Effect of Caudal Traction on Mechanical Nociceptive Thresholds of Epaxial and Pelvic Musculature on a Group of Horses With Signs of Back Pain.
Abstract: Direct muscular attachment from lumbar vertebrae to the caudal vertebrae of the tail suggests that caudal traction, also described as a tail pull, may affect lumbar vertebral segments and/or associated soft tissues in horses. Traction is a commonly used human manual therapy technique used for pain relief and anecdotally observed to relieve pain in horses. However, research is lacking validating the efficacy of manual caudal traction on the horse. The objective of this study was to determine if caudal traction has an effect on mechanical nociceptive thresholds (MNTs) in a group of horses with clinical signs of back pain. Pressure algometry was used to measure MNTs of five bilateral anatomical sites in the epaxial and pelvic musculature of 11 horses referred to physiotherapy because of clinical signs of back pain. Measurements were recorded both before and immediately after traction. A significant difference (P ≤ .05) was identified between mean before and after caudal traction algometry measurements in all described sites. The percentage of MNT increase was highest in the thoracic region (83%) compared with the lumbar (50%) and the pelvic (52.4%) regions. These results support an effect of caudal traction in increasing MNTs in the thoracolumbar and pelvic regions in horses. Further research to determine the clinical effect of this technique is warranted.
Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved.
Publication Date: 2020-07-23 PubMed ID: 32972678DOI: 10.1016/j.jevs.2020.103197Google Scholar: Lookup
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- Journal Article
Summary
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The study investigates the effect of caudal traction (pulling the tail) on horses showing signs of back pain, with results indicating that this method may indeed have a positive effect on the mechanical nociceptive thresholds (pain thresholds) in these animals.
Introduction
- This research focuses on the method of caudal traction, also known as tail pulling, which is hypothesized to have potential benefits in relieving pain in horses — particularly those exhibiting signs of back pain.
- Although tail pulling is a common human manual therapy technique used for pain relief, evidence supporting its effectiveness in horses is lacking. This study aims to fill that gap.
Method
- The study involved 11 horses showing clinical symptoms of back pain.
- The researchers utilized pressure algometry to measure the mechanical nociceptive thresholds (MNTs) – essentially a measure of pain sensitivity – of five bilateral anatomical sites in the epaxial (along the spine) and pelvic musculature of the horses.
- Measurements were recorded both before and immediately following the application of caudal traction.
Findings
- The study found a significant difference in the mean MNTs recorded before and after applying caudal traction in all the tested anatomical sites. The results were statistically significant with a P-value of less than or equal to .05, suggesting these findings are unlikely to have occurred by chance.
- The increase in MNTs was most pronounced in the thoracic (chest) region — with an 83% increase. This increase was higher than that recorded in the lumbar (lower spine, 50%) and the pelvic (52.4%) regions.
- These results indicate that caudal traction potentially increases the pain threshold in horses, particularly in the areas along the spine and around the pelvic region.
Implications and Future Work
- The research suggests that caudal traction could be a valid method for easing back pain in horses. However, as the research is in its early stages, more extensive studies are needed to confirm and build upon these findings.
- Future research should aim to determine the clinical effect and potential implications of the caudal traction technique when it is used as part of a pain management regimen for horses with back pain.
Cite This Article
APA
Long K, McGowan CM, Hyytiäinen HK.
(2020).
Effect of Caudal Traction on Mechanical Nociceptive Thresholds of Epaxial and Pelvic Musculature on a Group of Horses With Signs of Back Pain.
J Equine Vet Sci, 93, 103197.
https://doi.org/10.1016/j.jevs.2020.103197 Publication
Researcher Affiliations
- School of Veterinary Science, University of Liverpool, Leahurst, UK.
- School of Veterinary Science, University of Liverpool, Leahurst, UK.
- Department of Clinical Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, Finland. Electronic address: heli.hyytiainen@helsinki.fi.
MeSH Terms
- Animals
- Back Pain / therapy
- Back Pain / veterinary
- Horse Diseases
- Horses
- Nociception
- Pain Measurement
- Pressure
- Traction / veterinary
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