Distal limb pathologic conditions in horses treated with sleeve-style digital cryotherapy (285 cases).
Abstract: Digital cryotherapy (DC) is frequently used as laminitis prophylaxis for horses. While DC with ice-water slurries is reported to be safe for up to 48 h, the safety of sleeve-style digital cryotherapy (SSDC) with ice in direct contact with the distal limb has not been evaluated. Our objective was to determine the incidence of distal limb pathologic conditions (DLPC) among horses treated with SSDC. A retrospective study of cases from 2011 to 2015 identified 285 horses treated with SSDC for a minimum of 12 h. Data collected from medical records included demographic, treatment, diagnostic, and SSDC treatment parameters. Bivariate statistics and a generalized linear regression model were created to evaluate risk factors associated with increased incidence of DLPC. Among horses treated with SSDC, 7% had tissue injury of the distal limb. Increasing duration of SSDC was associated with increased incidence of DLPC. Lesions observed included dermatitis, cellulitis, alopecia, coronitis, tissue necrosis, and distal limb edema. These lesions were similar to frostbite, non-freezing cold injury, and prolonged water immersion injuries seen in other species. While the incidence of DLPC was low, the authors recommend that horses undergoing SSDC with ice in direct contact with the skin should be monitored closely for injury when prolonged cryotherapy is clinically indicated. Further studies to improve safety, efficacy, and convenience of alternative methods of DC for horses are warranted.
Copyright © 2018. Published by Elsevier Ltd.
Publication Date: 2018-10-02 PubMed ID: 30308395DOI: 10.1016/j.rvsc.2018.09.008Google Scholar: Lookup
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Summary
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This research aimed to understand the potential risks and effects of a specific type of cryotherapy treatment, known as sleeve style digital cryotherapy (SSDC), on horses. It found that extended exposure to SSDC was associated with an increased incidence of tissue damage to the distal limbs of horses.
Research Overview
- The study was a retrospective analysis of 285 horses treated with SSDC for a minimum of 12 hours from 2011 to 2015.
- The researchers examined medical records and looked at demographic data, treatment information, diagnostic findings, and specific SSDC treatment parameters.
- Statistical tools, including bivariate statistics and a generalized linear regression model were used to investigate risk factors related to a higher occurrence of distal limb pathologic conditions (DLPC), or tissue damage to the horse’s limb.
Findings
- The study found that 7% of horses treated with SSDC showed signs of tissue injury to the distal limb.
- Increasing the duration of SSDC treatment was related to a higher rate of DLPCs. Therefore, prolonged exposure to SSDC could increase the risk of tissue damage.
- The tissue damage observed included dermatitis, cellulitis, alopecia (hair loss), coronitis (skin infection), tissue necrosis (tissue death), and distal limb edema (swelling).
- The injuries appeared akin to frostbite, non-freezing cold injury and conditions caused by prolonged water immersion seen in other species.
Recommendations and Conclusion
- Despite the observed low incidence of DLPC, researchers cautioned horse caretakers to closely monitor horses undergoing SSDC for potential injuries, especially when treatment is prolonged.
- The researchers underscored the need for further study to improve the safety, effectiveness, and convenience of alternative methods of digital cryotherapy for horses.
Cite This Article
APA
Proctor-Brown L, Hicks R, Colmer S, Guilfoyle D, Dallap-Schaer B, Johnson AL, Tomlinson J.
(2018).
Distal limb pathologic conditions in horses treated with sleeve-style digital cryotherapy (285 cases).
Res Vet Sci, 121, 12-17.
https://doi.org/10.1016/j.rvsc.2018.09.008 Publication
Researcher Affiliations
- Baker Institute, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, United States.
- Baker Institute, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, United States.
- Department of Clinical Studies, New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA, United States.
- Department of Clinical Studies, New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA, United States.
- Department of Clinical Studies, New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA, United States.
- Department of Clinical Studies, New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA, United States.
- Baker Institute, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, United States. Electronic address: jet37@cornell.edu.
MeSH Terms
- Animals
- Cryotherapy / adverse effects
- Cryotherapy / instrumentation
- Female
- Foot Diseases / pathology
- Foot Diseases / therapy
- Forelimb / pathology
- Hindlimb / pathology
- Horse Diseases / pathology
- Horse Diseases / therapy
- Horses
- Male
- New York
- Pennsylvania
- Retrospective Studies
Citations
This article has been cited 2 times.- Atalaia T, Prazeres J, Abrantes J, Clayton HM. Equine Rehabilitation: A Scoping Review of the Literature. Animals (Basel) 2021 May 22;11(6).
- Castro-Mesa AF, Resende Faleiros R, Martínez-Aranzales JR. Transmural Ultrasonography in the Evaluation of Horse Hoof Internal Structures: Comparative Qualitative Findings-Part 1. Animals (Basel) 2023 Jun 10;13(12).
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