Spatial and temporal distribution of incidence of acquired equine polyneuropathy in Norway and Sweden, 1995-2012.

BACKGROUND: Acquired equine polyneuropathy (AEP) is an emerging disease in horses in Sweden, Norway and Finland since 1995. Affected horses show bilateral pelvic limb knuckling and weakness, sometimes progressing to recumbency and euthanasia. The aetiology is unknown but is thought to be non-infectious and non-genetic, though possibly toxic or toxico-infectious. The objectives of this study were to describe the spatial, temporal and spatio-temporal features of AEP in Norway and Sweden for the period of 1995 to 2012. Data from all documented case farms (n = 136) were used. Space-time interaction clustering of case farms was investigated with a retrospective space-time scan statistic with a space-time permutation model, the space-time K-function and the Jacquez k nearest neighbour (kNN) test. RESULTS: There was a clear seasonality in disease occurrence, as 123 case farms presented their first case from January to May. However, there was large variation in the number of case farms between years. Case farms were more numerous in certain regions. Despite the larger horse population in Sweden, 120 of the case farms were in Norway. Space-time clustering was supported by the K-function and partly by the space-time scan, but not by the Jacquez k nearest neighbour (kNN) test. CONCLUSIONS: The results suggest an aetiology for AEP where the exposure is not consistent in time, but varies during and between years, assuming that the incubation period does not vary greatly. The results further suggest that the exposure varies between regions as well. Two out of three different analytical methods supported spatio-temporal clustering of case farms, which rendered inconclusive results. The negative result in the kNN test might be explained by lack of power, which is due to the small number of outbreaks in relation to the size of the study area and length of the study period, and further by the low to moderate power of methods to detect space-time clustering when the background population is unknown. Further research is needed to study how management, meteorological variables and other factors with local or regional differences may explain outbreaks of AEP.

Back motion in unridden horses in walk, trot and canter on a circle.

Equine back function is of concern to riders, as well as to veterinarians and physiotherapists; these groups may benefit from knowledge about spinal motion on the circle. This descriptive and comparative study aimed to quantify equine neck, back and pelvic motion in walk, trot and canter on a 9 m circle. Sixteen healthy horses in training, of varying breed and conformation, were measured using optical motion capture (150 Hz), with optical markers on the poll, withers, T15, tubera coxae and lumbosacral joint. Cervicothoracic and thoracolumbar flexion-extension and lateral bending, and pelvic roll, pitch and yaw, were statistically evaluated using mixed models. Motion patterns showed distinct differences between gaits, but were generally similar between horses. The thoracolumbar back was bent towards the inside of the circle (stride mean 5-6º for all gaits). The cervicothoracic spine was more flexed in walk (18°), and more extended in canter (-4--8°), compared to trot (6-7°), whereas the thoracolumbar spine was slightly less extended in canter than in walk. Thoracolumbar flexion-extension range of motion (ROM) increased from walk (4°) to canter (9°), as did pelvic pitch ROM (walk 7° and canter 15-16°), while back lateral bending ROM and pelvic yaw ROM were lowest in trot. Taken together, the study findings suggest that neck and back motion patterns on the circle reflect an interaction between the constraints of circular movement, and the mechanics and characteristics of each gait.

Pilot study of locomotor asymmetry in horses walking in circles with and without a rider.

Background: Horses commonly show asymmetries that manifest as left (L)-right (R) differences in vertical excursion of axial body segments. Moving on a circle confounds inherent individual asymmetries. Our goals were to evaluate individual and group asymmetry patterns and compare objective data with subjective impressions of side preference/laterality in horses walking on L and R circles. Methods: Fifteen horses walked on L and R circles unridden and ridden on long and short reins. Optical motion capture (150 Hz) tracked skin-fixed markers. Variables were trunk horizontal angle; neck-to-trunk angle; vertical range of motion (ROM) for the head, withers and sacrum; ROM for pelvic roll, pitch, and yaw; mean pelvic pitch; and ROM for hip, stifle and tarsal joints. Differences between inside and outside hind steps were determined for vertical minima and maxima of the head (HMinDiff/HMaxDiff), withers (WMinDiff/WMaxDiff) and sacrum (PMinDiff/PMaxDiff). Subjective laterality was provided by owners. Data analysis used mixed models, first without and then with subjective laterality. Iterative k-means cluster analysis was used to associate biomechanical variables with subjective laterality. Results: PMaxDiff, PMinDiff and WMaxDiff indicated R limb asymmetry in both directions. WMinDiff indicated L (inside) fore asymmetry for L direction but was close to zero for R direction. Hip ROM was significantly smaller for the inside limb in both directions (L inside/outside: 16.7° vs. 20.6°; R: 17.8° vs. 19.4°). Stifle ROM was significantly larger for the inside limb in both directions (L: 43.1° vs. 39.0°; R: 41.9° vs. 40.4°). Taking the general direction effect into account the R hip and L stifle had larger ROM. Adding laterality to the models (seven horses L- vs. six horses R-hollow), PMaxDiff R hind asymmetry was more obvious for L-hollow horses than for R-hollow horses. L-hollow horses had greater pelvic roll ROM moving in L vs. R direction. L-hollow horses had smaller inside and greater outside hip joint ROM in L vs. R direction. R-hollow horses had a significant difference in HMinDiff between L (0 mm) and R (-14 mm) directions, indicating less head lowering at outside forelimb midstance in R direction, and larger outside tarsal ROM in R (38.6°) vs. L (37.4°) direction (p ≤ 0.05). The variables that agreed most frequently with subjective laterality in cluster analysis were pelvic roll ROM, followed by HMinDiff and PMaxDiff. Conclusion: Differences between horses walking in L and R directions were found both at group and individual levels, as well as evidence of associations with subjective laterality. Horses maintained more symmetric hip and stifle ROM and withers vertical motion when walking on the R circle. Findings suggest that left and right lateralised horses may not be perfect mirror images. Pelvic roll ROM emerged as a promising variable to determine laterality in walk as perceived by the rider, especially when considered together with other variables.

Completeness of the disease recording systems for dairy cows in Denmark, Finland, Norway and Sweden with special reference to clinical mastitis.

BACKGROUND: In the Nordic countries Denmark, Finland, Norway and Sweden, the majority of dairy herds are covered by disease recording systems, in general based on veterinary registration of diagnoses and treatments. Disease data are submitted to the national cattle databases where they are combined with, e.g., production data at cow level, and used for breeding programmes, advisory work and herd health management. Previous studies have raised questions about the quality of the disease data. The main aim of this study was to examine the country-specific completeness of the disease data, regarding clinical mastitis (CM) diagnosis, in each of the national cattle databases. A second aim was to estimate country-specific CM incidence rates (IRs). RESULTS: Over 4 months in 2008, farmers in the four Nordic countries recorded clinical diseases in their dairy cows. Their registrations were matched to registrations in the central cattle databases. The country-specific completeness of disease registrations was calculated as the proportion of farmer-recorded cases that could be found in the central database. The completeness (95% confidence interval) for veterinary-supervised cases of CM was 0.94 (0.92, 0.97), 0.56 (0.48, 0.64), 0.82 (0.75, 0.90) and 0.78 (0.70, 0.85) in Denmark, Finland, Norway and Sweden, respectively. The completeness of registration of all CM cases, which includes all cases noted by farmers, regardless of whether the cows were seen or treated by a veterinarian or not, was 0.90 (0.87, 0.93), 0.51 (0.43, 0.59), 0.75 (0.67, 0.83) and 0.67 (0.60, 0.75), respectively, in the same countries. The IRs, estimated by Poisson regression in cases per 100 cow-years, based on the farmers' recordings, were 46.9 (41.7, 52.7), 38.6 (34.2, 43.5), 31.3 (27.2, 35.9) and 26.2 (23.2, 26.9), respectively, which was between 20% (DK) and 100% (FI) higher than the IRs based on recordings in the central cattle databases. CONCLUSIONS: The completeness for veterinary-supervised cases of CM was considerably less than 100% in all four Nordic countries and differed between countries. Hence, the number of CM cases in dairy cows is underestimated. This has an impact on all areas where the disease data are used.

Carriage of methicillin-resistant Staphylococcus pseudintermedius in dogs--a longitudinal study.

BACKGROUND: Methicillin-resistant S. pseudintermedius strains (MRSP) are reported with increasing frequency in bacterial cultures from dogs. The objectives of this study were to determine whether MRSP could be found in dogs several months after a clinically apparent infection and whether the length of carriage varied depending on systemic antimicrobial treatment, diagnosis at time of the first positive MRSP culture and the presence of skin disease or wounds. Thirty-one dogs previously diagnosed with a clinical infection were sampled repeatedly for a minimum of eight months or, with the exception of two dogs, until two consecutive negative results were obtained. Five specified locations were sampled, and the results were evaluated to determine future recommendations concerning sample strategies when screening for MRSP carriage. Information was collected from medical records and questionnaires to evaluate factors that may influence length of carriage. RESULTS: The overall median length of MRSP carriage was 11 months (48 weeks). The presence of wounds and signs of dermatitis did not influence length of carriage. Systemic treatment for three weeks or longer with antimicrobial agents to which the bacterium was resistant was associated with prolonged carriage compared to dogs treated for a shorter period of time. Three of five dogs treated with an antimicrobial to which their MRSP-isolates were susceptible (tetracycline) were found to still be MRSP-positive when sampled after the end of treatment. Wound samples had the highest positive MRSP yield (81%) for the positive sample sites, compared to less than 70% for each of the other four sample sites. Cultures from the nostrils were less likely to detect MRSP carriage relative to the pharynx, perineum, wounds and the corner of the mouth. CONCLUSIONS: Dogs can carry MRSP for more than a year after a clinically apparent infection. Systemic antimicrobial treatment of infections with antimicrobial agents to which the MRSP-bacteria are resistant should be avoided when possible in dogs with possible or confirmed MRSP carriage or infection, since it may prolong time of MRSP carriage. Simultaneous sampling of pharynx, perineum, and the corner of the mouth as well as wounds when present is recommended when screening for MRSP. Cultures from nostrils were shown to be less likely to detect MRSP carriage.

A Scoping Review of Equine Biomechanics Revisited.

As techniques for equine biomechanical research have become more accessible and affordable, the literature published in this area has exploded. Literature reviews have become more popular of late and, more specifically, several literature reviews in areas related to equine biomechanics have been published. A scoping review is a relatively new approach, where a general aim is to map the body of literature on a topic area, accounting for criteria for inclusion and exclusion. However, problems can arise both in performing the review and in critiquing the findings. In this manuscript, the authors repeat a published scoping review of equine biomechanics aiming to map 'the existing literature in the field of equine movement analysis'. The search criteria from the previous study were reviewed and the performance of the search criteria was iteratively studied to find as many relevant papers as possible. The results yielded 77% more publications than the original review mainly as a consequence of not limiting the search strategy to papers including "equine" or "horse" in the title. The importance of using appropriate and inclusive search terms is highlighted together with evaluating the findings within the context of the discipline and time frame of the review.

Roll And Pitch of the Rider's Pelvis During Horseback Riding at Walk on a Circle.

The study investigated between-rider differences in pelvic roll and pitch motion during horseback riding as the horse walked around circles without rein contact (walk on long reins), with rein contact, and with moderate collection. Ten horses were ridden by five riders on left and right 10 m circles, in a partly crossed design, yielding 14 trials. Each trial included each of the three walk variations in both directions. Riders wore an inertial measurement unit (IMU), logging at 100 Hz, dorsally on the pelvis. Pelvic roll and pitch data were split into strides based on data from IMU-sensors on the horse's hind cannons. Data were analyzed using signal decomposition into the fundamental frequency (the stride frequency) and its first two harmonics. Mixed models accounting for the type of walk were used to analyze how riders differed in roll and pitch pelvic motion in two ways: comparing amplitudes of the frequency components and comparing whole stride mean data. Graphically pelvic pitch showed substantial timing and amplitude differences between riders, and this was confirmed statistically. Pelvic roll timing was similar, but amplitude varied between the riders, both graphically and statistically. Individual rider patterns tended to persist across different horses and all exercises. These results suggest that exercises at walk can be ridden with different pelvis pitch timing, a fact that has so far not been discussed in the equestrian literature. Whether pelvic pitch timing affects the horse's performance remains to be investigated.

Movement asymmetries in horses presented for prepurchase or lameness examination.

BACKGROUND: The increasing popularity of objective gait analysis makes application in prepurchase examinations (PPE) a logical next step. Therefore, there is a need to have more understanding of asymmetry during a PPE in horses described on clinical evaluation as subtly lame. OBJECTIVES: The objective of this study is to objectively compare asymmetry in horses raising minor vet concerns in a PPE and in horses raising major vet concerns with that found in horses presented with subtle single-limb lameness, and to investigate the effect of age/discipline on the clinicians' interpretation of asymmetry on the classification of minor vet concerns in a PPE. STUDY DESIGN: Clinical case-series. METHODS: Horses presented for PPE (n = 98) or subjectively evaluated as single limb low-grade (1-2/5) lame (n = 24, 13 forelimb lame, 11 hindlimb lame), from the patient population of a single clinic, were enrolled in the study provided that owners were willing to participate. Horses undergoing PPE were assigned a classification of having minor vet concerns (n = 84) or major vet concerns (n = 14) based on findings during the dynamic-orthopaedic part of the PPE. Lame horses were only included if pain-related lameness was confirmed by an objective improvement after diagnostic analgesia exceeding daily variation determined for equine symmetry parameters using optical motion capture. Clinical evaluation was performed by six different clinicians, each with ≥8 years of equine orthopaedic experience. Vertical movement symmetry was measured using optical motion capture, simultaneously with the orthopaedic examination. Data were analysed using previously described parameters and mixed model analysis and least squares means were used to calculate differences between groups. RESULTS: There was no effect of age or discipline on the levels of asymmetry within PPE horses raising minor vet concerns. MinDiff and RUD of the head discriminated between forelimb lame and PPE horses raising minor vet concerns; MinDiff, MaxDiff, RUD of the Pelvis, HHDswing and HHDstance did so for hindlimb lameness. Two lameness patterns differentiated both forelimb and hindlimb lame from PPE horses with minor vet concerns: RUD Poll + MinDiff Withers - RUD Pelvis and RUD Pelvis + RUD Poll - MinDiff Withers. Correcting for vertical range of motion enabled differentiation of PPE horses with minor vet concerns from PPE horses with major vet concerns. MAIN LIMITATIONS: Objective data only based on trot on soft surface, limited number of PPE horses with major vet concerns. CONCLUSIONS: Combinations of kinematic parameters discriminate between PPE horses with minor vet concerns and subtly lame horses, though overlap exists.

Visual lameness assessment in comparison to quantitative gait analysis data in horses.

BACKGROUND: Quantitative gait analysis offers objective information to support clinical decision-making during lameness workups including advantages in terms of documentation, communication, education, and avoidance of expectation bias. Nevertheless, hardly any data exist comparing outcome of subjective scoring with the output of objective gait analysis systems. OBJECTIVES: To investigate between- and within-veterinarian agreement on primary lame limb and lameness grade, and to determine relationships between subjective lameness grade and quantitative data, focusing on differences between (1) veterinarians, (2) live vs video assessment, (3) baseline assessment vs assessment following diagnostic analgesia. STUDY DESIGN: Clinical observational study. METHODS: Kinematic data were compared to subjective lameness assessment by clinicians with ≥8 years of orthopaedic experience. Subjective assessments and kinematic data for baseline trot-ups and response to 48 diagnostic analgesia interventions in 23 cases were included. Between and within-veterinarian agreement was investigated using Cohen's Kappa (κ). Asymmetry parameters for kinematic data ('forelimb lame pattern', 'hindlimb lame pattern', 'overall symmetry', 'vector sum head', 'pelvic sum') were determined, and used as outcome variables in mixed models; explanatory variables were subjective lameness grade and its interaction with (1) veterinarian, (2) live or video evaluation and (3) baseline or diagnostic analgesia assessment. RESULTS: Agreement on lame limb between live and video assessment was 'good' between and within veterinarians (median κ = 0.64 and κ = 0.53). There was a positive correlation between subjective scoring and measured asymmetry. The relationship between lameness grade and objective asymmetry differed slightly between (1) veterinarians (for all combined parameters, p-values between P < .001 and 0.04), (2) between live and video assessments ('forelimb lame pattern', 'overall symmetry', both P ≤ .001), and (3) between baseline and diagnostic analgesia assessment (all combined parameters, between P < .001 and .007). MAIN LIMITATIONS: Limited number of veterinarians (n = 4) and cases (n = 23), only straight-line soft surface data, different number of subjective assessments live vs from video. CONCLUSIONS: Overall, between- and within-veterinarian agreement on lame limb was 'good', whereas agreement on lameness grade was 'acceptable' to 'poor'. Quantitative data and subjective assessments correlated well, with minor though significant differences in the number of millimetres, equivalent to one lameness grade between veterinarians, and between assessment conditions. Differences between baseline assessment vs assessment following diagnostic analgesia suggest that addition of objective data can be beneficial to reduce expectation bias. The small differences between live and video assessments support the use of high-quality videos for documentation, communication, and education, thus, complementing objective gait analysis data.

Rein tension in harness trotters during on-track exercise.

Horseracing is under public scrutiny with increasing demands to safeguard horse welfare. It is accepted that, as a result of bit pressure and/or equipment, mouth lesions accompany many types of horse use, including racing. However, there are currently no data available on the range of bit pressures in driven trotters. Our aim was to investigate whether rein tension (RT, proxy for bit pressures) differs among gaits, between tempo within gait, between horses and drivers, and between left/right reins. Standardbreds (n = 9), driven by experienced drivers (n = 11), performed exercise tests on a racetrack (cross-over design; total 31 tests, data available from 26 tests). Horses' motion symmetry was measured before tests (trotting in hand). Rein tension, speed and heart rate were measured during exercise. A moving-window filter was applied to RT raw data. Median, maximum and interquartile range for the estimated stride median RT were determined for each rein (left/right) and segment: walk; circling in slow trot followed by transition to faster trot; fast (racing) trot; and slowing down to walk. Mixed models were used for statistical analysis. Least square means for segment median RT ranged between 17-19 N in walk, 34-40 N during circling-accelerating, 51-62 N in fast trot, and 53-71 N for slowing down. Segment maximum RT was between 60-81 N in walk, 104-106 N during circling-accelerating, 72-86 N in fast trot, and 86-129 N during slowing down. Interquartile ranges were between 7-9 N in walk, 28-31 N during circling-accelerating, 8-10 N in fast trot, and 12-18 N for slowing down. Hind limb asymmetry exceeded the recommended threshold in three horses and was associated with higher median (48 N) and maximum (106 N) RT than symmetric horses (29 N and 73 N, respectively, p < 0.01). Consistent left-right asymmetry in RT was more common among horses than among drivers. Rein tension increased with increasing heart rate (p ≤ 0.0006). Rein tensions were higher than those reported during riding or in horses worked from the ground. The findings of high RT, taken together with the high reported prevalence of oral injuries in harness trotters, call for further research into RT, motion symmetry and use of equipment.

The Descriptions and Attitudes of Riders and Arena Owners to 656 Equestrian Sport Surfaces in Sweden.

Horses in equestrian sports are commonly trained in arenas with prepared footing. Information on the number and variants of such arenas is generally unknown. This paper provides an overview of the primary construction types of riding surfaces in Sweden including details on composition, constructions principles, usage frequency, maintenance, and cost of operation as well as to investigate rider perception of the ideal arena properties using a large population of riders. Data on 656 equestrian surfaces in Sweden obtained up to 2014 are presented, of which 373 were outdoor and 283 were indoor arenas. Dressage and show-jumping were the main disciplines conducted in the arenas. Sand-mineral arenas were most common outdoors and sand-woodchips arenas most common indoors, followed by sand-fibre arenas and even fewer synthetic arenas. Comparing the three most common arena types, dragging was most often done on sand-woodchips and sand-fibre arenas. Harrowing was less often done on sand-mineral arenas compared to sand-woodchips and sand-fibre arenas. Combining dragging, harrowing, deep harrowing, and rolling, arenas with higher usage were maintained more frequently, compared to those used less frequently. It was commonly claimed that the top-layer needs renovation every other-4th year or every 5th to 10th year. Few respondents allocated more than 10,000 SEK in yearly maintenance costs, with the exception for sand-woodchips and sand-fibre arenas followed by synthetic arenas. The shortest duration perceived between required renovations was found for sand-woodchips top-layer arenas. Ideal surface properties were evaluated by 3,158 riders. Dressage and show-jumping riders differed somewhat regarding ideal spans of functional arena properties: for impact firmness, responsiveness, and grip. The current study likely included well-utilised arenas, compared to those less well-utilised. The resources necessary to keep an arena consistent over time seemed underestimated. Knowledge of maintenance and priorities for arenas are important to users and arenas managers, be they construction companies or arena managers in order to maximise the outcome of efforts for arena improvement and optimise locomotor health for horses that use them. Further, many arenas were new and research into organic arena management is important, especially if equestrians continue to build and renew arena surfaces.

Guidelines for the Measurement of Rein Tension in Equestrian Sport.

Rein tension is relatively easy to measure, and the resulting data are useful for evaluating the interaction between horse and rider. To date, there have been a number of studies using different transducers, calibration methods and analytical techniques. The purpose of this paper is to make recommendations regarding the collection, analysis and reporting of rein tension data. The goal is to assist users in selecting appropriate equipment, choosing verified methods of calibration, data collection and analysis, and reporting their results consistently to facilitate comparisons between different studies. Sensors should have a suitable range and resolution together with a fast enough dynamic response, according to the gait, speed and type of riding for which they will be used. An appropriate calibration procedure is necessary before each recording session. A recording frequency of 50 Hz is adequate for most rein tension studies. The data may be analyzed using time-series methods or by extracting and analyzing discrete variables chosen in accordance with the study objectives. Consistent reporting facilitates comparisons between studies.

Rein Tension Signals Elicit Different Behavioral Responses When Comparing Bitted Bridle and Halter.

When a rider maintains contact on the reins, rein tension will vary continuously in synchronicity with the horse's gait and stride. This continuous variation makes it difficult to isolate the rein tension variations that represent a rein tension signal, complicating interpretation of rein tension data from the perspective of horse-rider interaction. This study investigated (1) the characteristics of a rein tension signal and (2) horse response to a rein tension signal for backing, comparing pressure applied by a bit (bridle), or by a noseband (halter). Twenty Warmblood horses (10 young, 10 adult) wearing a rein tension meter were trained to step back in the aisle of a stable. The handler stood next to the horse's withers, applying tension on the reins until the horse stepped back. This was repeated eight times with the bridle and eight times with the halter. Data analysis was performed using mixed linear and logistic regression models. Horses displaying behaviors other than backing showed significantly increased response latency and rein tension. Inattentive behavior was significantly more common in the halter treatment and in young horses, compared with the bridle treatment and adult horses. Evasive behaviors with the head, neck, and mouth were significantly more common in the bridle treatment than in the halter treatment and the occurrence of head/neck/mouth behaviors increased with increasing rein tension and duration of the rein tension signal. When controlling for behavior, the horses responded significantly faster and to a lighter rein tension signal in the bridle treatment than in the halter treatment. By scrutinizing data on rein tension signals in relation to horse behavior and training exercise, more can be learnt about the horse's experience of the pressures applied and the timing of the release. This can assist in developing ways to evaluate rein tension in relation to correct use of negative reinforcement.

Asymmetries of horses walking and trotting on treadmill with and without rider.

BACKGROUND: Left-right movement symmetry is a highly desirable characteristic in sport horses. OBJECTIVES: This study compared movement symmetry in well-trained dressage horses in unridden and unrestrained position and ridden in a dressage frame, and investigated possible associations between gaits. STUDY DESIGN: Experimental study. METHODS: Seven sound, high-level dressage horses were measured at walk and sitting trot on a treadmill at several speeds under two conditions: with and without rider. Left-right differences in stance duration, stance protraction and retraction based on longitudinal hoof positions, ipsilateral limb tracking, minimum and maximum vertical positions of the dorsal spinous processes of the sixth thoracic (T6), third sacral vertebrae (S3) and wing of atlas, and vertical ground reaction forces were calculated and analysed in mixed models. RESULTS: At walk, five body variables indicated increased asymmetry in the ridden condition compared with unridden condition: forelimb stance duration (unridden/ridden left-right differences 9 vs 13 ms; P = .008), forelimb stance protraction (P = .004), stance retraction (P = .001) and first force peak (P = .003), and hindlimb stance retraction (P = .01). At trot, six body variables were more asymmetrical in the ridden condition: forelimb stance duration (2.5 vs 3.8 ms, P = .004); hindlimb stance protraction (P < .0001) and retraction (P = .01), T6 minimum (4 vs 6 mm, P = .001), T6 maximum (9 vs 11 mm, P = .01) and S3 maximum (6 vs 12 mm, P < .001). Five variables had significant associations between asymmetries at walk and trot, but only three demonstrated a positive slope. MAIN LIMITATIONS: A limited number of horses and riders were studied. Measurements were performed on a treadmill. CONCLUSIONS: High-level horses moved slightly more asymmetrically when ridden in a dressage frame than in the unridden condition.

Kinematic effects of the circle with and without rider in walking horses.

BACKGROUND: Biomechanical studies of walk, especially walk on the circle, are scarce, while circles or curved tracks are frequently used during equestrian activities. To study horse-rider-circle interactions on the circle, the first steps would be to investigate how the unridden, freely walking horse is influenced by circular movement, and then add a rider. The aim was to study horse vertical trunk movements, and sagittal cannon angles (protraction-retraction) during walk in straight-line and on the circle without rider, and on the circle with a rider using minimal influence. METHODS: Ten horses were ridden by five riders, summing to 14 trials. Each trial included straight walk unridden (on concrete), and walk on 10 m diameter circles (left and right on soft surface) first lunged (unridden) and then ridden with minimal rider influence. Inertial measurement units (100 Hz) were positioned on the withers, third sacral vertebra (S3) and laterally on metacarpal and metatarsal bones (using self-adhesive bandage). Selected data were split in steps (withers and S3 vertical translations) or strides (cannon protraction-retraction) at maximum hind limb protraction, and range of motion (ROM), minima and maxima, and their timing, were extracted. Data were analyzed using mixed models with inner/outer/straight nested within unridden/ridden as fixed effect, and controlling for stride duration. Differences between: inner vs outer steps/limbs; the same step/limb unridden vs ridden; and the same step/limb straight vs inner/outer unridden; were examined for statistical significance at p < 0.05. RESULTS: Inner limbs had smaller cannon ROM than outer limbs, for example, forelimbs when ridden (inner vs outer 62° vs 63°) and hind limbs when unridden (53° vs 56°). Forelimb cannon ROM was the largest for straight (65°). Hind limb ROM for straight walk (55°) was in-between inner (52-53°) and outer hind limbs (56-57°). Vertical ROM of S3 was larger during the inner (unridden/ridden 0.050/0.052 m) vs the outer step (unridden/ridden 0.049/0.051 m). Inner (0.050 m) and outer steps (0.049 m) unridden had smaller S3 ROM compared to straight steps (unridden, 0.054 m). Compared to when unridden, withers ROM was smaller when ridden: inner hind steps unridden/ridden 0.020 vs 0.015 m and outer hind steps 0.020 vs 0.013 m. When ridden, withers ROM was larger during the inner hind step vs the outer. CONCLUSION: The outer hind limb had greater cannon pro-retraction ROM, compared to the inner limb. Larger croup ROM during the inner step appears to be coupled to increased retraction of the outer hind limb. Knowledge of magnitudes and timing of the horse's movements on the circle in unridden and ridden walk may stimulate riders to educate eye and feel in analyzing the execution of circles, and stimulate further studies of the walk, for example, on interactions with rider influence, natural horse asymmetries, or lameness.

The shared risk of diabetes between dog and cat owners and their pets: register based cohort study.

OBJECTIVE: To investigate whether dog and cat owners and their pets share a risk of developing diabetes. DESIGN: Cohort study. SETTING: Register based longitudinal study, Sweden. PARTICIPANTS: 208 980 owner-dog pairs and 123 566 owner-cat pairs identified during a baseline assessment period (1 January 2004 to 31 December 2006). MAIN OUTCOME MEASURES: Type 2 diabetes events in dog and cat owners and diabetes events in their pets, including date of diagnosis during the follow-up period (1 January 2007 to 31 December 2012). Owners with type 2 diabetes were identified by combining information from the National Patient Register, the Cause of Death Register, and the Swedish Prescribed Drug Register. Information on diabetes in the pets was extracted from veterinary care insurance data. Multi-state models were used to assess the hazard ratios with 95% confidence intervals and to adjust for possible shared risk factors, including personal and socioeconomic circumstances. RESULTS: The incidence of type 2 diabetes during follow-up was 7.7 cases per 1000 person years at risk in dog owners and 7.9 cases per 1000 person years at risk in cat owners. The incidence of diabetes in the pets was 1.3 cases per 1000 dog years at risk and 2.2 cases per 1000 cat years at risk. The crude hazard ratio for type 2 diabetes in owners of a dog with diabetes compared with owners of a dog without diabetes was 1.38 (95% confidence interval 1.10 to 1.74), with a multivariable adjusted hazard ratio of 1.32 (1.04 to 1.68). Having an owner with type 2 diabetes was associated with an increased hazard of diabetes in the dog (crude hazard ratio 1.28, 1.01 to 1.63), which was attenuated after adjusting for owner's age, with the confidence interval crossing the null (1.11, 0.87 to 1.42). No association was found between type 2 diabetes in cat owners and diabetes in their cats (crude hazard ratio 0.99, 0.74 to 1.34, and 1.00, 0.78 to 1.28, respectively). CONCLUSIONS: Data indicated that owners of a dog with diabetes were more likely to develop type 2 diabetes during follow-up than owners of a dog without diabetes. It is possible that dogs with diabetes could serve as a sentinel for shared diabetogenic health behaviours and environmental exposures.

Analysis of morbidity and mortality data in riding school horses, with special regard to locomotor problems.

The incidence of disease, mortality and survival of horses, focusing on locomotor problems, at riding schools were studied, using data from an animal insurance database during 1997-2002. In total 5140 horses from 136 riding schools were included in the analysis. The overall yearly incidence rate (IR) was 1584 events of veterinary care per 10,000 horse-years at risk (HYAR). The total and diagnostic mortalities were 790 and 763 deaths per 10,000 HYAR. Rates varied substantially among riding schools. For locomotor problems the rates were 1116 events of veterinary care and 524 deaths per 10,000 HYAR. Multivariable Cox proportional-hazards analysis was performed on horses enrolled in insurance during the study period, including riding schools as frailty effects. For the outcome veterinary care for locomotor problems, the hazard ratios (HR) increased with increasing life-insurance value and Swedish warmbloods and other horses had increased HR compared to ponies. In the model with outcome life claim because of locomotor problems the breed groups Swedish warmblood and other horses also had higher HR than ponies. Age at entry > or = 8 years was associated with decreased HR for settled life-insurance cases due to locomotor problems and the two highest categories for insurance value had increased HR compared to the two lower categories. In the model with the outcome life claim because of previously claimed locomotor problems Swedish warmbloods had a higher HR than other horses and ponies. The HR increased by 33% for each year of age at entry. In south-urban areas of Sweden the HR was decreased compared to in all other areas, including baseline. Overall riding schools utilised the insurance more compared to all horses in the insurance database ( approximately 22% for the veterinary-care insurance and approximately 79% for the settled life insurance).

Dog Ownership and Survival After a Major Cardiovascular Event: A Register-Based Prospective Study.

BACKGROUND: Dog ownership is associated with increased physical activity levels and increased social support, both of which could improve the outcome after a major cardiovascular event. Dog ownership may be particularly important in single-occupancy households where ownership provides substitutive companionship and motivation for physical activity. METHODS AND RESULTS: We used the Swedish National Patient Register to identify all patients aged 40 to 85 presenting with an acute myocardial infarction (n=181 696; 5.7% dog ownership) or ischemic stroke (n=154 617; 4.8% dog ownership) between January 1, 2001 and December 31, 2012. Individual information was linked across registers for cause of death, sociodemographic, and dog ownership data. We evaluated all-cause mortality and risk of recurrent hospitalization for the same cause until December 31, 2012. Models were adjusted for socioeconomic, health, and demographic factors at study inclusion such as age, marital status, the presence of children in the home, area of residence, and income, as well as all registered comorbidities and hospitalization for cardiovascular disease in the past 5 years. Dog owners had a lower risk of death after hospitalization for acute myocardial infarction during the full follow-up period of 804 137 person-years, with an adjusted hazard ratio (HR) of 0.67 (95% CI, 0.61 to 0.75) for those who lived alone, and HR of 0.85 (95% CI, 0.80 to 0.90) for those living with a partner or a child. Similarly, after an ischemic stroke, dog owners were at lower risk of death during the full follow-up of 638 219 person-years adjusted HR of 0.73 (95% CI, 0.66 to 0.80) for those who lived alone and HR of 0.88 (95% CI, 0.83 to 0.93) for those living with a partner or a child. We further found an association of dog ownership with reduced risk of hospitalization for recurrent myocardial infarction (HR, 0.93; 95% CI, 0.87 to 0.99). CONCLUSIONS: We found evidence of an association of dog ownership with a better outcome after a major cardiovascular event. Although our models are adjusted for many potential confounders, there are also unmeasured confounders such as smoking that prevent us from drawing conclusions regarding a possible causal effect.

Rein Tension in Transitions and Halts during Equestrian Dressage Training.

In dressage, the performance of transitions between gaits and halts is an integral part of riding sessions. The study aimed to evaluate rein tension before, during and after the transitions between different gaits and the transitions into halts. The kinematic (inertial measurement units) data for the head and croup, and rein tension data, were collected (128 Hz) from six professional riders each riding three of their own horses, training levels varying from basic to advanced, during normal training sessions. The activities were categorised into gaits, halts and transitions based on video evaluation. The transitions were categorised as without (type 1) or with (type 2) intermediate steps that are not normally present in the gaits preceding or following the transition. The differences in the median rein tension before/during/after transitions, between the types and left/right reins were analysed in mixed models. The rein tension just before the transition was the strongest determinant of tension during the transition. The rein tension was slightly lower during upward transitions compared to downward transitions, reflecting the pattern of the preceding gait. Type 1 and 2 downward transitions were not different regarding rein tension. The left rein tension was lower than right rein tension. The rein tension associated with the transitions and halts varied substantially between riders and horses. The generally strong association of the gaits and their inherent biomechanics with rein tension should be taken into account when riding transitions and halts.

Dog ownership and cardiovascular risk factors: a nationwide prospective register-based cohort study.

OBJECTIVE: To study the association between dog ownership and cardiovascular risk factors. DESIGN: A nationwide register-based cohort study and a cross-sectional study in a subset. SETTING: A cohort of 2 026 865 participants was identified from the Register of the Total Population and linked to national registers for information on dog ownership, prescribed medication, hospital admissions, education level, income and country of birth. Participants were followed from 1 October, 2006, to the end of the study on 31 December, 2012, assessing medication for a cardiovascular risk factor, emigration and death. Cross-sectional associations were further assessed in 10 110 individuals from the TwinGene study with additional adjustment for professional level, employment status, Charlson comorbidity index, disability and tobacco use. PARTICIPANTS: All Swedish residents aged 45-80 years on 1 October, 2006. MAIN OUTCOME MEASURES: Initiation of medication for hypertension, dyslipidaemia and diabetes mellitus. RESULTS: After adjustment for confounders, the results indicated slightly higher likelihood of initiating antihypertensive (HR, 1.02; 95% CI, 1.01 to 1.03) and lipid-lowering treatment (HR, 1.02; 95% CI, 1.01 to 1.04) in dog owners than in non-owners, particularly among those aged 45-60 years and in those owning mixed breed or companion/toy breed dogs. No association of dog ownership with initiation of treatment for diabetes was found in the overall analysis (HR, 0.98; 95% CI, 0.95 to 1.01). Sensitivity analyses in the TwinGene cohort indicated confounding of the association between dog ownership and prevalent treatment for hypertension, dyslipidaemia and diabetes mellitus, respectively, from factors not available in the national cohort, such as employment status and non cardiovascularchronic disease status. CONCLUSIONS: In this large cohort study, dog ownership was associated with a minimally higher risk of initiation of treatment for hypertension and dyslipidaemia implying that the previously reported lower risk of cardiovascular mortality among dog owners in this cohort is not explained by reduced hypertension and dyslipidaemia. These observations may suffer from residual confounding despite access to multiple important covariates, and future studies may add valuable information.