Expert visual assessment strategies for equine lameness examinations in a straight line and circle: A mixed methods study using eye tracking.
Abstract: A large number of lameness indicators have been suggested for the visual equine lameness assessment. However, it remains unknown which of these are commonly used by experts. Twenty-four expert lameness assessors from 10 leading UK institutions viewed 28 video clips of sound and mildly lame horses (median score 2/10). Horses were shown at trot in a straight line (rear and front view) and circle (side view, left and right rein). Eye tracking data were collected at 60 Hz while participants evaluated each clip. A questionnaire captured contextual information. During assessment on the straight line, participants consistently looked mostly at the head and pelvis. On the circle, many participants consistently looked at the head, yet the subsequent choice, weighting and order of examined body regions was unsystematic between and within participants, and there was a bias towards prolonged assessment of the horse's front region. Questionnaires revealed different descriptions of lameness indicators for the same body region and different approaches to decision making under uncertainty. In contrast to reasonably high similarity on the straight line, expert veterinarians have not developed a consistent assessment approach when evaluating horses on the circle. The reliability of various lameness indicators on the circle requires a stronger evidence base for a more systematic, repeatable approach.
© 2022 The Authors. Veterinary Record published by John Wiley & Sons Ltd on behalf of British Veterinary Association.
Publication Date: 2022-06-18 PubMed ID: 35716395DOI: 10.1002/vetr.1684Google Scholar: Lookup
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Summary
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The research article is about a study conducted to identify the most common strategies used by expert practitioners to assess equine lameness visually. The study employed both eye-tracking and questionnaires to draw conclusions on the assessment tactics.
Methodology
- 24 expert lameness assessors from ten leading institutions in the UK were involved in this study.
- Assessors were asked to view 28 video clips of sound and mildly lame horses, with each horse given a roundness score of 2/10.
- The horses were shown in a straight line (rear and front view) and on a circle (side view, left and right rein) while trotting.
- Eye tracking equipment was used to obtain data on the assessors’ visual focus while viewing each clip. This data was collected at a frequency of 60 Hz.
- A survey was also employed to provide contextual information about the assessors’ strategies and their descriptions of lameness indicators.
Findings
- In straight line assessments, most participants consistently focused on the horse’s head and pelvis.
- In circle assessments, many participants routinely focused on the horse’s head, however, the sequence, focus areas, and prioritization of examined regions varied greatly among the assessors.
- There was also a bias favoring a prolonged analysis of the horse’s front region during the circular assessment.
- The survey revealed different descriptions of lameness indicators for the same body area and varying decision-making approaches used by assessors when faced with uncertainty.
Conclusions
- A reasonably high consistency was observed among all the experts when evaluating horses in a straight line.
- In contrast, the experts did not have a uniform approach when assessing horses on a circle.
- The study suggests that the reliability of various lameness indicators on the circle requires stronger evidence before developing a more systematic and repeatable approach.
Cite This Article
APA
Starke SD, May SA.
(2022).
Expert visual assessment strategies for equine lameness examinations in a straight line and circle: A mixed methods study using eye tracking.
Vet Rec, 191(8), e1684.
https://doi.org/10.1002/vetr.1684 Publication
Researcher Affiliations
- Clinical Science and Services, Royal Veterinary College, Hatfield, Hertfordshire, UK.
- Clinical Science and Services, Royal Veterinary College, Hatfield, Hertfordshire, UK.
MeSH Terms
- Horses
- Animals
- Lameness, Animal / diagnosis
- Eye-Tracking Technology
- Reproducibility of Results
- Gait
- Pelvis
- Horse Diseases / diagnosis
References
This article includes 74 references
- Dyson PK, Jackson BF, Pfeiffer DU, Price JS. Days lost from training by two- and three-year-old Thoroughbred horses: a survey of seven UK training yards.. Equine Vet J 2008;40:650-7.
- Egenvall A, Lönnell C, Roepstorff L. Analysis of morbidity and mortality data in riding school horses, with special regard to locomotor problems.. Prev Vet Med 2009;88:193-204.
- Blue Cross. National Equine Health Survey (NEHS).. 2016.
- Blue Cross. National Equine Health Survey.. 2018.
- Ross MW, Dyson SJ. Diagnosis and management of lameness in horses.. 2nd ed. St. Louis, Missouri: Elsevier Saunders; 2011.
- Stashak TS. Adams' lameness in horses.. Wiley-Blackwell; 2002.
- Wyn-Jones G. Chapter 1. The diagnosis of the causes of lameness.. In: Wyn-Jones G, editor. Equine lameness. Oxford: Blackwell Scientific Publications; 1988.
- Leach DH, Crawford WH. Guidelines for the future of equine locomotion research.. Equine Vet J 1983;15:103-10.
- Keegan KG. Evidence-based lameness detection and quantification.. Vet Clin North Am Equine Pract 2007;23:403-23.
- Weishaupt MA. Adaptation strategies of horses with lameness.. Vet Clin North Am Equine Pract 2008;24:79-100.
- Leach DH. Locomotion analysis technology for evaluation of lameness in horses.. Equine Vet J 1987;19:97-9.
- Keegan KG. Gait analysis for the quantification of lameness.. In: Ross MW, Dyson SJ, editors. Diagnosis and management of lameness in horses. Elsevier Saunders; 2011.
- Ross WA, Kaneene JB, Caron JP, Gallagher KF, Gardiner JC. Factors influencing recovery from and duration of lameness in Michigan (USA) horses.. Prev Vet Med 1999;40:127-38.
- Fuller CJ, Bladon BM, Driver AJ, Barr ARS. The intra- and inter-assessor reliability of measurement of functional outcome by lameness scoring in horses.. Vet J 2006;171:281-6.
- Hewetson M, Christley RM, Hunt ID, Voute LC. Investigations of the reliability of observational gait analysis for the assessment of lameness in horses.. Vet Rec 2006;158:852-8.
- Keegan KG, Dent EV, Wilson DA, Janicek J, Kramer J, Lacarrubba A. Repeatability of subjective evaluation of lameness in horses.. Equine Vet J 2010;42:92-7.
- Keegan KG, Wilson DA, Wilson DJ, Smith B, Gaughan EM, Pleasant RS. Evaluation of mild lameness in horses trotting on a treadmill by clinicians and interns or residents and correlation of their assessments with kinematic gait analysis.. Am J Vet Res 1998;59:1370-7.
- Pleasant RS, Moll HD, Ley WB, Lessard P, Warnick LD. Intra-articular anesthesia of the distal interphalangeal joint alleviates lameness associated with the navicular bursa in horses.. Vet Surg 1997;26:137-40.
- Ross MW. Chapter 7. Movement.. In: Ross MW, Dyson SJ, editors. Diagnosis and management of lameness in horses. Elsevier Saunders; 2011.
- Stashak TS. Chapter 3. Examination for lameness.. In: Stashak TS, editor. Adams' lameness in horses. Baltimore: Lippincott Williams & Wilkins; 2002.
- Kramer J, Keegan KG. Kinematics of lameness.. In: Hinchcliff KW, Kaneps AJ, Geor RJ, Bayly W, editors. Equine sports medicine and surgery: basic and clinical sciences of the equine athlete. London: Saunders; 2004.
- Lord SE, Halligan PW, Wade DT. Visual gait analysis: the development of a clinical assessment and scale.. Clin Rehabil 1998;12:107-19.
- Henderson J. Human gaze control during real-world scene perception.. Trends Cogn Sci 2003;7:498-504.
- Hayhoe M, Ballard D. Eye movements in natural behavior.. Trends Cogn Sci 2005;9:188-94.
- Yarbus AL. Eye movements and vision.. New York: Plenum Press; 1967.
- Findlay JM, Gilchrist ID. Active vision - the psychology of looking and seeing.. Oxford: Oxford University Press; 2003.
- Tiersma ESM. Visualising scanning patterns of pathologists in the grading of cervical intraepithelial neoplasia.. J Clin Pathol 2003;56:677-80.
- Jarodzka H, Scheiter K, Gerjets P, Van Gog T. In the eyes of the beholder: how experts and novices interpret dynamic stimuli.. Learn Instr 2010;20:146-54.
- Ellis SR, Stark L. Statistical dependency in visual scanning.. Hum Factors J Hum Factors Ergonom Soc 1986;28:421-38.
- Lowe RK. Extracting information from an animation during complex visual learning.. Eur J Psychol Educ 1999;14:225-44.
- Lowe RK. Animation and learning: selective processing of information in dynamic graphics.. Learn Instr 2003;13:157-76.
- Moreno FJ, Reina R, Luis V, Sabido R. Visual search strategies in experienced and inexperienced gymnastic coaches.. Percept Mot Skills 2002;95:901-2.
- Moreno FJ, Saavedra JM, Sabido R, Luis V, Reina R. Visual search strategies of experienced and nonexperienced swimming coaches.. Percept Mot Skills 2006;103:861-72.
- Savelsbergh GJP, Williams AM, Kamp JVD, Ward P. Visual search, anticipation and expertise in soccer goalkeepers.. J Sports Sci 2002;20:279-87.
- Abernethy B. Expertise, visual search, and information pick-up in squash.. Perception 1990;19:63-77.
- Abernethy B, Russell DG. The relationship between expertise and visual search strategy in a racquet sport.. Hum Mov Sci 1987;6:283-319.
- Balslev T, Jarodzka H, Holmqvist K, De Grave W, Muijtjens AMM, Eika B. Visual expertise in paediatric neurology.. Eur J Paediatr Neurol 2012;16:161-6.
- Buchner HHF, Savelberg HHCM, Schamhardt HC, Barneveld A. Head and trunk movement adaptations in horses with experimentally induced fore- or hind limb lameness.. Equine Vet J 1996;28:71-6.
- Church EE, Walker AM, Wilson AM, Pfau T. Evaluation of discriminant analysis based on dorsoventral symmetry indices to quantify hind limb lameness during over ground locomotion in the horse.. Equine Vet J 2009;41:304-8.
- Keegan KG, Arafat S, Skubic M, Wilson DA, Kramer J. Detection of lameness and determination of the affected forelimb in horses by use of continuous wavelet transformation and neural network classification of kinematic data.. Am J Vet Res 2003;64:1376-81.
- Keegan KG, Pai PF, Wilson DA, Smith BK. Signal decomposition method of evaluating head movement to measure induced forelimb lameness in horses trotting on a treadmill.. Equine Vet J 2001;33:446-51.
- Keegan KG, Wilson DA, Smith BK, Wilson DJ. Changes in kinematic variables observed during pressure-induced forelimb lameness in adult horses trotting on a treadmill.. Am J Vet Res 2000;61:612-9.
- Keegan KG, Yonezawa Y, Pai PF, Wilson DA, Kramer J. Evaluation of a sensor-based system of motion analysis for detection and quantification of forelimb and hind limb lameness in horses.. Am J Vet Res 2004;65:665-70.
- Kramer J, Keegan KG, Kelmer G, Wilson DA. Objective determination of pelvic movement during hind limb lameness by use of a signal decomposition method and pelvic height differences.. Am J Vet Res 2004;65:741-7.
- Kramer J, Keegan KG, Wilson DA, Smith BK, Wilson DJ. Kinematics of the hind limb in trotting horses after induced lameness of the distal intertarsal and tarsometatarsal joints and intra-articular administration of anesthetic.. Am J Vet Res 2000;61:1031-6.
- Thomsen MH, Persson AB, Jensen AT, Sørensen H, Andersen PH. Agreement between accelerometric symmetry scores and clinical lameness scores during experimentally induced transient distension of the metacarpophalangeal joint in horses.. Equine Vet J 2010;42:510-5.
- Walker AM, Wilson AM, Pfau T. Comparison of kinematic symmetry index calculations and the effects of straight and circular trotting.. Equine Vet J 2010;42:482-7.
- Audigié F, Pourcelot P, Degueurce C, Geigert D, Denoix J-M. Kinematic analysis of the symmetry of limb movements in lame trotting horses.. Equine Vet J Suppl 2001;33:128-34.
- Audigié F, Pourcelot P, Degueurce C, Geiger D, Denoix JM. Fourier analysis of trunk displacements: a method to identify the lame limb in trotting horses.. J Biomech 2002;35:1173-82.
- Pfau T, Robilliard JJ, Weller R, Jespers K, Eliashar E, Wilson AM. Assessment of mild hind limb lameness during over ground locomotion using linear discriminant analysis of inertial sensor data.. Equine Vet J 2007;39:407-13.
- Peham C, Licka T, Girtler D, Scheidl M. Supporting forelimb lameness: clinical judgement vs. computerised symmetry measurement.. Equine Vet J 1999;31:417-21.
- Peham C, Licka T, Girtler D, Scheidl M. Hind limb lameness: clinical judgement versus computerised symmetry measurement.. Vet Rec 2001;148:750-2.
- Peham C, Licka T, Mayr A, Scheidl M. Individual speed dependency of forelimb lameness in trotting horses.. Vet J 2000;160:135-8.
- Brunnekreef JJ, Van Uden CJT, Van Moorsel S, Kooloos JGM. Reliability of videotaped observational gait analysis in patients with orthopedic impairments.. BMC Musculoskelet Disord 2005;6:17.
- Eastlack ME, Arvidson J, Snyder-Mackler L, Danoff JV, Mcgarvey CL. Interrater reliability of videotaped observational gait-analysis assessments.. Phys Ther 1991;71:465-72.
- Mackey AH, Lobb GL, Walt SE, Stott NS. Reliability and validity of the Observational Gait Scale in children with spastic diplegia.. Dev Med Child Neurol 2003;45:4-11.
- Maathuis KGB, Van Der Schans CP, Van Iperen A, Rietman HS, Geertzen JHB. Gait in children with cerebral palsy - observer reliability of Physician Rating Scale and Edinburgh Visual Gait Analysis Interval Testing Scale.. J Pediatric Ortho 2005;25:268-72.
- Tversky A, Kahneman D. Judgment under uncertainty: heuristics and biases.. Science 1974;185:1124.
- Ross MW. Chapter 2. Lameness in horses: basic facts before starting.. In: Ross MW, Dyson SJ, editors. Diagnosis and management of lameness in horses. St. Louis, Missouri: Elsevier Saunders; 2011.
- Leong JJH, Nicolaou M, Emery RJ, Darzi AW, Yang G-Z. Visual search behaviour in skeletal radiographs: a cross-speciality study.. Clin Radiol 2007;62:1069-77.
- Berbaum KS, Franken EA, Dorfman DD, Rooholamini SA, Kathol MH, Barloon TJ. Satisfaction of search in diagnostic radiology.. Invest Radiol 1990;25:133-9.
- Starke SD, Willems E, May SA, Pfau T. Vertical head and trunk movement adaptations of sound horses trotting in a circle on a hard surface.. Vet J 2012;193:73-80.
- Rhodin M, Roepstorff L, French A, Keegan KG, Pfau T, Egenvall A. Head and pelvic movement asymmetry during lungeing in horses with symmetrical movement on the straight.. Equine Vet J 2016;48:315-20.
- Kawamura CM, de Morais Filho MC, Barreto MM, de Paula Asa SK, Juliano Y, Novo NF. Comparison between visual and three-dimensional gait analysis in patients with spastic diplegic cerebral palsy.. Gait Posture 2007;25:18-24.
- McCracken MJ, Kramer J, Keegan KG, Lopes M, Wilson DA, Reed SK. Comparison of an inertial sensor system of lameness quantification with subjective lameness evaluation.. Equine Vet J 2012;44:652-6.
- Starke SD, Oosterlinck M. Reliability of equine visual lameness classification as a function of expertise, lameness severity and rater confidence.. Vet Rec 2019;184:63.
- Starke SD, Miles GC, Channon SB, May SA. Effect of gamified perceptual learning on visual detection and discrimination skills in equine gait assessment.. Vet Rec 2021;188:e21.
- Kellman PJ, Garrigan P. Perceptual learning and human expertise.. Phys Life Rev 2009;6:53-84.
- North JS, Williams AM, Hodges N, Ward P, Ericsson KA. Perceiving patterns in dynamic action sequences: investigating the processes underpinning stimulus recognition and anticipation skill.. Appl Cogn Psychol 2009;23:878-94.
- Chase WG, Simon HA. Perception in chess.. Cognit Psychol 1973;4:55-81.
- Nodine CF, Krupinski EA. Perceptual skill, radiology expertise, and visual test performance with NINA and WALDO.. Acad Radiol 1998;5:603-12.
- Diamond R, Carey S. Why faces are and are not special: an effect of expertise.. J Exp Psychol Gen 1986;115:107-17.
- Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains.. Acad Med 2004;79:S70-81.
- Ericsson KA, Krampe RT, Tesch-Römer C. The role of deliberate practice in the acquisition of expert performance.. Psychol Rev 1993;100:363-406.
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