses post-race but generally do not limit performance.
Subclinical (not showing obvious clinical signs) airway disorders detectable by resting endoscopy appear to be prevalent among competitive barrel racers.
The association between exercise-induced pulmonary hemorrhage and slower run times suggests this condition may impact racing performance and warrants further attention.
The study recommends further research using dynamic endoscopy (examining airways during exercise) to better understand airway functions during high-intensity activity and their performance implications.
Cite This Article
APA
Williams MR, Silverstone A, Burba DJ, McCarrel T, Schoonover MJ, Rudra P.
(2026).
Barrel racing horses demonstrate a high incidence of nonclinical postrace airway disorders.
J Am Vet Med Assoc, 1-10.
https://doi.org/10.2460/javma.25.10.0712