The effect of the z-bar shoeing method on surface dimension of the hoof wall and time required for therapeutic shoeing in three horses with a sheared heel

Chanda, Metha; Puangthong, Chanikarn; Sanigavatee, Kanokpan; Kiawwan, Ratsamin; Krungthongpatthana, Watsachon

doi:10.1080/09712119.2020.1814785

Cited by 5 publications

(12 citation statements)

References 12 publications

(13 reference statements)

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“…Sequentially uniaxial perineural anaesthesia using 2% lidocaine hydrochloride (L.B.S. Laboratory Ltd. Bangkok, Thailand) was administered to identify pain location according to a method described previously [ 16 , 17 ]. Briefly, the pony underwent uniaxial local anaesthesia on the right forelimb.…”

Section: Case Descriptionmentioning

confidence: 99%

“…A z-bar shoe was employed to manage the pony's chronic foot pain. It was created from the conventional metal shoe (Mustadfors Bruks, Dals Långed, Sweden) according to the pain location, similar to a previously described method [ 16 , 17 ]. A non-weight-bearing portion of the z-bar shoe was designed to eliminate loading on the medial palmar region (Figures 3(a) – 3(c) ).…”

Section: Case Descriptionmentioning

confidence: 99%

“…Recently, z-bar shoeing with sequentially uniaxial perineural anaesthesia has been successfully implemented for palmar hoof pain management without medical administration [ 16 ]. It also assists in correcting the shear heels' condition in the affected horse's hooves [ 17 ]. Despite providing a positive outcome for hoof pain management, long-term application of the z-bar shoe during an exercise training regimen for horses with foot pain has not been studied.…”

Section: Introductionmentioning

confidence: 99%

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Z-Bar Shoeing Demonstrates Potential for Long-Term Foot Pain Management during an Exercise Training Regimen in a Show Jumping Pony with Uniaxial Palmar Pain

Sanigavatee

Poochipakorn

Charoenchanikran³

et al. 2022

Case Reports in Veterinary Medicine

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Z-bar shoeing has been implemented to relieve uniaxial palmar pain arising from the structures in the affected region. However, there have been no reports on the long-term application of the z-bar shoe during exercise training regimens. A 10-year-old mixed-breed show jumping pony presented with an occasional short stride and abnormal rhythm while turning during routine exercise for three months. Gait analysis conducted by trotting off on both hard and soft surfaces showed no lameness in the straight line on both types of surfaces. However, right forelimb lameness was detected with moderate and slight pain accompanying hard surface lunging in clockwise and counterclockwise directions, respectively. Sequential examination of uniaxial perineural anaesthesia confirmed that the pony suffered from medial palmar pain on the right foreleg. Mild distal border irregularity of the navicular bone was also observed radiographically. The z-bar shoe was designed relative to the palmar digital anaesthesia and subsequently applied on the lame leg. The pony demonstrated a marked reduction in lameness severity immediately post-Z-bar shoeing. Physical exercise was resumed a few days after the shoeing practice. The pony underwent routine exercise training while continuously fitting with the Z-bar shoe for 24 weeks without recurrent lameness or complications. Application of z-bar shoe showed the potential for long-term foot pain management during an exercise training regimen in a show jumping pony with uniaxial palmar pain.

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Section: Case Descriptionmentioning

confidence: 99%

Section: Case Descriptionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Z-Bar Shoeing Demonstrates Potential for Long-Term Foot Pain Management during an Exercise Training Regimen in a Show Jumping Pony with Uniaxial Palmar Pain

Sanigavatee

Poochipakorn

Charoenchanikran³

et al. 2022

Case Reports in Veterinary Medicine

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“…However, very few controlled scientific studies have been conducted to rigorously ascertain the therapeutic efficacy of such strategy ( 12 ). Multiple shoeing methods have been conceived, such as z-bar shoes (open area of shoe is intended to reduce weight bearing on the palmar area of the hoof, reducing trauma and promoting healing) ( 13 ), egg bar shoes (increase the weight-bearing surface and create a larger area of posterior support for the foot and leg) ( 14 ), toe wedges and heel wedges (used on the rear palmar aspect of a collapsed heel region of a hoof wall) ( 8 ). These interventions are postulated to promote distal limb health, through supporting the joints of the lower limb and reducing unwanted biomechanical forces applied by the farrier if adverse conformational traits are identified.…”

Section: Prophylactic Shoeingmentioning

confidence: 99%

An Evaluation of Current Preventative Measures Used in Equine Practice to Maintain Distal Forelimb Functionality: A Mini Review

et al. 2021

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Horses are used in a variety of equestrian disciplines predisposing them to musculoskeletal injury or disease including osteoarthritis and tendinopathy. As a result, a number of preventative measures are used within equine medicine and husbandry, ranging from therapeutic shoeing to the use of nutraceuticals. Despite their popularity and routine use evidence base and clinical outcomes are variable, bringing into question the efficacy of these prophylactic measures. In recent years a small number of studies have been performed examining the effect of specific strategies in order to quantify the preventative and protective claims such modalities have on joint and forelimb health. Few have robustly demonstrated a capacity to protect the limb by reducing inflammation, or promoting regenerative pathways. This review focusses on performance horses specifically, and the resounding theme that emerges in current research is the need for longitudinal studies to inform scientific conclusions surrounding single and multi-modal use. Furthermore, there is a requirement to prioritise evidence-based medicine to inform optimal clinical practice.

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“…To achieve this goal, strategic trimming by removing more hoof horn at the displaced side than the normal side and using a web straight bar shoe has been proposed to correct sheared heels 19 . Recently, Z‐bar shoeing has demonstrated the potential to correct medial displacement of the hoof wall in horses with sheared heels 21 …”

Section: Introductionmentioning

confidence: 99%

Strategic shoeing adjustment is imperative in solving complicated hoof problems while managing distal phalanx rotation in a laminitic horse with sheared heels

Poochipakorn

Sanigavatee

Watchrarat

et al. 2022

Vet Record Case Reports

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A 22‐year‐old gelding pony, diagnosed with bilateral chronic laminitis and sheared heels, underwent strategic shoeing management to solve the complicated hoof problems in both front legs. The left hoof was shod with a conventional bar shoe with an unsupported toe, while a modified Z‐bar shoe with an unsupported toe was applied on the right front hoof. The severity of lameness declined following the application of the two different shoeing styles, although the sheared heel condition was improved only in the right forelimb. Accidental nailing into the compromised medial hoof wall occurred, causing lameness in the right front hoof. Orthopaedic casting tape and the conventional bar shoe with the unsupported toe were applied, decreasing the lameness severity in the affected hoof. Strategic shoeing adjustments are essential in solving complicated hoof problems while managing distal phalanx rotation in a laminitic horse with sheared heels.

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The effect of the z-bar shoeing method on surface dimension of the hoof wall and time required for therapeutic shoeing in three horses with a sheared heel

Abstract: Krungthongpatthana (2020) The effect of the z-bar shoeing method on surface dimension of the hoof wall and time required for therapeutic shoeing in three horses with a sheared heel,

Cited by 5 publications

References 12 publications

Z-Bar Shoeing Demonstrates Potential for Long-Term Foot Pain Management during an Exercise Training Regimen in a Show Jumping Pony with Uniaxial Palmar Pain

Z-Bar Shoeing Demonstrates Potential for Long-Term Foot Pain Management during an Exercise Training Regimen in a Show Jumping Pony with Uniaxial Palmar Pain

An Evaluation of Current Preventative Measures Used in Equine Practice to Maintain Distal Forelimb Functionality: A Mini Review

Strategic shoeing adjustment is imperative in solving complicated hoof problems while managing distal phalanx rotation in a laminitic horse with sheared heels

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