Effect of local analgesia on movement of the equine back

REASONS FOR PERFORMING STUDY: Diagnostic infiltration of local anaesthetic solution is commonly used in cases of equine back pain. Evaluation is subjective and it is not known how local analgesia of the back affects horses without clinical signs of back pain. OBJECTIVES: To evaluate the effect of infiltration of local anaesthetics on the movement of the back in horses without clinical signs of back pain, and to evaluate the usefulness of kinematic studies as an objective and quantitative tool in evaluating local analgesia in clinical practice. METHODS: The kinematics of the back in 10 clinically sound horses were measured on 2 occasions at walk and trot before and after injections with mepivacaine and sodium chloride around the interspinous spaces between T16 and L2. The kinematics were compared between the 2 occasions before injections and before and after each injection. RESULTS: The range of motion (ROM) for dorsoventral flexion-extension (FE) of the back was increased significantly in all measured segments other than T10 at walk, as was lateral bending (LB) at T10, L3 and L5 after injection of mepivacaine. For lateral excursion (LE), total movement increased at all measured segments. At trot the only affected segment was L3, where the injection with mepivacaine decreased the ROM for FE. After injection of sodium chloride the ROM for FE increased at T13 and T17 at walk. Lateral bending and LE were not affected at walk. At trot, LB increased at L3 and L5. CONCLUSIONS AND POTENTIAL RELEVANCE: Diagnostic infiltration of local anaesthetic solution affects the function of the back in clinically sound horses, which must be considered when interpreting the use of this clinical aid in assessing clinical cases of back dysfunction. Kinematics can qualitatively and quantitatively evaluate the effect of local analgesia of the back.     

Effect of chiropractic manipulations on the kinematics of back and limbs in horses with clinically diagnosed back problems

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.     

The effect of induced forelimb lameness on thoracolumbar kinematics during treadmill locomotion

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.     

The effect of induced hindlimb lameness on thoracolumbar kinematics during treadmill locomotion

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.     

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 horse's back.     

Repeatability of back kinematics in horses during treadmill locomotion

We tested the hypothesis that repeatability of a standardised protocol for quantifying back kinematics is sufficiently high not to prevent its use in the clinical evaluation of horses with back problems. We investigated the extent to which differences between laboratories may affect the results when a standardised protocol is used. As a clinical tool, movement analysis techniques are helpful for the objective and quantitative assessment of kinematics. Knowledge about the repeatability of the kinematic data is very important. The present study investigates the repeatability of back kinematics in 10 sound horses over 5 successive days and in 2 laboratories (5 horses at each location). Measurements were performed on the treadmill during the walk and the trot. The between-stride, between-day and between-horse repeatability were determined. A high degree of between-stride and between-day repeatability was observed in the spatiotemporal parameters and in the time-angle diagrams of thoracic and lumbar vertebrae, the sacrum and the hindlimb during both the walk and trot. Much more variability was found between horses, with the highest degree of dissimilarity in the lateral bending rotation of the L1 vertebra. For range of motion values, the between-day coefficient of variability was <14% and the between-horse coefficient of variability was up to 4 times higher. Small differences were found in range of motion values between the 2 laboratories. It is concluded that an analysis of back kinematics in the horse can provide highly repeatable data, warranting clinical use.     

The relationship between range of motion of lumbosacral flexion‐extension and canter velocity of horses on a treadmill

Reasons for performing study: Research into kinematics of the healthy equine back, has been performed in the walk and trot. This study focuses on back kinematics during canter, over a range of velocities. Flexion extension (FE) movements in canter are greatest in the lumbosacral (LS) region. Previous research has focused on canter velocity of 7 m/s; therefore quantification of LS kinematics at varying velocities is required to understand LS functions in equine locomotion. Hypothesis: Range of flexion‐extension movement through the lumbosacral joint increases with increasing velocity. Methods: Six Thoroughbred horses (mean age 9.6 years) cantered on treadmill at 4 velocities (6.0, 6.5, 7.0 and 8.0 m/s, respectively). Reflective markers were placed over the 5th lumbar vertebra (L5), the lumbosacral junction (LS) and the 3rd sacral vertebra (S3). Lumbosacral angle (LS) was defined as the angle formed between L5, LS and S3. Flexion‐extension (FE) range of motion (ROM) was analysed using a 2 camera, 3D motion capture system ProReflex¹. Linear regression was used to determine strengths of relationships between speed of canter and lumbosacral FE movements. Results: Range of FE ROM seen at the lumbosacral joint increased linearly with speed. FE ROM ranged 6.1°± 1.9 at 6 m/s, 6.3°± 1.9 at 6.5 m/s, 6.6°± 1.9 at 7 m/s and 7.2°± 1.9 at 8 m/s. Linear regression showed positive associations between speed and LS FE range of motion (r²= 0.993; P = 0.003). Conclusions and potential relevance: Results show linear relationships between LS FE movements and submaximal canter velocities. These results provide information on the LS joint at canter. Understanding the effects of velocity on the back of healthy horses may aid our understanding of the demands placed on this joint in sport horses at this gait.     

Reducing Peak Pressures Under the Saddle Panel at the Level of the 10th to 13th Thoracic Vertebrae May Be Associated With Improved Gait Features,Even When Saddles Are Fitted to Published Guidelines

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.     

Methodology and validity of assessing kinematics of the thoracolumbar vertebral column in horses on the basis of skin-fixated markers

OBJECTIVE: To determine the validity of using skin-fixated markers to assess kinematics of the thoracolumbar vertebral column in horses. ANIMALS: 5 Dutch Warmblood horses without abnormalities of the vertebral column. PROCEDURE: Kinematics of T6, T10, T13, T17, L1, L3, L5, S3, and both tuber coxae were determined by use of bone-fixated and skin-fixated markers. Three-dimensional coordinate data were collected while horses were walking and trotting on a treadmill. Angular motion patterns were calculated and compared on the basis of 2-dimensional analysis of data from skin-fixated markers and 3-dimensional analysis of data from bone-fixated markers. RESULTS: Flexion-extension of thoracolumbar vertebrae and axial rotation of the sacrum were satisfactorily determined at both the walk and trot, using skin-fixated markers. Data from skin-fixated markers were accurate for determining lateral bending at the walk in the midthoracic and lower lumbar portion of the vertebral column only. However, at the trot, data from skin-fixated markers were valid for determining lateral bending for all thoracolumbar vertebrae. CONCLUSIONS AND CLINICAL RELEVANCE: Caution should be taken when interpreting data obtained by use of skin-fixated markers on lateral bending motions during the walk in horses. For determination of other rotations at the walk and all rotations at the trot, use of skin-fixated markers allows valid calculations of kinematics of the vertebral column. Understanding to what extent movements of skin-fixated markers reflect true vertebral motion is a compulsory step in developing noninvasive methods for diagnosing abnormalities of the vertebral column and related musculature in horses.     

Gymnastic Training of Hippotherapy Horses Benefits Gait Quality When Ridden by Riders with Different Body Weights

The objective was to evaluate the effects of gymnastic training on stride characteristics of walk and trot in therapy horses carrying riders of different weights. Eighteen horses used for therapeutic riding 5 days/week were randomly divided into 2 groups. Nine horses performed gymnastic (GYM) exercises after therapeutic riding on 4 days/week for 3 months, 9 horses did no additional exercises (SED). On days 0 and 90, an inertial sensor mounted to the girth on the ventral midline was used to evaluate stride characteristics when horses were ridden at walk (1.3 m/second) and trot (3.0 m/second) by able-bodied riders representing rider: horse body weight ratios (BWRs) 15%, 20%, and 25%. On day 0, the measured variables did not differ significantly between sedentary (SED) and GYM groups, but on day 90, the following statistically significant results were found: GYM-trained horses had higher regularity for all BWRs at walk and 15% and 20% BWRs at trot. Higher stride symmetry was found in GYM-trained horses carrying 25% BWRs at walk and all rider weights at trot. Dorsoventral displacement was higher in GYM-trained horses when carrying 20% and 25% BWRs at walk and 25% BWRs at trot. Dorsoventral power was lower in SED-trained versus GYM-trained horses carrying 15% BWR at walk and 20% BWR at trot. A more regular and symmetrical stride with a larger range of dorsoventral trunk motion is likely to provide a better therapeutic riding experience.     

Effects of girth, saddle and weight on movements of the horse

REASONS FOR PERFORMING STUDY: Although the saddle is seen as one of the biggest causes of back pain, and weightbearing is seen as an important aetiological factor in 'kissing spine' syndrome (KSS), the effects of a saddle and weight on the back movements of the horse have never been studied. OBJECTIVE: To determine the effects of pressure on the back, exerted by tack and weight, on movements of the horse. HYPOTHESIS: Weight has an extending effect on the horse's back and, as a compensatory mechanism to this extension, an alteration in pro- and retraction angles was expected. A similar but smaller effect was expected from a saddle only and a lungeing girth. METHODS: Data were captured during treadmill locomotion at walk, trot and canter under 4 conditions: unloaded; with lungeing girth; saddle only; and saddle with 75 kg of weight. Data were expressed as maximal extension, maximal flexion angles, range of motion of L3 and L5 and maximal pro- and retraction angles of the limbs. RESULTS: At walk and trot, there was a significant influence on back kinematics in the 'saddle with weight' situation, but not in the other conditions. Overall extension of the back increased, but the range of movement remained the same. Limb kinematics changed in the sense that forelimb retraction increased. At canter, both the 'saddle with weight' and 'saddle only' conditions had a significant extending effect on the back, but there was no effect on limb kinematics. CONCLUSIONS AND POTENTIAL RELEVANCE: Weight and a saddle induce an overall extension of the back. This may contribute to soft tissue injuries and the KSS. The data from this study may help in understanding the reaction of the equine back to the challenges imposed by man when using the animal for riding.     

Treadmill study of the range of back movement at the walk in horses without back pain.

OBJECTIVE: To evaluate back movement during walking in horses. ANIMALS: 22 adult horses with no history or signs of back pain. PROCEDURE: 3-dimensional movements of markers on the hooves, head, and back were measured with a motion analysis system while the horses were walking on a treadmill. The positions of markers on the hooves, head, and the skin above the spinous processes of T5, T10, T16, L3, and 2 sacral vertebrae were recorded. From a minimum of 6 walking motion cycles/horse, marker movement and the time of occurrence of minimum and maximum marker positions within the motion cycle were determined. Angles were calculated between the markers on the head, T16, and S4 or S5 and between the markers on T5, T16, and S4 or S5. RESULTS: Lateral back movement was maximal at L3, where it reached (mean +/- SD) 3.5 +/- 0.8% of the horses' height at the withers. Maximum dorsoventral back movement was found at the sacrum, where it reached 4.7 +/- 1.3% of the height at the withers. In the horizontal plane, the angle between T5, T16, and S4 or S5 was altered by 11 +/- 2.5 degrees during the motion cycle. In the sagittal plane, the angle between the head, T16, and S4 or S5 was altered by 7 +/- 3 degrees. CONCLUSIONS AND CLINICAL RELEVANCE: Results of this study may be used as basic kinematic reference data for evaluation of back movement in horses.     

A Randomized Blinded Crossover Clinical Trial to Determine the Effect of an Oral Joint Supplement on Equine Limb Kinematics,Orthopedic, Physiotherapy,and Handler Evaluation Scores

Despite the range of oral joint supplements available, there has been very limited research into their efficacy. The study aimed to determine the effect of an oral joint supplement on limb kinematics, orthopedic, physiotherapy, and handler evaluation in horses. Supplement S or placebo P was fed to 24 horses for 21 days each in a random order. Horses were evaluated at days 0 (baseline), 21 (after first treatment), and 42 (after second treatment). Assessments included the following: clinical orthopedic evaluation for straight line/lunging circle in walk and trot; high-speed motion capture determined hindlimb kinematics for straight-line trotting; grading of limb range of motion (ROM) and muscle tone based on standardized physiotherapy criteria; handler grading of specific criteria during pasture, groundwork, and ridden exercise. Effect of treatment, sequence, limb, and interactions were investigated using linear-mixed models. S was associated with significantly lower lameness grade in a straight line (P = .001) and circle (P = .010), with individual horses improving up to 2/10 grades over P/baseline. S was associated with significantly improved ROM and muscle tone. Ridden/groundwork scores were significantly higher with S compared to P/baseline. With S, horses were graded significantly higher for “ease of movement” at pasture compared with P/baseline. For horses with hindlimb lameness, S was associated with significantly greater tarsal flexion than baseline (4.2% greater, P < .020) or P (2.7% greater, P < .037). S was associated with less lameness and improved physiotherapy scores, ridden/groundwork scores, and pasture “ease of movement.” Increased midstance tarsal flexion of lame limbs may indicate improved mobility/comfort during peak loading, supporting a positive effect of S.     

Evaluation of pressure distribution under an English saddle at walk, trot and canter

REASONS FOR PERFORMING STUDY: Basic information about the influence of a rider on the equine back is currently lacking. HYPOTHESIS: That pressure distribution under a saddle is different between the walk, trot and canter. METHODS: Twelve horses without clinical signs of back pain were ridden. At least 6 motion cycles at walk, trot and canter were measured kinematically. Using a saddle pad, the pressure distribution was recorded. The maximum overall force (MOF) and centre of pressure (COP) were calculated. The range of back movement was determined from a marker placed on the withers. RESULTS: MOF and COP showed a consistent time pattern in each gait. MOF was 12.1 +/- 1.2 and 243 +/- 4.6 N/kg at walk and trot, respectively, in the ridden horse. In the unridden horse MOF was 172.7 +/- 11.8 N (walk) and 302.4 +/- 33.9 N (trot). At ridden canter, MOF was 27.2 +/- 4.4 N/kg. The range of motion of the back of the ridden horse was significantly lower compared to the unridden, saddled horse. CONCLUSIONS AND POTENTIAL RELEVANCE: Analyses may help quantitative and objective evaluation of the interaction between rider and horse as mediated through the saddle. The information presented is therefore of importance to riders, saddlers and equine clinicians. With the technique used in this study, style, skill and training level of different riders can be quantified, which would give the opportunity to detect potentially harmful influences and create opportunities for improvement.     

Kinetics and kinematics of the horse comparing left and right rising trot

Reasons for performing study: At rising trot the rider sits alternately down on one diagonal pair of limbs and rises up on the other. The possible effects on asymmetry of locomotion induced by rising trot have rarely been studied. Objectives: To demonstrate whether, and if so to what extent, rising trot causes asymmetrical loading in the vertical ground reaction force (VGRF) and/or asymmetrical effects on the locomotion pattern, comparing left and right side. Methods: Seven elite horses were ridden in left and right rising trot on a treadmill, while VGRF and kinematics were measured, with the horses' neck raised, the poll high and the bridge of the nose slightly in front of the vertical. Results: Force loading was generally increased in the limbs of the sitting diagonal. The lumbar back was lower between mid‐stances of the sitting and nonsitting stance, pelvic roll was limited and the tuber coxae heights were lower on the sitting side. Maximal hindlimb protraction was decreased. Forelimb retraction was increased and the T6 height decreased. Conclusion: The rider movement induces an uneven biphasic load that affects the back, pelvis and limb kinematics and VGRF. Potential relevance: The generally advocated technique of alternating limbs when riding in rising trot is supported. The VGRF changes between rising on the left or right diagonal were distinct, but minor in absolute terms and therefore unlikely to have direct impact on the occurrence of locomotor injuries. Knowledge of an increase of asymmetry in rising trot is potentially useful for riders/trainers.     

Influence of the load of a rider or of a region with increased stiffness on the equine back: a modelling study

REASONS FOR PERFORMING STUDY: Knowledge of load effects is crucial for the understanding of the aetiology and pathogenesis of equine back problems. OBJECTIVE: To investigate different load scenarios of the equine back, such as being ridden or increased muscle tone, using biomechanical simulations. METHODS: Kinetic and kinematic data of 15 sound horses and the electromyelograph of their long back muscles were recorded. A biomechanical simulation model was used for simulations under different biomechanical scenarios (ridden/unridden, localised increased stiffness) using ADAMS. RESULTS: The vertical forces acting through a rider were: walk 3.83 N/kg, trot 5.18 N/kg and gallop 5.60 N/kg. No significant changes in transversal forces were found between ridden and unridden horses. Profound changes were seen in the torques at the segment following a region of increased stiffness: in walk, lateral peak torques increased from 342 to 1723 Nm, and in trot from 393 to 1004 Nm, and dorsoventral from 386 to 3705 Nm (walk) and 458 to 4340 Nm (trot). CONCLUSIONS AND POTENTIAL RELEVANCE: The simulation shows that the stress of a rider is lower than that of pathological processes such as partial increased stiffness of the back. Study of revised models with improved anatomical realism might help to raise the plausibility of model results.     

Back kinematics of healthy trotting horses during treadmill versus over ground locomotion

Reasons for performing study: Treadmill locomotion is frequently used for training of sport horses, for diagnostic purposes and for research. Identification of the possible biomechanical differences and similarities between the back movement during treadmill (T) and over ground (O) locomotion is essential for the correct interpretation of research results. Objectives: To compare the kinematics of the thoracolumbar vertebral column in treadmill and over ground locomotion in healthy horses. Methods: Six sound Dutch Warmblood horses trotted on a T and O during 10 s at their own preferred velocity (mean ± s.d. 3.6 ± 0.3 m/s T and 3.6 ± 0.1 m/s O), which was the same in both conditions. Kinematics of the vertebral column was captured by infrared cameras using reflective skin markers attached over the spinous processes of selected vertebrae and other locations. Flexion‐extension and lateral bending range of motion (ROM), angular motion pattern (AMP) and intravertebral pattern symmetry (IVPS) of 5 vertebral angles (T6‐T10‐T13, T10‐T13‐T17, T13‐T17‐L1, T17‐L1‐L3 and L1‐L3‐l5) were calculated. Neck angle, linear and temporal stride parameters and protraction‐retraction angles of the limbs were also calculated. Results: The vertical ROM (flexion‐extension) was similar in both conditions, but the horizontal ROM (lateral bending) of the lumbar angles T17‐L1‐L3 and L1‐L3‐L5 was less during T locomotion (mean ± s.d. difference of 1.8 ± 0.6 and 1.7 ± 0.9°, respectively, P>0.05). During O locomotion, the symmetry pattern of the lumbar vertebral angles was diminished from 0.9 to 0.7 (1 = 100% symmetry) indicating increased irregularity of the movement (P>0.05). No differences were found in the basic linear and temporal stride parameters and neck angle. Potential relevance: Vertebral kinematics during treadmill locomotion is not identical to over ground locomotion, but the differences are minor. During treadmill locomotion lumbar motion is less, and caution should be therefore taken when interpreting lumbar kinematics.     

Relationship between scintigraphic and radiographic evaluations of spinous processes in the thoracolumbar spine in riding horses without clinical signs of back problems

REASONS FOR PERFORMING STUDY: Radiography and scintigraphy are used to aid diagnosis of the cause of back pain, but a large variation in appearance and radiopharmaceutical uptake in fully functioning horses make diagnosis difficult. OBJECTIVES: To describe the range of and compare scintigraphic and radiographic findings in the spinous processes of horses without clinical signs of back problems. METHODS: Thirty-three apparently normal riding horses underwent scintigraphic and radiographic examinations of the spinous processes in the thoracolumbar spine. Scintigraphic images were evaluated in a continuous blue, green and red colour scale, and the level of radiopharmaceutical uptake in the spinous processes from T10-L2 was graded into none, mild, moderate or severe increased radiopharmaceutical uptake. Structural changes along the borders of the spinous processes and the width of the interspinous spaces from T10-L2 were recorded. RESULTS: Only 7 horses had no scintigraphic or radiographic findings. Nine horses had no increased radiopharmaceutical uptake, 17 had no sclerosis, 21 had no radiolucencies and 11 had normal spacing of the spinous processes (>4 mm wide). The majority of findings in 26 horses were located from T13-18 and were mild. CONCLUSIONS: The findings of a wide spectrum of scintigraphic and radiographic changes leads to the conclusion that changes within this range found in affected horses cannot be interpreted as clinically significant. POTENTIAL RELEVANCE: To determine whether scintigraphy and/or radiography can be used to separate horses with back pain from horses without clinical signs, the results from this study should be compared to the scintigraphic and radiographic findings in horses with clinical signs.     

Influence of Equine Conformation on Rider Oscillation and Evaluation of Horses for Therapeutic Riding

To obtain basic knowledge about selecting horses for therapeutic riding, the influence of equine conformation on rider oscillation and relationships between these factors and the evaluation on horses as the therapeutic riding were studied. Thirty-five riding horses were used. Equine conformation was estimated by 24 indices. Rider oscillation was measured by an accelerometer fixed at the rider’s waist. The spatial position of the oscillation was estimated by a double integration of the acceleration. Horses were evaluated for therapeutic riding by a Riding for the Disabled Association instructor as a rider. Evaluations were on a scale of 1 to 5, with 5 being the highest score for 27 items. Horses were classified into 4 groups: the short and narrow (SN), short and wide (SW), tall and narrow (TN), and tall and wide (TW). The frequencies of rider oscillation both at walk and trot were higher (P<0.01), and the vertical (P<0.01) and longitudinal (P<0.05) amplitudes at trot were smaller, on short horses than on tall horses. The vertical amplitude at walk was smaller (P<0.05) and the lateral amplitude at trot was larger (P<0.01) on wide horses than on narrow horses. Short horses could be used for the rider who requires side walkers. Wide horses could be used for relieving muscular tension and for the rider who could not maintain good balance on the horse. Short and wide horses should be suitable for therapeutic riding.     

The effect of rising and sitting trot on back movements and head‐neck position of the horse

Reason for performing study: During trot, the rider can either rise from the saddle during every stride or remain seated. Rising trot is used frequently because it is widely assumed that it decreases the loading of the equine back. This has, however, not been demonstrated in an objective study. Objective: To determine the effects of rising and sitting trot on the movements of the horse. Hypothesis: Sitting trot has more extending effect on the horse's back than rising trot and also results in a higher head and neck position. Methods: Twelve horses and one rider were used. Kinematic data were captured at trot during over ground locomotion under 3 conditions: unloaded, rising trot and sitting trot. Back movements were calculated using a previously described method with a correction for trunk position. Head‐neck position was expressed as extension and flexion of C1, C3 and C6, and vertical displacement of C1 and the bit. Results: Sitting trot had an overall extending effect on the back of horses when compared to the unloaded situation. In rising trot: the maximal flexion of the back was similar to the unloaded situation, while the maximal extension was similar to sitting trot; lateral bending of the back was larger than during the unloaded situation and sitting trot; and the horses held their heads lower than in the other conditions. The angle of C6 was more flexed in rising than in sitting trot. Conclusions and clinical relevance: The back movement during rising trot showed characteristics of both sitting trot and the unloaded condition. As the same maximal extension of the back is reached during rising and sitting trot, there is no reason to believe that rising trot was less challenging for the back.