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Journal of the American Veterinary Medical Association2026; 1-10; doi: 10.2460/javma.25.10.0712

Barrel racing horses demonstrate a high incidence of nonclinical postrace airway disorders.

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.
Publication Date: 2026-01-23 PubMed ID: 41576531DOI: 10.2460/javma.25.10.0712Google Scholar: Lookup
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  • Journal Article

Summary

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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

Publication

ISSN: 1943-569X
NlmUniqueID: 7503067
Country: United States
Language: English
Pages: 1-10

Researcher Affiliations

Williams, Megan R
  • 1Department of Veterinary and Clinical Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK.
Silverstone, Auri
  • 1Department of Veterinary and Clinical Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK.
  • 2Veterinary Emergency Group of Boston, Boston, MA.
Burba, Daniel J
  • 1Department of Veterinary and Clinical Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK.
McCarrel, Taralyn
  • 3Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.
Schoonover, Mike J
  • 1Department of Veterinary and Clinical Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, OK.
Rudra, Pratyaydipta
  • 4Department of Statistics, College of Arts and Sciences, Oklahoma State University, Stillwater, OK.

Citations

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