Summary Reasons for performing study: Earlier studies have developed a clinical tool to evaluate objectively the function of the equine back. The ability to differentiate horses with back pain from asymptomatic, fully functioning horses using kinematic measures from this tool has not been evaluated. Objectives: To compare the kinematics of the back at walk and trot in riding horses with back dysfunction to the same parameters in asymptomatic sport horses. Methods: The kinematics of the back in 12 horses with impaired performance and back pain were studied at walk and trot on a treadmill. Data were captured for 10 secs at 240 Hz. Range of movement (ROM) and intravertebral pattern symmetry of movement for flexion and extension (FE), lateral bending (LB) and axial rotation (AR) were derived from angular motion pattern data and the results compared to an earlier established database on asymptomatic riding horses. Results: At walk, horses with back dysfunction had a ROM smaller for dorsoventral FE in the caudal thoracic region (T13 = 7.50°, T17 = 7.71°; P<0.05), greater for LB at T13 (8.13°; P<0.001) and smaller for AR of the pelvis (10.97°; P<0.05) compared to asymptomatic horses (FE‐T13 = 8.28°, FE‐T17 = 8.49°, LB‐T13 = 6.34°, AR‐pelvis = 12.77°). At trot, dysfunctional horses had a smaller (P<0.05) ROM for FE at the thoracic lumbar junction (T17 = 2.46°, L1 = 2.60°) compared to asymptomatic horses (FE‐T17 = 3.07°, FE‐L1 = 3.12°). Conclusions: The objective measurement technique can detect differences between back kinematics in riding horses with signs of back dysfunction and asymptomatic horses. The clinical manifestation of back pain results in diminished flexion/extension movement at or near the thoracic lumbar junction. However, before applying the method more extensively in practice it is necessary to evaluate it further, including measurements of patients whose diagnoses can be confirmed and long‐term follow‐ups of back patients after treatment. Potential relevance: Since the objective measurement technique can detect small movement differences in back kinematics, it should help to clinically describe and, importantly, objectively detect horses with back pain and dysfunction.

Summary Reasons for performing study: A common opinion among riders and in the literature is that the positioning of the head and neck influences the back of the horse, but this has not yet been measured objectively. Objectives: To evaluate the effect of head and neck position on the kinematics of the back in riding horses. Methods: Eight Warmblood riding horses in regular work were studied on a treadmill at walk and trot with the head and neck in 3 different predetermined positions achieved by side reins attached to the bit and to an anticast roller. The 3‐dimensional movement of the thoracolumbar spine was measured from the position of skin‐fixed markers recorded by infrared videocameras. Results: Head and neck position influenced the movements of the back, especially at the walk. When the head was fixed in a high position at the walk, the flexion‐extension movement and lateral bending of the lumbar back, as well as the axial rotation, were significantly reduced when compared to movements with the head free or in a low position. At walk, head and neck position also significantly influenced stride length, which was shortest with the head in a high position. At trot, the stride length was independent of head position. Conclusions: Restricting and restraining the position and movement of the head and neck alters the movement of the back and stride characteristics. With the head and neck in a high position stride length and flexion and extension of the caudal back were significantly reduced. Potential relevance: Use of side reins in training and rehabilitation programmes should be used with an understanding of the possible effects on the horse's back.

SummaryReasons for performing study: Lameness has often been suggested to result in altered movement of the back, but there are no detailed studies describing such a relationship in quantitative terms. Objectives: To quantify the effect of induced subtle forelimb lameness on thoracolumbar kinematics in the horse.

Back problems are important contributors to poor performance in sport horses. It has been shown that kinematic analysis can differentiate horses with back problems from asymptomatic horses. The underlying mechanism can, however, only be identified in a uniform, experimental setting. Our aim was to determine if induction of back pain in a well-defined site would result in a consistent change in back movement. Back kinematics were recorded at a walk and trot on a treadmill. Unilateral back pain was then induced by injecting lactic acid into the left longissimus dorsi muscle. Additional measurements were done subsequent to the injections. Data were captured during steady state locomotion at 240 Hz using an infrared-based gait analysis system. After the injections, the caudal thoracic back was more extended at both gaits. The back was also bent more to the left at both gaits. However, at the walk, there was a reversed pattern after a week with bending of the back to the unaffected side. Horses with identical back injuries appear to show similar changes in their back kinematics, as compared to the asymptomatic condition. Unilateral back pain seems to result in an increased extension of the back, as well as compensatory lateral movements. Back movements are complex and subtle, and changes are difficult to detect with the human eye. Present-day gait analysis systems can identify changes in the back movement, and knowledge of the relationship between such changes and the site of injury will be of help in better localising and diagnosing disorders of the equine back.

Summary Reasons for performing study: Diagnostic infiltration of local anaesthetic solution is commonly used in cases of equine back pain. Evaluation is subjective and it is not known how local analgesia of the back affects horses without clinical signs of back pain. Objectives: To evaluate the effect of infiltration of local anaesthetics on the movement of the back in horses without clinical signs of back pain, and to evaluate the usefulness of kinematic studies as an objective and quantitative tool in evaluating local analgesia in clinical practice. Methods: The kinematics of the back in 10 clinically sound horses were measured on 2 occasions at walk and trot before and after injections with mepivacaine and sodium chloride around the interspinous spaces between T16 and L2. The kinematics were compared between the 2 occasions before injections and before and after each injection. Results: The range of motion (ROM) for dorsoventral flexion‐extension (FE) of the back was increased significantly in all measured segments other than T10 at walk, as was lateral bending (LB) at T10, L3 and L5 after injection of mepivacaine. For lateral excursion (LE), total movement increased at all measured segments. At trot the only affected segment was L3, where the injection with mepivacaine decreased the ROM for FE. After injection of sodium chloride the ROM for FE increased at T13 and T17 at walk. Lateral bending and LE were not affected at walk. At trot, LB increased at L3 and L5. Conclusions and potential relevance: Diagnostic infiltration of local anaesthetic solution affects the function of the back in clinically sound horses, which must be considered when interpreting the use of this clinical aid in assessing clinical cases of back dysfunction. Kinematics can qualitatively and quantitatively evaluate the effect of local analgesia of the back.