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1.
REASON FOR PERFORMING STUDY: Although there is anecdotal evidence of clinical effectiveness of chiropractic in treatment of equine back pain, little scientific work has been reported on the subject. OBJECTIVES: To quantify the effect of chiropractic manipulations on back and limb kinematics in horse locomotion. METHODS: Kinematics of 10 Warmblood horses were measured over ground at walk and trot at their own, preferred speed before, and one hour and 3 weeks after chiropractic treatment that consisted of manipulations of the back, neck and pelvic area. Speed was the same during all measurements for each horse. RESULTS: Chiropractic manipulations resulted in increased flexion-extension range of motion (ROM) (P<0.05) at trot in the vertebral angular segments: T10-T13-T17 (0.3 degrees ) and T13-T17-L1 (0.8 degrees ) one hour after treatment, but decreased ROM after 3 weeks. The angular motion patterns (AMPs) of the same segments showed increased flexion at both gaits one hour after treatment (both angles 0.2 degrees at walk and 0.3 degrees at trot, P<0.05) and 3 weeks after treatment (1.0 degrees and 2.4 degrees at walk and 1.9 degrees and 2.9 degrees at trot, P<0.05). The lumbar (L3 and L5) area showed increased flexion after one hour (both angles 0.3 degrees at walk and 0.4 degrees at trot P<0.05), but increased extension after 3 weeks (1.4 degrees and 1.2 degrees , at trot only, P<0.05). There were no detectable changes in lateral bending AMPs. The inclination of the pelvis was reduced at trot one hour (1.6 degrees ) and 3 weeks (3 degrees ) after treatment (P<0.05). The mean axial rotation of the pelvis was more symmetrical 3 weeks after the treatment at both gaits (P<0.05). There were no changes in limb angles at walk and almost no changes at trot. CONCLUSIONS: The main overall effect of the chiropractic manipulations was a less extended thoracic back, a reduced inclination of the pelvis and improvement of the symmetry of the pelvic motion pattern. POTENTIAL RELEVANCE: Chiropractic manipulations elicit slight but significant changes in thoracolumbar and pelvic kinematics. Some of the changes are likely to be beneficial, but clinical trials with increased numbers of horses and longer follow-up are needed.  相似文献   

2.
Saddle–horse interaction is increasingly linked with back pain, performance, and welfare issues. Saddle fit and work quality influence alterations in back shape with exercise at thoracic vertebra 13 level (T13) with exercise. The objectives of experiments were to: determine a repeatable zone and stride point of peak pressure under saddles fitted to industry guidelines; compare peak pressure in this zone and limb kinematics in collected trot between horses own saddles (S) and a saddle designed to reduce pressure at T10–T13 (F); compare thoracolumbar width change after exercise between S and F and with F after 3 months use. Elite dressage (n = 13) horses/riders with no lameness/performance problem had pressure mat data acquired under S, fitted by four qualified saddle fitters, to determine zones of peak pressure. Pressure mat data at T10–T13, forelimb/hindlimb protraction, and carpal/tarsal flexion acquired using simultaneous high-speed motion capture, and difference in thoracolumbar dimensions (T8, T18 at 3, 15 cm) between before and after exercise was compared between S and F. Peak pressures were consistently detected axially around T10–T13 (sensors A4–A7, H4–H7). Peak pressures were significantly less with F than S for each cell and pooled (55%–68% difference. P = .01 to <.0001). Saddle F was associated with 13% greater forelimb and 22.7% hindlimb protraction, 3.5° greater carpal and 4.3° tarsal flexion (P = .02 to .0001), and greater increase in thoracolumbar dimensions after exercise (P = .01 to <.0001). Saddles fitted to published guidelines may still have a nonideal interface with horses. Reducing peak pressures around T10–T13 was associated with improved limb kinematics in trot and greater thoracolumbar expansion after exercise.  相似文献   

3.
This paper describes the surgical treatment of 14 horses exhibiting chronic back pain attributed to impaction and overriding of the dorsal spines in the thoracolumbar region. The technique involved the resection of the summits of one or more dorsal spines following midline division of the supraspinous ligament. All the horses returned to full work after a convalescent period of at least four months, and 12 of them showed considerable improvement in their form and performance. A post-surgical complication encountered in one case was the development of new bone on the edge of a resected spine. This lesion, which pressed on the dorsal spine immediately caudal to it, was removed subsequently at a second operation and no further sequelae occurred.  相似文献   

4.
Knowledge of the normal functional behavior and mechanical properties of the vertebral column is important to understand the pathogenesis of back lesions, to identify the clinical manifestations of back pain, and to ensure a rational approach to physical therapy. The purpose of this article is to present a synthesis of in vivo and in vitro data obtained from different but complementary investigations. Presently, in vivo studies are limited; few gait-specific kinematic and electromyographic investigations are in process. Higher stresses to reach the maximal range of intervertebral motion can be applied on the spine on anatomical specimens than in living horses, and anatomical functional data can be obtained at the level of intervertebral structures. For each movement of flexion, extension, lateroflexion, and rotation, regional and intervertebral mobility is presented with an emphasis on craniocaudal variations and their anatomical causes. Because of the location of their ICR, the dorsoventral movements of a thoracolumbar intervertebral joint can be defined as a rotation around the center of the more caudal vertebral body. This information supports the new concept of intervertebral mobility in the horse and provides additional elements to facilitate understanding of the pathogenesis of back problems in the horse.  相似文献   

5.
A 25-year-old gelding sport horse was referred for the treatment of recurring bilateral anal amelanotic melanoma. On physical examination, the horse presented bilateral poorly delimited perianal masses that recurred 2 months after surgical excision. The owner elected the lesions to be treated with surgery combined with electrochemotherapy using the drug cisplatin. The two masses were removed, and the surgical bed was treated with electrochemotherapy. A second session was performed 3 weeks later. The horse remained disease-free for 5 months and then experienced a marginal recurrence in one side. The nodule was re-treated, and the horse remained disease-free for 2 additional months, when it died of abdominal metastases. Electrochemotherapy can be added to the current strategies to palliate recurrent melanomas in horses.  相似文献   

6.
Whole body vibration (WBV) has been used as an adjunctive therapy to improve the strength and size of paraspinal muscles as well as postural control in people with lower back pain. It has been proposed that activation of the m. multifidus plays a key role. As the function and anatomy of the m. multifidus in the horse is comparable to that in man, the authors investigated whether WBV might also be a valuable physiotherapeutic modality in horses. The effects of WBV on the cross‐sectional area (CSA) and left to right symmetry of the m. multifidus at various locations of the thoracolumbar spine of the horse was evaluated in a single‐subject quasi‐experimental time‐series design with repeated measure. Nine horses were subject to WBV, 30 min, twice daily, 5 days a week, for 60 days in addition to their regular exercise routine. The CSA of the left and right m. multifidus was measured ultrasonographically at four levels (T15–T16, T16–T17, T18–L1 and L1–L2) along the thoracolumbar spine at Days ?30, 0, 30 and 60 of the study. Changes in the CSA and CSA symmetry (left to right) of the m. multifidus were analysed using nonparametric, repeated measures, comparison of mean ranks with post‐hoc analysis as necessary. A significant increase (P<0.05) in m. multifidus CSA was found at all spinal levels after 30 and 60 days of WBV and a statistically significant improvement in m. multifidus symmetry (becoming more symmetrical) was found after 60 days of WBV, indicating that WBV may be a valuable alternative to dynamic mobilisation exercises when an increase in size and improvement in left to right symmetry of the m. multifidus is sought.  相似文献   

7.
Asymmetry of the multifidi has been correlated with scoliosis and back pain in humans and has been investigated as a factor in equine back pain as well. The purpose of this study was to determine if FES would affect the symmetry of equine thoracolumbar multifidi when compared to controls. Twelve horses received 24 FES treatments bilaterally over the thoracolumbar region for 8 weeks. Twelve additional control horses received no FES treatments. Ultrasonographic measurements of the cross-sectional area (CSA) of the multifidi of the treatment horses at seven thoracolumbar levels were compared to determine the change in left and right asymmetry post-FES. The same measurements during the same period were also taken in the control group. All measurements were blinded for evaluation. Statistical significance was assessed utilizing two-sided, matched-pairs t-tests, and Welch’s (unequal variances) t-test (alpha = 0.05). Multiple comparisons were accounted for using the Sidak correction. A significant improvement in multifidi asymmetry was observed, post-FES, at all seven thoracolumbar levels, with no evidence of asymmetry improvement in the control group. The difference between mean improvements of the treatment and control groups was statistically significant (P < .001). FES significantly improved the symmetry of equine multifidi, and evidence was provided for the effectiveness of FES at each of seven thoracolumbar levels. The improvement in symmetry appeared to result from increases, decreases, and maintenance of the CSA of the left and right multifidi in various combinations. The FES protocol used in this study has the potential to improve spinal function and assist in reducing back pain in horses.  相似文献   

8.
REASONS FOR PERFORMING STUDY: Lameness has often been suggested to result in altered movement of the back, but there are no detailed studies describing such a relationship in quantitative terms. OBJECTIVES: To quantify the effect of induced subtle forelimb lameness on thoracolumbar kinematics in the horse. METHODS: Kinematics of 6 riding horses was measured at walk and at trot on a treadmill before and after the induction of reversible forelimb lameness grade 2 (AAEP scale 1-5). Ground reaction forces (GRF) for individual limbs were calculated from kinematics. RESULTS: The horses significantly unloaded the painful limb by 11.5% at trot, while unloading at walk was not significant. The overall flexion-extension range of back motion decreased on average by 0.2 degrees at walk and increased by 3.3 degrees at trot (P<0.05). Changes in angular motion patterns of vertebral joints were noted only at trot, with an increase in flexion of 0.9 degrees at T10 (i.e. angle between T6, T10 and T13) during the stance phase of the sound diagonal and an increase in extension of the thoracolumbar area during stance of the lame diagonal (0.7degrees at T13, 0.8 degres at T17, 0.5 degres at L1, 0.4 degrees at L3 and 0.3 degrees at L5) (P<0.05). Lameness further caused a lateral bending of the cranial thoracic vertebral column towards the lame side (1.3 degrees at T10 and 0.9 degrees at T13) (P<0.05) during stance of the lame diagonal. CONCLUSIONS: Both range of motion and vertebral angular motion patterns are affected by subtle forelimb lameness. At walk, the effect is minimal, at trot the horses increased the vertebral range of motion and changed the pattern of thoracolumbar motion in the sagittal and horizontal planes, presumably in an attempt to move the centre of gravity away from the lame side and reduce the force on the affected limb. POTENTIAL RELEVANCE: Subtle forelimb lameness affects thoracolumbar kinematics. Future studies should aim at elucidating whether the altered movement patterns lead to back and/or neck dysfunction in the case of chronic lameness.  相似文献   

9.
It is well known that a painful back can be responsible for loss of performance in horses. Veterinary examination of the sore back used to be limited to manual palpation with diagnosis confirmed empirically by response to treatment. Today, due to advances in imaging, there are multiple methods for evaluating the pathology of the horse's thoracolumbar (TL) spine. Radiography, ultrasonography, nuclear scintigraphy, thermography and algometry all play a part in developing a better understanding of equine TL problems. Despite this progress, definitive diagnosis can still be problematic. There is a lack of objectivity in understanding the implications of the pathology detected and its effect on the horse. It is difficult to determine the degree of pain experienced by individual horses and how that interferes with their performance and welfare. This paper emphasises the importance of a systematic clinical examination to identify the presence of pain that can be supported by recognition of pathology using a range of diagnostic aids. These will also be reviewed to assist the clinician in understanding the tools available to evaluate a horse with a sore back.  相似文献   

10.
REASON FOR PERFORMING STUDY: There are no detailed studies describing a relationship between hindlimb lameness and altered motion of the back. OBJECTIVES: To quantify the effect of induced subtle hindlimb lameness on thoracolumbar kinematics in the horse. METHODS: Kinematics of 6 riding horses were measured during walk and trot on a treadmill before and during application of pressure on the sole of the left hindlimb using a well-established sole pressure model. Reflective markers were located at anatomical landmarks on the limbs, back, head and neck for kinematic recordings. Ground reaction forces (GRF) in individual limbs were calculated from kinematics to detect changes in loading of the limbs. RESULTS: When pressure on the sole of the hindlimb was present, horses were judged as lame (grade 2 on the AAEP scale 1-5) by an experienced clinician. No significant unloading of this limb was found in the group of horses (unloading was observed in 4 animals, but was not detectable in the other 2), but statistically significant effects on back kinematics were detected. The overall flexion-extension (FE) range of motion (ROM) of the vertebral column was increased at walk, especially in the thoracic segments. Axial rotation (AR) ROM of the pelvis was also increased. At trot, the FE ROM was decreased only in the segment L3-L5-S3. During the stance phase of the lame limb, the segment T6-T10-T13 was more flexed and the neck was lowered at both gaits; the thoracolumbar segments were more extended at walk and trot. There were no significant changes in the stride length or protraction-retraction angles in any of the limbs. CONCLUSIONS: Subtle hindlimb lameness provoked slight but detectable changes in thoracolumbar kinematics. The subtle lameness induced in this study resulted in hyperextension and increased ROM of the thoracolumbar back, but also in decreased ROM of the lumbosacral segment and rotational motion changes of the pelvis. POTENTIAL RELEVANCE: Even subtle lameness can result in changes in back kinematics, which emphasises the intricate link between limb function and thoracolumbar motion. It may be surmised that, when chronically present, subtle lameness induces back dysfunction.  相似文献   

11.
A method is described for routine radiography of the horse's thoracolumbar (TL) spine from T2 to L3 in the standing position. Stocks were used for restraint, and the x-ray tube, which was mounted on an overhead gantry, was linked automatically to a cassette holder on the far side of the animal. A crosshatch grid with an ultra-fast system of screens and film was employed to provide adequate radiographic quality. An aluminum wedge filter (dodger) was used to help compensate for the marked variation in spine thickness. For radiography of the caudal lumbar spine and lumbosacral region, it was necessary to anesthetize the horse and make radiographs in the ventrodorsal position. Exposures of up to 150 kV and 400 mAs were required for heavy horses weighing up to 750 kg. Scatter radiation was kept to a minimum by using crossed high-ratio grids and by putting additional lead on the back of the cassette to prevent back scatter.  相似文献   

12.
Kinematics of the equine thoracolumbar spine   总被引：2，自引：0，他引：2  
At least three types of movement take place in the joint complexes of the equine thoracolumbar spine: dorsoventral flexion and extension, axial rotation and lateral bending. Using the standard right-handed Cartesian coordinate system, these movements may be defined as rotation about the x, y and z axes respectively. Except in cases of intervertebral fusion, all three types of movement occur in each joint complex of the equine back. The greatest amount of dorsoventral movement takes place at the lumbosacral and the first thoracic intervertebral joints. The greatest amount of axial rotation and lateral bending was measured in the mid-thoracolumbar spine at the level of the 11th or 12th thoracic intervertebral joints. The caudal thoracic and the lumbar spine is the least mobile region of the equine back. In the mid-thoracic spine, lateral bending was always accompanied by a "coupled" axial rotation. The presence of the rib cage stabilised the cranial thoracic vertebrae against axial rotation.  相似文献   

13.
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 horse's back.  相似文献   

14.
The 'classical' or 'Hangman' neck fracture involves the odontoid peg (process) of the second cervical vertebra (C2), and is described as an axial, dens or odontoid peg fracture in both the veterinary and human literature. Possible surgical treatment in both foals and adult horses requires a technique that allows decompression, anatomical alignment and stabilisation of the odontoid fracture. A limited number of surgical cases in foals have been reported in literature, but never in an adult horse. A mature Irish Thoroughbred racehorse was diagnosed with a type 2a odontoid peg fracture. Clinical signs included reluctance to move the head and neck, a left hind limb lameness and a neurological status of grade 2. The horse was treated conservatively and raced successfully five months after the diagnosed injury.  相似文献   

15.
A 5‐year‐old Warmblood mare was presented to the clinic 8 h after being found by the owners with luxation of the second cervical vertebra. Clinically, the horse showed an extended posture and reduced movement of the head and neck. A defined lateral swelling of the neck at the level of the first cervical vertebrae was evident. Successful reduction was achieved with the horse under general anaesthesia in lateral recumbency using an electrically powered hand pallet truck. The mare showed no neurological disorders before or after reduction. Seven months after the incident the mare could be ridden and exhibited no functional abnormalities relating to the neck.  相似文献   

16.
A non-displaced radialfracture of a horse was,diagnosed. The horse had an open fracture resulting from external trauma. A diagnosis was made on radiographs taken 48h after trauma. The horse was treated conservatively by box rest and Robert-Jones bandages. After 7 days the wound was opened to let the wound drainage necrotic material and small sequesters and was washed every other day. After 7 weeks, radiographs showed complete consolidation. Four months after the injury the horse was back to work at his former level and is still working two years after the incident.  相似文献   

17.
This study aimed to evaluate the effect of differences in trainer skills on horse training during the early stages of riding habituation by measuring the levels of stress and changes in stress levels. Among nine untrained horses employed, five in Group A were trained by two low-skilled trainers, whereas the remaining four in Group B were trained by two high-skilled trainers using the traditional Kazakh method. Salivary α-amylase concentration was measured as a biomarker of stress immediately before and after each riding session during the training period. In the duration of riding and mooring times to the total riding habituation time for each horse, no significant difference was observed between the two groups. In contrast, the mean total stress and mean final stress were significantly lower in Group B than in Group A, and the mean total change in stress before and after riding habituation was significantly higher in Group B. Differences in trainer skills were evidenced as differences in training methods to suppress the total stress levels through differences in the application of stress burden during the training of individual horses.  相似文献   

18.
Reasons for performing study: Clinical, radiographic and scintigraphic signs associated with spondylosis of the equine thoracolumbar spine have been poorly documented. Objectives: To establish an objective radiographic and scintigraphic grading system for spondylosis lesions; to estimate the prevalence of spondylosis in a population of horses with back pain; and to compare the results of radiography and scintigraphy Methods: Radiographic images of the thoracolumbar spine from 670 horses with clinical signs of back pain were graded. Scintigraphic images from horses with spondylosis lesions underwent subjective and objective analysis. Sensitivity and specificity of scintigraphy for detection of spondylosis relative to radiography for identification of spondylosis were calculated, and Chi‐squared analysis was performed to test for an association between location and severity of lesions. Results: Twenty‐three of 670 horses (3.4%) with back pain had radiographic evidence of spondylosis. Of these horses, 14 (61%) had more than one lesion and 44% (n = 22) of lesions occurred between T11‐T13 vertebral bodies. Only 33% (n = 28) of locations with radiographic changes had increased radiopharmaceutical uptake. Conclusion: Spondylosis occurs at a low prevalence in horses with back pain. It may be present alone or in association with other osseous abnormalities. The clinical significance of spondylosis needs further investigation. Potential relevance: Spondylosis is uncommon but may be a contributor to back pain in the horse.  相似文献   

19.
A nine-year-old gelding quarter horse, whose discipline is barrel racing, was experiencing difficulty performing tight turns around the barrels for 8 months prior to treatment. He demonstrated tail swishing as if aggravated when under the saddle, which would escalate to bucking for 3 weeks prior to treatment. This gelding had no previous history of bucking under the saddle. Static and motion palpation findings indicated multiple segmental joint fixations located throughout the spine and extremities. High-velocity low-amplitude adjustments were performed to address the joint fixations found during examination. A comparison of pre and post-treatment thermographic images showed a temperature change indicative of autonomic nervous system improvement caused by joint manipulation. A follow-up at two weeks revealed subjective long term improvements. Subjective, objective, and thermographic evidence indicated that segmental joint dysfunction was causing increased nociception and autonomic dysregulation, most notably over the sacroiliac joints, lateral front left cannon bone and right carpus. Previous research has indicated causative effects of joint manipulation on the autonomic nervous system and nociceptive processes. This case shows the positive thermographic effects post-adjustment on the nervous system, and a two week follow-up indicated that the gelding no longer showed signs or symptoms of pain. This case demonstrates how joint manipulation can affect the autonomic and nociceptive nervous systems in the equine patient.  相似文献   

20.
At birth, 24 Standardbred foals were assigned at random to 1 of 2 groups and were given a placebo supplement (group 1) or an iron supplement (248 mg of iron/treatment; group 2). Foals were given iron supplement or placebo 4 times during the second and third weeks after birth. Hematologic variables and general health were monitored until foals were 4 months old. Mean PCV in foals of both groups decreased during the first 2 weeks after birth, but values remained within adult horse reference ranges. During the first 6 weeks after birth, foal erythrocytes were smaller than adult horse erythrocytes, but foal erythrocyte glucose-6-phosphate dehydrogenase activity was greater than that in adult horses. At every measurement, indices of anisocytosis were lower in foals, compared with adult horse reference values, suggesting that foals have a homogeneous population of microcytic erythrocytes during early foalhood. In 2-week-old foals of both groups and in 4-week-old placebo-treated foals, mean serum iron concentration was lower than that in adult horses. In foals at birth and during the first 4 months, total iron-binding capacity values were above the adult reference range. In newborn foals, transferrin saturation percentage values decreased to below the reference range in foals from 2 weeks to 4 months after birth. When foals were born, serum ferritin concentration values were above the adult horse reference range, but decreased to within the reference range by the time foals were 1 day old. From 2 through 6 weeks after birth, foal ferritin concentration values were below the adult reference range.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

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