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Veterinary journal (London, England : 1997)2021; 269; 105607; doi: 10.1016/j.tvjl.2021.105607

The effect of regional hypothermia on mechanical nociceptive thresholds in the equine distal forelimb.

Abstract: Regional hypothermia has shown promise as analgesic in horses when used to manage painful conditions of the distal limb such as laminitis. In this prospective study, the analgesic effects of regional hypothermia were assessed using mechanical nociceptive thresholds during distal limb cooling. The study population consisted of eight healthy adult Standardbred horses, selected from a teaching herd. A distal forelimb of each horse was cooled using water immersion at the following sequential target water temperatures: 34 °C, 20 °C, 10 °C, 5 °C, 1 °C, 5 °C, 10 °C, 20 °C. Limb surface temperature was measured after 30 min at each target water temperature and the mechanical force required to elicit a response (mechanical nociceptive threshold) was determined using a pneumatic actuator. Both forelimbs of each horse were tested one week apart. At skin surface temperatures above 7 °C, there was little association between skin surface temperature and the mechanical force required to elicit a response. As the skin surface temperature decreased below 7 °C, there was a rapid increase in the force required to elicit a response (P = 0.036). Skin surface temperatures of <7 °C required water temperatures below 2 °C. The results of this study suggest that hypothermia has potential to provide distal limb analgesia in horses at skin surface temperatures below 7 °C. Further evaluation of the technique is warranted.
Publication Date: 2021-01-06 PubMed ID: 33593491DOI: 10.1016/j.tvjl.2021.105607Google Scholar: Lookup
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  • Journal Article

Summary

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The research article is about a study conducted to evaluate the effectiveness of regional hypothermia in managing pain in horses, particularly for conditions of the distal limb such as laminitis.

Research Methodology

  • The study was carried out as a prospective experiment involving eight healthy adult Standardbred horses from a teaching herd.
  • Absorbing the basis that regional hypothermia can serve as an analgesic, the researchers opted to test the effects of gradually cooling the distal forelimb of each horse using water immersion at different target temperatures: 34°C, 20°C, 10°C, 5°C, 1°C, 5°C, 10°C, 20°C.
  • The limb surface temperature was measured after half an hour at each target water temperature, and the mechanical force that brought about a response (referred to as the mechanical nociceptive threshold) was determined via a pneumatic actuator.
  • Both forelimbs of each horse were tested with a gap of one week between testing periods.

Key Findings

  • When the skin surface temperature exceeded 7°C, there wasn’t a significant correlation between the skin surface temperature and the mechanical force required to get a response.
  • But as the skin surface temperature fell below 7°C, the required force to get a reaction rapidly increased, suggesting hypothermia’s potential as distal limb analgesia in horses.
  • Temperatures of less than 7°C on the skin surface necessitated water temperatures lower than 2°C.

Conclusion

  • The researchers concluded that hypothermia could potentially help alleviate pain in the distal limbs of horses, particularly when the skin temperature falls below 7°C.
  • Therefore, the paper proposes further evaluation of the technique to reinforce its effectiveness and limitations.

Cite This Article

APA
Rainger JE, Wardius S, Medina-Torres CE, Dempsey SM, Perkins N, van Eps AW. (2021). The effect of regional hypothermia on mechanical nociceptive thresholds in the equine distal forelimb. Vet J, 269, 105607. https://doi.org/10.1016/j.tvjl.2021.105607

Publication

ISSN: 1532-2971
NlmUniqueID: 9706281
Country: England
Language: English
Volume: 269
Pages: 105607
PII: S1090-0233(21)00002-2

Researcher Affiliations

Rainger, J E
  • The University of Queensland, School of Veterinary Science, Building 8156, Main Drive, Gatton, QLD, 4343, Australia. Electronic address: j.rainger@uq.edu.au.
Wardius, S
  • Unionville Equine Associates, 25 Webster Lane, Oxford, PA, 19363, USA.
Medina-Torres, C E
  • The University of Queensland, School of Veterinary Science, Building 8156, Main Drive, Gatton, QLD, 4343, Australia.
Dempsey, S M
  • The University of Queensland, School of Veterinary Science, Building 8156, Main Drive, Gatton, QLD, 4343, Australia.
Perkins, N
  • The University of Queensland, School of Veterinary Science, Building 8156, Main Drive, Gatton, QLD, 4343, Australia; Unionville Equine Associates, 25 Webster Lane, Oxford, PA, 19363, USA; The University of Pennsylvania, Clinical Studies New Bolton Centre, 382 West Street Road, Kennett Square, PA, 19348, USA.
van Eps, A W
  • The University of Pennsylvania, Clinical Studies New Bolton Centre, 382 West Street Road, Kennett Square, PA, 19348, USA.

MeSH Terms

  • Analgesia / methods
  • Analgesia / veterinary
  • Animals
  • Biomechanical Phenomena / physiology
  • Female
  • Forelimb
  • Horse Diseases / therapy
  • Horses / physiology
  • Hypothermia, Induced / veterinary
  • Male
  • Nociception / physiology
  • Pain Threshold / physiology
  • Prospective Studies

Citations

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