Prevalence of lameness in dairy cows: A literature review.

Lameness in dairy cows has major negative impacts on animal welfare and production economy. While previous studies have evaluated the prevalence of lameness in single countries, the present literature review is the first overview of the prevalence of lameness in dairy cows globally. This literature review identified 53 studies reporting prevalence of lameness among representative samples of dairy cows and fulfilling a number of specified inclusion criteria (e.g., at least 10 herds and 200 cows, and locomotion scoring by trained observers). A total of 414,950 cows from 3945 herds were included in these 53 studies, which spanned a 30-year period (1989-2020) and included herds from six continents, with the majority from Europe and North America. Across the studies, the mean prevalence of lameness (typically defined as score 3-5 on a 1-5 scale) was 22.8% with a median of 22.0% and a range between studies from 5.1% to 45%, and a within herd range from 0% to 88%. The mean prevalence of severely lame cows (typically defined as score 4-5 on a 1-5 scale) was 7.0% with a median of 6.5% and a range between studies from 1.8% to 21.2%, and a within herd range from 0% to 65%. Over time, it appears that the prevalence of lameness has changed very little. Several different locomotion scoring systems and definitions of (severe) lameness were used across the 53 studies, and this may have affected the reported lameness prevalence. Sampling of herds and cows, inclusion criteria and representativeness also differed between studies. This review offers recommendations for the future capture of information on lameness in dairy cows and identifies potential knowledge gaps.

Health and Welfare Survey of 30 Dairy Goat Farms in the Midwestern United States.

Dairy goat production in the Midwestern United States is increasing at a rapid rate and information on dairy goat husbandry practices applicable for producers in this region is limited. The objective of this study was to survey 30 dairy goat farms in the Midwestern US to provide insight into husbandry practices pertaining to health, welfare, and production, and to identify areas of future research. A questionnaire was developed and comprised 163 questions that were organized into categories including information on the producer (e.g., farming experience), staff, and goats (e.g., herd size, breed), housing, feeding and nutrition, milking practices and production, kid management, husbandry practices (e.g., disbudding, castration, hoof trimming), and health. Areas of future research that can improve goat health, production and welfare include pain relief for husbandry practices such as disbudding and castration, early kid management during birth to prevent illness/disease or mortality (e.g., warm and dry areas for kid rearing), eradication programs for common contagious diseases, training programs and education for claw trimming, disbudding, and udder health. In conclusion, this study provided insight into the husbandry practices carried out on 30 dairy goat farms in the Midwestern US and areas of research to improve health and welfare.

Welfare Assessment of 30 Dairy Goat Farms in the Midwestern United States.

Dairy goat animal welfare assessment protocols have been developed and conducted in Europe and the United Kingdom for dairy goats; however, there are no published reports of large-scale welfare assessment for dairy goats on farms in the Midwestern United States (US). Therefore, the objective of this study was to perform welfare assessment of lactating dairy goats and identify the most prevalent welfare issues on 30 farms across the Midwestern US. Thirty dairy goat farms (self-selected) were enrolled in the study if they shipped milk for human consumption (regardless of herd size). The number of lactating does on each farm ranged from 34 to 6,500 goats, with a median number of 158 lactating does (mean ± SD: 602 ± 1,708 lactating does). The protocol used was developed from available literature on goat welfare assessment but modified for use in the Midwestern US. Observations were made without handling the animals and included 22 animal-based indicators evaluated at the group- and individual-level. The observations were conducted during ~3-5 h during a milking session (either morning or afternoon) and time in the home pen. Principal components analysis (PCA) was carried out on the welfare assessment data from each farm. The first two dimensions of the PCA explained 34.8% of the variation. The PCA biplot indicated correlations between indicators. The most prevalent conditions observed across the 30 farms included any knee calluses (80.9%), any claw overgrowth (51.4%), poor hygiene (14.9%), skin lesions (8.9%), poor hair coat condition (8.3%) and any ear pathology (8.0%). These results are the first to provide the Midwestern US dairy goat industry with information to improve commercial dairy goat welfare.

Evaluating the Welfare of Small Ruminants: Practical Management Advice.

This article discusses key welfare issues for small ruminants and gives practical management advice. Welfare assessment is vital to ensure that optimal conditions are provided. Practitioners can play a key role in identifying areas of potential welfare compromise and implement interventions. With the knowledge and careful identification of indicators of welfare, practitioners and producers can develop a management plan that can ensure proper nutrition, environment, and health to allow for natural behaviors and a positive affective state; identification of animal health and management issues; and (3) allocation of adequate resources to improve the welfare of sheep and goats.

Evaluation of a multipump air pistol as a method for euthanizing young dairy goat kids.

OBJECTIVE: To assess the extent of damage to the skull and brain of cadaveric dairy goat kids caused by a .22-caliber, 16-g pellet fired from a multipump air pistol at various power levels. SAMPLE: Cadavers of 8 male and 7 female dairy goat kids ≤ 5 days old. PROCEDURES: Each cadaver was positioned in sternal recumbency with the head and neck extended on a straw bale. A multipump air pistol was held with the barrel perpendicular to and 2.5 cm from the head at the intersection of 2 imaginary lines that extended from the lateral canthus of each eye to the middle of the contralateral ear base and fired at half (5 pumps; n = 2), intermediate (7 pumps; 2), or full (10 pumps; 11) power. The head and neck were removed from the carcass for CT imaging and gross sectioning to determine the location of the pellet and extent of damage caused to the skull and brain. RESULTS: The pellet successfully penetrated the skull of all 13 heads shot at full or intermediate power and 1 of the 2 heads shot at half power. The pellet did not fragment after entering the skull of any cadaver and penetrated the brainstem (necessary for instantaneous death) in only 7 cadavers. CONCLUSIONS AND CLINICAL RELEVANCE: The described technique was insufficient for use as a stand-alone method for euthanizing young dairy goat kids. Modification of the technique warrants further research to determine whether air pistols can be used to effectively euthanize young goat kids.

Acute cortisol and behavior of dairy goat kids administered local anesthesia, topical anesthesia or systemic analgesia prior to cautery disbudding.

Cautery disbudding of goat kids causes thermal burns and tissue destruction, which results in acute and post-operative pain and negatively affects animal welfare. The objectives of this study were to evaluate acute cortisol concentrations and behavioral responses associated with (1) injecting a lidocaine ring block prior to cautery disbudding and comparing this to saline injections and (2) pain mitigation strategies (lidocaine ring block, topical eutectic mixture of local anesthetics (EMLA) cream, oral meloxicam) on cautery disbudded dairy goat kids. Sixty doe kids were allocated to one of six treatments: (1) disbudding without pain relief (DB), (2) a ring block using 1% lidocaine (DBLA) 20 min before disbudding, (3) saline injection (DBSA) 20 min before disbudding, (4) oral meloxicam 60 min before disbudding (DBMEL), (5) EMLA cream rubbed into the buds 60 min before disbudding (DBEM) and (6) handled but not disbudded (HAND). Blood was sampled pre- (-20 and -5 min) and post-treatment (15 and 30 min) to assess plasma cortisol concentrations and behavior during treatment was recorded using video cameras to assess rump movements, tail shakes and vocalizations (values presented as number/treatment). DBLA and DBSA kids showed elevated cortisol above baseline 5 min pre-disbudding (after injections) (P ≤ 0.01), which was no different to cortisol 15 min post-disbudding (P > 0.05). Rump movements and tail shakes of DBLA (5.5 ± 0.8 and 6.9 ± 1.2) and DBSA kids (5.6 ± 0.8 and 7.2 ± 1.2) were no different to those of DB kids (P > 0.10). Cortisol was elevated from baseline for 30 min post-disbudding for DBEM kids and DBMEL kids (P ≤ 0.05). Rump movements, tail shakes and vocalizations of DBEM (5.7 ± 0.8, 6.3 ± 1.2 and 11.1 ± 1.6) and DBMEL kids (5.3 ± 0.8, 8.0 ± 1.2 and 9.1 ± 1.6) were no different to those of DB kids (P > 0.05). HAND kids showed no change in cortisol over time (P > 0.10) and performed fewer rump movements, tail shakes and vocalizations than all treatments (P ≤ 0.01). In conclusion, lidocaine injection using a ring block appears to cause more pain than handling alone and may not reduce pain associated with cautery disbudding; therefore, a lidocaine ring block may not be a useful pain mitigation strategy for disbudding dairy goat kids. There was no evidence that meloxicam reduced acute pain and EMLA cream may have intensified the pain associated with disbudding. Further research on efficacious pain mitigation strategies for cautery disbudding of dairy goat kids is required.

Cautery Disbudding Iron Application Time and Brain Injury in Goat Kids: A Pilot Study.

Cautery disbudding is a painful procedure performed on goat kids to prevent horn growth that may result in brain injury. Thermal damage to the cerebral cortex of the brain and subsequent neurologic disease is a primary concern. Cautery iron application time may affect transmission of heat to the brain; however, research in this area is scarce. Therefore, the objective of this pilot study was to evaluate the effect of iron application time on brain injury of goat kids. A total of six buck and doe kids <9 days of age were obtained from a commercial dairy and transported to an Iowa State University research facility. Kids received a different randomly assigned application time (5, 10, 15, or 20s) on each horn bud. Kids were disbudded using an electric cautery iron (under isoflurane general anesthesia). After a 5-day observation period, the kids were euthanized, and magnetic resonance (MR) images were acquired to evaluate brain injury. Additionally, four of the six kids were presented for gross examination and two kids were selected for histopathologic examination. From the MR images, white matter edema was observed subjacent to four treated areas, representing application times of 5 s (one horn bud), 15 s (one horn bud), and 20 s (two horn buds). With the exception of the horn bud that received 5 s, which had white matter edema restricted to a single gyrus, the remaining three groups had a branching region of edema. No bone abnormalities were identified on any kids. Gross evidence of discoloration and hemorrhage on the cerebral hemispheres was observed on two horn buds that received 20 s, two horn buds that received 15 s, and one horn bud that received 10 s. Microscopic lesions consisting of leptomeningeal and cerebrocortical necrosis were observed in sections of brain from all groups. Lesions were most severe with 20 s. In conclusion, all application times used in this study resulted in some level of brain injury; however, using 15 s or more resulted in more severe and consistent brain injury. These results indicate that extended iron application time may increase the risk of brain injury in cautery disbudded kids.

Frequency and distribution of foot lesions identified during cattle hoof trimming in the Province of Antioquia, Colombia (2011-2016).

Lameness is a severe welfare problem in cattle and has a detrimental effect on longevity, productivity, and reproductive performance. This study aimed to describe the frequency and distribution of foot lesions in cattle using hoof trimming records over a period of 6 years in the Province of Antioquia (Colombia). The data collection instrument enabled differentiation between limbs, digits, and views. The Claw Lesion Identification in Dairy Cattle brochure was the reference for foot lesion identification. A total of 1814 foot lesions observations, recorded from 1120 cows in 71 herds, were analyzed and 11 different foot lesions were identified. Non-infectious foot lesions were more common than infectious (94.4 vs 5.6%). White line disease was more frequently observed in the hind limbs (79.6%) compared to the front limbs (20.4%), and more frequent in medial claws of the front limbs (70.3%) compared to lateral claws (29.7%). In hind limbs, the lateral claws were more commonly affected (65.7%) compared to the medial claws (34.3%). Claw zone 3 was affected in 61.3% of the cases, followed by zones 2 (21.7%) and 1 (17%). Although our data are from a limited area of the country, they are consistent with published and anecdotal reports of foot lesions in cattle in Colombia and worldwide. Our results suggest that there is need for additional prospective research under Colombian dairy cattle management conditions to better understand the lameness and benefit of trimming intervention.

Humane Euthanasia and Carcass Disposal.

Euthanasia is ending life in a way that minimizes or eliminates pain and distress. It requires techniques that induce loss of consciousness followed by cardiac and respiratory arrest and loss of brain function. Although euthanasia is the objective for uncontrollable animal suffering, it is not always possible. Euthanasia of animals using barbiturates or barbituric acid derivatives is impractical for situations that require mass euthanasia of multiple animals. Selection of the most appropriate disposal method depends on number of carcasses, potential environmental impact, climatic conditions, and other factors. Preplanning and training are requirements for proper application of euthanasia procedures and disposal of carcasses.

Determination of anatomic landmarks for optimal placement in captive-bolt euthanasia of goats.

OBJECTIVE To determine the optimal anatomic site and directional aim of a penetrating captive bolt (PCB) for euthanasia of goats. SAMPLE 8 skulls from horned and polled goat cadavers and 10 anesthetized horned and polled goats scheduled to be euthanized at the end of a teaching laboratory. PROCEDURES Sagittal sections of cadaver skulls from 8 horned and polled goats were used to determine the ideal anatomic site and aiming of a PCB to maximize damage to the midbrain region of the brainstem for euthanasia. Anatomic sites for ideal placement and directional aiming were confirmed by use of 10 anesthetized horned and polled goats. RESULTS Clinical observation and postmortem examination of the sagittal sections of skulls from the 10 anesthetized goats that were euthanized confirmed that perpendicular placement and firing of a PCB at the intersection of 2 lines, each drawn from the lateral canthus of 1 eye to the middle of the base of the opposite ear, resulted in consistent disruption of the midbrain and thalamus in all goats. Immediate cessation of breathing, followed by a loss of heartbeat in all 10 of the anesthetized goats, confirmed that use of this site consistently resulted in effective euthanasia. CONCLUSIONS AND CLINICAL RELEVANCE Damage to the brainstem and key adjacent structures may be accomplished by firing a PCB perpendicular to the skull over the anatomic site identified at the intersection of 2 lines, each drawn from the lateral canthus of 1 eye to the middle of the base of the opposite ear.

A Highly Effective Protocol for the Rapid and Consistent Induction of Digital Dermatitis in Holstein Calves.

Bovine Digital Dermatitis (DD) is a leading cause of lameness in dairy cattle. DD is reportedly increasing in prevalence in beef cattle feedlots of the US. The exact etiologic agent(s) responsible for the disease have yet to be determined. Multiple studies have demonstrated the presence of a variety of Treponema spp. within lesions. Attempts to reproduce clinically relevant disease using pure cultures of these organisms has failed to result in lesions that mirror the morphology and severity of naturally occurring lesions. This manuscript details the systematic development of an experimental protocol that reliably induces digital dermatitis lesions on a large enough scale to allow experimental evaluation of treatment and prevention measures. In total, 21 protocols from five experiments were evaluated on their effectiveness in inducing DD lesions in 126 Holstein calves (504 feet). The protocols varied in the type and concentration of inoculum, frequency of inoculation, duration the feet were wrapped, and type of experimental controls need to validate a successful induction. Knowledge gained in the first four experiments resulted in a final protocol capable of inducing DD lesions in 42 of 44 (95%) feet over a 28 day period. All induced lesions were macroscopically and microscopically identified as clinical DD lesions by individuals blinded to protocols. Lesions were also located at the site of inoculation in the palmer aspect of the interdigital space, and induced clinically measurable lameness in a significant portion of the calves. Collectively these results validate the model and provide a rapid and reliable means of inducing DD in large groups of calves.

Digital dermatitis: Natural lesion progression and regression in Holstein dairy cattle over 3 years.

Bovine digital dermatitis (DD) is a leading cause of lameness in dairy cattle in the United States, with prevalence estimates as high as 30%. Whereas clinical lesions have been well described, little is known about the morphologic changes that are associated with the early stages of lesion development from normal skin to clinical lesions. This study used the Iowa DD scoring system to evaluate the epidemiology of natural lesion development by digitally photographing the rear legs of a cohort of dairy cows over a 3-yr period. Sixty-one adult Holstein dairy cows were monitored for 1,032 cow foot-months. The incidence rate of lesion development was 4 lesions per 100 cow foot-months, with the average time for a lesion to develop being 133 d. Whereas 20% of the 1,678 foot observations exhibited clinical DD lesions, an additional 55% of all observations exhibited preclinical stage 1 and 2 lesions that were indicative of DD lesion development. Utilizing the dichotomous categorization of preclinical lesions in the Iowa DD scoring system, it was found that first-lactation heifers had a higher rate of the thickened and crusted "B" type lesions, whereas the ulcerative "A" type lesions were more likely to be identified in multiparous animals. For clinical DD lesions that received topical treatment, scoring of the post-treatment lesions using the Iowa DD scoring system was found to be useful in prognosticating both the risk of recrudescence and the time until recrudescence. Systemic disease, systemic antibiotic therapy, and periparturient stress were not associated with an increase or decrease in DD lesion scores. Treatment with a single topical tetracycline wrap was associated with a significant decrease (-1.17) in DD lesion score. The results of this study demonstrate that the complex morphologic changes associated with digital dermatitis can be readily classified using the Iowa DD scoring system and the scores can be used to predict and monitor the effects of treatment and prevention measures.

Validation of a portable pneumatic captive bolt device as a one-step method of euthanasia for use in depopulation of feedlot cattle.

OBJECTIVE: To validate the effectiveness of a penetrating captive bolt device with a built-in low-pressure air channel pithing mechanism (PCBD) as a 1-step method for euthanasia of cattle. DESIGN: Clinical trial. ANIMALS: 66 feedlot steers and heifers (weight, 227 to 500 kg [500 to 1,100 lb]) that were not expected to survive or finish the feeding period with their cohorts. PROCEDURES: Cattle were transported to a university facility and euthanized with the PCBD. For each calf, clinical variables were monitored and recorded immediately before and for at least 10 minutes after application of the PCBD. Following euthanasia, the head of each calf was removed and trauma to the brain and skull was assessed and scored. RESULTS: Death was successfully achieved with the PCBD without application of an ancillary technique in all 66 cattle; however, 4 (6%) cattle required a second or third shot from the PCBD because of technical errors in its placement. All shots from the PCBD that entered the cranial vault successfully rendered cattle unconscious without a return to sensibility. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicated that the PCBD was an effective 1-step method of euthanasia for use in mass depopulation of feedlot cattle.

An Observational Study of the Effects of Therapeutic Hoof Blocks on the Locomotion, Behavior, and Production of Healthy Dairy Cattle.

Therapeutic hoof blocks have been recommended for treatment of sole ulcers in dairy cattle; however, they are underutilized in the industry. Twenty Holstein cows were randomly assigned to receive a wooden hoof block applied to the left hind leg (n = 5), to the right hind leg (n = 5), or no hoof blocks (n = 10). Accelerometers were affixed to both hind legs of 10 blocked cows and 5 control cows. Cows were observed for locomotion scores, and milk production was recorded. Mixed models were constructed to determine effects of block application on behavior, milk production, and locomotion. Activity was altered by day, with cows being most active on Day - 1. The mean number of daily lying bouts and lying bout duration did not differ by treatment. Locomotion scores were higher for blocked cows on Days 1, 2, and 3 compared with baseline; however, milk production did not differ between treatments. In conclusion, although block application affected the appearance of locomotion, it did not appear to adversely affect the behavior or milk production of sound dairy cows.

Perspectives on the treatment of claw lesions in cattle.

Lameness is a leading cause of welfare and culling issues in cattle, with claw lesions accounting for the majority of these issues. Although the treatment of claw lesions in cattle is a daily activity for hoof trimmers, veterinarians, and livestock producers, there is surprisingly little information in the peer-reviewed literature on which to base strong evidence-based conclusions. As a consequence, many treatment modalities used are empirical and, in some cases, may be counterproductive to rapid lesion healing. Furthermore, many of these empirical treatment modalities fail to fully consider the underlying pathogenesis of the disease process and the implications that it has on lesion healing. For example, sole ulcers are largely a consequence of metabolic disorders and mechanical overloading. Therapeutic interventions that fail to address the weight-bearing issues are unlikely to be successful. Likewise, white line disease is believed to be predisposed by rumen acidosis and laminitis, and interventions need to include in them appropriate measures to prevent further cases through nutritional management. The goal of this review paper is to review the pathogenesis of claw lesions in the context of the published literature and allow the reader to arrive at rational treatment interventions based on the best available information. The use of an orthopedic block applied to the healthy claw of a lame foot, judicious use of bandage or wrap, careful selection of parenteral or topical therapy, and a treatment protocol to manage pain and promote recovery are key components of responsible management of lameness disorders in cattle.

Meta-analysis of the effects of sometribove zinc suspension on the production and health of lactating dairy cows.

OBJECTIVE: To provide an updated evaluation of the efficacy and safety of sometribove zinc suspension (rbST-Zn), a form of recombinant bovine somatotropin, in lactating dairy cows. DESIGN: Meta-analysis. SAMPLE: 26 studies published in peer-reviewed journals or reviewed by a regulatory agency. PROCEDURES: To be included, a study had to involve the use of the rbST-Zn formulation available to US producers in accordance with the label instructions for treatment initiation (57 to 70 days postpartum), dose (500 mg, q 14 d), and route (SC). RESULTS: For cows treated with rbST-Zn, mean milk, 3.5% fat-corrected milk, fat, and protein yields were increased by 4.00, 4.04, 0.144, and 0.137 kg/d (8.8, 8.89, 0.32, and 0.30 lb/d), respectively; however, the concentration of milk components did not change. Pregnancy proportion for the first 2 breeding cycles was increased by 5.4%, and pregnancy proportion for the duration of the trial was reduced by 5.5% for rbST-Zn-treated cows, compared with proportions for untreated cows. Mean body condition score (1 to 5 scale) was reduced by 0.06 points during the period of rbST-Zn use for treated cows. Administration of rbST-Zn had no effect on milk somatic cell count, the number of days to pregnancy, or inseminations per pregnancy; rates of fetal loss, twins, cystic ovaries, clinical lameness, lameness lesions, or traumatic lesions of the integumentary system; and odds of clinical mastitis or culling. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicated that rbST-Zn administration to dairy cows effectively increases milk production with no adverse effects on cow health and well-being.

Deep sequencing analysis reveals temporal microbiota changes associated with development of bovine digital dermatitis.

Bovine digital dermatitis (DD) is a leading cause of lameness in dairy cattle throughout the world. Despite 35 years of research, the definitive etiologic agent associated with the disease process is still unknown. Previous studies have demonstrated that multiple bacterial species are associated with lesions, with spirochetes being the most reliably identified organism. This study details the deep sequencing-based metagenomic evaluation of 48 staged DD biopsy specimens collected during a 3-year longitudinal study of disease progression. Over 175 million sequences were evaluated by utilizing both shotgun and 16S metagenomic techniques. Based on the shotgun sequencing results, there was no evidence of a fungal or DNA viral etiology. The bacterial microbiota of biopsy specimens progresses through a systematic series of changes that correlate with the novel morphological lesion scoring system developed as part of this project. This scoring system was validated, as the microbiota of each stage was statistically significantly different from those of other stages (P < 0.001). The microbiota of control biopsy specimens were the most diverse and became less diverse as lesions developed. Although Treponema spp. predominated in the advanced lesions, they were in relatively low abundance in the newly described early lesions that are associated with the initiation of the disease process. The consortium of Treponema spp. identified at the onset of disease changes considerably as the lesions progress through the morphological stages identified. The results of this study support the hypothesis that DD is a polybacterial disease process and provide unique insights into the temporal changes in bacterial populations throughout lesion development.

Assessment and management of pain associated with lameness in cattle.

Lameness impacts the cattle industry in economic losses and welfare considerations. In addition to production deficits, pain and distress associated with lameness have been documented. The evaluation and prevalence of lame cattle is one of the primary factors in third-party welfare audit programs. To improve earlier detection and treatment of lameness, locomotion scoring systems have been developed for routine use by farm employees. Recommendations for pain management typically include the use of a multimodal therapeutic approach. Similarly, in lame cattle, pain can best be alleviated by implementing a multimodal approach including corrective claw trimming and placement of foot blocks combined with additional benefits provided by analgesic compounds.

Clinical diagnosis of foot and leg lameness in cattle.

The causes of lameness in cattle are multifactorial and involve a combination of housing, management, and environmental factors and a variety of infectious agents. Arriving at a cause can often require concerted efforts. Diagnosis of lameness is often based mainly on clinical observations. A detailed record of those observations with time and among several animals within a herd can provide valuable information toward solving lameness problems. Advances in computer hardware and software help facilitate more detailed data collection and analysis.

Evaluation of the efficacy of prophylactic hoof health examination and trimming during midlactation in reducing the incidence of lameness during late lactation in dairy cows.

OBJECTIVE: To assess the efficacy of prophylactic hoof health examination and trimming during midlactation at reducing the incidence of lameness during late lactation in dairy cows. DESIGN: Randomized field trial. ANIMALS: 333 Holstein cows. PROCEDURES: Cows without apparent lameness were randomly allocated into 1 of 2 groups approximately 204 days after calving. Cows allocated to the treatment group (n = 161) were examined on a tilt table for diagnosis and underwent hoof-trimming procedures, if needed, for treatment of hoof disorders or lesions. Cows in the control group (n = 172) were not examined. Cows were assigned a locomotion score weekly for 28 weeks after allocation to a group. The number of cows classified as lame during late lactation (approx 205 to 400 days after calving) was compared between groups to assess the efficacy of prophylactic examination and trimming. RESULTS: Incidence of lameness during late lactation was 24% in cows in the control group and 18% in cows in the treatment group. CONCLUSIONS AND CLINICAL RELEVANCE: The 25% decrease in number of new cases of lameness in cows undergoing prophylactic hoof health examination and trimming during midlactation may be relevant for the well-being of dairy cows and should not represent a major economic burden to producers.