Computerized detection of supporting forelimb lameness in the horse using an artificial neural network.

The purpose of this study was to investigate whether artificial neural networks could be used to determine equine lameness by computational means only. The integral parts of our approach were the combination of automated signal tracking of horses on a treadmill and the computational power of artificial neural networks (ANN). The motion of 175 horses trotting on a treadmill was recorded using the SELSPOT II system for motion analysis. Two cameras traced infrared (IR) markers on the head and on the left forehoof. The motion of the head was Fourier-transformed and further processed by a multilayer feedforward ANN, which was trained to distinguish healthy from pathological gaits and to quantify the lameness. The classification was correct in 78.6% of cases. In 12% of cases the network gave contradictory results, in 5.9% the network found no answers, and in 3.5% the answers were wrong. However after proper training, it is proposed that neural networks are potentially capable of making a non-human diagnosis of equine lameness.     

Effects of balancing and shoeing of the forelimb feet on kinematic gait analysis in five horses with navicular disease

The effects of balancing the foot and shoeing (B&S) on the kinematics of five Quarter Horses with navicular disease were evaluated using computerized gait analysis. Kinematic measurements of the right forelimb and head were made before and after palmar digital nerve block (PDNB) and before and after B&S of the forelimb feet. Carpal and fetlock joint angle, foot displacement, and temporal gait measurements were made for at least five strides in each horse trotting on a treadmill. Kinematic measurements were compared before and after PDNB and before and after B&S by analysis of variance with an α=0.05. The most significant kinematic changes seen after PDNB were in the vertical head movement parameters studied. Total vertical head excursion and measures of head height asymmetry between right and left forelimb stance phases decreased after PDNB. After B&S mean carpal flexion and maximum hoof height during the swing phase of the stride increased, but none of the head movement parameters significantly changed. Results of this study indicate that the ability of treadmill kinematic gait analysis to evaluate for improvement in lameness by monitoring vertical head movement parameters is not significantly affected in horses with navicular disease three weeks after balancing and shoeing the forelimb feet.     

Evaluation of a sensor-based system of motion analysis for detection and quantification of forelimb and hind limb lameness in horses

OBJECTIVE: To compare a sensor-based accelerometer-gyroscopic (A-G) system with a video-based motion analysis system (VMAS) technique for detection and quantification of lameness in horses. ANIMALS: 8 adult horses. PROCEDURE: 2 horses were evaluated once, 2 had navicular disease and were evaluated before and after nerve blocks, and 4 had 2 levels of shoe-induced lameness, alternatively, in each of 4 limbs. Horses were instrumented with an accelerometer transducer on the head and pelvis, a gyroscopic transducer on the right forelimb and hind feet, and a receiver-transmitter. Signals from the A-G system were collected simultaneously with those from the VMAS for collection of head, pelvis, and right feet positions with horses trotting on a treadmill. Lameness was detected with an algorithm that quantified lameness as asymmetry of head and pelvic movements. Comparisons between the A-G and VMAS systems were made by use of correlation and agreement (kappa value) analyses. RESULTS: Correlation between the A-G and VMAS systems for quantification of lameness was linear and high (r2 = 0.9544 and 0.8235 for forelimb and hind limb, respectively). Quantification of hind limb lameness with the A-G system was higher than measured via VMAS. Agreement between the 2 methods for detection of lameness was excellent (kappa = 0.76) for the forelimb and good (kappa = 0.56) for the hind limb. CONCLUSIONS AND CLINICAL RELEVANCE: The A-G system detected and quantified forelimb and hind limb lameness in horses trotting on the treadmill. Because the data are collected wirelessly, this system might be used to objectively evaluate lameness in the field.     

Skeletal forelimb measurements and hoof spread in relation to asymmetry in the bilateral forelimb of horses

Reasons for performing study: Research has highlighted a high frequency of skeletal asymmetries in horses. In addition, research into hoof asymmetries has shown that within a bilateral pair, the hoof with the smaller angle is often subjected to greater loading. There has been limited attention paid to understanding compensatory mechanisms for skeletal asymmetries in the horse; the dynamic structure of the hoof could potentially be acting in a compensatory capacity. Objectives: To investigate the relationship between morphometry of forelimb segments and hoof spread and their incidence of asymmetry. Methods: Ten bilateral measurements of the hoof and forelimb were taken from 34 leisure horses. The relationship between hoof spread and forelimb segment measurements were analysed using a generalised linear model (GLM). Results: In relation to left hoof spread, the GLM identified significant negative relationships with left side measurements (third metacarpal length, elbow height), and significant positive relationships with right side measurements (fetlock height, third metacarpal length, elbow height). In relation to right hoof spread, the GLM identified significant negative relationship with left elbow height, and significant positive relationships with right side measurements (fetlock height, point of shoulder). The difference between the number of horses larger to the left or to the right was found to be significant for point of shoulder height (X²= 4.8, P<0.05), and highly significant for heel height (X²= 9.53, P<0.01) and the third metacarpal length (X²= 7.26, P<0.01). Conclusions and clinical relevance: The study demonstrated considerable asymmetry in left‐right morphometry of the equine limb. The fact that measurements of hoof spread were significantly associated with limb segment measurements could possibly indicate that an interaction exists. Any asymmetry in hoof spread measurements may suggest unequal loading of the limbs, which in turn may contribute to injuries and reduced performance.     

Cardiac output determination by use of lithium dilution during exercise in horses

OBJECTIVE: To compare cardiac output (CO) obtained by the lithium dilution method (LiDCO) with CO calculated from the Fick principle (FickCO), in horses maximally exercising on a high-speed treadmill. ANIMALS: 13 Thoroughbreds. PROCEDURES: In part 1 of the study, 5 horses performed a warm-up (walk, trot, and canter) and exercise test (walk, trot, canter, and gallop [90% to 100% maximum oxygen consumption [{[Formula: see text]O(2)max}]) with measurements of LiDCO and FickCO obtained simultaneously after 60 seconds at each exercise level, for a total of 7 measurements. In part 2 of the study, 8 horses performed a warm-up (walk, trot, and canter) followed by an exercise test (walk and gallop [90% to 100% [Formula: see text]O(2)max], repeated twice). Measurements of LiDCO and FickCO were obtained 60 seconds into the first walk and each gallop of the exercise tests, for a total of 3 measurements. RESULTS: Cardiac output increased significantly with increasing speeds by use of both methods. In part 1, lithium dilution significantly overestimated CO, compared with the Fick principle, during the exercise test (as both injection number and exercise intensity increased). Mean +/- SD bias was 246 +/- 264 mL of blood/min/kg in part 1 and 67 +/- 100mL of blood/kg/min in part 2. Three injections of lithium (part 2) did not result in the same degree of overestimation of LiDCO that was observed with 7 injections (part 1). CONCLUSIONS AND CLINICAL RELEVANCE: Lithium dilution may be an acceptable substitute for the Fick principle as a means to measure CO in maximally exercising client-owned horses.     

Immunohistochemical determination of the expression of endothelin receptors in bronchial smooth muscle and epithelium of healthy horses and horses affected by summer pasture-associated obstructive pulmonary disease

OBJECTIVE: To immunohistochemically determine the expression of endothelin (ET) receptors in bronchial smooth muscle and epithelium of healthy horses and horses affected by summer pasture-associated obstructive pulmonary disease (SPAOPD). SAMPLE POPULATION: Tissue specimens obtained from 8 healthy and 8 SPAOPD-affected horses. PROCEDURE: Horses were examined and assigned to healthy and SPAOPD groups. Horses were then euthanatized, and tissue specimens containing bronchi of approximately 4 to 8 mm in diameter were immediately collected from all lung lobes, fixed in zinc-formalin solution for 12 hours, and embedded in paraffin. Polyclonal primary antibodies against ET-A or ET-B receptors at a dilution of 1:200 and biotinylated IgG secondary antibodies were applied to tissue sections, followed by the addition of an avidin-biotin immunoperoxidase complex. Photographs of the stained slides were digitally recorded and analyzed by use of image analysis software to determine the intensity of staining. Two-way ANOVA was used for statistical analysis. RESULTS: The left diaphragmatic lung lobe of SPAOPD-affected horses had a significantly greater area of bronchial smooth muscle that immunostained for ET-A, compared with that for healthy horses. All lung lobes of SPAOPD-affected horses, except for the right diaphragmatic lobe, had significantly greater staining for ET-B receptors in bronchial smooth muscle, compared with results for healthy horses. CONCLUSIONS AND CLINICAL RELEVANCE: This study revealed overexpression of ET-A and, in particular, ETB receptors in the bronchial smooth muscle of SPAOPD-affected horses, which suggested upregulation of these receptors. These findings improve our understanding of the role of ET-1 in the pathogenesis of SPAOPD.     

The intra- and inter-assessor reliability of measurement of functional outcome by lameness scoring in horses

The objective of this study was to assess the reliability of lameness scoring in horses. One veterinary surgeon examined nineteen lame horses on four occasions. Gait was recorded by camcorder, and scored from 0 to 10 ranging from sound to non-weight bearing lameness. A global score of overall change in lameness during the study was also determined for each horse. To measure intra-assessor reliability of the scoring systems, one veterinary surgeon scored videotapes of the horses' gaits on two occasions. To measure inter-assessor reliability, three veterinary surgeons viewed the videotapes, assigning individual lameness scores plus global scores to each horse. Reliability of individual lameness scoring was good intra-assessor, but only just within our acceptable limit inter-assessor. However, global scoring of change in lameness throughout the study was found to be reliable overall. Since clinician scoring is commonly used to assess lameness in horses, this is an important finding, fundamental to future clinical studies.     

Evaluation of shock attenuation in the forelimb of horses wearing boots and wraps

High frequency, high amplitude shock waves, believed to contribute to detrimental joint and bone changes, are generated each time the hoof strikes the ground. The purpose of the present study was to compare the shock attenuating capability of athletic support boots and traditional cotton wraps (polo wraps). Accelerometers were attached to the hoof and third metacarpus of five horses. Peak deceleration and asymptotic frequencies were measured at two speeds (3.5 mls, trot, and 6. 0 mls, gallop) under the following conditions: control (no boots or wraps), cotton wraps, and two athletic support boots. Leg supports did not reduce shock in the third metacarpus. In fact, support boots increased the asymptotic frequency measured in the third metacarpus. This result could be explained if the leg supports were acting to stiffen the limb, thereby increasing the spring constant of the leg support-limb system.     

A systematic compilation and classification of the literature on lameness in cattle

This paper presents the first systematic review of the literature on lameness in cattle. It identifies, tabulates and classifies relevant published work and was conducted using electronic reference databases (BIDS ISI, BIOSIS, MEDLINE and the CAB Abstracts CD-ROM). A total of 1373 unique references were obtained from 1981 to 2000, of which 914 were written in the English language. A written search protocol was designed to ensure transparency and repeatability. Pilot studies were undertaken to create search terms that minimised bias and ensured relevance. Electronic files of the search terms allow the database to be updated in future. A further 93 references were included from the most recent international conference on lameness giving a total of 1007 English language references. The systematic review process is described, including a method of classifying papers according to their study design and statistical analysis, and it is hoped that other veterinary researchers will conduct similar reviews in their fields. The compiled and classified references are available as a searchable database through the web-sitehttp://cattle-lameness.dhs.org/. The review may be used in several ways; to identify practical interventions to reduce lameness in dairy cows and to use the resultant web-site as the basis of a decision support system for farmers, veterinarians and advisors.     

Distal border fragments and shape of the navicular bone: radiological evaluation in lame horses and horses free from lameness

Reasons for performing study: The significance of distal border fragments of the navicular bone is not well understood. There are also no objective data about changes in thickness and proximal/distal extension of the palmar cortex of the navicular bone. Objectives: To describe the distribution of distal border fragments and their association with other radiological abnormalities of the navicular bone and describe the shape of the navicular bone in sound horses and horses with foot‐related lameness, including navicular pathology. Methods: Sound horses had radiographs acquired as part of a prepurchase examination. Lame horses had forelimb lameness abolished by palmar nerve blocks performed at the base of the proximal sesamoid bones. Diagnosis was assigned prospectively based on results of local analgesia and all imaging findings. The thickness of the palmar cortex of the navicular bone and size of proximal/distal extensions were measured objectively. Other radiological abnormalities were evaluated subjectively and each navicular bone graded. Results: Fifty‐five sound and 377 lame horses were included. All measurements were larger in lame compared with sound horses except the size of the distal extension of the palmar cortex. Fragments were observed in 3.6 and 8.7% of sound and lame horses respectively and in 24.1% of horses with a diagnosis of primary navicular pathology. There was an association between fragments and overall navicular bone grade, radiolucent areas at the angles of the distal border of the navicular bone and number and size of the synovial invaginations. Conclusions and potential relevance: The palmar cortex of the navicular bone was thicker in lame compared with sound horses. Distal border fragments were most frequent in horses with navicular pathology. Evaluation of changes in shape of the navicular bone may also be important for recognition of pathological abnormalities of the bone.     

Objective determination of pelvic movement during hind limb lameness by use of a signal decomposition method and pelvic height differences

OBJECTIVE: To evaluate pelvic movement over a large number of strides in sound horses and in horses with induced hind limb lameness by applying methods to the pelvis that have been described for evaluating vertical head movement in horses with induced forelimb lameness. ANIMALS: 17 adult horses. PROCEDURE: Horses were filmed while trotting on a treadmill before and after induction of transient mild and moderate hind limb lamenesses. Vertical pelvic movement was measured by a signal decomposition method. The vertical pelvic signal was decomposed into a periodic component (A1) that occurred at half the stride frequency (representing vertical pelvic movement caused by lameness) and another periodic component (A2) that occurred at stride frequency (representing normal vertical pelvic movement of a trotting horse). Vertical pelvic and foot positions were correlated for each stride to compare the difference between the minimum and maximum heights of the pelvis during and after stance of the right hind limb to the minimum and maximum heights of the pelvis during and after stance of the left hind limb. RESULTS: Maximum pelvic height difference and lameness amplitude (A1) differed significantly between sound and mild or moderate hind limb lameness conditions. Mean A1 value for vertical pelvic movement in sound horses was less than that previously reported for vertical head movement. CONCLUSION AND CLINICAL RELEVANCE: Pelvic height differences and signal decomposition of pelvic movement can be used to objectively evaluate hind limb lameness in horses over a large number of strides in clinical and research settings.     

Effects of analgesia of the distal interphalangeal joint and navicular bursa on experimental lameness caused by solar pain in horses

It has been hypothesized that pain originating from the dorsal margin of the sole of the hoof in horses can be attenuated by analgesia of either the distal interphalangeal (DIP) joint, or of the navicular bursa (NB). To test this hypothesis, an experimental lameness was induced in the toe region of the left forelimb in six adult horses. After this, both synovial structures were blocked and the effects on the lameness were semi-quantitatively scored. Lameness was induced by creating pressure on the dorsal margin of the sole with the help of set-screws that were screwed into a nut, welded to the inside of each branch of the shoe. Gaits were recorded on a videotape before and after application of the screws, and after application of either a local anaesthetic or saline into the DIP joint or NB. The gaits were independently evaluated by two blinded clinicians and scored. Lameness scores were high after application of the screws and remained high after the administration of saline, but decreased significantly (P < 0.05) after administration of the local anaesthetic. Analgesia of the DIP joint as well as the NB appeared to be able to desensitize a portion of the sole. It was concluded that pain arising from the toe region of the sole should not be excluded as a cause of lameness when lameness is attenuated by analgesia of the DIP joint, or of the NB.     

Comparison of the bacterial and fungal flora in the pharynx of normal horses and horses affected with pharyngitis

A total of 43 horses were used for the study of the pharyngeal bacterial flora. The median value of the number of bacteria in the group of 19 normal horses was 3.8 × 10⁴ cfu/g of secretions. This value was 6.4 × 10⁴cfu/g in horses with grade I pharyngitis, 1.3 × 10⁵ cfu/g in horses with grade II pharyngitis and 3.5 × 10⁶ cfu/g in horses affected with grades III and IV pharyngitis. Corynebacterium spp, coagulase-negative staphylococci, Nocardia spp, Moraxella spp and Enterobacter spp were the most frequently encountered bacteria in the normal animals as well as in horses affected with pharyngitis of grades I or II. Moraxella spp were isolated in 87.5% of the horses with pharyngitis of grades III and IV, followed by Streptococcus zooepidemicus, Pseudomonas aeruginosa, coagulase-negative staphylococci and Enterobacter spp. No fastidious bacteria, nor strict anaerobes were isolated from any of the 43 horses. None of the microorganisms were found in 100% of the animals and the majority of the isolates were opportunistic bacteria. These results demonstrate that the isolation of Moraxella spp and S. zooepidemicus in large numbers is frequent in horses with lymphoid follicular hyperplasia grades III and IV. Fungi were isolated in small numbers from two or three horses in each group.     

Detection of reaginic antibodies against Faenia rectivirgula from the serum of horses affected with Recurrent Airway Obstruction by an in vitro bioassay

Reaginic antibodies, mainly of the IgE and some IgG subclasses, play an important role in the induction of type I immediate hypersensitivity reactions. These antibodies bind through their Fc fragment to high affinity receptors (FcεRI) present in the membrane of mast cells and basophils. Previously, several studies have investigated the role of reaginic antibodies in the pathogenesis of RAO. However, whereas immunological aspects of RAO have been extensively studied, the precise sequence of events is still not well understood and role of IgE in this disease still remains controversial. Therefore, in this study a bioassay was developed for reaginic antibody determination in serum from RAO-affected horses in order to determine the etiology of disease. The technique involves measuring in vitro calcium mobilization in RBL-2H3 cells following incubation with horse serum from RAO-affected or unaffected horses and one of the RAO antigens (Faenia rectivirgula). Results demonstrated that 15% of samples from the RAO-affected horses reacted positively in this in vitro bioassay, whereas the samples from unaffected horses did not. This bioassay indicates that reaginic antibodies could be involved in the immunological mechanism leading to RAO; and this technique may facilitate future research in other allergic diseases in horses.     

Evaluation of a continuous glucose monitoring system for use in dogs, cats, and horses

OBJECTIVE: To evaluate a continuous glucose monitoring system (CGMS) for use in dogs, cats, and horses. DESIGN: Prospective clinical study. Animals-7 horses, 3 cats, and 4 dogs that were clinically normal and 1 horse, 2 cats, and 3 dogs with diabetes mellitus. PROCEDURE: Interstitial glucose concentrations were monitored and recorded every 5 minutes by use of a CGMS. Interstitial glucose concentrations were compared with whole blood glucose concentrations as determined by a point-of-care glucose meter. Interstitial glucose concentrations were also monitored in 2 clinically normal horses after oral and i.v. administration of glucose. RESULTS: There was a positive correlation between interstitial and whole blood glucose concentrations for clinically normal dogs, cats, and horses and those with diabetes mellitus. Events such as feeding, glucose or insulin administration, restraint, and transport to the clinic were recorded by the owner or clinician and could be identified on the graph and associated with time of occurrence. CONCLUSIONS AND CLINICAL RELEVANCE: Our data indicate that use of CGMS is valid for dogs, cats, and horses. This system alleviated the need for multiple blood samples and the stress associated with obtaining those samples. Because hospitalization was not required, information obtained from the CGMS provided a more accurate assessment of the animal's glucose concentrations for an extended period, compared with measurement of blood glucose concentrations. Use of the CGMS will promote the diagnostic and research potential of serial glucose monitoring.     

Electroacupuncture in the treatment of chronic lameness in horses and ponies: a controlled clinical trial.

Electroacupuncture was used to treat lameness in horses and ponies with chronic laminitis (n = 10) or navicular disease (n = 10). A clinical trial was conducted with random allocation of equal numbers of animals to control and treatment groups. Acupuncture was performed three times per week for four consecutive weeks. The degree of lameness was assessed by 1) a grading scheme, 2) measurement of stride lengths and 3) analysis of weight distribution using a force plate. Although seven out of ten animals with chronic laminitis improved clinically during the trial, there were no statistically significant differences between treatment and control groups. Six out of ten horses with navicular disease improved, but there were no significant differences between treatment and control groups.     

Surgical treatment of 45 horses affected by squamous cell carcinoma of the penis and prepuce

The medical records of 45 horses treated for suspected squamous cell carcinoma of the penis and/or prepuce were reviewed. The age of 40 horses was known, and these had a mean age of 17.4 years. The duration of neoplasia was known for only 3 of the 45 horses. The results of histological evaluation of lesions, available for 35 horses, confirmed that the diseased tissue was squamous cell carcinoma. The location of gross neoplastic lesions was recorded for 43 horses; the glans penis was involved in 24 horses, the body of the penis or the inner lamina of the preputial fold in 27 horses, and the external fold of the prepuce in 10 horses. Surgical treatments of these horses included phallectomy (penile amputation) in 35 horses, segmental posthectomy in 4 horses, phallectomy plus segmental posthectomy in 2 horses, and en bloc resection of the penis, prepuce and superficial inguinal lymph nodes with penile retroversion in 4 cases. Short-term complications in the immediate postoperative period included preputial oedema and haemorrhage at the end of urination. One horse developed acute urinary retention because of severe urethral oedema. Long-term (>1 year) follow-up information was obtained for 31 horses. Neoplasia of the penis and/or prepuce recurred in 6 of these 31 horses (19%), and in 5 of these the recurrence necessitated euthanasia of the horse.