Risk factors for cross-country horse falls at one-day events and at two-/three-day events

The cross-country phase of eventing competitions has been associated with injuries and fatalities to horses and riders. A case-control study was carried out to identify variables that were associated with increased or decreased risk of a horse fall on the cross-country phase at event competitions. After initial analysis, the dataset was split according to the categories of one-day events as compared to two- or three-day events to establish whether significant risk factors varied between the different types of eventing competitions. Data were collected for 121 cases (horse falls) at one-day events, 59 cases at two- or three-day events and for their 540 matched controls. The data were analysed using conditional logistic regression. The variables of no previous refusals on the course, fences with a landing in water and the combined variable of the angle and the spread of the fence were significantly associated with the risk of a horse fall in both datasets. Additional risk factors for one-day event falls were: fences requiring a take-off from water, a drop landing, the rider's knowledge of their position before the cross-country phase and if the rider received cross-country tuition. Three-day event risk factors in the multivariable model included: the camber of the fence and participation in non-equestrian sports by the rider. This study identified variables that were significantly associated with an increase or a decrease in the risk of a horse fall during the cross-country phase of different types of eventing competitions. Some of these variables are modifiable and the results of this study have been reported to the governing body of the sport of eventing in the UK so that possible interventions might be considered.     

A retrospective case-control study of horse falls in the sport of horse trials and three-day eventing

REASONS FOR PERFORMING STUDY: Serious injuries to horses and riders in horse trials (HT) and three-day events (3DE) are usually associated with falls of horses, which invariably involve falls of the riders. Many potential causes for these falls have been discussed. OBJECTIVES: The aim of this case-control study was to investigate the risk factors for horse falls on the cross-country phase of horse trials and three-day events. METHODS: Using retrospective data, significant risk factors identified with unvariable analysis (P value <0.2) were entered into a multivariable logistic regression model. Significant risk factors (P value <0.05) were included in the final model. RESULTS: It was revealed that a number of course, obstacle and rider variables were significantly and independently associated with the risk of falling. Falling was associated with obstacles sited downhill (Odds ratio [OR] 8.41) and with obstacles with ditches in front (OR = 5.77). CONCLUSIONS: The relationship between course variables and the risk of falling was characterised and showed a significantly increased risk with increasing numbers of jumps on the course and for jumping efforts later in the course. In contrast, after allowing for the total number of obstacles on the course, an increase in the total number of jumping efforts appeared to have a protective effect. A later cross-country start time was associated with a decreased risk of a horse fall. Amateur event riders were approximately 20 times more likely to fall than professional riders. POTENTIAL CLINICAL RELEVANCE: This study has identified a number of risk factors associated with horse falls and highlights areas that can be altered to improve safety in cross-country competitions.     

Case-control investigation of the factors affecting the risk of horses falling during steeplechase racing in the UK

A concurrent case-control study of 12 UK racecourses was made between March 1, 2000, and August 31, 2001, to identify and quantify the factors associated with the risk of horses falling in steeplechase races. Cases were defined as a jumping effort at a steeplechase fence that resulted in a fall and controls were defined as a successful jumping effort over any steeplechase fence at any of the 12 racecourses within 14 days before or after the case fall. Information on the horse, the jockey and the race were collected and all the fences on all the courses were surveyed. Conditional logistic regression was used to examine the relationships between the predictor variables and the risk of falling. There was one fall per 254 jumping efforts. The risk of a horse falling decreased the more times it had raced on a particular racecourse. The number of fences, the distance from the previous fence and the nature of the previous fence also affected the risk of falling. If the previous fence was a water jump the risk of falling increased; fences that were sited on flat or slight uphill gradients (up to approximately 1 in 25) were associated with a lower risk of horses falling than downhill fences, and higher takeoff boards were associated with a higher risk of falling.     

Memory decay and performance-related information bias in the reporting of scores by event riders

We used data from a case–control study investigating risk factors for horse falls in the cross-country phase of eventing in Great Britain (GB) to examine evidence for memory decay and information bias. Responses to two questions obtained by telephone for 173 cases and 521 controls were examined for evidence of differential reporting according to the respondent’s case–control status and performance in the dressage and cross-country phases of competitions. Information bias was found in the accuracy of reporting dressage penalty scores when analysed as a function of performance level (good/poor). Poor dressage performers were less likely to report accurate dressage scores than good performers. The accuracy of reporting dressage scores decreased as the time between the event and questionnaire completion increased, with no case–control interaction. Competitors who incurred cross-country jumping penalties at the event preceding the selected event reported their cross-country scores with less accuracy when compared with competitors who incurred no penalties. No information bias was found when the reporting of dressage and cross-country scores were analysed as a function of respondent category (case/control).     

Circulating β-Endorphin,Adrenocorticotropin, and Cortisol Concentrations of Horses Before and After Competitive Show Jumping with Different Fence Heights

Circulating β-endorphin, adrenocorticotropin, and cortisol concentrations were studied before and after competitive show jumping in 18 trained jumper horses aged between 11 and 13 years and having the same level of show experience. Horses were subjected to the same type of management and daily training exercise. Each horse had been ridden by the same rider during both the daily training exercise and show jumping event. All horses, randomly divided into three groups paired by gender, performed in three competition levels with the same circuit design over 10 fences, with 5 upright and 5 cross-pole fences, differing for the fence height: group I (n = 6), 1.10 m; group II (n = 6), 1.20 m; and group III (n = 6), 1.30 m. Repeated measures analysis of variance showed a statistically significant effect of competitive exercise on β-endorphin and cortisol changes in all groups, whereas the effect of exercise on adrenocorticotropin changes was exclusively seen in groups II and III. Two-way repeated measures analysis of variance showed that the effect of fence height was significant (P = .03), and time (P = .0001) also affected cortisol changes. These results suggest that the hypothalamic-pituitary-adrenal axis response is different with respect to the different fence heights of jumping course and the different time points of the recovery period.     

Scoring analysis of three world championship three-day events

The objective of this study was to analyze scoring factors in world championship three-day events relative to athletic performance and international event rules. Performance records were collected on-site for all 216 competitors at the 1988, 1990, and 1992 world championship three-day events. Scoring variables including finishing status, finishing quartile, rider gender, rider age, horse age, horse gender, nationality, order within nation, falls, rider weight, scores for each phase of competition, timing variables, and dressage judges' scores for specific movements were tabulated, and subjected to statistical analyses. The order in which a rider competed for a team was not significantly related to the finishing score quartile. The proportion of riders that finished the event was 72.7% across the 3 events and did not differ between events. There were 20% to 23% female riders, and the proportion of females differed between regional groupings of nations. Female riders were, on the average, 8.7 cm shorter than their male competitors, weighed an average of 9.3 kg less, and had a higher incidence of falls in cross-country jumping. Horse age and gender did not differ significantly according to finishing status. Day 2 Phase D Cross-country partial scores had the highest association with overall performance (correlation coefficients +0.67 to +0.97), while Day 1 Dressage scores (+0.38 to +0.43), Day 2 Phase B Steeplechase timing variables (+0.31 to +0.49) and Day 3 Stadium Jumping Total Penalties (+0.25 to +0.37) were moderately related to overall performance. There was no significant correlation between order of competitor and placing of finishers. Dressage judges' partial scores were only significantly related to scores in which they comprised a portion of the total. The relative percentages of Total Penalty Points were in a ratio of 5.9:8.3:1, which contrasts sharply with the relative emphases of 3:12:1 specified by the current rules.     

A prospective cohort study to investigate risk factors for horse falls in UK hurdle and steeplechase racing

REASONS FOR PERFORMING STUDY: Equine fatalities during racing continue to be a major welfare concern and falls at fences are responsible for a proportion of all equine fatalities recorded on racecourses. OBJECTIVES: To identify and quantify risk factors for horse falls in National Hunt (NH) racing and to report the frequency of falling and falling-associated fatalities. METHODS: A prospective cohort study was conducted on 2879 horse starts in hurdle and steeplechase races on 6 UK racecourses. Any horse that suffered a fall at a steeplechase or hurdle fence during the race was defined as a case. Data were obtained by interview and observations in the parade ring and from commercial databases. Multivariable logistic regression models, allowing for clustering at the level of the track, were used to identify the relationship between variables and the risk of falling. RESULTS: There were 124 falling cases (32 in hurdling and 92 in steeplechasing) identified. The injury risk of fallers was 8.9% and fatality risk 6.5%. Duration of journey to the racecourse, behaviour in the parade ring and weather at the time of the race were associated with falling in both hurdle and steeplechase racing. Age, amount of rainfall and going were also associated with falling in steeplechase racing. CONCLUSIONS: Falls at fences are significant contributors to equine fatalities during NH racing. Potentially modifiable risk factors identified were the condition of track surfaces and journey time to the racecourse. POTENTIAL RELEVANCE: It is hoped that information from this study may be used in future interventions to improve horse and jockey safety in racing. The study has also identified areas requiring further research, such as equine behaviour and its effect on racing performance, and the effect of light conditions on jumping ability.     

Whip use and race progress are associated with horse falls in hurdle and steeplechase racing in the UK

REASONS FOR PERFORMING STUDY: Falls during racing present a risk of injury to both horse and jockey and a risk of fatality to horses. OBJECTIVES: To use video recordings of races to describe the circumstances surrounding horse falls at hurdle and steeplechase fences and to identify and quantify within-race risk factors for horse falls in National Hunt racing in the UK. METHODS: A retrospective, matched, nested case-control study using video recordings of races was conducted on 6 UK racecourses. Cases and controls were matched on both race type and jump number at which the fall occurred. Conditional logistic regression analysis was used to examine the univariable and multivariable relationship between predictor variables and the risk of falling. RESULTS: The risk of falling was significantly associated with whip use and race progress. Horses which were being whipped and progressing through the race were at greater than 7 times the risk of falling compared to horses which were not being whipped and which had no change in position or lost position through the field. CONCLUSIONS: This study has identified whip use and the position of the horse with respect to others in the field as potential risk factors for horse falls. POTENTIAL RELEVANCE: If these findings are confirmed by the use of intervention trials (e.g. with whip-free or restricted whip use races), modifications could be introduced which would reduce the frequency of horse falls, leading to improved equine welfare.     

Kinematics of saddle and rider in high‐level dressage horses performing collected walk on a treadmill

Reasons for performing the study: The kinematics of the saddle and rider have not been thoroughly described at the walk. Objective: To describe saddle and rider movements during collected walk in a group of high‐level dressage horses and riders. Methods: Seven high‐level dressage horses and riders were subjected to kinematic measurements while performing collected walk on a treadmill. Movements of the saddle and rider's pelvis, upper body and head were analysed in a rigid body model. Projection angles were determined for the rider's arms and legs, and the neck and trunk of the horse. Distances between selected markers were used to describe rider position in relation to the horse and saddle. Results: During the first half of each hindlimb stance the saddle rotated cranially around the transverse axis, i.e. the front part was lowered in relation to the hind part and the rider's pelvis rotated caudally, i.e. in the opposite direction. The rider's seat moved forwards while the rider's neck and feet moved backwards. During the second half of hindlimb stance these movements were reversed. Conclusion: The saddles and riders of high‐level dressage horses follow a common movement pattern at collected walk. The movements of the saddle and rider are clearly related to the movements of the horse, both within and outside the sagittal plane. Potential relevance: The literature suggests that the rider's influence on the movement pattern of the horse is the strongest at walk. For assessment of the horse‐rider interaction in dressage horses presented for unsatisfactory performance, evaluations at walk may therefore be the most rewarding. Basic knowledge about rider and saddle movements in well‐performing horses is likely to be supportive to this task.     

Can jumping capacity of adult show jumping horses be predicted on the basis of submaximal free jumps at foal age? A longitudinal study

The purpose of this study was to quantify performance characteristics of good jumping horses, and to determine whether these were already detectable at foal age. Kinematic data were collected of horses performing free jumps over a 0.60 m high fence at six months of age and of these same horses jumping with a rider over a 1.15 m high fence at five years of age. At five years of age the horses were divided into three groups on the basis of a puissance competition: a group of seven best jumpers that made no errors and in the end cleared a 1.50 m high fence, a group of nine worst jumpers that were unable to clear a 1.40 m high fence, and an intermediate group of 13 horses. Longitudinal kinematic data was available for all seven best jumpers and for six of the nine worst jumpers. Average values of variables for the best jumpers were compared with those of the worst jumpers for the jumps over 1.15 m. In the group of best jumpers, the forelimbs were shorter at forelimb clearance due to increased elbow flexion, and the hind limbs were further retroflexed at hind limb clearance. The same superior technique in clearing fences with the limbs was also found in this group at six months of age. Nevertheless, for individual horses it turned out to be too far-fetched to predict adult jumping capacity on the basis of kinematic variables collected during submaximal jumps at foal age.     

Stride characteristics of horses competing in Grand Prix jumping

An investigation was made of the stride characteristics of horses jumping 2 obstacles during a Grand Prix competition. One obstacle was a picket fence and rail 1.3 m high (fence 2), and the other was a coop and rail 1.52 m high (fence 11). Thirteen distance and 22 timing measurements of 17 horses were extracted from high-speed films, using computer-aided analysis. These data were used to compare takeoff and landing of the lead and nonlead legs, the thoracic limbs and pelvic limbs, and fence 2 and fence 11. Paired t-tests were used to compare means and a stepwise regression analysis was done for each fence, using the total horizontal distance jumped as the dependent variable. Stride timing and distance measurements did not differ (P less than 0.05) between the 2 fences . Each horse approached the fences in a moderately fast canter and, at takeoff , placed the nonlead thoracic limb earlier and farther from the fence than the lead thoracic limb (P less than 0.05). The nonlead leg stance phase lasted longer than the lead leg stance phase (P less than 0.05). The lead and nonlead pelvic limbs acted more in unison than the thoracic limbs and did not differ in their time of placement, stance phase duration, or position from the fence (P less than 0.05). The overlap of the stance phases of the pelvic limbs was greater than that of the thoracic limbs (P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)     

The Feeding Practices and Estimated Workload in a Cohort of New Zealand Competition Horses

Data on the feeding, management, and training schedules during the week before the competition were collected via a face-to-face survey of riders competing in dressage, show jumping, or eventing at 1* and 3* level competitions. Data were collected using a pro forma recording sheet, and measurements of horse height, weight, and body condition score (BCS) were also obtained. A total of 158 of 582 riders (and horses) were surveyed, providing a response rate of 27%. The mean height, weight, and median BCS of the horses were 162 ± 1 cm, 533 ± 5 kg, and 6 (interquartile range [IQR], 5–7), respectively. The majority of horses were at pasture, most (68%, 107 of 158) 24 hr/d and fed supplementary feed either once (42%, 67 of 158) or twice daily (54%, 86 of 158). The supplementary feed was predominately a commercial premix feed (90%, 142 of 157) with additional alfalfa chaff or ensiled chopped alfalfa. The horses were offered approximately 60 MJ digestible energy (DE)/d (33–86 MJ DE/d) from supplementary feed. The horses worked for a median of 6 d/wk (IQR, 5–6 d/wk) with one rest day. The median total time trained during the week was 200 minutes (135–265 minutes), which consisted of eight separate training activities. There was no difference in time spent on different activities between the disciplines. Individual training activities were 30–40 minutes, and the median number of competitions per month was 2 (IQR, 2–3). Training workload and pattern of work were similar to reports from other countries, with the exception that many riders regularly added a “hack out” after training.     

Evaluation of poor performance in competition horses: A musculoskeletal perspective. Part 1: Clinical assessment

Lack of willingness to go forward freely, lack of power, shortened steps, stiffness of the cervical or thoracolumbosacral regions are common nonspecific signs of musculoskeletal causes of poor performance in sports horses. Understanding musculoskeletal causes of poor performance requires knowledge of how normal horses move, the requirements of specific work disciplines, the nomenclature used by riders to describe how a horse is performing and the interactions between horses and riders. Determining the underlying causes needs an in‐depth history and clinical assessment, including in hand, on the lunge and ridden. Ridden exercise should include all aspects with which the rider is experiencing problems. Change of the rider can sometimes help to differentiate between horse and rider problems, but most normal horses are compliant and just because a horse goes better for a more skilled rider does not preclude an underlying pain‐related condition. Lungeing and ridden exercise should include not only trot but also transitions and canter which may highlight gait abnormalities not seen at trot. An accurate history combined with thorough clinical examination of the whole horse should permit the establishment of a list of problems requiring further investigation.     

The effect of different head and neck positions on the caudal back and hindlimb kinematics in the elite dressage horse at trot

Reasons for performing study: Dressage involves training of the horse with the head and neck placed in a position defined by the rider. The best position for dressage training is currently under debate among riders and trainers, but there are few scientific data available to confirm or disprove the different views. Objective: To evaluate the kinematic effects of different head and neck positions (HNPs) in elite dressage horses ridden at trot. Methods: Seven high‐level dressage horses were subjected to kinetic and kinematic measurements when ridden on a treadmill with the head and neck in 5 different positions. Results: Compared to free trot on loose reins the HNP desired for collected trot at dressage competitions increased T6 vertical excursion, increased sacral flexion and decreased limb retraction after lift‐off. Further increasing head or head and neck flexion caused few additional changes while an extremely elevated neck position increased hindlimb flexion and lumbar back extension during stance, increased hindlimb flexion during swing and further increased trunk vertical excursion. Conclusions: The movements of the horse are significantly different when ridden on loose reins compared to the position used in collected trot. The exact degree of neck flexion is, however, not consistently correlated to the movements of the horse's limbs and trunk at collected trot. An extremely elevated neck position can produce some effects commonly associated with increased degree of collection, but the increased back extension observed with this position may place the horse at risk of injury if ridden in this position for a prolonged period. Potential relevance: Head and neck positions influence significantly the kinematics of the ridden horse. It is important for riders and trainers to be aware of these effects in dressage training.     

Training horses: Positive reinforcement,positive punishment,and ridden behavior problems

An Internet survey was used to investigate the relationship between riders’ responses to their horse’s behavior in 8 commonly encountered riding scenarios and the frequency of generic behavior problems displayed by their horse during ridden work. There was a significant negative correlation between the percentage of rewarding rider responses to appropriate behavior scenarios from their horse and ridden behavior problem score (P = 0.007), but there was no association between punishing rider responses toward inappropriate behavior scenarios and their horses’ generic ridden behavior problem score. Consistency of reward for appropriate behavior scenarios and punishment of inappropriate behavior scenarios had no correlation with the horses’ generic ridden behavior problem score. However, riders who used a higher proportion of rewarding responses overall, even toward inappropriate behavior scenarios, had horses with fewer generic ridden behavioral problems (P = 0.011). These respondents reported using reassuring responses to calm their horse and may have had greater success by responding to their horses’ emotional state than by responding to their behavior per se.     

The influence of rider:horse bodyweight ratio and rider-horse-saddle fit on equine gait and behaviour: A pilot study

The effect of rider weight on equine welfare and performance requires further investigation. The objective of this prospective, cross-over, randomised trial was to assess gait and behavioural responses of horses to riders of similar ability, but different bodyweights. Six nonlame horses in regular work were ridden by each of four riders: Light (L), Moderate (M), Heavy (H) and Very Heavy (VH). Saddle fit was assessed subjectively throughout the study. Each horse was ridden twice by riders L and M, and once by rider H. Rider VH rode five horses once and one twice. Each horse-rider combination undertook a standardised, 30-min ‘dressage-test' which was abandoned if we observed lameness grade ≥ 3/8 in one limb, grade ≥ 2/8 in ≥ 2 limbs, or ≥ 10/24 behavioural markers of pain. Horses were reassessed in hand 45–60 min after any abandonment. Mean rider bodyweights, body mass index (BMI) values and rider:horse bodyweight percentages for the L, M, H and VH riders were respectively: 60.8, 77.8, 91.0, 142.1 kg; 23.2, 28.0, 26.3, 46.9 kg/m²; 10.0–11.7%, 12.8–15.0%, 15.3–17.9%, 23.6–27.5%. All 13 H and VH rider tests (lameness, n = 12; behaviour, n = 1) and one of 12 M rider tests (lameness) were abandoned. Lameness was confirmed using inertial measurement unit data. All horses trotted sound after test abandonment and completed the study moving well when ridden. Limitations of the study were saddle fit was not ideal in all horse-rider combinations and abandonment criteria were subjective. The conclusions and clinical relevance of the study were that large riders can induce temporary lameness and behaviours consistent with musculoskeletal pain. This may relate to rider bodyweight and/or weight distribution. Riders M and H had similar BMI but markedly different test abandonment rates, therefore bodyweight is likely to be more relevant than BMI. Further work is required to determine if horse fitness, adaptation to heavier weights and better saddle fit for heavier/taller riders will increase horses' weight-carrying capacity.     

Effect of early training on the jumping technique of horses

OBJECTIVE: To investigate the effects of early training for jumping by comparing the jumping technique of horses that had received early training with that of horses raised conventionally. ANIMALS: 40 Dutch Warmblood horses. PROCEDURE: The horses were analyzed kinematically during free jumping at 6 months of age. Subsequently, they were allocated into a control group that was raised conventionally and an experimental group that received 30 months of early training starting at 6 months of age. At 4 years of age, after a period of rest in pasture and a short period of training with a rider, both groups were analyzed kinematically during free jumping. Subsequently, both groups started a 1-year intensive training for jumping, and at 5 years of age, they were again analyzed kinematically during free jumping. In addition, the horses competed in a puissance competition to test maximal performance. RESULTS: Whereas there were no differences in jumping technique between experimental and control horses at 6 months of age, at 4 years, the experimental horses jumped in a more effective manner than the control horses; they raised their center of gravity less yet cleared more fences successfully than the control horses. However, at 5 years of age, these differences were not detected. Furthermore, the experimental horses did not perform better than the control horses in the puissance competition. CONCLUSIONS AND CLINICAL RELEVANCE: Specific training for jumping of horses at an early age is unnecessary because the effects on jumping technique and jumping capacity are not permanent.     

Influence of rider on lameness in trotting horses

REASONS FOR PERFORMING STUDY: Equine lameness is commonly evaluated when the horse is being ridden, but the influence of the rider on the lameness has not been documented. OBJECTIVE: To document the effect of 2 riders of different training levels on the vertical movement of the head and croup. METHODS: Twenty mature horses were ridden at trot by an experienced dressage rider and a novice rider, as well as trotted in hand. Kinematic measurements of markers placed on the horse's head and sacral bone were carried out. The asymmetries of the vertical head and sacral bone motion were calculated as lameness parameters and compared with paired t tests. RESULTS: Trotting in hand, 17 horses showed forelimb lameness (1-4/10) and 13 hindlimb lameness (1-2/10). Intra-individually, 11 horses showed significant differences in forelimb lameness and 4 horses showed significant differences in hindlimb lameness when ridden. Over all horses, hindlimb lameness increased significantly under the dressage rider compared to unridden horses. CONCLUSIONS: The presence of a rider can alter the degree of lameness; however, its influence cannot be predicted for an individual horse. POTENTIAL RELEVANCE: In order to evaluate mild lameness, horses should be evaluated at trot both under saddle and in hand. If lameness is exacerbated, a second rider may be helpful; the level of training of the rider should be taken into consideration.     

Effect of rider experience and evaluator expertise on subjective grading of lameness in sound and unsound sports horses under saddle

The primary objective of this study was to investigate whether rider experience influences the assessment and grading of lameness in horses based on under-saddle gait analysis. Thirteen adult sports horses in active training were included in the study. After a baseline lameness and neurologic examination by the principal investigators, horses were videotaped while being ridden by an experienced and a less experienced rider. A 3-minute video was made for each horse and rider and 26 videos were randomly ordered and compiled on a DVD. Veterinarians with different levels of experience in evaluating lameness and veterinary students viewed the DVD and assigned a lameness score to each horse/rider combination. In a model accounting for the expertise of the evaluator, there was no difference in overall lameness scores between experienced and less experienced riders. This result was consistent for both sound and unsound horses. The overall lameness scores reported by specialists and students, however, differed significantly. The lameness score reported by the study participants while the horse was ridden was significantly associated with the subjective baseline lameness assessment reported by the principal investigators for the same limb when the horse was not under saddle. Additional work is necessary to determine whether riders with even lower skill levels would further alter the balance and motion pattern of the horse and have more influence on subjective grading of lameness.