Abstract: Thoroughbred racehorses are at increased risk of injury during race preparations and trials, primarily due to intensive workloads that predispose them to musculoskeletal injuries. Evaluating clinical interventions to improve health and prevent injury is essential for addressing animal welfare concerns. This study investigated the medium-term effects of acupuncture on stride, speed and cardiac autonomic regulation (assessed via heart rate variability [HRV]), in Thoroughbred flat racehorses. This prospective, randomised, parallel-group study included an intervention and a control group. Thirty Thoroughbred racehorses in full training (racing age 3 years; range 3.0-3.9), from a single professional training yard, and at the same stage of their racing careers, were maintained under similar nutritional, training, and environmental conditions. The intervention group received three acupuncture treatments, over a three-week period. HRV and 800-m gallop stride parameters (SP) were measured pre- and post-acupuncture period in both groups. Pre-post changes or delta (Δ) in each indicator were calculated for both groups and compared using non-parametric Mann-Whitney U tests. Treatment was associated with non-significant reductions in parasympathetic HRV indicators namely root mean square of successive differences in beat-to-beat RR-interval (ΔRMSSD: treatment vs control: - 2.19 vs. 1.47 ms), high frequency components (ΔHF: - 37.19 vs. 19.42 ms), and standard deviation of short-term variability (ΔSD1: - 1.56 vs. 1.04 ms), suggesting lower vagal tone. Maximum stride count (Max SC) increased significantly in the control group ( = 0.004). Overall, the treatment group showed decreased stride count and vagal activity indicating that a short recovery period may be required after acupuncture.
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The aim was to understand whether acupuncture could improve performance or influence cardiac autonomic regulation, potentially impacting injury prevention and recovery.
Study Background and Rationale
Thoroughbred racehorses are prone to musculoskeletal injuries due to the high-intensity workloads involved in race preparation and trials.
Improving health outcomes and preventing injuries are important for animal welfare in racing industries.
Acupuncture has been used in veterinary medicine but its effects on performance parameters and heart rate variability (HRV) in racehorses had not been well studied.
HRV is an indicator of cardiac autonomic regulation and can reflect changes in parasympathetic nervous system (vagal) activity, which relates to recovery and stress.
Study Design and Participants
Type of study: Prospective, randomized, parallel-group controlled trial.
Participants: 30 Thoroughbred racehorses aged about 3 years, all in full racing training and at similar career stages.
Conditions: All horses were kept under consistent nutritional, training, and environmental conditions to minimize external variables.
Groups: Horses were split into two groups — one received acupuncture treatments and the other served as a control without acupuncture.
Intervention Details
The treatment group received three acupuncture sessions spread over a three-week span.
The control group underwent no acupuncture treatment during this time period.
Measures and Outcomes
Main parameters evaluated:
Stride parameters (SP): Measured during an 800-meter gallop, including stride count.
Speed: Although mentioned in the title and objective, specific speed changes were not highlighted as significant in findings.
Heart rate variability (HRV): Metrics related to parasympathetic (vagal) activity including:
Root mean square of successive differences (RMSSD)
High frequency components (HF)
Standard deviation of short-term variability (SD1)
Pre- and post-intervention measurements were taken for both groups to calculate changes (deltas, Δ).
Data analysis used non-parametric Mann-Whitney U tests to compare groups.
Key Findings
The acupuncture group showed non-significant decreases in parasympathetic HRV indicators (ΔRMSSD, ΔHF, ΔSD1), suggesting reduced vagal tone after treatment.
The control group had a significant increase in maximum stride count (Max SC), indicating improved stride performance over the same period.
The treatment group experienced decreased stride count and vagal activity, suggesting a possible need for a recovery period following acupuncture treatment before performance improves.
Interpretation and Implications
Decreased parasympathetic activity (vagal tone) post-acupuncture might imply that acupuncture initially induces a short-term autonomic stress or adjustment period.
The reduced stride count in treated horses suggests performance parameters may temporarily decline immediately after acupuncture.
Conversely, horses without acupuncture improved stride performance during the period, which may reflect usual training adaptation without intervention.
These findings suggest that acupuncture’s benefits (if any) might occur after a recovery phase rather than immediately, highlighting the timing of acupuncture treatments as important.
More research is needed to determine long-term effects, mechanisms involved, and optimal treatment schedules for acupuncture in equine athletes.
Conclusion
This study provides initial evidence that acupuncture influences cardiac autonomic regulation and stride parameters in Thoroughbred racehorses but may require a recovery period before positive effects manifest.
The findings highlight cautious interpretation of acupuncture treatments in racehorses during intense training, emphasizing further research to optimize protocols for injury prevention and performance enhancement.
Cite This Article
APA
Hartwigsen R, Grant CC, Botha T, van Vollenhoven E.
(2026).
Effects of acupuncture on stride, speed, and heart rate variability in Thoroughbred racehorses.
J S Afr Vet Assoc, 97(1), 36-44.
https://doi.org/10.36303/JSAVA.724