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Equine veterinary journal. Supplement2013; (43); 8-11; doi: 10.1111/j.2042-3306.2012.00611.x

Use of a wireless, inertial sensor-based system to objectively evaluate flexion tests in the horse.

Abstract: A wireless, inertial sensor-based system has previously been validated for evaluation of equine lameness. However, threshold values have not been determined for the assessment of responses to flexion tests. The aim of this investigation was to evaluate a sensor-based system for objective assessment of the response to flexion. Methods: Healthy adult horses (n = 17) in work were recruited prospectively. Horses were instrumented with sensors on the head (accelerometer), pelvis (accelerometer) and right forelimb (gyroscope), before trotting in a straight line (minimum 25 strides) for 2 consecutive trials. Sensors measured 1) vertical pelvic movement asymmetry (PMA) for both right and left hindlimb strides and 2) average difference in maximum and minimum pelvic height (PDMax and PDMin) between right and left hindlimb strides in millimetres. A hindlimb was randomly selected for proximal flexion (60 s), after which the horse trotted a minimum of 10 strides. Response to flexion was blindly assessed as negative or positive by an experienced observer. Changes in PMA, PDMax and PDMin between baseline and flexion examinations were calculated for each test. Statistical analysis consisted of a Pearson's product moment test and linear regression on baseline trials, Mann-Whitney rank sum test for effect of flexion and receiver operator curve (ROC) analysis of test parameters. Results: There was a strong correlation between trials for PMA, PDMin and PDMax measurements (P < 0.001). A positive flexion test resulted in a significant increase in PMA (P = 0.021) and PDMax (P = 0.05) only. Receiver-operator curve analysis established cut-off values for change in PMA and PDMax of 0.068 and 4.47 mm, respectively (sensitivity = 0.71, specificity = 0.65) to indicate a positive response to flexion. Conclusions: A positive response to flexion resulted in significant changes to objective measurements of pelvic symmetry. Conclusions: Findings support the use of inertial sensor systems to objectively assess response to flexion tests. Further investigation is warranted to establish cut-off values for objective assessment of other diagnostic procedures.
Publication Date: 2013-03-02 PubMed ID: 23447870DOI: 10.1111/j.2042-3306.2012.00611.xGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research demonstrates how a wireless, sensor-based system can effectively provide an objective assessment of a horse’s response to flexion tests.

Objective of Research

The aim of this research was to establish the use of a wireless inertial sensor-based system as an objective method for evaluating how horses respond to flexion tests. Previously, although the system had been validated for assessing equine lameness, it lacked defined threshold values for evaluating responses to flexion tests.

Methodology

  • Seventeen healthy adult horses that were working were chosen for the study.
  • These horses were equipped with sensors on their heads (accelerometers), pelvis (accelerometers), and right forelimb (gyroscope).
  • Prior to flexion, the horses were instructed to trot in a straight line for at least 25 strides over two consecutive trials.
  • Sensors measured 1) pelvic vertical movement asymmetry for both right and left hindlimb strides and 2) the average difference in maximum and minimum pelvic height between right and left hindlimb strides, recorded in millimetres.
  • A hindlimb was selected at random for proximal flexion, which lasted 60 seconds.
  • After the flexion, horses trotted for a minimum of ten strides.
  • An experienced observer, blinded to the process, evaluated the response to flexion as either negative or positive.
  • Statistical analysis was undertaken to evaluate the changes in pelvic movement asymmetry and height difference before and after flexion.

Results

  • The trials showed a strong correlation between the pelvic movement asymmetry, and the difference in maximum and minimum pelvic heights.
  • A positive flexion test resulted in a significant increase in pelvic movement asymmetry and maximum pelvic height difference.
  • Receiver-operator curve analysis defined cut-off values to indicate a positive response to flexion.

Conclusion

  • The study concluded that a positive response to flexion resulted in significant changes to objective measurements of pelvic symmetry.
  • These results support the use of inertial sensor systems to objectively evaluate response to flexion tests.
  • Further investigation is suggested to establish cut-off values for objective assessment of other diagnostic procedures.

Cite This Article

APA
Marshall JF, Lund DG, Voute LC. (2013). Use of a wireless, inertial sensor-based system to objectively evaluate flexion tests in the horse. Equine Vet J Suppl(43), 8-11. https://doi.org/10.1111/j.2042-3306.2012.00611.x

Publication

NlmUniqueID: 9614088
Country: United States
Language: English
Issue: 43
Pages: 8-11

Researcher Affiliations

Marshall, J F
  • Weipers Centre Equine Hospital, School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK. john.f.marshall@glasgow.ac.uk
Lund, D G
    Voute, L C

      MeSH Terms

      • Animals
      • Female
      • Forelimb
      • Gait
      • Head / physiology
      • Horse Diseases / diagnosis
      • Horses
      • Lameness, Animal / diagnosis
      • Male
      • Monitoring, Ambulatory / instrumentation
      • Monitoring, Ambulatory / veterinary
      • Motor Activity
      • Pelvis / physiology
      • Wireless Technology / instrumentation

      Citations

      This article has been cited 9 times.
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