Computerized ultrasonography provided an excellent tool for objective monitoring of healing tendons in horses and reliable prognostication of repair quality.
Summary In human athletes, conditioning, training and competition are commenced before skeletal maturity. Yet in equine athletics, racing of young (age 2 years) horses remains contentious. Tendon injury persists as major causes of wastage in equine athletes. Minimising injury and associated welfare issues could involve a radical approach to the timing and implementation of conditioning and training. Tendons were examined from Thoroughbreds, Dutch Warmblood foals, working horses and also a group of wild horses to evaluate effects of age, function and exercise. Gross mechanical properties did not differ significantly with age or exercise, but showed a high variance within each group. Mechanical properties of tendon tissue showed significant differences as a function of age and location. The collagen fibril crimp angle and length showed a regional reduction in the central core with exercise and age, with a synergistic effect. Regional differences in collagen fibril diameter were seen in long‐term exercised older horses, but not in short‐term exercised, or younger, horses. The higher proportion of small fibrils in the central region of the long‐term exercised horses did not correlate with new collagen formation and therefore appear to result from disassembly of the larger diameter fibrils. Fibril diameter distributions were influenced by exercise regimens in the growing foal. Changes in molecular composition occurred in longer‐term exercise and older horses, in the centre of the tendon, with higher levels of type III collagen and changes in glycosaminoglycan (GAG) content. Cartilage Oligomeric Matrix Protein (COMP) levels also appear to be modulated by age, function and superimposition of exercise. These changes were all exacerbated with age and exercise, suggesting appropriate exercise in young horses may lead to a lower incidence of injury than in older horses. An hypothesis is advanced that immature tendon can respond to exercise while mature tendon has limited, if any, ability to do so. These findings support potentially controversial earlier conditioning and racing of younger, rather than older, equine athletes.
Exercise significantly affected the biomechanical properties of the SDFT in foals. Evenly distributed moderate- and low-intensity exercise at a young age may be more effective for development of strong, flexible tendons in horses than single episodes of high-intensity exercise superimposed on stall rest. This effect may impact later susceptibility to SDFT injury.
Collagen fibril restructuring in the SDFT of foals is in part an exercise-driven process. Withholding exercise may cause a delay in fibril development that can be partially overcome by increasing exercise at a later age. Exercise type may also affect remodeling of the SDFT in foals.
on the tenocytes resulting in a decrease of the production of PSGAGs. Therefore, inappropriate or excessive exercise may damage developing tendon, with limited recovery after normalising the exercise level. These possibly deleterious effects of a training regimen on tendon development may be important for the management of young would-be equine athletes.
SummaryTo evaluate a novel tendon biopsy technique for use in the horse and to assess the effect of different exercise levels on the healing process of minimally damaged superficial digital flexor tendons (SDFT), 24 Dutch Warmblood foals were randomly divided into 3 equally sized groups one week after birth. One group was box rested, one group got box rest with additional enforced exercise, and one group got free pasture exercise. Biopsies from the peripheral region of the SDFT were taken at age 2 months using a new micro-biopsy technique. At age 5 months the foals were euthanized and samples from the biopsy site and a control site were harvested. Collagen fibrillar index (CFI, the total amount of collagen as a percentage of the measured area), mass-average diameter (MAvD, mean of the diameter versus area distribution) and collagen fibrillar diameter frequency (the distribution of collagen fibril sizes expressed as a percentage of the number of collagen fibrils) were calculated. The CFI, MAvD values were significantly lower in the wound samples. It is concluded that the biopsy technique may be a useful tool for research applications. The absence of exercise-induced effects on the collagen fibril population in the wound samples suggests that the first phase of the process of tendon healing in immature equine SDFT’s sustaining a minor surgically-induced wound, is not exercise-dependent. However, findings may be different in mature horses sustaining accidental trauma.A novel technique to take biopsies from immature equine flexor tendons was developed and used to evaluate the effect of various levels of exercise on the development of the collagen fibril diameter distribution in the resulting wounds. The technique appeared to be minimally invasive, but complication rate was deemed too high for clinical use. There was no effect of exercise on mass average diameter of collagen fibrils, suggesting that the repair process, at least in its initial stage, is exercise-independent.
Background and Aim: The medical treatment of horses with nephrosplenic entrapment (NSE) of the large colon through administrating phenylephrine and rolling during general anesthesia was effective and less expensive than surgical treatment. However, the selection of drugs for non-surgical treatment of NSE is not a usual method for clinical practice. This study aimed to identify the effects of combined drugs on the cardiac and splenic response in horses and provide information on the NSE of the large colon for clinical application. Materials and Methods: Six healthy Thai native crossbred horses were enrolled in this study. Horses received two protocols with a withdrawal period of 14 days: Group 1 received xylazine (0.5 mg/kg IV) and adrenaline (1 mcg/kg IV), and Group 2 received xylazine (0.5 mg/kg IV) and adrenaline (3 mcg/kg IV). Heart rate (HR), HR variability (HRV), heart dimensions, and the splenic response of six horses were measured before the sedation, 30 and 60 min later, and 65, 70, 75, 80, 90, and 100 min after adrenaline administration. Doppler was used to obtain systolic blood pressure. Results: The HRV low-frequency and high-frequency power ratios decreased after using xylazine. Hypertension was observed after adrenaline administration. In this study, there were only minimal differences in the HR and respiratory rate between groups. However, overall cardiac and splenic parameters were statistically higher in Group 2. Conclusion: This study suggested that xylazine and three micrograms of adrenaline preserved the cardiac autonomic activity balance and were safe to use non-surgical applicability in horses.
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