Normal variation in pelvic roll motion pattern during straight-line trot in hand in warmblood horses

In horses, hip hike asymmetry, i.e. left-right difference in hip upwards movement during hind limb protraction in trot, is a crucial lameness sign. Vertical hip movements are complex, influenced by both pelvic roll and pelvic vertical motion. Veterinarians find it challenging to identify low-grade lameness, and knowledge of normal variation is a prerequisite for discerning abnormalities. This study, which included 100 clinically sound Warmblood horses, aimed to describe normal variation in pelvic roll stride patterns. Data were collected during straight-line trot in hand using optical motion capture. Stride-segmented pelvic roll data, normalised with respect to time (0-100% of the stride) and amplitude (± 0.5 of horse average stride range of motion), were modelled as a linear combination of sine and cosine curves. A sine curve with one period per stride and a cosine curve with three periods per stride explained the largest proportions of roll motion: model estimate 0.335 (p < 0.01) and 0.138 (p < 0.01), respectively. Using finite mixture models, the horses could be separated into three groups sharing common pelvic roll characteristics. In conclusion, pelvic roll motion in trot follows a similar basic pattern in most horses, yet there is significant individual variation in the relative prominence of the most characteristic features.

Patellar ligament desmopathy in the horse – a review and comparison to human patellar tendinopathy (‘Jumper’s knee’)

Patellar ligament desmopathy in horses is regarded as an uncommon condition with unclear aetiology. Of the three patellar ligaments in the horse, the intermediate is the one most often diagnosed with desmopathy in horses presenting with chronic lameness. This structure corresponds to the patellar tendon in humans. As diagnostic imaging modalities continuously improve, changes in echogenicity of the patellar ligaments are identified ultrasonographically with increasing frequency. However, disruption of the normal fibre pattern may be present also in patellar ligaments in horses that show no signs of lameness. Similarly, there is a poor correlation between pain and diagnostic imaging findings in human patellar tendinopathy. Consequently, there appears to be a knowledge gap pertaining to normal ultrasonographic variation and diagnostic criteria for disease of the patellar ligaments in horses. Furthermore, local anaesthetic techniques to verify the diagnosis are poorly described, and due to the low number of treated cases, no specific treatment modality can be recommended on a scientific basis. The aim of this paper is to review the current knowledge regarding the pathogenesis, diagnosis and management of patellar ligament desmopathy in horses, compare this condition with patellar tendinopathy in humans, and identify areas for further research to increase the diagnostic accuracy in horses. We conclude that there is a profound need for better descriptions of ultrasonographic variation and pathological changes of the equine patellar ligaments. Identification of areas of maximal ligament strain and descriptions of early histopathological changes could render more information on the possible aetiology, preventive measurements and treatment options of desmopathy. Description of regional innervation could aid in development of methods for diagnostic anaesthesia to verify pain originating from the ligaments.

Effects of horse housing on musculoskeletal system post-exercise recovery

This study examined the effects of two housing systems (control housing and loose housing) on musculoskeletal condition during recovery from race-like exercise in Standardbred horses. The hypothesis was that a loose housing system provides better conditions for musculoskeletal recovery than the control housing. Eight adult geldings (mean age 11 years) were used in a study with a cross-over design, with the control housing (CH) and loose housing (LH) treatments each run for 21 days. The horses had ad libitum access to forage and performed two similar race-like exercise tests (ET), on day 7 and day 14 in each treatment. Blood samples were collected before ET, at finish line, and at 7, 22, and 44 h of recovery and analysed for the muscle enzyme activities of creatine kinase and amino transferase. Before and three days after ET, hind leg fetlock joint region circumference and diameter, joint range of motion in right hock and carpus, mechanical nociceptive threshold in back muscle, and movement asymmetry were recorded. Overall circumference and overall diameter of hind fetlock joint region were lower in LH horses than CH horses (P=0.045 and P=0.017, respectively), but no other differences were observed. In conclusion, a loose housing system did not alter the recovery of musculoskeletal condition other than preventing a post exercise enlargement of the circumference and diameter of the hind fetlock joint region.

Kinematic gait characteristics of straight line walk in clinically sound dairy cows

The aim of this study is to describe the kinematic gait characteristics of straight line walk in clinically sound dairy cows using body mounted Inertial Measurement Units (IMUs) at multiple anatomical locations. The temporal parameters used are speed and non-speed normalized stance duration, bipedal and tripedal support durations, maximal protraction and retraction angles of the distal limbs and vertical displacement curves of the upper body. Gait analysis was performed by letting 17 dairy cows walk in a straight line at their own chosen pace while equipped with IMU sensors on tubera sacrale, left and right tuber coxae (LTC and RTC), back, withers, head, neck and all four lower limbs. Data intervals with stride by stride regularity were selected based on video data. For temporal parameters, the median was calculated and 95% confidence intervals (CI) were estimated based on linear mixed model (LMM) analysis, while for limb and vertical displacement curves, the median and most typical curves were calculated. The temporal parameters and distal limb angles showed consistent results with low variance and LMM analysis showed non-overlapping CI for all temporal parameters. The distal limb angle curves showed a larger and steeper retraction angle range for the distal front limbs compared with the hind limbs. The vertical displacement curves of the sacrum, withers, LTC and RTC showed a consistent sinusoidal pattern while the head, back and collar curves were less consistent and showed more variation between and within cows. This kinematic description might allow to objectively differentiate between normal and lame gait in the future and determine the best anatomical location for sensor attachment for lameness detection purposes.

Author Correction: Improving gait classification in horses by using inertial measurement unit (IMU) generated data and machine learning

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

Correction: Automatic detection of break-over phase onset in horses using hoof-mounted inertial measurement unit sensors

[This corrects the article DOI: 10.1371/journal.pone.0233649.].

Automatic hoof-on and -off detection in horses using hoof-mounted inertial measurement unit sensors

For gait classification, hoof-on and hoof-off events are fundamental locomotion characteristics of interest. These events can be measured with inertial measurement units (IMUs) which measure the acceleration and angular velocity in three directions. The aim of this study was to present two algorithms for automatic detection of hoof-events from the acceleration and angular velocity signals measured by hoof-mounted IMUs in walk and trot on a hard surface. Seven Warmblood horses were equipped with two wireless IMUs, which were attached to the lateral wall of the right front (RF) and hind (RH) hooves. Horses were walked and trotted on a lead over a force plate for internal validation. The agreement between the algorithms for the acceleration and angular velocity signals with the force plate was evaluated by Bland Altman analysis and linear mixed model analysis. These analyses were performed for both hoof-on and hoof-off detection and for both algorithms separately. For the hoof-on detection, the angular velocity algorithm was the most accurate with an accuracy between 2.39 and 12.22 ms and a precision of around 13.80 ms, depending on gait and hoof. For hoof-off detection, the acceleration algorithm was the most accurate with an accuracy of 3.20 ms and precision of 6.39 ms, independent of gait and hoof. These algorithms look highly promising for gait classification purposes although the applicability of these algorithms should be investigated under different circumstances, such as different surfaces and different hoof trimming conditions.

Automatic detection of break-over phase onset in horses using hoof-mounted inertial measurement unit sensors

A prolonged break-over phase might be an indication of a variety of musculoskeletal disorders and can be measured with optical motion capture (OMC) systems, inertial measurement units (IMUs) and force plates. The aim of this study was to present two algorithms for automatic detection of the break-over phase onset from the acceleration and angular velocity signals measured by hoof-mounted IMUs in walk and trot on a hard surface. The performance of these algorithms was evaluated by internal validation with an OMC system and a force plate separately. Seven Warmblood horses were equipped with two wireless IMUs which were attached to the lateral wall of the right front (RF) and hind (RH) hooves. Horses were walked and trotted over a force plate for internal validation while simultaneously the 3D position of three reflective markers, attached to lateral heel, lateral toe and lateral coronet of each hoof, were measured by six infrared cameras of an OMC system. The performance of the algorithms was evaluated by linear mixed model analysis. The acceleration algorithm was the most accurate with an accuracy between -9 and 23 ms and a precision around 24 ms (against OMC system), and an accuracy between -37 and 20 ms and a precision around 29 ms (against force plate), depending on gait and hoof. This algorithm seems promising for quantification of the break-over phase onset although the applicability for clinical purposes, such as lameness detection and evaluation of trimming and shoeing techniques, should be investigated more in-depth.

Equestrian and biomechanical perspectives on laterality in the horse

It has been suggested that one of the underlying causes of asymmetrical performance and left/right bias in sound riding horses is laterality originating in the cerebral cortices described in many species. The aim of this paper is to review the published evidence for inherent biomechanical laterality in horses deemed to be clinically sound and relate these findings to descriptions of sidedness in equestrian texts. There are no established criteria to determine if a horse is left or right dominant but the preferred limb has been defined as the forelimb that is more frequently protracted during stance and when grazing. Findings on left-right differences in forelimb hoof shape and front hoof angles have been linked to asymmetric forelimb ground reaction forces. Asymmetries interpreted as motor laterality have been found among foals and unhandled youngsters, and the consistency or extent of asymmetries seems to increase with age. Expressions of laterality also vary with breed, sex, training and handling, stress, and body shape but there are no studies of the possible link between laterality and lameness. In a recent study of a group of seven dressage horses, a movement pattern in many ways similar to descriptions of sidedness in the equestrian literature, e.g. one hind limb being more protracted and placed more laterally than the other, has been documented. The role of innate laterality versus painful conditions, training, human handedness and simply habit remains to be determined. Understanding the biomechanical manifestations of laterality in healthy horses, including individual variation, would yield a potential basis for how laterality should be taken into account in relation to training/riding and rehabilitation of lameness.

Modelling rein tension during riding sessions using the generalised additive modelling technique

General additive modelling (GAM-modelling) is an exploratory technique that can be used on longitudinal (time series) data, e.g. rein tension, over a period of time. The aim was to apply GAM-modelling to investigate changes in rein tension during a normal flatwork training session. Six riders each rode two or three of their horses (n=17 horses) during a normal flatwork/dressage training session with video recordings and rein tension measurements (128 Hz). Training sessions were classified according to rider position, stride length and whether horses were straight, bent to the left or bent to the right. The rein tension data were split into strides and for each stride minimal (MIN) and maximal (MAX) rein tension were determined and the area under the rein tension curve (AUC) was calculated. Using data on a contact the three outcome variables MIN, MAX and AUC rein tension were modelled by horse and rein (left/right), and time within the session was modelled as a smooth function. Two additional sets of models were constructed; one set using data within-rein with gait as a fixed effect and one set with rein and gait as fixed effects. Mean ± standard deviation values were MIN: 8.0±7.7 N, AUC: 180±109 Ns, and MAX: 49±31 N. GAM-modelling extracted visually interpretable information from the originally chaotic rein tension signals. Modelled data suggest that MIN, AUC and MAX follow the same pattern within horse. In general, rein tension was lowest in walk, intermediate in trot and highest in canter. Evaluating the entire ride, 12/17 horses systematically showed higher tension in the right rein. It is concluded that GAM-models may be useful for detecting patterns through time in biomechanical data.

Lateral movement of the saddle relative to the equine spine in rising and sitting trot on a treadmill

Saddle slip, defined as a progressive lateral displacement of the saddle during ridden exercise, has recently been given attention in the scientific press as a potential sign of lameness. The aim of this study was to objectively quantify the normal lateral movement (oscillations) of the saddle relative to the horse in non-lame horses, and associate this movement to the movements of the horse and rider. Data from seven Warmblood dressage horses competing at Grand Prix (n = 6) or FEI Intermediate (n = 1) level, ridden by their usual riders, were used. Simultaneous kinetic, kinematic and saddle pressure measurements were conducted during sitting and rising trot on a force-measuring treadmill. The maximum lateral movement of the caudal part of the saddle relative to the horse's spine (MAX) was determined for each diagonal step. A mixed model was applied, with MAX as outcome, and T6 and S3 vertical position, rigid body rotation angles (roll, pitch, yaw) of the horse’s and rider’s pelvis, vertical ground reaction forces, saddle force, and rider position (rising in rising trot, sitting in rising trot or sitting in sitting trot) as explanatory variables. The least square means for MAX were 14.3 (SE 4.7) mm and 23.9 (SE 4.7) mm for rising and sitting in rising trot, and 20.3 (SE 4.7) mm for sitting trot. A 10 mm increase in maximum pelvic height at push off increased MAX by 1.4 mm (p<0.0001). One degree increase in rider pelvis roll decreased MAX 1.1 mm, and one degree increase in rider pelvis yaw increased MAX 0.7 mm (both p<0.0001). The linear relationships found between MAX and movements of both horse and rider implies that both horse and rider movement asymmetries are reflected in the lateral movements or oscillations of the saddle in non-lame horses.

Effect of different head and neck positions on kinematics of elite dressage horses ridden at walk on treadmill

The debate on proper head and neck positions (HNP) in horse training is lively, but little is known about the biomechanical effects of various HNPs in horses ridden at walk. The aim was to quantify the influence of different HNPs on the kinematics of horses ridden at walk. The standard competition position (HNP2) was compared to a free, unrestrained position (HNP1), more flexed positions (HNP3, HNP4), a raised extended position (HNP5) and a forward-downward extended position (HNP6). An experimental study in seven high-level dressage horses ridden at walk on a treadmill was designed. Kinetic and kinematic measurements were obtained with different HNPs. HNP2 was used as a speed-matched reference. Kinematics were measured from skin-fixed markers recorded by high-speed video cameras. The kinetics of the limbs were measured by the force-measuring instrumentation of the treadmill. In HNP1, compared to HNP2, the lumbar back and the pelvis were more horizontally positioned (more extended), and fore- and hindlimb pro- and retraction increased, with increased caudal rotation of the femur during the second half of hindlimb stance. HNP6 induced similar changes as HNP1, but caused larger increases in forelimb pro- and retraction. In HNP3, HNP4 and HNP5 the pelvis was more angled (less extended) compared to HNP2 at hindlimb midstance, and in HNP3 and HNP4 also in early hindlimb stance. All three HNPs caused increased maximum flexion of the tarsus, stifle and metatarsophalangeal joint during the swing phase. HNP3 and HNP5, but not HNP4, had a decreasing influence on fore- and hindlimb pro- and retraction, and decreased caudal rotation of the femur during the second half of hindlimb stance.The main limitation was that horses were not ridden overground and the number of horses was small. Our conclusion was that changes in head and neck position can markedly affect the horse’s movement pattern at walk.

Vertical movement symmetry of the withers in horses with induced forelimb and hindlimb lameness at trot

Background

The main criteria for lameness assessment in horses are head movement for forelimb lameness and pelvic movement for hindlimb lameness. However, compensatory head nod in horses with primary hindlimb lameness is a well‐known phenomenon. This compensatory head nod movement can be easily misinterpreted as a sign of primary ipsilateral forelimb lameness. Therefore, discriminating compensatory asymmetries from primary directly pain‐related movement asymmetries is a prerequisite for successful lameness assessment.

Objectives

To investigate the association between head, withers and pelvis movement asymmetry in horses with induced forelimb and hindlimb lameness.

Study design

Experimental study.

Methods

In 10 clinically sound Warmblood riding horses, forelimb and hindlimb lameness were induced using a sole pressure model. The horses were then trotted on a treadmill. Three‐dimensional optical motion capture was used to collect kinematic data from reflective markers attached to the poll, withers and tubera sacrale. The magnitude and side (left or right) of the following symmetry parameters, vertical difference in minimum position, maximum position and range‐up were calculated for head, withers, and pelvis. Mixed models were used to analyse data from induced forelimb and hindlimb lameness.

Results

For each mm increase in pelvic asymmetry in response to hindlimb lameness induction, withers movement asymmetry increased by 0.35–0.55 mm, but towards the contralateral side. In induced forelimb lameness, for each mm increase in head movement asymmetry, withers movement asymmetry increased by 0.05–0.10 mm, in agreement with the head movement asymmetry direction, both indicating lameness in the induced forelimb.

Main limitations

Results must be confirmed in clinically lame horses trotting overground.

Conclusions

The vertical asymmetry pattern of the withers discriminated a head nod associated with true forelimb lameness from the compensatory head movement asymmetry caused by primary hindlimb lameness. Measuring movement symmetry of the withers may, thus, aid in determining primary lameness location.

Quantification of the effect of instrumentation error in objective gait assessment in the horse on hindlimb symmetry parameters

BACKGROUND

Objective gait analysis is becoming more popular as a tool assisting veterinarians during the clinical lameness exam. At present, there is only limited information on the effect of misplacement of markers/motion-sensors.

OBJECTIVES

To investigate and describe the effect of marker misplacement on commonly calculated pelvic symmetry parameters.

STUDY DESIGN

Experimental study.

METHODS

Each horse was equipped with custom-made devices consisting of several reflective markers arranged in a predefined manner with a reference marker correctly positioned regarding the anatomical landmark and several misplaced markers along the sagittal and transverse planes. Linear regression analysis was used to estimate the effect of marker misplacement.

RESULTS

For the tubera sacrale, each cm of left/right misplacement led to a difference in minimum position of the pelvis (PDmin) of ±1.67 mm (95% CI 1.54-1.8 mm) (P<0.001); maximum position of the pelvis (PDmax) was affected by ±0.2 mm (95% CI 0.071-0.33 mm) (P = 0.003). With respect to cranial/caudal misplacement, each cm of misplacement resulted in a PDmin difference of ±0.04 mm (95% CI -0.09 to 0.16 mm) (P = 0.56) and a PDmax difference of ±0.008 mm (95% CI -0.13 to 0.12 mm) (P = 0.9). For the tubera coxae, each cm of vertical misplacement led to a difference in the displacement amplitude between left and right tubera coxae (Hip-Hike_Diff) of ±1.56 mm (95% CI 1.35-1.77 mm) (P<0.001); for the cranial/caudal misplacement, this was ±0.82 mm (95% CI 0.66-0.97 mm) (P<0.001).

MAIN LIMITATIONS

Only three horses were used in this experiment and the study design did not permit to determine the influence of marker misplacement on the evaluation of different degrees of lameness.

CONCLUSIONS

Marker misplacement significantly affects calculated symmetry parameters of the pelvis. The observed errors are overall small but significant. In cases of mildly asymmetrical horses, this error might influence the decision-making process whereas in more severe asymmetries, the influence of the error effect may become less significant.

Head, withers and pelvic movement asymmetry and their relative timing in trot in racing Thoroughbreds in training

BACKGROUND

Horses show compensatory head movement in hindlimb lameness and compensatory pelvis movement in forelimb lameness but little is known about the relationship of withers movement symmetry with head and pelvic asymmetry in horses with naturally occurring gait asymmetries.

OBJECTIVES

To document head, withers and pelvic movement asymmetry and timing differences in horses with naturally occurring gait asymmetries.

STUDY DESIGN

Retrospective analysis of gait data.

METHODS

Head, withers and pelvic movement asymmetry and timing of displacement minima and maxima were quantified from inertial sensors in 163 Thoroughbreds during trot-ups on hard ground. Horses were divided into 4 subgroups using the direction of head and withers movement asymmetry. Scatter plots of head vs. pelvic movement asymmetry illustrated how the head-withers relationship distinguishes between contralateral and ipsilateral head-pelvic movement asymmetry. Independent t test or Mann-Whitney U test (P<0.05) compared pelvic movement asymmetry and timing differences between groups.

RESULTS

The relationship between head and withers asymmetry (i.e. same sided or opposite sided asymmetry) predicts the relationship between head and pelvic asymmetry in 69-77% of horses. Pelvic movement symmetry was significantly different between horses with same sign vs. opposite sign of head-withers asymmetry (P<0.0001). Timing of the maximum head height reached after contralateral ('sound') stance was delayed compared to withers (P = 0.02) and pelvis (P = 0.04) in horses with contralateral head-withers asymmetry.

MAIN LIMITATIONS

The clinical lameness status of the horses was not investigated.

CONCLUSION

In the Thoroughbreds with natural gait asymmetries investigated here, the direction of head vs. withers movement asymmetry identifies the majority of horses with ipsilateral and contralateral head and pelvic movement asymmetries. Withers movement should be further investigated for differentiating between forelimb and hindlimb lame horses. Horses with opposite sided head and withers asymmetry significantly delay the upward movement of the head after 'sound' forelimb stance.

Head and pelvic movement asymmetry during lungeing in horses with symmetrical movement on the straight

Reasons for performing study

Lungeing is commonly used as part of standard lameness examinations in horses. Knowledge of how lungeing influences motion symmetry in sound horses is needed.

Objectives

The aim of this study was to objectively evaluate the symmetry of vertical head and pelvic motion during lungeing in a large number of horses with symmetric motion during straight line evaluation.

Study design

Cross‐sectional prospective study.

Methods

A pool of 201 riding horses, all functioning well and considered sound by their owners, were evaluated in trot on a straight line and during lungeing to the left and right. From this pool, horses with symmetric vertical head and pelvic movement during the straight line trot (n = 94) were retained for analysis. Vertical head and pelvic movements were measured with body mounted uniaxial accelerometers. Differences between vertical maximum and minimum head (HDmax, HDmin) and pelvic (PDmax, PDmin) heights between left and right forelimb and hindlimb stances were compared between straight line trot and lungeing in either direction.

Results

Vertical head and pelvic movements during lungeing were more asymmetric than during trot on a straight line. Common asymmetric patterns seen in the head were more upward movement during push‐off of the outside forelimb and less downward movement during impact of the inside limb. Common asymmetric patterns seen in the pelvis were less upward movement during push‐off of the outside hindlimb and less downward movement of the pelvis during impact of the inside hindlimb. Asymmetric patterns in one lunge direction were frequently not the same as in the opposite direction.

Conclusions

Lungeing induces systematic asymmetries in vertical head and pelvic motion patterns in horses that may not be the same in both directions. These asymmetries may mask or mimic fore‐ or hindlimb lameness.

Rein tension during canter

Riders generally use reins as a means for communication with the horse. At present, the signalling pattern is poorly understood. The aim of this study was to illustrate and analyse the rein tension patterns in a number of rider/horse combinations across a variety of exercises in the canter gait. Our hypothesis was that some riders will follow the movement of the horse more closely than others. Data were collected from eight professional riders riding each three (in one case two) horses that were familiar to them in canter. Horses were instrumented with rein tension meters logged by inertial measurement unit technique (IMU). Inside and outside rein tension data were synchronised with the gait using the vertical acceleration IMU-signal at the poll. Stride-split data (0-100 percentages) were analysed using mixed models technique to elucidate the inside/outside and stride percentage interaction, taking into account the exercises performed. In general, tension was maximal just before the beginning of vertical stance, as defined by the maximal acceleration of the head, with the release closer to the suspension phase. The release was significantly more marked on the outside rein, but between riders and horses the pattern varied substantially. In total 26% of the variation was represented by riders and 21% by the horses. On average there were significant inside/outside rein differences, but at the same time in some horse/rider combinations these differences did not exist.

Rater agreement of visual lameness assessment in horses during lungeing

REASONS FOR PERFORMING STUDY

Lungeing is an important part of lameness examinations as the circular path may accentuate low-grade lameness. Movement asymmetries related to the circular path, to compensatory movements and to pain make the lameness evaluation complex. Scientific studies have shown high inter-rater variation when assessing lameness during straight line movement.

OBJECTIVES

The aim was to estimate inter- and intra-rater agreement of equine veterinarians evaluating lameness from videos of sound and lame horses during lungeing and to investigate the influence of veterinarians' experience and the objective degree of movement asymmetry on rater agreement.

STUDY DESIGN

Cross-sectional observational study.

METHODS

Video recordings and quantitative gait analysis with inertial sensors were performed in 23 riding horses of various breeds. The horses were examined at trot on a straight line and during lungeing on soft or hard surfaces in both directions. One video sequence was recorded per condition and the horses were classified as forelimb lame, hindlimb lame or sound from objective straight line symmetry measurements. Equine veterinarians (n = 86), including 43 with >5 years of orthopaedic experience, participated in a web-based survey and were asked to identify the lamest limb on 60 videos, including 10 repeats. The agreements between (inter-rater) and within (intra-rater) veterinarians were analysed with κ statistics (Fleiss, Cohen).

RESULTS

Inter-rater agreement κ was 0.31 (0.38/0.25 for experienced/less experienced) and higher for forelimb (0.33) than for hindlimb lameness (0.11) or soundness (0.08) evaluation. Median intra-rater agreement κ was 0.57.

CONCLUSIONS

Inter-rater agreement was poor for less experienced raters, and for all raters when evaluating hindlimb lameness. Since identification of the lame limb/limbs is a prerequisite for successful diagnosis, treatment and recovery, the high inter-rater variation when evaluating lameness on the lunge is likely to influence the accuracy and repeatability of lameness examinations and, indirectly, the efficacy of treatment.

A snapshot of the training schedule for 8 professional riders riding dressage

The aim of this study was to document and categorise riding sessions, carried out by professional riders, by describing the riding sessions according to gait, ridden track, lateral movements, rider position in the saddle and rein length. These data were then analysed relative to horse and rider characteristics, e.g. educational level of horse and rider, time in training and laterality of the horse. Eight professional riders riding 3 familiar horses each participated in the study and the riders were asked to demonstrate their normal routine for flatwork/dressage with each horse. The whole training session was video recorded. Video recordings were scrutinised and data were categorised and analysed. Mixed models were used for the statistical analysis, including rider as random effect. The median length of the riding sessions were 31 min. The riders spent 38% of the riding session at the walk, 39% at the trot, 8% at left lead canter and 9% at the right lead canter. The riders devoted 28-29% of the riding session to riding straight, turning left and turning right and 8% to riding lateral movements. The ridden exercises performed and the duration of the exercises was to a large extent connected to the educational level of the horse and its time in training with the rider. More work at the canter and lateral movements at the trot were included for upper level horses compared to lower level horses. Horses in training for more than one year, compared to less than one year, were ridden for longer durations at the canter and shorter durations at the trot. The disposition of riding sessions needs further investigation. In particular, large scale epidemiological studies of orthopaedic injuries need to consider the daily riding sessions in detail.

Lungeing on hard and soft surfaces: Movement symmetry of trotting horses considered sound by their owners

REASONS FOR PERFORMING STUDY

Lungeing is often part of the clinical lameness examination. The difference in movement symmetry, which is a commonly employed lameness measure, has not been quantified between surfaces.

OBJECTIVES

To compare head and pelvic movement symmetry between surfaces and reins during lungeing.

STUDY DESIGN

Quantitative gait analysis in 23 horses considered sound by their owners.

METHODS

Twenty-three horses were assessed in-hand and on the lunge on both reins on hard and soft surfaces with inertial sensors. Seven movement symmetry parameters were quantified and used to establish 2 groups, namely symmetrical (n = 9) and forelimb-lame horses (n = 14), based on values from straight-line assessment. Movement symmetry values for left rein measurements were side corrected to allow comparison of the amount of movement symmetry between reins. A mixed model (P<0.05) was used to study effects on movement symmetry of surface (hard/soft) and rein (inside/outside with respect to movement symmetry on the straight).

RESULTS

In forelimb-lame horses, surface and rein were identified as significantly affecting all head movement symmetry measures (rein, all P<0.0001; surface, all P<0.042). In the symmetrical group, no significant influence of surface or rein was identified for head movement symmetry (rein, all P>0.245; surface, all P>0.073). No significant influence of surface or rein was identified for any of the pelvic movement symmetry measures in either group.

CONCLUSIONS

While more symmetrical horses showed a consistent amount of movement symmetry across surfaces/reins, horses objectively quantified as lame on the straight showed decreased movement symmetry during lungeing, in particular with the lame limb on the inside of a hard circle. The variation within group questions straight-line movement symmetry as a sole measure of lameness without quantification of movement symmetry on the lunge, ideally on hard and soft surfaces to evaluate differences between reins and surfaces. In future, thresholds for lungeing need to be determined using simultaneous visual and objective assessment.

Evaluation of skin displacement in the equine neck

Kinematic studies, using reflective skin markers, are commonly used to investigate equine joint motion in equitation science and for rehabilitation purposes. In order to interpret the registrations accurately, the degree of skin displacement has been described for the limbs and back, but not yet for the neck. The aim of the present study was to measure sagittal plane skin displacement in the equine neck. Radiopaque skin markers were applied to the skin over the first six cervical vertebrae of six healthy horses. Latero-lateral radiographs were taken in three standardised neck positions in the sagittal plane: control (horizontal neck), ‘on the bit’ and ‘nose to carpus’. The scales of the images were normalised and calculation of skin displacement was done by use of a coordinate system, dividing the displacement along an x-axis parallel to the vertebra's longitudinal axis and a y-axis perpendicular to the x-axis. Mixed models analysis was employed to study the differences in distances in x- and y-directions, and statistical significance was set to PÃ0.05. Between control and ‘nose to carpus’ positions, there were significant differences in skin marker locations, relative to the underlying vertebrae, in the x-direction for C1-6, and in y-direction for C3-6. Between normal and ‘on the bit’ positions, there were significant difference in both x- and y-directions for C6. Differences in marker locations along x- and y-axes, respectively, were 3±9 mm and 44±14 mm. The outcome of this study indicates that skin displacement should be considered when investigating equine neck motion with skin marker methodology.

Effect of lungeing on head and pelvic movement asymmetry in horses with induced lameness

Lungeing is an important part of lameness examinations, since the circular path enforced during lungeing is thought to accentuate low grade lameness. However, during lungeing the movement of sound horses becomes naturally asymmetric, which may mimic lameness. Also, compensatory movements in the opposite half of the body may mimic lameness. The aim of this study was to objectively study the presence of circle-dependent and compensatory movement asymmetries in horses with induced lameness. Ten horses were trotted in a straight line and lunged in both directions on a hard surface. Lameness was induced (reversible hoof pressure) in each limb, one at a time, in random order. Vertical head and pelvic movements were measured with body-mounted, uni-axial accelerometers. Differences between maximum and minimum height observed during/after left and right stance phases for the head (HDmax, HDmin) and pelvis (PDmax, PDmin) were measured. Mixed models were constructed to study the effect of lungeing direction and induction, and to quantify secondary compensatory asymmetry mechanisms in the forelimbs and hind limbs. Head and pelvic movement symmetries were affected by lungeing. Minimum pelvic height difference (PDmin) changed markedly, increasing significantly during lungeing, giving the impression of inner hind limb lameness. Primary hind limb lameness induced compensatory head movement, which mimicked an ipsilateral forelimb lameness of almost equal magnitude to the primary hind limb lameness. This could contribute to difficulty in correctly detecting hind limb lameness. Induced forelimb lameness caused both a compensatory contralateral (change in PDmax) and an ipsilateral (change in PDmin) hind limb asymmetry, potentially mimicking hind limb lameness, but of smaller magnitude. Both circle-dependent and compensatory movement mechanisms must be taken into account when evaluating lameness.

Kinematics of saddle and rider in high-level dressage horses performing collected walk on a treadmill

REASONS FOR PERFORMING THE STUDY

The kinematics of the saddle and rider have not been thoroughly described at the walk.

OBJECTIVE

To describe saddle and rider movements during collected walk in a group of high-level dressage horses and riders.

METHODS

Seven high-level dressage horses and riders were subjected to kinematic measurements while performing collected walk on a treadmill. Movements of the saddle and rider's pelvis, upper body and head were analysed in a rigid body model. Projection angles were determined for the rider's arms and legs, and the neck and trunk of the horse. Distances between selected markers were used to describe rider position in relation to the horse and saddle.

RESULTS

During the first half of each hindlimb stance the saddle rotated cranially around the transverse axis, i.e. the front part was lowered in relation to the hind part and the rider's pelvis rotated caudally, i.e. in the opposite direction. The rider's seat moved forwards while the rider's neck and feet moved backwards. During the second half of hindlimb stance these movements were reversed.

CONCLUSION

The saddles and riders of high-level dressage horses follow a common movement pattern at collected walk. The movements of the saddle and rider are clearly related to the movements of the horse, both within and outside the sagittal plane.

POTENTIAL RELEVANCE

The literature suggests that the rider's influence on the movement pattern of the horse is the strongest at walk. For assessment of the horse-rider interaction in dressage horses presented for unsatisfactory performance, evaluations at walk may therefore be the most rewarding. Basic knowledge about rider and saddle movements in well-performing horses is likely to be supportive to this task.

The influence of head and neck position on kinematics of the back in riding horses at the walk and trot

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.

Kinetics and kinematics of the horse comparing left and right rising trot

REASONS FOR PERFORMING STUDY

At rising trot the rider sits alternately down on one diagonal pair of limbs and rises up on the other. The possible effects on asymmetry of locomotion induced by rising trot have rarely been studied.

OBJECTIVES

To demonstrate whether, and if so to what extent, rising trot causes asymmetrical loading in the vertical ground reaction force (VGRF) and/or asymmetrical effects on the locomotion pattern, comparing left and right side.

METHODS

Seven elite horses were ridden in left and right rising trot on a treadmill, while VGRF and kinematics were measured, with the horses' neck raised, the poll high and the bridge of the nose slightly in front of the vertical.

RESULTS

Force loading was generally increased in the limbs of the sitting diagonal. The lumbar back was lower between mid-stances of the sitting and nonsitting stance, pelvic roll was limited and the tuber coxae heights were lower on the sitting side. Maximal hindlimb protraction was decreased. Forelimb retraction was increased and the T6 height decreased.

CONCLUSION

The rider movement induces an uneven biphasic load that affects the back, pelvis and limb kinematics and VGRF.

POTENTIAL RELEVANCE

The generally advocated technique of alternating limbs when riding in rising trot is supported. The VGRF changes between rising on the left or right diagonal were distinct, but minor in absolute terms and therefore unlikely to have direct impact on the occurrence of locomotor injuries. Knowledge of an increase of asymmetry in rising trot is potentially useful for riders/trainers.

The effect of different head and neck positions on the caudal back and hindlimb kinematics in the elite dressage horse at trot

REASONS FOR PERFORMING STUDY

Dressage involves training of the horse with the head and neck placed in a position defined by the rider. The best position for dressage training is currently under debate among riders and trainers, but there are few scientific data available to confirm or disprove the different views.

OBJECTIVE

To evaluate the kinematic effects of different head and neck positions (HNPs) in elite dressage horses ridden at trot.

METHODS

Seven high-level dressage horses were subjected to kinetic and kinematic measurements when ridden on a treadmill with the head and neck in 5 different positions.

RESULTS

Compared to free trot on loose reins the HNP desired for collected trot at dressage competitions increased T6 vertical excursion, increased sacral flexion and decreased limb retraction after lift-off. Further increasing head or head and neck flexion caused few additional changes while an extremely elevated neck position increased hindlimb flexion and lumbar back extension during stance, increased hindlimb flexion during swing and further increased trunk vertical excursion.

CONCLUSIONS

The movements of the horse are significantly different when ridden on loose reins compared to the position used in collected trot. The exact degree of neck flexion is, however, not consistently correlated to the movements of the horse's limbs and trunk at collected trot. An extremely elevated neck position can produce some effects commonly associated with increased degree of collection, but the increased back extension observed with this position may place the horse at risk of injury if ridden in this position for a prolonged period.

POTENTIAL RELEVANCE

Head and neck positions influence significantly the kinematics of the ridden horse. It is important for riders and trainers to be aware of these effects in dressage training.

Back kinematics of healthy trotting horses during treadmill versus over ground locomotion

REASONS FOR PERFORMING STUDY

Treadmill locomotion is frequently used for training of sport horses, for diagnostic purposes and for research. Identification of the possible biomechanical differences and similarities between the back movement during treadmill (T) and over ground (O) locomotion is essential for the correct interpretation of research results.

OBJECTIVES

To compare the kinematics of the thoracolumbar vertebral column in treadmill and over ground locomotion in healthy horses.

METHODS

Six sound Dutch Warmblood horses trotted on a T and O during 10 s at their own preferred velocity (mean +/- s.d. 3.6 +/- 0.3 m/s T and 3.6 +/- 0.1 m/s O), which was the same in both conditions. Kinematics of the vertebral column was captured by infrared cameras using reflective skin markers attached over the spinous processes of selected vertebrae and other locations. Flexion-extension and lateral bending range of motion (ROM), angular motion pattern (AMP) and intravertebral pattern symmetry (IVPS) of 5 vertebral angles (T6-T10-T13, T10-T13-T17, T13-T17-L1, T17-L1-L3 and L1-L3-15) were calculated. Neck angle, linear and temporal stride parameters and protraction-retraction angles of the limbs were also calculated.

RESULTS

The vertical ROM (flexion-extension) was similar in both conditions, but the horizontal ROM (lateral bending) of the lumbar angles T17-L1-L3 and L1-L3-L5 was less during T locomotion (mean +/- s.d. difference of 1.8 +/- 0.6 and 1.7 +/- 0.9 degrees, respectively, P > 0.05). During O locomotion, the symmetry pattern of the lumbar vertebral angles was diminished from 0.9 to 0.7 (1 = 100% symmetry) indicating increased irregularity of the movement (P > 0.05). No differences were found in the basic linear and temporal stride parameters and neck angle.

POTENTIAL RELEVANCE

Vertebral kinematics during treadmill locomotion is not identical to over ground locomotion, but the differences are minor. During treadmill locomotion lumbar motion is less, and caution should be therefore taken when interpreting lumbar kinematics.

The effect of head and neck position on the thoracolumbar kinematics in the unridden horse

REASONS FOR PERFORMING STUDY

In many equestrian activities a specific position of head and/or neck is required that is dissimilar to the natural position. There is controversy about the effects of these positions on locomotion pattern, but few quantitative data are available.

OBJECTIVES

To quantify the effects of 5 different head and neck positions on thoracolumbar kinematics of the horse.

METHODS

Kinematics of 7 high level dressage horses were measured walking and trotting on an instrumented treadmill with the head and neck in the following positions: HNP2 = neck raised, bridge of the nose in front of the vertical; HNP3 = as HNP2 with bridge of the nose behind the vertical; HNP4 = head and neck lowered, nose behind the vertical; HNP5 = head and neck in extreme high position; HNP6 = head and neck forward and downward. HNP1 was a speed-matched control (head and neck unrestrained).

RESULTS

The head and neck positions affected only the flexion-extension motion. The positions in which the neck was extended (HNP2, 3, 5) increased extension in the anterior thoracic region, but increased flexion in the posterior thoracic and lumbar region. For HNP4 the pattern was the opposite. Positions 2, 3 and 5 reduced the flexion-extension range of motion (ROM) while HNP4 increased it. HNP5 was the only position that negatively affected intravertebral pattern symmetry and reduced hindlimb protraction. The stride length was significantly reduced at walk in positions 2, 3, 4 and 5.

CONCLUSIONS

There is a significant influence of head/neck position on back kinematics. Elevated head and neck induce extension in the thoracic region and flexion in the lumbar region; besides reducing the sagittal range of motion. Lowered head and neck produces the opposite. A very high position of the head and neck seems to disturb normal kinematics.

POTENTIAL RELEVANCE

This study provides quantitative data on the effect of head/neck positions on thoracolumbar motion and may help in discussions on the ethical acceptability of some training methods.