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1.
In this study, the effects of prolonged, high intensity training on aspects of peripheral blood and bronchoalveolar lavage (BAL)-derived leucocyte function were evaluated in 8 horses. All horses undertook a 7 week endurance training programme, followed by 5 weeks of high intensity training (HIT). Thereafter, horses were divided into control (C) and overtraining (OT) groups. The frequency and intensity of training were increased more substantially for horses in the OT group. Training was terminated in week 32 when horses in the OT group demonstrated a significant performance reduction. Peripheral blood and BAL samples were collected from 4 horses in C and OT groups in training weeks 7, 11, 14, 18, 22, 28 and 32. Flow cytometric techniques were used to assess phagocytosis by peripheral blood neutrophils and pulmonary alveolar macrophages (PAM), and oxidative burst activity of neutrophils, PAM, peripheral blood and BAL-derived lymphocytes. Peripheral blood neutrophil phagocytosis (internalisation) increased during the initial HIT period and decreased from week 16 when the training workload was increased for both groups. The oxidative burst activity of peripheral blood neutrophils and lymphocytes similarly increased and then decreased in response to training. The oxidative burst activity of PAM was reduced towards the end of the overtraining phase of the programme. Pulmonary alveolar macrophage phagocytosis and oxidative burst activity of BAL-derived lymphocytes demonstrated no change throughout the course of the study. There was no difference in results obtained from C or OT group horses, suggesting that protracted HIT, rather than overtraining, was associated with impaired cell function. The detrimental effects observed in peripheral blood neitrophil and PAM function may indicate impaired nonspecific immunity which may adversely affect the health and performance of horses undergoing protracted periods of intense training.  相似文献   

2.
Overtraining is an imbalance between training and recovery leading to symptoms associated with a neuroendocrine dysbalance called the overtraining syndrome, a disease characterized by behavioral, emotional and physical symptoms similar with depression. Although the prevalence of overtraining is high in human and equine athletes, at present no sensitive and specific test is available to prevent or diagnose overtraining. Nowadays, it is believed that combination of different (hormonal) parameters appear to be the best indicators of overtraining. Therefore, this review provides a summary of previous literature examining the response of the hypothalamic-pituitary-adrenal (HPA) axis and the growth hormone-insulin-like growth factor-I (GH-IGF-I) axis to acute and chronic exercise as well as overtraining in humans and horses. The exercise induced hormonal responses seem to be equal for the equine as well as the human athlete, which makes comparisons possible. Repeated bouts of exercise are suggested to provide a way to detect subtle changes in hormonal responses in the individual athlete, which may make them an important tool in detecting early overtraining. This should be combined with corticotropin releasing hormone (CRH) stimulation tests and basal ACTH and GH pulsatility determination. Further research is needed to establish the correct training intensity and rest period for the exercise test in equines.  相似文献   

3.
Red blood cell hypervolaemia has been used for diagnosis of overtraining in racehorses, and has been suggested as a mechanism of this cause of loss of racing performance. The effects of overload training (OLT) on the plasma, blood and red cell volumes were investigated in a prospective study in 12 Standardbred horses. Measurements of blood volumes were made after eight and 32 weeks of an exercise training study. Horses were randomly allocated to OLT and control groups (n=6) after 16 weeks of training. Training duration and intensity were increased more rapidly for the OLT group from week 16, until overtraining was diagnosed in week 32.There were no significant effects of OLT on plasma, blood or total red cell volumes between weeks eight and 32. These volumes significantly decreased with time. Maximal haematocrit after exercise was lower (P<0.05) in the OT group in week 32 (0.57+/-0.003% L/L) than in week eight (0.59+/-0.004 L/L). It was concluded that red cell hypervolaemia was not a mechanism for the decrease in capacity for exercise that occurs with overtraining.  相似文献   

4.
The main goal of any conditioning programme in athletic horses is to improve performance by inducing physiological changes within the animal's body. Equine skeletal muscles have a considerable potential to adapt during training and these adaptations have important physiological implications that influence stamina, strength and speed. Although there is an extensive specialized literature in this regard, scientific based muscle conditioning methods have not been introduced sufficiently in the equine sport practice. After a brief synopsis of both equine muscle exercise physiology and muscular adaptations to training, including their physiological significance, this review focuses on specific training programmes that induce muscular adaptations in athletic horses. The article addresses the following principal question: what kind of stimuli for what kind of muscular adaptations? The experimental data are discussed separately for racehorses (thoroughbreds, trotters and endurance horses) and sport horses (dressage, show jumpers and carriage). Finally, published results about the influence of relevant training parameters (such as intensity, duration and type of exercise) on muscular responses are discussed, as well as those concerning overtraining and detraining. The article closes with some concluding remarks on importance of their application in practice.  相似文献   

5.
Objective-To determine the influence of intensified training and subsequent reduced training on glucose metabolism rate and peripheral insulin sensitivity in horses and identify potential markers indicative of early overtraining. Animals-12 Standardbred geldings. Procedures-Horses underwent 4 phases of treadmill-based training. In phase 1, horses were habituated to the treadmill. In phase 2, endurance training was alternated with high-intensity exercise training. In phase 3, horses were divided into control and intensified training groups. In the intensified training group, training intensity, duration, and frequency were further increased via a protocol to induce overtraining; in the control group, these factors remained unaltered. In phase 4, training intensity was reduced. Standardized exercise tests were performed after each phase and hyperinsulinemic euglycemic clamp (HEC) tests were performed after phases 2, 3, and 4. Results-10 of 12 horses completed the study. Dissociation between mean glucose metabolism rate and mean glucose metabolism rate-to-plasma insulin concentration ratio (M:I) was evident in the intensified training group during steady state of HEC testing after phases 3 and 4. After phase 4, mean glucose metabolism rate was significantly decreased (from 31.1 ± 6.8 μmol/kg/min to 18.1 ± 3.4 μmol/kg/min), as was M:I (from 1.05 ± 0.31 to 0.62 ± 0.17) during steady state in the intensified training group, compared with phase 3 values for the same horses. Conclusions and Clinical Relevance-Dissociation between the glucose metabolism rate and M:I in horses that underwent intensified training may reflect non-insulin-dependent increases in glucose metabolism.  相似文献   

6.
Various changes in physiological parameters are associated with overtraining, which can be a serious problem for human and equine athletes. A 34 week longitudinal study was conducted to investigate the effects of an acute training overload on physiological parameters in 10 Standardbred racehorses. After 24 weeks of training, horses received 8 weeks of increased workload, followed by 2 weeks recovery. Horses performed a 2400 m time trial and a progressive submaximal exercise test on alternate weeks. By the end of the heavy training period, the average time for the final 1200 m of the time trial increased by 4.0% (95% probable range of true value 1.7-5.8) and peak velocity decreased by 6.9% (4.7-8.9), indicating that overtraining had occurred. Acute overtraining coincided with an increase in blood lactate concentration after the time trial and submaximal test. There were also substantial decreases in bodyweight, plasma cortisol concentration and packed cell volume after the time trial, and in the velocity at a heart rate of 200/min (V200). Parameters that showed no clear-cut change with overtraining included maximal and recovery heart rate, basal plasma cortisol, plasma and red cell volume, and markers of skeletal damage (plasma concentrations of creatine kinase and aspartate aminotransferase). Bodyweight, V200, postexercise blood lactate and plasma cortisol concentrations may all be useful for detecting acute overtraining in equine athletes.  相似文献   

7.
Exercise testing can be useful to evaluate poor performance, as a preventative medicine tool, and in the assessment of training progression. A comprehensive exercise testing protocol that simultaneously evaluates common causes of poor performance has not been described in reining horses. The objective of this study was to describe the results of a standardised exercise testing protocol in reining horses. Seventeen reining horses that were part of a western performance intercollegiate team and had met the trainer's expectations during the athletic season were evaluated using a comprehensive standardised exercise test. Systems assessed included musculoskeletal system, upper respiratory tract, lower respiratory tract and cardiovascular system. These systems were assessed by means of historical questionnaires, general physical examinations, subjective lameness examinations, gait analysis using digital body mounted inertial sensors, resting and dynamic upper airway endoscopy, bronchoalveolar lavage fluid cytology, echocardiograms, resting and exercising electrocardiography, and laboratory tests (packed cell volume, lactate, creatine kinase and serum amyloid A). Subclinical abnormalities were detected frequently. The musculoskeletal system was the most commonly affected system, but cardiovascular and upper and lower airway abnormalities were also detected in some horses. These results suggest that exercise tests may be useful to detect subclinical abnormalities in horses used for reining. Further evaluation of both normally and poorly performing horses is necessary to determine if exercise testing can improve the health, performance and welfare of horses used for reining.  相似文献   

8.
Subclinical leptospirosis may impair athletic performance in racing horses   总被引：1，自引：1，他引：0  
The infection by Leptospira in horses, in both its acute disease and subclinical forms, is very common, particularly in endemic regions. Therefore, the objective of this study was to evaluate the effects of subclinical leptospirosis in the athletic performance of racing thoroughbred horses. Athletic performance of 119 racing Thoroughbred horses from Rio de Janeiro, Brazil, was calculated by assigning a point value for the results in racing (performance index (PI)), and serology for leptospirosis was conducted. A total of 85 (71.4?%) horses showed reactive titers (??100), and of which 52 had high titers (34 with 400 and 18 with ??800). Although those animals had high titers against Leptospira, no clinical signs associated with leptospirosis were observed. Seventeen (89.5?%) out of the 19 horses with substandard performance were seroreactive with high titers, in contrast with 35?% of seroreactivity in horses with good athletic performance (P?<?0.0001). Additionally, seroreactivity to leptospirosis was more often observed in horses with substandard athletic performance in contrast to those with good performance (P?<?0.0001, odds ratio 15.8). The Average PI of this group increased to 133?% after treatment (P?<?0.0001). Leptospirosis may impair performance in racing horses, and antibiotic therapy may improve the performance of affected animals.  相似文献   

9.
The regulation of the cellular actions of the hormone insulin is essential to the maintenance of macronutrient metabolism, body weight regulation, and a surprisingly diverse range of other integrative physiologic functions. Because of the diverse targets of insulin action, any dysfunction in insulin is likely to have systemic consequences. Although type 1 and type 2 diabetes are the most obvious clinical consequences of impaired insulin synthesis and insulin action, respectively, there are also subclinical disorders that attend defects in the function of insulin. In humans and horses, the “metabolic syndrome” is characterized by a cluster of metabolic sequelae that arise as a result of insulin resistance. Importantly, both diet and exercise can regulate insulin action and can thus be leveraged as treatment tools to prevent and treat the metabolic syndrome. The aim of this review is to characterize the integrative biology of insulin action and to describe the role of diet and exercise in regulating tissue responsiveness to insulin.  相似文献   

10.
Since it has become possible to make an ante-mortem diagnosis of gastric ulceration in horses by means of endoscopy, interest in the presence and treatment of this syndrome has increased. Several endoscopic surveys have indicated that the frequency of gastric ulceration in Thoroughbreds in training is fairly high. Less is known about other breeds and horses that are kept under different (training) conditions. The equine stomach is covered by two different kinds of mucous membranes: squamous and glandular. These two areas differ from one another in the incidence and aetiology of ulceration and, therefore, the therapeutic approach is not similar. Clinical signs that typically are associated with gastric ulceration include recurrent colic, poor appetite, weight loss, and, in foals, diarrhoea. Often symptoms are less obvious (such as poor performance), or not even noticeable. Treatment is possible with, for example, H2-antagonists or proton pump inhibitors. Management measurements are important in preventing ulcer recurrence.  相似文献   

11.
Information on the incidence of injury, illness, and unexplained loss of athletic performance of 2345 Standardbred racehorses was gathered from a telephone survey of 177 trainers during the 1996-1997 season. Trainer-reported incidence of infection and illness (18%) was higher than the incidence of musculoskeletal problems (10%) or unexplained athletic performance loss (6%). Older horses (>5 years) were more likely to develop musculoskeletal problems (odds ratio [OR] = 3.9; confidence interval [CI] = 1.8-8.2) and performance loss OR = 2.3, CI = 1.1-5.2) than 2-year-old horses. Horses were more likely to suffer musculoskeletal problems if fast-worked on tracks or surfaces with no banking compared with those fast-worked on tracks with banking similar to commercial racetracks OR = 4.6, CI = 2.0-9.9). Horses given no warm-up before high-intensity exercise were more likely to suffer a musculoskeletal problem than horses given a light warm-up of 1 to 9 minutes OR = 2.5, CI = 1.5-4.4). Horses trained for more than 164 min·wk−1 were more likely to suffer musculoskeletal problems OR = 1.7, CI = 1.1-2.8) and athletic performance loss OR = 2.5, CI = 1.4-4.4) than horses trained for shorter periods. Horses given a moderate weekly exercise duration (132-148 min·wk−1) had the lowest rates of infection and illness, but short (114-131 min·wk−1) or very long (>164 min·wk−1) weekly exercise duration increased the risk of horses suffering infection and illness OR = 1.6, CI = 1.1-2.2 and OR = 1.3, CI = 1.0-1.9, respectively). We conclude that Standardbred trainers could avoid many training and health problems by using well-banked tracks, providing a proper warm-up, and avoiding excessive training.

Introduction

Racehorses suffer from a variety of health and training problems that may result in poor performance. Musculoskeletal injury is a major problem in Thoroughbred racehorses, accounting for as much as 53% of the lost training and racing days.[1 and 2] Thoroughbreds that race too often, [2 and 3] have insufficient training before racing, [4] or perform too much high-speed work [5] have a greater risk of musculoskeletal problems. Performance may also be affected by respiratory infection, which is responsible for 12% of lost training or racing days. [1]Poor performance can also develop in an otherwise apparently healthy horse. Such unexplained loss of athletic performance may arise from undiagnosed health problems or from too much training.[6] Overtraining described as a state of prolonged fatigue caused by too much training or insufficient recovery [7] has been demonstrated in horses in both cross-sectional and longitudinal studies, [8 and 9] but the incidence of athletic performance loss because of overtraining in the population is unknown. Recently reported prospective studies that used the same group of horses has found that overtraining appeared to be difficult to induce in horses, [10, 11, 12 and 13] which may indicate that overtraining accounts for little of the loss in athletic performance suffered by Standardbred racehorses.It is thought that lameness is the most important cause of poor racing performance in Standardbreds[14]; however, the incidence of musculoskeletal problems causing lameness in Standardbreds is lacking. There is also little information on the incidence of respiratory disease or athletic performance loss in Standardbreds. The purpose of this study was to determine the trainer-reported incidence of these problems in Standardbred racehorses and to reveal any association with factors such as sex, age, ability, training, track surface, and track design.

Materials and methods

A survey was administered by telephone to 177 Standardbred racehorse trainers randomly selected from a list of 300 trainers compiled by Harness Racing New Zealand. The survey was administered at the end of the 1996-1997 racing season, which lasts from about September through June, and questions asked during the survey related to the 1996-1997 racing season. Trainers were asked to recall the total number of horses that experienced an unexplained and consistent loss of athletic performance (“performance decrease that lasted for at least two weeks, which was not obviously as a result of tying up, infection, illness, or musculoskeletal problems”). Trainers were also asked for the total number of horses that suffered infection or illness (viral and bacterial infections and respiratory diseases but not bleeding from the lungs), and musculoskeletal problems (lameness caused by muscle, tendon, bone, or back injuries that resulted in lost training days). Pilot work involved testing the questionnaire on 10 local horse trainers; from their feedback and that of other colleagues and horse trainers, more than 11 revisions were made. The interview consisted of 65 questions and lasted approximately 20 minutes. The incidences of performance loss and health problems detailed in this study are trainer-diagnosed; however, in the majority of cases (80%), the horses were also examined by a veterinarian and their diagnosis was consistent with the trainer's. Unfortunately, full details of the veterinary examination were not obtained during this study.To examine the influence of track design and banking, trainers were asked to compare the banking of their training tracks to the banking of a commercial racetrack (Forbury Park Raceway, Dunedin, New Zealand, which had a banking angle of approximately 2.3 degrees). Trainers had to decide whether the banking of their track was more, less, or about the same as the banking of the commercial track. Because of the need to keep the questionnaire to a reasonable size, in-depth training data was collected on only one particular group of horses—qualified maidens. Qualified maiden racehorses (previously raced but unplaced) represent the largest group of racehorses in training in New Zealand. Trainers were also asked whether they trained their other horses (faster, slower, unqualified, 1-7, or >7 wins) any differently from the qualified maidens. Information on training type, duration, and intensity were gathered for each day of a typical training week. Exercise duration and total training workload was divided into quintiles (5 equal sections) and contrasts between the quintiles were then examined. Trainers were specifically asked about the duration of the warm-up, which was not included in the total training time. Warm-up was defined as the initial preparatory phase of a training session in which the horse is slowly accustomed to low-intensity exercise and prepared for further high-intensity exercise.Although it is acknowledged that career wins is a crude method of assessing racing ability, it was the most appropriate method available to the researchers during a phone interview that gave some indication of horses' ability. Trainers were therefore asked about the number of wins for each horse and horses were grouped according to the total number of career wins. The Human Ethics Committee of the University of Otago reviewed and approved this project (reference number 97/049).The survey data were analyzed using a repeated-measures general modeling procedure (Proc Genmod, SAS Institute, Cary, NC), which estimated the effect of age, sex, gait, number of wins, warm-up, track design, training duration, and workload as odds ratios ORs). The OR is a way of comparing whether the probability of a certain event is the same for two groups. An OR of 1 implies that the event is equally likely in both groups, whereas an OR of more than one implies that the event is more likely in the first group compared with the second. For example, the odds of a horse suffering a musculoskeletal injury if fast-worked on tracks with no banking is 0.52 (cases/noncases = 12 injured/23 noninjured), whereas the odds of a horse suffering a musculoskeletal injury on well-banked tracks is 0.11 (37 injured/329 noninjured). Therefore, the OR is 4.6 and is interpreted as: 4.6 horses suffer a musculoskeletal injury if fast-worked on an unbanked track compared with every 1 horse that suffers the same injury when fast-worked on well-banked tracks. Proc Genmod (SAS Institute) analyzed the total number of horses in a particular subgroup and the total number of problems in the same subgroup for each trainer. A type I error of 5% was chosen for declaration of statistical significance; precision of estimates was represented by the 95% confidence interval (CI), the likely range of the true value.To estimate the reliability of the trainer's responses, a second questionnaire identical to the first was administered to 17 randomly selected trainers from the same sample 8 months after the original survey. The trainers' responses to the same questions from separate surveys given 8 months apart were used to gauge reliability of the survey. Questions on the sex, gait, and number of race wins of the horses under the trainers' care that suffered health and training-related problems were analyzed. These variables represented population characteristics of the horses that could change with time as horses entered or left the trainers stables, and therefore affect the reliability of the reported data. Survey reliability was found by comparing the empirical standard error of the odds ratio from the initial (Main) and second (Rely) surveys after adjustment for sample size. When the empirical standard error was similar (within one decimal place) between studies, then reliability was considered low, but when the empirical standard error was smaller in the Rely survey compared with the Main survey, then the reliability of the survey was acceptable.

Results

Overall training and health problems

Horses were 2.1 times more likely to suffer from infections and illness than from musculoskeletal problems (CI = 1.4-2.8, P < .001) and musculoskeletal problems were 1.7 times more likely to occur than athletic performance loss (CI = 1.2-2.3, P < .001). Horses that had no recognized problems raced 12 ± 6 times (mean ± SD) over the main racing season (September 1996-June 1997).

Athletic performance loss

Sixty-eight trainers reported that a total of 146 horses developed a decrease in athletic performance not readily associated with musculoskeletal injury, illness, or tying-up during the season (6% of the 2345 horses sampled). Most horses (78%) that suffered athletic performance loss required at least 6 weeks to recover to normal form; the remaining 22% recovered within 4 weeks. In general, the decrease in athletic performance occurred towards the middle and end of the racing season. The incidence of athletic performance loss in the various subgroups of horses is shown in Table 1, and the ORs and confidence limits for statistically significant differences in incidence within each subgroup are shown in Table 2.  相似文献   

12.
Factors Affecting Prognosis and Conversion in Equine Atrial Fibrillation   总被引：4，自引：0，他引：4  
Sixty-seven horses presented with atrial fibrillation (AF) from January 1, 1980 to August 1, 1986. All horses were evaluated for the type and severity of the underlying cardiac disease and the probable duration of the arrhythmia. Fifty-two (78%) of the horses were treated with quinidine sulfate and/or digoxin. The response to treatment was assessed in each horse. Horses were followed for periods extending from 8 months to 7 years. Standardbreds, young horses, and males predominated in the study group. There were more male horses (stallions and geldings) than mares. Most horses with AF had no evidence of other cardiac disease (56.7%). All performance horses without other cardiac disease were treated, and return to performance was significantly associated with conversion to sinus rhythm. Horses that did not convert with quinidine sulfate therapy, whose arrhythmia recurred, and that had side effects from quinidine sulfate therapy, had a longer history of poor performance. Tachycardia (heart rate greater than 60 beats/min) was significantly associated with the existence of congestive heart failure. The horses with congestive heart failure had a poor prognosis for life (7.7% survived) and a poor conversion to normal sinus rhythm (23.1%). Mitral regurgitation (19 horses) was the most common underlying cardiac disease. Tricuspid regurgitation (15 horses), aortic regurgitation (3 horses), myocardial dysfunction (3 horses), and atrial septal defect (1 horse) also were diagnosed. Congestive heart failure was common in this group of horses with underlying cardiac disease.  相似文献   

13.
REASONS FOR PERFORMING STUDY: Horses housed in conventional stable environments are exposed to high dust loads. Long-term exposure to inhaled dust may lead to subclinical airway disease. HYPOTHESES: Airway inflammation and mucus accumulation are 1) common in asymptomatic well-performing sport horses, 2) increased in older compared to younger individuals and 3) correlated. METHODS: Mucus quantity and quality (endoscopic scoring) and BALF differential cytology were assessed in 13 younger horses (mean age 5 years) and 13 older horses (mean age 15 years), which had no historical or clinical evidence of lower airway disease, were performing well and were housed permanently in a conventional stable environment. RESULTS: 1) Airway inflammation and/or mucus accumulation were very common. All sport horses showed evidence of subclinical inflammatory airway disease (IAD). 2) Older horses, having been exposed for 10 more years to a conventional stable environment, did not show increased subclinical airway inflammation or mucus accumulation. The only differences between the age groups were increased BALF total and lymphocyte cell counts in the younger horses. 3) Mucus quantity and quality scores were not significantly correlated with each other or with BALF neutrophil percentages and absolute numbers. CONCLUSIONS: Although clinically healthy and performing well, all of the examined horses housed in a conventional stable environment showed evidence of IAD. The degree of IAD was not increased in older horses that had not developed clinical signs. POTENTIAL RELEVANCE: The effect of subclinical degrees of IAD on performance in dressage and show jumping should be investigated further to better understand the clinical significance of IAD in sport horses.  相似文献   

14.
OBJECTIVE: To detect subclinical disseminated intravascular coagulation (DIC) in horses with colitis and to determine any association between the diagnosis of subclinical DIC and outcome or occurrence of complications in horses with colitis. DESIGN: Prospective study. ANIMALS: 37 horses admitted to a veterinary teaching hospital for treatment of acute colitis. PROCEDURE: Coagulation profiles were obtained on each horse 0, 24, and 48 hours after admission. Six tests were performed: platelet count, plasma fibrinogen concentration, prothrombin time, activated partial thromboplastin time, antithrombin activity, and serum fibrin degradation products concentration. RESULTS: A clinicopathologic diagnosis of subclinical DIC was made if 3 of the 6 tests had abnormal results at any 1 sample period. No horse had clinical signs of DIC at the time of sampling. Twelve of 37 (32%) horses met the criteria for diagnosis of subclinical DIC within a 1-year period. Outcome was defined as survival or nonsurvival. Five of 12 horses with subclinical DIC and 2 of 25 horses without subclinical DIC did not survive. Crude odds ratio analysis revealed a horse with acute colitis was 8 times as likely to die or be euthanatized if a diagnosis of subclinical DIC was made. CONCLUSIONS AND CLINICAL RELEVANCE: Clinicopathologic evidence of DIC is common and is significantly associated with a poor outcome in horses with acute colitis. Treatment of subclinical DIC may influence outcome in horses with acute colitis.  相似文献   

15.
Over a 19‐year period, 51 horses showing chronic lameness or gait abnormality that was not fully responsive to veterinary treatment at other referral clinics were referred to us for further treatment. All had either failed to have a diagnosis made, or treatment for the diagnosed conditions had shown only partial response. After further examination, we concluded that they showed abnormal function of the neck or back, but there was no obvious pathological cause. A diagnosis of ‘somatic dysfunction’ was made, characterised by altered muscle tone, tenderness or subtle changes in gait, similar to the condition recognised in human medicine. These cases subsequently underwent osteopathic treatment under sedation. Forty‐six cases (90.2%) responded to treatment in the short term (6 months after treatment). Seventeen (53.1%) were working at the same level or better than previously at least a year after treatment. Ten (31.2%) worked at a reduced level for between 1.5 and 10 years. Nineteen cases were lost to long‐term follow‐up. The findings of this study suggest that neck and back problems may be overlooked when investigating chronic lameness. When no pathology can be pinpointed as a cause of lameness, a diagnosis of somatic dysfunction as a primary problem should be considered. The presence of somatic dysfunction as a secondary complicating factor should not be overlooked. Stiffness and/or low grade pain in the spine of horses can result in persistent abnormal posture, gait, or behaviour, similar to ‘somatic dysfunction’ seen in the human patient. The cause is neuromuscular in origin, rather than resulting from tissue pathology. The diagnosis made clinically can be confirmed with thermography. This study confirms that osteopathic manipulation of the spine of horses can be a valuable treatment for cases of lameness that do not respond fully to standard veterinary treatments.  相似文献   

16.
The training programme for Thoroughbred flat racehorses is intense, with pressure to limit nontraining days. Fracture of the dorsal spinous processes is a traumatic event that affects a horse's ability to train and race, with little information available regarding short‐term treatment and long‐term outcomes for elite racing horses. Using a retrospective cohort study of the Hong Kong Jockey Club's veterinary clinical records, cases of wither fracture were identified radiographically, with clinical features, treatment and subsequent return to training and racing described. The prevalence of wither fracture was 0.152% and in 6 out of 8 cases, the fracture occurred following identified trauma. Clinical signs varied from mild swelling and pain of the affected region to acute, severe forelimb lameness with spinal deformation. Prognosis for recovery was excellent, with all horses returning to a level of racing performance equal to or better than before the injury. The time from injury to return to ridden work was <2.5 months and return to racing was 9 months, with horses that returned to training sooner after injury having more favourable outcomes. The period of rest identified in this study was shorter than previously reported, with the median interval between injury and first gallop <2.5 months and most horses back racing within 6 months.  相似文献   

17.
Coagulation profiles in 27 horses with large colon volvulus   总被引：3，自引：3，他引：0  
Objective: The objective of this study was to evaluate coagulation profiles in horses with surgical treatment of large colon volvulus (LCV), and determine if an association exists between hemostatic dysfunction and outcome. Design: Prospective clinical investigation from February to December 2000. Setting: Large animal intensive care unit in a veterinary teaching hospital. Interventions: Blood was collected from horses intra‐operatively, 24, and 48 hours following surgical treatment for LCV. Measurements: Coagulation profiles, thrombin–antithrombin (TAT) levels, and D‐dimer concentrations were determined for each time point. The number of tests abnormal in the standard coagulation profile, defined as the degree of hemostatic dysfunction, was determined for each horse for the duration of the study period. The association between each test and outcome, as well as the degree of hemostatic dysfunction for each horse and outcome, was determined using univariate analysis and logistic regression. TAT levels and D‐dimer concentrations were compared to the results of the standard coagulation profile and to patient outcome using univariate analysis and logistic regression. Main results: Seventy percent of horses evaluated with surgical treatment of LCV had evidence of hemostatic dysfunction (3/6 tests abnormal). Only 18% of those patients had clinical signs recognized by the attending clinician as a coagulopathy. There was an association between the development of a coagulopathy and outcome, with horses with 4/6 tests abnormal being more likely to be euthanized, and those with 3/6 tests abnormal having a prolonged hospital stay. Platelet count, prothrombin time, and TAT levels may be helpful in predicting outcome in horses with LCV. Conclusions: Hemostatic function should be evaluated in horses with surgical treatment of LCV to detect subclinical coagulopathies and direct subsequent intervention.  相似文献   

18.
Given that aerobic metabolism is the predominant energy pathway for most sports, the respiratory system can be a rate‐limiting factor in the exercise capacity of fit and healthy horses. Consequently, respiratory diseases, even in mild forms, are potentially deleterious to any athletic performance. The functional impairment associated with a respiratory condition depends on the degree of severity of the disease and the equestrian discipline involved. Respiratory abnormalities generally result in an increase in respiratory impedance and work of breathing and a reduced level of ventilation that can be detected objectively by deterioration in breathing mechanics and arterial blood gas tensions and/or lactataemia. The overall prevalence of airway diseases is comparatively high in equine athletes and may affect the upper airways, lower airways or both. Diseases of the airways have been associated with a wide variety of anatomical and/or inflammatory conditions. In some instances, the diagnosis is challenging because conditions can be subclinical in horses at rest and become clinically relevant only during exercise. In such cases, an exercise test may be warranted in the evaluation of the patient. The design of the exercise test is critical to inducing the clinical signs of the problem and establishing an accurate diagnosis. Additional diagnostic techniques, such as airway sampling, can be valuable in the diagnosis of subclinical lower airway problems that have the capacity to impair performance. As all these techniques become more widely used in practice, they should inevitably enhance veterinarians' diagnostic capabilities and improve their assessment of treatment effectiveness and the long‐term management of equine athletes.  相似文献   

19.
REASONS FOR PERFORMING STUDY: Nasopharyngeal collapse has been observed in horses as a potential cause of exercise intolerance and upper respiratory noise. No treatment is currently available and affected horses are often retired from performance. OBJECTIVE: To determine the effect of bilateral glossopharyngeal nerve block and stylopharyngeus muscle dysfunction on nasopharyngeal function and airway pressures in exercising horses. METHODS: Endoscopic examinations were performed on horses at rest and while running on a treadmill at speeds corresponding to HRmax50, HRmax75 and HRmax, with upper airway pressures measured with and without bilateral glossopharyngeal nerve block. RESULTS: Bilateral glossopharyngeal nerve block caused stylopharyngeus muscle dysfunction and dorsal nasopharyngeal collapse in all horses. Peak inspiratory upper airway pressure was significantly (P = 0.0069) more negative at all speeds and respiratory frequency was lower (P = 0.017) in horses with bilateral glossopharyngeal nerve block and stylopharyngeus muscle dysfunction compared to control values. CONCLUSIONS: Bilateral glossopharyngeal nerve anaesthesia produced stylopharyngeus muscle dysfunction, dorsal pharyngeal collapse and airway obstruction in all horses. POTENTIAL RELEVANCE: The stylopharyngeus muscle is probably an important nasopharyngeal dilating muscle in horses and dysfunction of this muscle may be implicated in clinical cases of dorsal nasopharyngeal collapse. Before this information can be clinically useful, further research on the possible aetiology of stylopharyngeus dysfunction and dysfunction of other muscles that dilate the dorsal and lateral walls of the nasopharynx in horses is needed.  相似文献   

20.
Reasons for performing study: Long‐term efficacy of arthroscopic cartilage reattachment for the treatment of osteochondritis dissecans (OCD) lesions in the equine femoropatellar joint is unknown. Objective: To evaluate radiographic outcome and long‐term performance of horses undergoing OCD reattachment. Hypothesis: Separated OCD cartilage flaps may be reincorporated into the joint surface by reattachment rather than flap removal. Methods: Polydioxanone pins were utilised arthroscopically to reattach OCD lesions in 40 of 44 joints from 27 horses. Cartilage was reattached when it had persisting perimeter continuity, the surface was not deeply fissured or irregular, and the cartilage was not protuberant or extensively mineralised. Bone marrow aspirate concentrate was grafted to additional areas denuded of cartilage or alongside reattached cartilage. Results: Breeds included Thoroughbred (n = 18), Quarter Horse (n = 4), Warmblood (n = 3), Standardbred (n = 1) and Arabian (n = 1). Mean age was 9.7 months. Radiographic lesion length was 1.5–6.3 cm. Reattachment alone was used in 32 of 44 affected joints, a combination of debridement and reattachment in 8 joints and debridement alone in 4 joints. One horse was destroyed due to tendon laceration. Of the remaining 26 horses, mean duration of follow‐up was 15.6 months (range 2 months–12 years). Radiographic resolution of OCD lesions treated with reattachment was significantly improved at 6 months. Twenty horses had long‐term performance data, of which 19 were sound and had reached intended athletic potential. One horse remained lame, and an additional 6 were sound but remained unbroken or were convalescing. Thus, an overall success rate based upon continued soundness in performing horses was 95% (19/20). Conclusion: Cartilage flap reattachment can salvage OCD cartilage by integration with the underlying bone. Potential relevance: Extensive OCD cartilage flaps may be salvaged by reattachment which can result in normal radiographic subchondral bone contour and long‐term athletic performance.  相似文献   

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