Effect of meloxicam treatment on movement asymmetry in riding horses in training

Quantitative gait analysis has revealed that a large proportion of horses in training, perceived as free from lameness by their owners, show movement asymmetries of equal magnitude to horses with mild clinical lameness. Whether these movement asymmetries are related to orthopaedic pain and/or pathology has yet to be further investigated. Therefore, the objective of this study was to determine whether movement asymmetries in riding horses in training are affected by anti-inflammatory treatment with meloxicam. In a crossover design, horses were treated with meloxicam or placebo for four days respectively, with a 14–16 day washout period between treatments. Objective movement analysis utilising body mounted accelerometers was performed on a hard and a soft surface before and on day four of each treatment. A trial mean was calculated for the differences between the two vertical displacement minima and maxima of head (HDmin, HDmax) and pelvis (PDmin, PDmax) per stride. Horses (n = 66) with trial mean asymmetries greater than 6 mm for HDmin or HDmax, or more than 3 mm for PDmin or PDmax, at baseline were included. The difference before and after each treatment in the measured movement asymmetry was assessed with linear mixed models. Treatment with meloxicam did not significantly affect the movement asymmetry in any of the models applied (all p>0.30). These results raise new questions: are the movement asymmetries in riding horses in training simply expressions of biological variation or are they related to pain/dysfunction that is non-responsive to meloxicam treatment?

[1]  T. Pfau,et al.  Comparison of visual lameness scores to gait asymmetry in racing Thoroughbreds during trot in‐hand , 2020 .

[2]  P. R. van Weeren,et al.  Variation in gait parameters used for objective lameness assessment in sound horses at the trot on the straight line and the lunge , 2019, Equine veterinary journal.

[3]  M. Oosterlinck,et al.  Reliability of equine visual lameness classification as a function of expertise, lameness severity and rater confidence , 2018, Veterinary Record.

[4]  T. Pfau,et al.  Repeatability of gait analysis measurements in Thoroughbreds in training , 2018, Equine veterinary journal.

[5]  P. R. Weeren,et al.  On the brink of daily clinical application of objective gait analysis: What evidence do we have so far from studies using an induced lameness model? , 2018, Veterinary journal.

[6]  T. Pfau,et al.  Head and pelvic movement asymmetries at trot in riding horses in training and perceived as free from lameness by the owner , 2017, PloS one.

[7]  H. Banse,et al.  Comparative efficacy of oral meloxicam and phenylbutazone in 2 experimental pain models in the horse. , 2017, The Canadian veterinary journal = La revue veterinaire canadienne.

[8]  John F Marshall,et al.  Objective assessment of the compensatory effect of clinical hind limb lameness in horses: 37 cases (2011-2014). , 2016, Journal of the American Veterinary Medical Association.

[9]  Yoshiharu Yonezawa,et al.  Associations of force plate and body-mounted inertial sensor measurements for identification of hind limb lameness in horses. , 2016, American journal of veterinary research.

[10]  M. Campbell Is cloning horses ethical? , 2016, Equine veterinary education.

[11]  S. Dyson,et al.  Subjective Gait Assessment of 57 Sports Horses in Normal Work: A Comparison of the Response to Flexion Tests, Movement in Hand, on the Lunge, and Ridden , 2016 .

[12]  K. Keegan,et al.  Head and pelvic movement asymmetry during lungeing in horses with symmetrical movement on the straight , 2015, Equine veterinary journal.

[13]  Sylvia Maliye,et al.  Naturally-occurring forelimb lameness in the horse results in significant compensatory load redistribution during trotting. , 2015, Veterinary journal.

[14]  T. Pfau,et al.  Rater agreement of visual lameness assessment in horses during lungeing , 2015, Equine veterinary journal.

[15]  S. Dyson,et al.  The interrelationship of lameness, saddle slip and back shape in the general sports horse population. , 2014, Equine veterinary journal.

[16]  C. Lischer,et al.  Use of Body-Mounted Inertial Sensors to Objectively Evaluate the Response to Perineural Analgesia of the Distal Limb and Intra-articular Analgesia of the Distal Interphalangeal Joint in Horses With Forelimb Lameness , 2014 .

[17]  R. Dean,et al.  Survey of the UK veterinary profession: common species and conditions nominated by veterinarians in practice , 2014, Veterinary Record.

[18]  L. Roepstorff,et al.  Effect of lungeing on head and pelvic movement asymmetry in horses with induced lameness. , 2013, Veterinary journal.

[19]  T. Pfau,et al.  The effect of trotting speed on the evaluation of subtle lameness in horses. , 2013, Veterinary journal.

[20]  Thilo Pfau,et al.  Effect of trotting speed and circle radius on movement symmetry in horses during lunging on a soft surface. , 2012, American journal of veterinary research.

[21]  D. Wilson,et al.  Comparison of an inertial sensor system of lameness quantification with subjective lameness evaluation. , 2012, Equine veterinary journal.

[22]  Thilo Pfau,et al.  Vertical head and trunk movement adaptations of sound horses trotting in a circle on a hard surface. , 2012, Veterinary journal.

[23]  P. Pai,et al.  Comparison of an inertial sensor system with a stationary force plate for evaluation of horses with bilateral forelimb lameness. , 2012, American journal of veterinary research.

[24]  Yoshiharu Yonezawa,et al.  Assessment of repeatability of a wireless, inertial sensor-based lameness evaluation system for horses. , 2011, American journal of veterinary research.

[25]  H. Sørensen,et al.  Agreement between accelerometric symmetry scores and clinical lameness scores during experimentally induced transient distension of the metacarpophalangeal joint in horses. , 2010, Equine veterinary journal. Supplement.

[26]  D. Wilson,et al.  Repeatability of subjective evaluation of lameness in horses. , 2010, Equine veterinary journal.

[27]  P F Pai,et al.  Signal decomposition method of evaluating head movement to measure induced forelimb lameness in horses trotting on a treadmill. , 2010, Equine veterinary journal.

[28]  P. R. van Weeren,et al.  In vivo effects of meloxicam on inflammatory mediators, MMP activity and cartilage biomarkers in equine joints with acute synovitis. , 2009, Equine veterinary journal.

[29]  T. Pfau,et al.  Evidence of the development of 'domain-restricted' expertise in the recognition of asymmetric motion characteristics of hindlimb lameness in the horse. , 2009, Equine veterinary journal.

[30]  K. Keegan,et al.  Effectiveness of administration of phenylbutazone alone or concurrent administration of phenylbutazone and flunixin meglumine to alleviate lameness in horses. , 2008, American journal of veterinary research.

[31]  R. Christley,et al.  Investigations of the reliability of observational gait analysis for the assessment of lameness in horses , 2006, Veterinary Record.

[32]  J. Penell,et al.  Mortality of Swedish horses with complete life insurance between 1997 and 2000: variations with sex, age, breed and diagnosis , 2006, Veterinary Record.

[33]  K. Keegan,et al.  Computer-assisted kinematic evaluation of induced compensatory movements resembling lameness in horses trotting on a treadmill. , 2005, American journal of veterinary research.

[34]  P. Rajala-Schultz,et al.  Association between subjective lameness grade and kinetic gait parameters in horses with experimentally induced forelimb lameness. , 2005, American journal of veterinary research.

[35]  J. Penell,et al.  Specific causes of morbidity among Swedish horses insured for veterinary care between 1997 and 2000 , 2005, Veterinary Record.

[36]  C. Beretta,et al.  COX-1 and COX-2 inhibition in horse blood by phenylbutazone, flunixin, carprofen and meloxicam: an in vitro analysis. , 2005, Pharmacological research.

[37]  P. Toutain,et al.  Pharmacokinetic-pharmacodynamic relationships and dose response to meloxicam in horses with induced arthritis in the right carpal joint. , 2004, American journal of veterinary research.

[38]  K. Keegan,et al.  Objective determination of pelvic movement during hind limb lameness by use of a signal decomposition method and pelvic height differences. , 2004, American journal of veterinary research.

[39]  Bryan K. Smith,et al.  Evaluation of mild lameness in horses trotting on a treadmill by clinicians and interns or residents and correlation of their assessments with kinematic gait analysis. , 1998, American journal of veterinary research.

[40]  A. Walker,et al.  Lungeing on hard and soft surfaces: Movement symmetry of trotting horses considered sound by their owners. , 2016, Equine veterinary journal.

[41]  S. Hecht,et al.  Effect of anesthetizing individual compartments of the stifle joint in horses with experimentally induced stifle joint lameness. , 2014, American journal of veterinary research.

[42]  R. Kleemann,et al.  Investigation of the clinical efficacy, safety and palatability of meloxicam (Metacam) treatment in horses with musculosceletal disorders , 2006 .

[43]  H C Schamhardt,et al.  Head and trunk movement adaptations in horses with experimentally induced fore- or hindlimb lameness. , 1996, Equine veterinary journal.