Swing phase kinematic and kinetic response to weighting the hind pasterns.

REASONS FOR PERFORMING STUDY: It is considered that specific exercises to strengthen limb musculature would be helpful. OBJECTIVE: To describe swing phase kinematic and kinetic changes in the hindlimbs of trotting horses in response to the addition of leg weights to the hind pasterns. METHODS: Six horses were prepared by placing reflective skin markers on the hindlimbs, the withers and fore hooves. Horses were evaluated at trot for 6 trials with and without leg weights (700 g) attached around the pasterns, with the 2 conditions applied in random order. The markers were tracked to determine peak heights of the flight arc of the hind hooves and swing phase joint angulations. Inverse dynamic analysis was used to calculate positive and negative work done across each joint in the first and second halves of the swing phase. Comparisons between conditions were made using paired t tests (normally distributed data) or the Wilcoxon rank-sum test (non-normally distributed data). RESULTS: Peak height of the flight arc of the hind hooves was significantly higher with leg weights as a result of increased flexions of the stifle, tarsal and metatarsophalangeal joints. Increased positive (concentric) work was performed by the hip and tarsal musculature to protract and raise the limb in early swing, then to retract and lower the limb in late swing. Increased negative (eccentric) work was performed across the stifle and metatarsophalangeal joints to control their movements in response to increases in inertia and momentum due to the weights. CONCLUSIONS: The addition of weight to the hind pasterns stimulates increased muscular activity across all the hindlimb joints from the hip to the metatarsophalangeal joint. CLINICAL SIGNIFICANCE: The addition of weight to the hind pasterns may have therapeutic applications in activating and strengthening the hindlimb musculature. This is particularly relevant in the hip region, which appears more sensitive and responsive to the effect of weights than to tactile stimulation alone.

Hindlimb response to tactile stimulation of the pastern and coronet.

REASONS FOR PERFORMING STUDY: Lightweight tactile stimulators attached to the hind pasterns increase the height of the hind hoof flight arc but details of the induced changes in swing phase kinematics and kinetics have not been investigated. HYPOTHESES: Stimulators on the hind pasterns are associated with increased hindlimb joint flexions and increased positive work performed by the hip and tarsal musculature. MATERIALS AND METHODS: Nine nonlame horses trotted 4 times with and without 55 g tactile stimulators loosely attached around the hind pasterns. Height of the flight arc and peak flexion angles of the hindlimb joints were measured and net positive and negative work performed across each joint during the swing phase were calculated using inverse dynamics analysis and compared across paired conditions. RESULTS: Speed and stride duration did not change but stimulators were associated with a reduction in hind stance duration. The flight arc was higher with stimulators due to increased flexions of the stifle, tarsal, metatarsophalangeal and distal interphalangeal joints. Positive work increased in the tarsal musculature, but not in the hip musculature, and negative work increased across the stifle, metatarsophalangeal and distal interphalangeal joints. POTENTIAL RELEVANCE: The effects of tactile stimulation of the hind pasterns on joint motion and muscle activation may be used in physiotherapy and rehabilitation to restore or increase flexion of the hindlimb joints with the exception of the hip joint. The ability to stimulate concentric activity of the tarsal musculature may have therapeutic applications in conditions such as toe dragging.

Effects on behaviour and rein tension on horses ridden with or without martingales and rein inserts.

Unsteady hand position can cause discomfort to the horse, potentially leading to conflict behaviours (CB) such as head tossing or tail lashing. Some instructors feel that martingales or elastic rein inserts can reduce discomfort caused by inexperienced and unsteady hands. Others consider these devices to be inappropriate 'crutches'. Four horses and nine riders were tested under three conditions in random order: plain reins, adjustable training martingales (TM), and elasticised rein inserts (RI). Rein-tension data (7s) and behavioural data (30s) were collected in each direction. Rein-tension data were collected via strain-gauge transducers. Behavioural data were assessed using an ethogram of defined behaviours. No differences in the number of CB were observed. Mean rein tension for TM was higher than that of RI or controls. Relative to the withers, the head was lower for horses ridden with martingales. Carefully fitted martingales may have a place in riding schools that teach novices.

Short-term habituation of equine limb kinematics to tactile stimulation of the coronet.

UNLABELLED: A lightweight bracelet that provides tactile stimulation to the horse's pastern and coronet induces a higher flight arc of the hoof. This study addresses the pattern of habituation to these devices. OBJECTIVE: To evaluate short-term habituation to tactile stimulation of the pastern and coronet in trotting horses. METHODS: Tactile stimulation was provided by a lightweight (55 g) device consisting of a strap with seven chains that was attached loosely around the pastern. Reflective markers were fixed to the dorsal hoof wall, the forehead and over the tenth thoracic vertebra of eight sound horses. The horses trotted in hand 10 times at a consistent velocity along a 30 m runway under three conditions applied in random order at two-hour intervals: no stimulators, stimulators on both front hooves or stimulators on both hind hooves. One stride per trial was analyzed to determine peak hoof heights in the swing phase. Sequential trials with stimulators were compared with unstimulated trials using a nested ANCOVA and Bonferronni's post hoc test (P < 0.005). RESULTS: Peak hind hoof height increased significantly for all 10 trials when wearing hind stimulators, whereas peak fore hoof height increased during the first six trials only when wearing fore stimulators. The first trial with stimulators showed the greatest elevation, followed by a rapid decrease over the next three trials and then a more gradual decrease. CONCLUSIONS: If the goal is to facilitate a generalized muscular response, a short burst of tactile stimulation is likely to be most effective, whereas longer periods of stimulation will be more effective for strength training.

Stance phase kinematics and kinetics of horses trotting over poles.

REASON FOR PERFORMING STUDY: Trotting over poles is frequently used therapeutically to restore swing phase ranges of joint motion. It is not known whether ground reaction forces (GRFs) increase as the swing phase limbs are lifted higher to clear the poles. Higher GRFs might be painful or jeopardise healing of musculoskeletal injuries. OBJECTIVES: To measure stance phase kinematics and GRFs in the forelimbs and hindlimbs of horses trotting on level ground, over low poles and over high poles, and to test the hypothesis that trotting over poles is associated with increases in peak GRFs and impulses in the supporting hindlimb and forelimb compared with trotting over level ground. STUDY DESIGN: Repeated measures experimental study on horses with normal gait. METHODS: Kinematic and GRF data were collected from 8 horses trotting on level ground under 3 conditions performed in random order: no poles, low (11 cm) poles and high (20 cm) poles spaced 1.05 ± 0.05 m apart. Spatiotemporal and angular kinematic variables and GRFs were measured during stance. Comparisons among conditions were made using repeated measures ANOVA (P<0.05) with Bonferroni correction for post hoc testing. RESULTS: The only GRF component that increased when trotting over poles was peak forelimb braking GRF. Forelimb vertical and braking impulses increased and the transverse impulse changed from medially to laterally directed. Extension of the metatarsophalangeal and metacarpophalangeal joints did not change. CONCLUSIONS: The fact that peak vertical forces and extension of the metatarsophalangeal and metacarpophalangeal joints did not increase when trotting over poles suggests that loading of the musculoskeletal tissues is comparable with that associated with trotting on level ground in horses with symmetrical movement at trot. The findings support the use of trot poles during rehabilitation from lameness in horses that move symmetrically. The generation of laterally directed forelimb transverse forces suggests that trotting over poles may recruit the forelimb adductor musculature.

The equine forelimb suspensory ligament exhibits a heterogeneous strain pattern under tensile load.

OBJECTIVES: To determine if regional variations in strain patterns occur within the suspensory ligament under tensile load. Local increases in strain may put certain regions of the suspensory ligament at risk and may explain the poor healing and high recurrence rates associated with suspensory branch injuries. METHODS: The suspensory ligament and its bone attachments were isolated from each of 10 adult equine cadaveric forelimbs and radiodense reference beads were inserted throughout the length of the ligament. Specimens were attached to a custom fixture secured to a materials testing system. Radiographs were acquired at 50, 445, 1112, and 2224 N of applied tensile load. Changes in distances between the beads in each region of the suspensory ligament were measured and the regional strain was calculated. Significant differences were determined using a repeated-measures analysis of variance. RESULTS: The suspensory ligament exhibited significant differences in regional strain (p <0.001). The distal branches of the suspensory ligament had significantly greater strains than the proximal (p = 0.025) and mid-body (p = 0.002) regions. The mid-body of the suspensory ligament also exhibited local strain variation, with the distal mid-body having significantly higher strains than the proximal mid-body (p = 0.038). CLINICAL SIGNIFICANCE: The equine suspensory ligament demonstrates a heterogeneous strain pattern during tensile loading, with the distal regions exhibiting significantly more strain than the proximal region. The non-homogenous strain pattern could explain the regional difference in injury and re-injury rates.

Swing phase kinematics of horses trotting over poles.

REASONS FOR PERFORMING STUDY: Trotting over poles is used therapeutically to restore full ranges of limb joint motion. The mechanics of trotting over poles have not yet been described, hence quantitative evidence for the presumed therapeutic effects is lacking. OBJECTIVES: To compare limb kinematics in horses trotting over level ground, over low poles and over high poles to determine changes in joint angulations and hoof flight arcs. STUDY DESIGN: Repeated measures experimental study in sound horses. METHODS: Standard motion analysis procedures with skin-fixed reflective markers were used to measure swing phase kinematics from 8 horses trotting on level ground, over low (11 cm) and high (20 cm) poles spaced 1.05 ± 0.05 m apart. Spatiotemporal variables and peak swing phase joint flexion angles were compared using repeated measures ANOVA (P<0.05) with Bonferroni correction for pairwise post hoc testing. RESULTS: Peak heights of the fore and hind hooves increased significantly and progressively from no poles (fore: 13.8 ± 3.8 cm; hind: 10.8 ± 2.4 cm) to low poles (fore: 30.9 ± 4.9 cm; hind: 24.9 ± 3.7 cm) and to high poles (fore: 41.0 ± 3.9 cm; hind: 32.7 ± 4.0 cm). All joints of the fore- and hindlimbs contributed to the increase in hoof height through increased swing phase flexion. The hooves cleared the poles due to increases in joint flexion rather than by raising the body higher during the suspension phases of the stride. CONCLUSIONS: The increases in swing phase joint flexions indicate that trotting over poles is effective for activating and strengthening the flexor musculature. Unlike the use of proprioceptive stimulation devices in which the effects decrease over time due to habituation, the horse is required to elevate the hooves to ensure clearance whenever poles are present. The need to raise the limbs sufficiently to clear the poles and place the hooves accurately requires visuomotor coordination, which may be useful in the rehabilitation of neurological cases. The Summary is available in Chinese - see Supporting information.

Effect of compressive loading on chondrocyte differentiation in agarose cultures of chick limb-bud cells.

It is well established that mechanical loading is important to homeostasis of cartilage tissue, and growing evidence suggests that it influences cartilage differentiation as well. Whereas the effect of mechanical forces on chondrocyte biosynthesis and gene expression has been vigorously investigated, the effect of the mechanical environment on chondrocyte differentiation has received little attention. The long-term objective of this research is to investigate the regulatory role of mechanical loading in cell differentiation. The goal of this study was to determine if mechanical compression could modulate chondrocyte differentiation in vitro. Stage 23/24 chick limb-bud cells, embedded in agarose gel, were subjected to either static (constant 4.5-kPa stress) or cyclic (9.0-kPa peak stress at 0.33 Hz) loading in unconfined compression during the initial phase of commitment to a phenotypic lineage. Compared with nonloaded controls, cyclic compressive loading roughly doubled the number of cartilage nodules and the amount of sulfate incorporation on day 8, whereas static compression had little effect on these two measures. Neither compression protocol significantly affected overall cell viability or the proliferation of cells within nodules. Since limb-bud mesenchymal cells were seeded directly into agarose, an assessment of cartilage nodules in the agarose reflects the proportion of the original cells that had given rise to chondrocytes. Thus, the results indicate that about twice as many mesenchymal cells were induced to enter the chondrogenic pathway by cyclic mechanical compression. The coincidence of the increase in sulfate incorporation and nodule density indicates that the primary effect of mechanical compression on mesenchymal cells was on cellular differentiation and not on their subsequent metabolism. Further studies are needed to identify the primary chondrogenic signal associated with cyclic compressive loading and to determine the mechanism by which it influences commitment to or progression through the chondrogenic lineage, or both.

Tensile fixation strengths of absorbable meniscal repair devices as a function of hydrolysis time. An in vitro experimental study.

To determine the effect of hydrolysis time on the fixation strength of absorbable meniscal repair devices, adult bovine menisci were repaired with five devices and a suture. The ultimate tensile strength of the repair was then tested in six specimens immediately or after 6, 12, or 24 weeks of incubation at 37 degrees C in a saline solution containing antibiotics, antimycotics, and protease inhibitors. Immediately after implantation the Bionx Meniscus Arrow had a significantly higher failure strength (57.7 +/- 13.8 N) than the Linvatec BioStinger (35.1 +/- 6.7 N), the Innovasive Clearfix screw (34.9 +/- 13 N), the Surgical Dynamics S-D-sorb staple (9.4 +/- 4.6 N), and the Mitek Meniscal Repair System (polydioxanone) (27.2 +/- 6.0 N). However, there was no significant difference between the Bionx Meniscus Arrow and a 2-0 polydioxanone vertical suture (51.6 +/- 2.7 N). The polydioxanone-based implants demonstrated a significant decrease in failure strength at 12 and 24 weeks. Similarly, the Surgical Dynamics S-D-sorb staple lost all fixation strength by 24 weeks. The remaining devices showed no significant loss of failure strength over the 24-week period, suggesting that 24 weeks of hydrolysis does not adversely affect the ultimate holding power of poly L-lactide-based meniscal fixation devices.

Three dimensional, radiosteriometric analysis (RSA) of equine stifle kinematics and articular surface contact: a cadaveric study.

REASONS FOR PERFORMING STUDY: Studies examining the effect of stifle joint angle on tibial rotation, adduction-abduction angle and articular contact area are lacking. OBJECTIVES: To test the hypothesis that tibial rotation, adduction-abduction angle and articular contact area change with stifle joint angle. STUDY DESIGN: Descriptive study of normal kinematics and articular contact patterns of the equine stifle through the functional range of motion using 3 dimensional (3D) radiosteriometric analysis (RSA) and equine cadaver stifles. METHODS: Multiple, radiopaque markers were embedded in the distal femur and proximal tibia and sequential, biplanar x-rays captured as the stifle was passively extended from 110° to full extension. Computer-programmed RSA was used to determine changes in abduction-adduction and internal-external rotation angles of the tibia during stifle extension as well as articular contact patterns (total area and areas of high contact) through the range of motion. RESULTS: The tibia rotated externally (P < 0.001) as the stifle was extended. Tibial abduction occurred from 110-135° of extension (P < 0.001) and tibial adduction occurred from 135° through full extension (P = 0.009). The centre of joint contact moved cranially on both tibial condyles during extension with the lateral moving a greater distance than the medial (P = 0.003). Articular contact area decreased (P = 0.001) in the medial compartment but not in the lateral compartment (P = 0.285) as the stifle was extended. The area of highest joint contact increased on the lateral tibial condyle (P < 0.001) with extension but decreased (P = 0.001) on the medial tibial condyle. CONCLUSIONS: Significant changes occur in tibial rotation, adduction-abduction angle and articular contact area of the equine stifle through the functional range of motion. Understanding the normal kinematics of the equine stifle and the relationship between joint positions and articular contact areas may provide important insight into the aetiology and location of common stifle joint pathologies (articular cartilage and meniscal lesions).

Forces and pressures on the horse's back during bareback riding.

The objectives of this study were to measure forces and pressure profiles when riding with a conventional saddle compared to bareback riding. An electronic pressure mat was used to compare contact area, mean total force and pressure variables for one rider riding seven horses at sitting trot with a conventional saddle or bareback. The use of a saddle was associated with a larger contact area and higher mean total force compared with the bareback condition. Mass normalized mean total force for bareback riding was lower than expected based on the rider's body mass, suggesting that shear forces exerted by the rider's thighs were not being registered by the pressure mat. In spite of the lower total force, the bareback condition was associated with higher average pressure, higher maximal pressure and larger area with mean pressure >11 kPa. Focal pressure concentrations were present beneath the rider's ischial tuberosities in the area of the horse's epaxial muscles when riding bareback but not when using a saddle. It was concluded that bareback riding was associated with focal pressure concentrations that may increase the risk of pressure-induced injury to the horse's epaxial musculature. The findings also emphasized that researchers should remain cognizant of shear forces, which may not be registered by the pressure mat, but may contribute to the effects of riding on the horse's back.

Comparison of pressure distribution under a conventional saddle and a treeless saddle at sitting trot.

It can be a challenge to find a conventional saddle that is a good fit for both horse and rider. An increasing number of riders are purchasing treeless saddles because they are thought to fit a wider range of equine back shapes, but there is only limited research to support this theory. The objective of this study was to compare the total force and pressure distribution patterns on the horse's back with conventional and treeless saddles. The experimental hypotheses were that the conventional saddle would distribute the force over a larger area with lower mean and maximal pressures than the treeless saddle. Eight horses were ridden by a single rider at sitting trot with conventional and treeless saddles. An electronic pressure mat measured total force, area of saddle contact, maximal pressure and area with mean pressure >11 kPa for 10 strides with each saddle. Univariate ANOVA (P<0.05) was used to detect differences between saddles. Compared with the treeless saddle, the conventional saddle distributed the rider's bodyweight over a larger area, had lower mean and maximal pressures and fewer sensors recording mean pressure >11 kPa. These findings suggested that the saddle tree was effective in distributing the weight of the saddle and rider over a larger area and in avoiding localized areas of force concentration.

Stifle extension results in differential tensile forces developing between abaxial and axial components of the cranial meniscotibial ligament of the equine medial meniscus: a mechanistic explanation for meniscal tear patterns.

REASON FOR PERFORMING THE STUDY: To identify potential functional-anatomical characteristics of the cranial horn attachment of the medial meniscus (MM) that may help explain the pathogenesis of the common tear patterns that have been reported. HYPOTHESIS: Full extension of the stifle generates a significant increase in tensile forces within the cranial meniscotibial ligament (CrMTL) of the MM, which may predispose this structure to injury. METHODS: The effect of femorotibial angle (160°, 150°, 140° and 130°) on tensile forces in the axial and abaxial components of the CrMTL was examined in 6 mature cadaver stifles using an implantable force probe. Three additional specimens were used to examine the histological structure of the CrMTL and its connection to the cranial horn of the MM. RESULTS: Full extension of the stifle (160°) resulted in a significantly greater tensile force in the abaxial component of the CrMTL when compared with the axial component (P = 0.001). The tensile force in the abaxial component of the CrMTL increased significantly between 150° and 160° of stifle extension (P = 0.011). The CrMTL appears to be comprised of 2 functional components, which become more visually distinct as the stifle is extended. Histologically, these components are separated by a cleft of highly vascularised, less organised connective tissue, which becomes less prominent at the junction of the ligament and the cranial horn of the MM. CONCLUSION: A 4-fold difference in the tensile forces in the 2 functional components of the CrMTL of the MM was observed with full extension of the stifle. POTENTIAL RELEVANCE: The functional anatomy of the CrMTL may place this region at greater risk of injury during hyperextension of the stifle and, therefore, may provide a mechanistic rationale for the commonly reported meniscal tear patterns in the horse.

Dynamic mobilisations in cervical flexion: Effects on intervertebral angulations.

REASONS FOR PERFORMING STUDY: Based upon human data, it is probable that many conditions associated with neck pain in horses may benefit from performing mobilisation exercises as part of the rehabilitation protocol. OBJECTIVES: To compare sagittal plane intervertebral angulations in a neutral standing position with the angulations at end range of motion in 3 dynamic mobility exercises performed in cervical flexion. METHODS: Sagittal plane motion of the head, neck and back were measured in 8 sound horses standing in a neutral position and in 3 end-of-range neck flexion positions: chin-to-chest, chin-between-carpi, and chin-between-fore fetlocks. Skin markers on the head, transverse processes of C1-C6, and dorsal spinous processes of T6, T8, T10, T16, L2, L6, S2 and S4 were tracked and adjacent markers connected to form rigid segments. Intersegmental angles, measured between segments on the ventral surface, in the 4 positions were compared using repeated measures ANOVA with Bonferroni post hoc tests (P<0.05). RESULTS: The largest angular differences involved the cranial and caudal cervical joints with smaller angular differences (<10°) in the mid-neck. The angle at C1 was significantly more extended for chin-between-carpi (98 ± 11°) and chin-between-fetlocks (132 ± 11°) than for the neutral position (86 ± 8°) or chin-to-chest (92 ± 8°) positions. The intersegmental angle at C6 indicated progressive lowering of the neck from neutral through chin-to-chest and chin-between-carpi to chin-between-fetlocks. The intersegmental angles from T6-L1 were more flexed by 3-7° in the cervical flexions compared with the neutral position with the differences being significant for at least one of the dynamic mobilisations at each vertebral level. CONCLUSIONS: The articulations at the extremities of the cervical vertebral column are primarily responsible for sagittal plane position and orientation of the head and neck. Dynamic cervical flexion also flexes the thoracic intervertebral joints. POTENTIAL RELEVANCE: The results indicate that dynamic mobilisation exercises performed in cervical flexion have applications in mobilising the cervical and thoracic intervertebral joints, which may have some clinical applications in rehabilitation.