Use of a 2.5% Cross-Linked Polyacrylamide Hydrogel in the Management of Joint Lameness in a Population of Flat Racing Thoroughbreds: A Pilot Study.
Abstract: Osteoarthritis is one of the most common disease processes effecting equine athletes, causing up to 60% of all lameness. This prospective longitudinal study reports on the effect of treatment of carpal and metacarpophalangeal joint lameness with 2.5% cross-linked polyacrylamide hydrogel (PAAG). A total of 49 flat-racing Thoroughbreds at a single training facility were included in the study. The results show a significant improvement in lameness grades at weeks 1 (P < .01), 4 (P < .001), 12 (P < .001), and 24 (P < .001) when compared to baseline lameness at week 0. This pilot study suggests that 2.5% cross-linked PAAG is a safe and effective joint treatment for managing joint lameness in Thoroughbred racehorses and warrants further blinded and controlled studies to fully evaluate the efficacy of the 2.5% cross-linked PAAG and its mode of action.
Copyright © 2019 Elsevier Inc. All rights reserved.
Publication Date: 2019-02-27 PubMed ID: 31133317DOI: 10.1016/j.jevs.2019.02.012Google Scholar: Lookup
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- Journal Article
Summary
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This research explores the effectiveness of a 2.5% cross-linked polyacrylamide hydrogel (PAAG) in treating joint lameness in racehorses caused by osteoarthritis. The study found significant improvements in the condition of the horses treated with this solution, suggesting that it is a safe and effective treatment.
Study Overview
- The research was a prospective longitudinal study aimed at understanding the efficacy of a 2.5% cross-linked polyacrylamide hydrogel (PAAG) in treating joint lameness in Thoroughbred racehorses due to osteoarthritis.
- Osteoarthritis is a common affliction in equine athletes, causing up to 60% of all lameness. Thus, effective management of this condition is essential for the health and performance of the horses.
Study Methodology
- The study involved 49 flat-racing Thoroughbreds from a single training facility. The horses were all treated with the 2.5% cross-linked PAAG.
- The effectiveness of the treatment was measured by noting the improvement in lameness grades at various intervals – weeks 1, 4, 12, and 24 – compared to the baseline lameness at week 0 (before the treatment).
Study Findings
- The findings from the study were highly promising. There was a significant improvement in lameness grades at all intervals checked when compared to the baseline.
- At week 1, the improvement was statistically significant (P < .01), and it improved further at week 4 (P < .001), week 12 (P < .001), and week 24 (P < .001).
Conclusion and Further Research
- The study concluded that the 2.5% cross-linked PAAG is a safe and effective treatment for managing joint lameness caused by osteoarthritis in Thoroughbred racehorses.
- Despite the positive results from this pilot study, the researchers are calling for further blinded and controlled studies to fully evaluate the efficacy of the 2.5% cross-linked PAAG treatment and understand its mode of action.
Cite This Article
APA
de Clifford LT, Lowe JN, McKellar CD, Bolwell C, David F.
(2019).
Use of a 2.5% Cross-Linked Polyacrylamide Hydrogel in the Management of Joint Lameness in a Population of Flat Racing Thoroughbreds: A Pilot Study.
J Equine Vet Sci, 77, 57-62.
https://doi.org/10.1016/j.jevs.2019.02.012 Publication
Researcher Affiliations
- Matamata Veterinary Services Limited, Matamata, New Zealand. Electronic address: leigh@matavet.co.nz.
- Innovative Medical Solutions Limited, New Zealand.
- AK & K Equine Services, Victoria, Australia.
- Massey University, Massey Equine, Palmerston North, New Zealand.
- Equine Veterinary Medical Center - Al Shaqab, A member of Qatar Foundation, Al Rayyan, Doha, Qatar.
MeSH Terms
- Acrylic Resins / therapeutic use
- Animals
- Horse Diseases / drug therapy
- Horses
- Lameness, Animal / drug therapy
- Longitudinal Studies
- Pilot Projects
- Prospective Studies
Citations
This article has been cited 4 times.- Ferreira LMMC, Bandeira ES, Gomes MF, Lynch DG, Bastos GNT, Silva-Júnior JOC, Ribeiro-Costa RM. Polyacrylamide Hydrogel Containing Calendula Extract as a Wound Healing Bandage: In Vivo Test. Int J Mol Sci 2023 Feb 14;24(4).
- Gugliandolo E, Barbagallo A, Peritore AF, Cuzzocrea S, Crupi R. Oral Supplementation with Ultramicronized Palmitoylethanolamide for Joint Disease and Lameness Management in Four Jumping Horses: A Case Report. Animals (Basel) 2020 Aug 21;10(9).
- Walmod PS, Kusk P, Jøhnk N, Ankorina-Stark I, Essex A. An injectable 2.5% cross-linked polyacrylamide hydrogel (2.5 iPAAG) demonstrates no neurotoxicity in human induced pluripotent stem cells-derived iCell(®) GlutaNeurons. Front Toxicol 2025;7:1585430.
- Guerra-Gomes M, Ferreira-Baptista C, Barros J, Alves-Pimenta S, Gomes P, Colaço B. Exploring the Potential of Non-Cellular Orthobiologic Products in Regenerative Therapies for Stifle Joint Diseases in Companion Animals. Animals (Basel) 2025 Feb 18;15(4).
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