S. Drevemo

The influence of head and neck position on kinematics of the back in riding horses at the walk and trot

REASONS FOR PERFORMING STUDY A common opinion among riders and in the literature is that the positioning of the head and neck influences the back of the horse, but this has not yet been measured objectively. OBJECTIVES To evaluate the effect of head and neck position on the kinematics of the back in riding horses. METHODS Eight Warmblood riding horses in regular work were studied on a treadmill at walk and trot with the head and neck in 3 different predetermined positions achieved by side reins attached to the bit and to an anticast roller. The 3-dimensional movement of the thoracolumbar spine was measured from the position of skin-fixed markers recorded by infrared videocameras. RESULTS Head and neck position influenced the movements of the back, especially at the walk. When the head was fixed in a high position at the walk, the flexion-extension movement and lateral bending of the lumbar back, as well as the axial rotation, were significantly reduced when compared to movements with the head free or in a low position. At walk, head and neck position also significantly influenced stride length, which was shortest with the head in a high position. At trot, the stride length was independent of head position. CONCLUSIONS Restricting and restraining the position and movement of the head and neck alters the movement of the back and stride characteristics. With the head and neck in a high position stride length and flexion and extension of the caudal back were significantly reduced. POTENTIAL RELEVANCE Use of side reins in training and rehabilitation programmes should be used with an understanding of the possible effects on the horses back.

Kinematic evaluation of the back in the sport horse with back pain.

REASONS FOR PERFORMING STUDY Earlier studies have developed a clinical tool to evaluate objectively the function of the equine back. The ability to differentiate horses with back pain from asymptomatic, fully functioning horses using kinematic measures from this tool has not been evaluated. OBJECTIVES To compare the kinematics of the back at walk and trot in riding horses with back dysfunction to the same parameters in asymptomatic sport horses. METHODS The kinematics of the back in 12 horses with impaired performance and back pain were studied at walk and trot on a treadmill. Data were captured for 10 sees at 240 Hz. Range of movement (ROM) and intravertebral pattern symmetry of movement for flexion and extension (FE), lateral bending (LB) and axial rotation (AR) were derived from angular motion pattern data and the results compared to an earlier established database on asymptomatic riding horses. RESULTS At walk, horses with back dysfunction had a ROM smaller for dorsoventral FE in the caudal thoracic region (T13 = 7.50 degrees, T17 = 7.71 degrees; P<0.05), greater for LB at T13 (8.13 degrees; P<0.001) and smaller for AR of the pelvis (10.97 degrees; P<0.05) compared to asymptomatic horses (FE-T13 = 8.28 degrees, FE-T17 = 8.49 degrees, LB-T13 = 6.34 degrees, AR-pelvis = 12.77 degrees). At trot, dysfunctional horses had a smaller (P<0.05) ROM for FE at the thoracic lumbar junction (T17 = 2.46 degrees, L1 = 2.60 degrees) compared to asymptomatic horses (FE-T17 = 3.07 degrees, FE-L1 = 3.12 degrees). CONCLUSIONS The objective measurement technique can detect differences between back kinematics in riding horses with signs of back dysfunction and asymptomatic horses. The clinical manifestation of back pain results in diminished flexion/extension movement at or near the thoracic lumbar junction. However, before applying the method more extensively in practice it is necessary to evaluate it further, including measurements of patients whose diagnoses can be confirmed and long-term follow-ups of back patients after treatment. POTENTIAL RELEVANCE Since the objective measurement technique can detect small movement differences in back kinematics, it should help to clinically describe and, importantly, objectively detect horses with back pain and dysfunction.

Relationships between fore- and hindlimb ground reaction force and hoof deceleration patterns in trotting horses.

REASONS FOR PERFORMING STUDY The transmission of shockwaves following hoof impact is proposed to be one major source of stress to the limb. In the forelimb, there are indications that the period of horizontal deceleration of the hoof is related to the attenuation of shockwaves. In the hindlimb, information about the hoof deceleration has been lacking. OBJECTIVE To compare hoof deceleration patterns between the fore- and hindlimbs. METHODS Seven Standardbreds were trotted by hand over a force plate covered with sand, with triaxial accelerometers mounted on the fore and hind hooves. Variables representative of decelerations (first 2 main vertical deceleration peaks; characteristic minimum and maximum values in the craniocaudal deceleration; hoof braking time) and ground reaction forces (vertical loading rates; maximum and the following local minimum of the craniocaudal force) of the initial part of the stance phase, and the differences between individual fore- and hindlimb time and amplitude variables were used for statistical analyses. RESULTS Force plate data showed significantly greater vertical loading rate (mean +/- s.d. 6.5 +/- 5.9 N/sec) and horizontal loads (190.4 +/- 110.2 N) in the forelimb than the hindlimb, but the parameters from accelerometer data showed no significant differences. CONCLUSIONS No significant difference was found in the hoof deceleration, but the deceleration curves displayed a common pattern that described in detail the kinematics of the fore and hind hooves during the initial period of hoof braking. POTENTIAL RELEVANCE These results contribute to further knowledge about the characteristics of these potential risk factors in the development of subchondral bone damage in the horse. Further studies are required on the influence of hoof braking pattern at higher speed, different shoeing and ground surfaces with different properties.

Kinematic evaluation of the back in fully functioning riding horses

REASONS FOR PERFORMING STUDY Clinical history and examination are important features in diagnosis of equine back dysfunction. However, interpretation is subjective and therefore may vary substantially. OBJECTIVES To establish a clinical tool to objectively evaluate the function of the equine back, in the form of a database on the kinematics of the back at the walk and trot in fully functioning riding horses. METHODS Thirty-three fully functioning riding horses walked and trotted on a treadmill. Morphometrics and kinematics were tested for correlations to age, height, weight and stride length, and differences between gender (geldings and mares) and use (dressage and showjumping). RESULTS A database for range of movement and symmetry of movement for extension and flexion, lateral bending, lateral excursion and axial rotation was presented. Symmetry values were very high for all variables. Significant differences were observed in use and gender. Age was negatively correlated to extension and flexion of the thoracolumbar junction. CONCLUSIONS Interrelationships between use, gender and age to conformation and movement were established. POTENTIAL RELEVANCE The database provides a basis for objective reference for diagnosis, therapy and rehabilitation of clinical cases of back dysfunction.

Ground reaction force and hoof deceleration patterns on two different surfaces at the trot

The objective of the present study was to compare the hoof deceleration and ground reaction forces following impact on two different surfaces. Seven unshod Standardbreds were trotted by hand at 3.0–5.7 m s over a force plate covered by either of the two surfaces, sandpaper or a 1 cm layer of sand. Impact deceleration data were recorded from one triaxial accelerometer mounted on the foreand hind hooves, respectively. Ground reaction force data were obtained synchronously from a force plate, sampled at 4.8 kHz. The differences between the two surfaces were studied by analysing representative deceleration and force variables for individual horses. The maximum horizontal peak deceleration and the loading rates of the vertical and the horizontal forces were significantly higher on sandpaper compared with the sand surface (P , 0.001). In addition, the initial vertical deceleration was significantly higher on sandpaper in the forelimb (P , 0.001). In conclusion, it was shown that the different qualities of the ground surface result in differences in the hoof-braking pattern, which may be of great importance for the strength of the distal horse limb also at slow speeds.

Kinematics of the distal hindlimb during stance phase in the fast trotting Standardbred

Fast trotting Standardbred horses were filmed along a straight on an oval dirt track. Five consecutive stance phases were analysed to describe the planar kinematics of the distal hindlimb. The rapid changes in the geometry of the distal hindlimb that occur during the early stance phase were studied. The hoof segment was initially braked vertically and moved in the direction of the horse. The hoof moved forward on the track surface for more than 20% of the stance time (ST). Two specific deviations in the otherwise smooth course of the fetlock joint angle appeared at 16 and 29% of ST. Tarsal angular joint displacement was, on the other hand, more smooth throughout the stance phase. Segment angular velocity was greatest in the proximal pastern segment, while the metatarsus was almost totally braked in its forward rotation during the early stance. Tibial angular velocity was more smooth and greater than that of the metatarsus. Initial vertical braking of the hoof was related to the rapid rotation of the proximal pastern segment, while the metatarsal and proximal pastern segment angular velocities decreased as the hoof was braked horizontally. Also coincident with horizontal braking of the hoof was an increase in the angular velocity of the tibial segment. It was concluded that the horizontal as well as the vertical braking of the hoof affect the disto-proximal braking of the segments of the distal hindlimb during the early stance phase. The early stance phase changes in the distal hindlimb suggest rapid changes in the internal forces of the limb and should be of importance to the orthopaedic health of Standardbred trotters. These rapid changes at the fetlock joint and hock joint during the early stance may be important in lameness as excessive rapid and repetitive loading and movement are thought to induce joint damage (Radin et al. 1991).

Spinal kinematics in horses with induced back pain

Back problems are important contributors to poor performance in sport horses. It has been shown that kinematic analysis can differentiate horses with back problems from asymptomatic horses. The underlying mechanism can, however, only be identified in a uniform, experimental setting. Our aim was to determine if induction of back pain in a well-defined site would result in a consistent change in back movement. Back kinematics were recorded at a walk and trot on a treadmill. Unilateral back pain was then induced by injecting lactic acid into the left longissimus dorsi muscle. Additional measurements were done subsequent to the injections. Data were captured during steady state locomotion at 240 Hz using an infrared-based gait analysis system. After the injections, the caudal thoracic back was more extended at both gaits. The back was also bent more to the left at both gaits. However, at the walk, there was a reversed pattern after a week with bending of the back to the unaffected side. Horses with identical back injuries appear to show similar changes in their back kinematics, as compared to the asymptomatic condition. Unilateral back pain seems to result in an increased extension of the back, as well as compensatory lateral movements. Back movements are complex and subtle, and changes are difficult to detect with the human eye. Present-day gait analysis systems can identify changes in the back movement, and knowledge of the relationship between such changes and the site of injury will be of help in better localising and diagnosing disorders of the equine back.

The effect of weighted boots on the movement of the back in the asymptomatic riding horse

Back dysfunction is an important reason for impaired performance in sport horses. Limb movements influence the movements of the back and factors affecting the limbs may therefore affect the movement of the back. The aim of the study was to investigate the influence of weighted boots on the fore- and hind limbs on the movement of the back. The back kinematics of eight horses was studied at the walk and trot on a treadmill. The ranges of movement (ROM) of the back were compared intra-individually, using Wilcoxon matched pairs test, when the horses moved with and without weighted boots on the fore- and hind limbs, respectively. Differences were considered significant at P

A field study on hoof deceleration at impact in Standardbred trotters at various speeds

Impact-related peak decelerations with high loading rates are described as indicators of mechanical stress to the limb. The hoof deceleration pattern in the beginning of the stance phase has recently been described, together with ground reaction force measurements at slow speed; however, no information is available at high speeds. The objective of the present study was to investigate the hoof deceleration pattern following impact at slow speeds, comparable to earlier force plate studies, and at high speeds on a racetrack. Eight Standardbreds equipped with triaxial accelerometers mounted on fore- and hind hooves were driven from a jogcart on a harness-training racetrack with a stone dust surface at the mean speeds of 4.7, 5.7, 10.1 and 12.7ms −1 . The accelerometer signals were sampled at 10kHz during 10s of constant speed along one straight of the racetrack. The signal was studied for each speed by the analysis of representative peak decelerations. At slow trot, the deceleration pattern was similar to what was found in earlier studies over the force plate. The peak values of both the vertical and horizontal decelerations increased significantly with a higher speed ( P ≤0.01). It was shown that a higher speed results in changes of the hoof deceleration pattern with higher peak decelerations. The maximum horizontal deceleration, together with the second vertical peak deceleration, were suggested to be major indicators on the mechanical stress subjected to the limb.

Effect of Defocused CO2 Laser on Equine Tissue Perfusion

Treatment with defocused CO2 laser can have a therapeutic effect on equine injuries, but the mechanisms involved are unclear. A recent study has shown that laser causes an increase in equine superficial tissue temperature, which may result in an increase in blood perfusion and a stimulating effect on tissue regeneration. However, no studies have described the effects on equine tissue perfusion. The aim of the present study was to investigate the effect of defocused CO2 laser on blood perfusion and to correlate it with temperature in skin and underlying muscle in anaesthetized horses. Differences between clipped and unclipped haircoat were also assessed. Eight horses and two controls received CO2 laser treatment (91 J/cm2) in a randomised order, on a clipped and unclipped area of the hamstring muscles, respectively. The significant increase in clipped skin perfusion and temperature was on average 146.3 ± 33.4 perfusion units (334%) and 5.5 ± 1.5°C, respectively. The significant increase in perfusion and temperature in unclipped skin were 80.6 ± 20.4 perfusion units (264%) and 4.8 ± 1.4°C. No significant changes were seen in muscle perfusion or temperature. In conclusion, treatment with defocused CO2 laser causes a significant increase in skin perfusion, which is correlated to an increase in skin temperature.SammanfattningLokala blodflödesförändringar hos häst vid behandling med defokuserad CO2 laser.Laserbehandling sägs stimulera och påskynda nedsänktsprocessen, men dess verkningsmekanism är oklar. En nyligen publicerad studie visar att behandling med defokuserad CO2 laser ger en ökning av temperaturen i ytliga vävnader hos häst. En ökning av vävnadstemperatur åtföljs ofta av en ökning av det lokala blodflödet, med en positiv inverkan på vävnaders läkning. Så vitt vi vet saknas publicerade studier om defokuserad CO2 lasers effekt på blodflöde hos häst. Syftet med denna studie var att undersöka effekten av defokuserad CO2 laser på lokalt blodflöde (med hjälp av Laser Doppler Flowmetry) och att korrelera blodflödet till temperaturen i rakad och orakad hud, samt i underliggande muskelvävnad. Tio hästar inkluderades i studien, varav åtta fick aktiv laser och två placebo. Den aktiva laserdosen var 91 J/cm2 och gavs på ett 42 cm2 stort område över semimembranosus muskulaturen. Den aktiva laserbehandlingen ökade signifikant blodflöde och temperatur, med i genomsnitt 146.3±33.4 perfusionsenheter (334%) och 5.5±1.5 °C i rakad hud, och 80.6±20.4 perfusionsenheter (264%) och 4.8±1.4 °C i orakad hud. Inga statistiskt signifikanta skillnader kunde noteras i blodflöde och temperatur i underliggande muskel, eller mellan rakad och orakad hud. Fortsatta studier får visa om denna temperatur- och blodflödesökning kan leda till smärtlindring och förbättrad läkning.