Comparison of the Prevalence and Location of Trigger Points in Dressage and Show-Jumping Horses.
Abstract: Myofascial trigger points (MTrPs) are localized, hypersensitive areas in muscles that can cause pain and reduced performance. This study aimed to compare the prevalence and location of MTrPs in show-jumping and dressage horses. A secondary objective was to evaluate the potential of thermography, pressure algometry, and facial expression scoring in characterizing MTrPs in horses. Fourteen horses (seven dressage, seven show-jumping) were examined. Muscle palpation was used to identify MTrPs. Thermography was used to compare the skin surface temperature of MTrPs with adjacent control areas. Additionally, facial expressions were recorded during palpation and scored by three blinded observers using the Horse Grimace Scale (HGS). MTrPs were found in all horses. Both groups showed a high prevalence (>60%) of MTrPs in the back. Dressage horses had a higher prevalence of MTPrs in the neck (17%) and a lower prevalence in the rump (17%) than show-jumping horses (3% and 30%, respectively). Temperatures at MTrP sites were significantly higher than at control points (p < 0.01). Facial expression scores were also significantly higher during MTrP palpation compared to control (16 [0-24] vs. 6 [0-19], p = 0.004). These findings open a perspective for better recognition and treatment of myofascial pain in athletic horses.
Publication Date: 2025-05-27 PubMed ID: 40509024PubMed Central: PMC12153837DOI: 10.3390/ani15111558Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research studied the occurrence and location of muscle sensitivity areas, known as myofascial trigger points (MTrPs), in show-jumping and dressage horses. Different techniques were tested to understand these points better. Results showed that all horses had MTrPs, largely in the back. Dressage horses had more in the neck but fewer in the rump compared to show-jumping horses. The study sheds new light on treating muscle pain in sport horses.
Study Objective
- The primary objective of this study was to explore the prevalence and location of hypersensitive areas in muscles, known as Myofascial trigger points (MTrPs), in dressage and show-jumping horses.
- A secondary aim was to evaluate the potential of thermography (measurement of heat), pressure algometry (measurement of pressure), and facial expression scoring in characterizing these MTrPs in horses.
Methodology
- The researchers studied fourteen horses, seven each from dressage and show-jumping categories.
- Methods like muscle palpation (examination by touch), thermography (measuring temperature), and facial expression scoring were used.
- In order to compare, they measured the skin surface temperature of MTrPs and adjacent control areas, and recorded facial expressions during palpation. These were scored by three blinded observers using Horse Grimace Scale (HGS).
Findings
- MTrPs were discovered in all horses studied. Both categories showed a high prevalence (more than 60%) of MTrPs in the back.
- Dressage horses had a higher prevalence of MTrPs in the neck (17%) and a lower prevalence in the rump (17%) as compared to show-jumping horses (3% and 30% respectively).
- The study found significantly higher temperatures at MTrP sites than at control points, validating the use of thermography.
- Facial expression scores were also significantly higher during MTrP palpation compared to control, suggesting the effectiveness of the Horse Grimace Scale.
Conclusion
- The findings provide insights into the better recognition and potential treatment strategies for muscle-based pain in athletic horses, especially in the sport categories of dressage and show-jumping.
Cite This Article
APA
Portier K, Schiesari C, Gauthier L, Yeng LT, Tabacchi Fantoni D, Formenton MR.
(2025).
Comparison of the Prevalence and Location of Trigger Points in Dressage and Show-Jumping Horses.
Animals (Basel), 15(11).
https://doi.org/10.3390/ani15111558 Publication
Researcher Affiliations
- VetAgro Sup (Campus Vétérinaire), Centre de Recherche et de Formation en Algologie Comparée (CREFAC), University of Lyon, 69280 Marcy l'Etoile, France.
- Centre National de la Recherche Scientifique (CNRS), Institut National de la Santé et de la Recherche Médicale (INSERM), Centre de Recherche en Neurosciences de Lyon (CRNL), University of Lyon, U1028 UMR 5292, Trajectoires, 69500 Bron, France.
- VetAgro Sup (Campus Vétérinaire), Centre de Recherche et de Formation en Algologie Comparée (CREFAC), University of Lyon, 69280 Marcy l'Etoile, France.
- VetAgro Sup (Campus Vétérinaire), Centre de Recherche et de Formation en Algologie Comparée (CREFAC), University of Lyon, 69280 Marcy l'Etoile, France.
- Centre National de la Recherche Scientifique (CNRS), Institut National de la Santé et de la Recherche Médicale (INSERM), Centre de Recherche en Neurosciences de Lyon (CRNL), University of Lyon, U1028 UMR 5292, Trajectoires, 69500 Bron, France.
- School of Medicine, Institute of Orthopedics and Traumatology, University of São Paulo, São Paulo 05403-010, Brazil.
- School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil.
- School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil.
Conflict of Interest Statement
The authors declare no conflicts of interest.
References
This article includes 43 references
- Stecco A, Gesi M, Stecco C, Stern R. Fascial Components of the Myofascial Pain Syndrome. Curr. Pain Headache Rep. 2013;17:352.
- Urits I, Charipova K, Gress K, Schaaf AL, Gupta S, Kiernan HC, Choi PE, Jung JW, Cornett E, Kaye AD. Treatment and management of myofascial pain syndrome. Best Pract. Res. Clin. Anaesthesiol. 2020;34:427–448.
- Rogers P. Acupuncture for Equine Paraspinal Myofascial Pain. Am. J. Tradit. Chin. Vet. Med. 2012;7:69–75.
- Bowen AG, Goff LM, McGowan CM. Investigation of Myofascial Trigger Points in Equine Pectoral Muscles and Girth-Aversion Behavior. J. Equine Vet. Sci. 2017;48:154–160.e1.
- Travell JG, Simons DG. Myofascial Pain and Dysfunction: The Trigger Point Manual. 2nd ed. Volume 1. Wolters Kluwer; Baltimore, MD, USA: 1999. Introduction to Myofascial Pain and Dysfunction; pp. 1–28.
- Formenton MR, Fantoni DT, Gauthier L, Cachon T, Yeng LT, Portier K. Prevalence and location of myofascial trigger points in dogs with osteoarthritis. Front. Vet. Sci. 2025;12:1488801.
- Formenton MR, Portier K, Gaspar BR, Gauthier L, Yeng LT, Fantoni DT. Location of Trigger Points in a Group of Police Working Dogs: A Preliminary Study. Animals 2023;13:2836.
- Yeng LT, Kaziyama HHS, Teixeira MJ. Síndrome dolorosa miofascial. Rev. Med. 2001;80:94–110.
- Macgregor J, Von Schweinitz DG. Needle Electromyographic Activity of Myofascial Trigger Points and Control Sites in Equine Cleido-Brachialis Muscle—An Observational Study. Acupunct. Med. 2006;24:61–70.
- Fricton JR, Auvinen MD, Dykstra D, Schiffman E. Myofascial pain syndrome: Electromyographic changes associated with local twitch response. Arch. Phys. Med. Rehabil. 1985;66:314–317.
- Saxena A, Chansoria M, Tomar G, Kumar A. Myofascial Pain Syndrome: An Overview. J. Pain Palliat. Care Pharmacother. 2015;29:16–21.
- Ridgway K. Acupuncture as a Treatment Modality for Back Problems. Vet. Clin. N. Am. Equine Pract. 1999;15:211–221.
- Ring EFJ, Ammer K. Infrared thermal imaging in medicine. Physiol. Meas. 2012;33:R33–R46.
- Von Schweinitz DG. Thermographic Diagnostics in Equine Back Pain. Vet. Clin. N. Am. Equine Pract. 1999;15:161–177.
- Hong CZ. Algometry in Evaluation of Trigger Points and Referred Pain. J. Musculoskelet. Pain. 1998;6:47–59.
- Dalla Costa E, Minero M, Lebelt D, Stucke D, Canali E, Leach MC. Development of the Horse Grimace Scale (HGS) as a Pain Assessment Tool in Horses Undergoing Routine Castration. PLoS ONE 2014;9:e92281.
- Gil J. The Prevalence of Myofascial Trigger Points in Asymptomatic Overhead Athletes. College of Health and Human Services, California State University; Fresno, CA, USA: 2015.
- Park J, Shin HJ, Lee S, Lee G, Yoon H, Hong W, Goo B, Lee D, Shin HS, Yoon B. Common Trigger Points on College-Level Athletes with Various Sports. J. Int. Acad. Phys. Ther. Res. 2010;1:58–64.
- Eerdekens A, Deruyck M, Fontaine J, Damiaans B, Martens L, De Poorter E, Govaere J, Plets D, Joseph W. Horse Jumping and Dressage Training Activity Detection Using Accelerometer Data. Animals 2021;11:2904.
- Alvarez DJ, Rockwell PG. Trigger Points: Diagnosis and Management. Am. Fam. Physician. 2002;65:653–660.
- Torcivia C, McDonnell S. Equine Discomfort Ethogram. Animals 2021;11:580.
- Jaeger B, Reeves JL. Quantification of Changes in Myofascial Trigger Point Sensitivity with the Pressure Algometer Following Passive Stretch. Pain 1986;27:203–210.
- Maulave J, Mascaró Triedo C, Portier K. Evaluation of the Practical Clinical Use of the Horse Grimace Scale Translated into French. Vet. Anaesth. Analg. 2022;49:615–623.
- Aker PD, Gross AR, Goldsmith CH, Peloso P. Conservative Management of Mechanical Neck Pain: Systematic Overview and Meta-Analysis. BMJ 1996;313:1291–1296.
- Hwang UJ, Kwon OY, Yi CH, Jeon HS, Weon JH, Ha SM. Predictors of Upper Trapezius Pain with Myofascial Trigger Points in Food Service Workers: The STROBE Study. Medicine 2017;96:e7252.
- Gerwin RD. Diagnosis of Myofascial Pain Syndrome. Phys. Med. Rehabil. Clin. N. Am. 2014;25:341–355.
- Benito-de-Pedro M, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Rodríguez-Sanz D, López-López D, Cosín-Matamoros J, Martínez-Jiménez EM, Calvo-Lobo C. Effectiveness between Dry Needling and Ischemic Compression in the Triceps Surae Latent Myofascial Trigger Points of Triathletes on Pressure Pain Threshold and Thermography: A Single Blinded Randomized Clinical Trial. J. Clin. Med. 2019;8:1632.
- Dibai Filho AV, Oliveira AKD, Oliveira MP, Bevilaqua-Grossi D, Guirro RRDJ. Relationship between pressure and thermal pain threshold, pain intensity, catastrophizing, disability, and skin temperature over myofascial trigger point in individuals with neck pain. Rev. Assoc. Médica Bras. 2021;67:1798–1803.
- Haussler KK. Pressure Algometry for the Detection of Mechanical Nociceptive Thresholds in Horses. Animals 2020;10:2195.
- Pongratz U, Licka T. Algometry to Measure Pain Threshold in the Horse’s Back—An In Vivo and In Vitro Study. BMC Vet. Res. 2017;13:80.
- Sherman RA, Barja RH, Bruno GM. Thermographic Correlates of Chronic Pain: Analysis of 125 Patients Incorporating Evaluations by a Blind Panel. Arch. Phys. Med. Rehabil. 1987;68:273–279.
- Kesztyüs D, Brucher S, Wilson C, Kesztyüs T. Use of Infrared Thermography in Medical Diagnosis, Screening, and Disease Monitoring: A Scoping Review. Medicina 2023;59:2139.
- Sergeev AN, Morozov AM, Charyev YO, Belyak MA. On the Possibility of Using Medical Thermography in Clinical Practice. Profil. Med. 2022;25:82.
- Aragona F, Arfuso F, Rizzo M, Fazio F, Acri G, Piccione G, Giannetto C. Using Infrared Thermography for the Evaluation of Road Transport Thermal Homeostasis in Athletic Horse. J. Equine Vet. Sci. 2024;138:105102.
- Cojocaru MC, Cojocaru IM, Voiculescu VM, Cojan-Carlea NA, Dumitru VL, Berteanu M. Trigger Points—Ultrasound and Thermal Findings. J. Med. Life. 2015;8:315–318.
- Dibai-Filho AV, Guirro RRDJ. Evaluation of Myofascial Trigger Points Using Infrared Thermography: A Critical Review of the Literature. J. Manip. Physiol. Ther. 2015;38:86–92.
- Varcoe-Cocks K, Sagar KN, Jeffcott LB, McGowan CM. Pressure algometry to quantify muscle pain in racehorses with suspected sacroiliac dysfunction. Equine Vet. J. 2006;38:558–562.
- Menke ES, Blom G, Van Loon JPAM, Back W. Pressure algometry in Icelandic horses: Interexaminer and intraexaminer reliability. J. Equine Vet. Sci. 2016;36:26–31.
- Haussler KK, Erb HN. Pressure algometry for the detection of induced back pain in horses: A preliminary study. Equine Vet. J. 2006;38:76–81.
- Wathan J, Burrows AM, Waller BM, McComb K. EquiFACS: The Equine Facial Action Coding System. PLoS ONE 2015;10:e0131738.
- Dai F, Leach M, MacRae AM, Minero M, Dalla Costa E. Does Thirty-Minute Standardised Training Improve the Inter-Observer Reliability of the Horse Grimace Scale (HGS)? A Case Study. Animals 2020;10:781.
- Dalla Costa E, Bracci D, Dai F, Lebelt D, Minero M. Do different emotional states affect the Horse Grimace Scale (HGS) score? A pilot study. J. Equine Vet. Sci. 2017;54:114–117.
- Magalhães MF, Dibai-Filho AV, de Oliveira Guirro EC, Girasol CE, de Oliveira AK, Dias FRC, de Jesus Guirro RR. Evolution of Skin Temperature after the Application of Compressive Forces on Tendon, Muscle and Myofascial Trigger Point. PLoS ONE 2015;10:e0129034.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists