Showing posts with label university. Show all posts
Showing posts with label university. Show all posts

Friday, August 10, 2012

Cornell Vet School Adds iPads for Portable Radiograph Display

Cornell's Dr. Cheetham shows a client his horse's radiograph right in the farrier shop!

Cornell University Hospital for Animals is excited to share that they have initiated the use of iPads in both the small and large animal hospitals to provide a convenient way to show clients high resolution medical images.

The new Retina display is very good on the iPad 3--possibly better than most of the computer monitors around the vet school's hospitals!

Also, with 64GB storage, these iPads will become a mobile reference library for each hospital section.

Cornell technology also allows a clinician to monitor a horse's heart rate with an iPhone.  The iPhone ECG uses AliveCor's technology and displays highly accurate readings without attaching any leads to the animal. The results are uploaded to the "cloud" where the data can be converted to a PDF, printed, emailed and shared with the owner, vet and trainers.

The 22 iPads were made possible by a grateful client's charitable annuity, which specified that the gift be used for educational purposes. Cornell is excited to use this technology towards the advancement of education and service!

Thanks to Cornell Veterinary Medical Equine Performance Clinic.

You can have a lot of fun with an iPad...image by (T)imothep 
Call 978 281 3222 or email books@hoofcare.com to order your copy. Supply is limited!

© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  
Follow Hoofcare + Lameness on Twitter: @HoofcareJournal
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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.


Tuesday, July 17, 2012

Auburn University: Ampututation and Prosthesis Create a Dolphin's Tale Story at Vet School Hospital for Miniature Donkey Foal


Emma, a miniature donkey foal, was just two days old when she arrived at Auburn University's John Thomas Vaughan Large Animal Teaching Hospital with a severe hind limb deformity, one that required amputation of the limb and the placement of a prosthesis.

Auburn University's College of Veterinary Medicine and the Hanger Clinic, formerly Hanger Prosthetics and Orthotics, have been working together since April on this case that could have implications in the treatment and rehabilitation of horses, donkeys and other equids with congenital deformities or injuries.

Dr. Fred Caldwell, an assistant professor in the Department of Clinical Sciences and equine surgeon, performed the amputation procedure, and is working with clinician Billy Fletcher from Hanger Clinic – the same company which made the prosthetic tail for Winter, the amputee dolphin and star of the film "Dolphin Tale" – to develop a prosthesis for her limb. The two worked out a plan to both allow Emma time to heal from the surgery and transition from her cast to the prosthesis.

Emma’s caregivers change her bandage and adjust her prosthesis regularly as healing of the surgical site continues.
Emma's fitting session for the new pink prosthesis that accommodates her growth.

"Billy was excited and enthusiastic to assist," Caldwell said. "Once we proceeded with the surgery and amputated the distal limb, he provided a small footplate to incorporate into the cast to even out the length of her hind limbs so she could bear weight until we could get the surgical site healed and have her fitted with a prosthesis. It has been a group effort on behalf of many caring individuals willing to go to great lengths to save her."

Emma's case is providing a unique and beneficial teaching opportunity for everyone involved. The practice of using prostheses with large equids is relatively uncommon because of their size and weight-bearing limitations.

But because Emma is a miniature donkey, she will be fairly small as an adult, weighing approximately 350 pounds when fully grown. This gave Caldwell and Fletcher hope for a positive prognosis and success in Emma's treatment.

Emma is now 11 weeks old and has been thriving with her prosthesis, making an impression on everyone who has worked with her.

A closer look at Emma’s first prosthetic device. As she grows, she could potentially transition through eight or nine variations of the prosthesis before reaching full growth.
An earlier version of Emma's prosthetic hind limb.

"She absolutely loved it from the get-go," Caldwell said. "It was a very impressive design and she did very well in it. She has progressed to the second iteration of her prosthesis, which doesn't incorporate as much of the limb and allows her more range of motion. She is getting stronger; she's growing and doing wonderfully."

Fletcher said that as Emma grows, she could potentially transition through eight or nine variations of the prosthesis before reaching her full size. At that point, she will be fitted with a piece that is more permanent.

The prosthesis is made of carbon fiber, Kevlar and fiberglass. These are materials that are strong and extremely light, and are the same materials used for prostheses for Paralympic athletes. The materials are also flexible and adjustable to allow for growth and progression in Emma's gait.

The first finished prosthesis weighed less than a pound; the most recent iteration, which is pink, is smaller, but weighs a little more to provide stability as she's grown taller and almost doubled her weight since surgery.

"The next step is trying to make sure we keep the prosthesis set up so she's ambulatory and she can run and play and do things uninhibited, but also, to keep the area of concern, the surgical site, offloaded so Dr. Caldwell can do his job in keeping her completely healed," Fletcher said.

A closer look at Emma’s first prosthetic device. As she grows, she could potentially transition through eight or nine variations of the prosthesis before reaching full growth.
Emma shows off her latest prosthesis. Notice how it cups the hock.
"As time goes by," he continued, "we'll continue to provide a prosthesis that's going to allow for growth. We want to provide her with full range of motion, but also give her the ability to use full strength. I think she's got that in her current set-up, so the big thing now is keeping everything offloaded so she heals completely; we'll continue to increase the size of the prosthesis as she grows."

Caldwell said he has learned a tremendous amount from the case and it has given him hope that in the future amputation and prosthesis could be a more feasible option for larger horse patients.

Story by Carol Nelson, Communications Editor at Auburn Univeristy


© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.
 
Follow Hoofcare + Lameness on Twitter: @HoofcareJournal
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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Tuesday, January 24, 2012

Hoofcare University: Biomechanics of Racehorses' Lower Limbs and Track Surface Interface Video Lectures with the University of Guelph's Dr Jeff Thomason

Dr Jeff Thomason
Go get a cup of coffee or a sandwich or start popping the corn. Hoofcare + Lameness is happy to share a new video series with you from the University of Guelph's Jeff Thomason BA, MSc, PhD, professor of biomedical sciences at Guelph's Ontario Veterinary College.

Dr Thomason is widely known for his research, which currently looks both at the biomechanics of the horse's foot and distal limb as well as the mechanical properties of the track itself, and how they influence the function of the foot.

Recently, Dr. Thomas was part of a group of authors that created an extensive "white paper" reference document for the Grayson-Jockey Club Foundation's Welfare and Safety of the Racehorse Summit on this type of dual research, which will ultimately benefit the safe travel of horses over optimal racing surfaces.

Plan to spend the next 15 (or so) minutes absorbing Dr. Thomason's lecture points, which have been broken down into bite-size videos.

Introduction:


How do you examine limb mechanics?


How do banked surfaces affect impact?


Can optimizing track surface reduce catastrophic injury:


Who will benefit from the racing surfaces 'white paper'?


What is the best track surface for racing?


How does climate affect track surfaces?


How does maintenance affect track surfaces?


To learn more:

Download the Grayson Jockey Club Foundation's Welfare and Safety of the Racehorse Summit White Paper on Racing Surfaces, authored by Drs Mick Peterson, Lars Roepstorff, Jeff Thomason, Christie Mahaffey and Wayne McIlwraith.

Be sure to visit and subscribe to the University of Guelph's YouTube channel with complete "Report on Research" video series

The surest sign of an outstanding lecture is when you go back into the lecture hall half an hour later and the lecturer is still brainstorming with attendees and other speakers. Here's Dr Thomason two years ago at the University of Pennsylvania's  New Bolton Center farrier seminar. With him: Dr Bryan Fraley of Kentucky and farrier Jaye Perry of Georgia. (Hoofcare and Lameness fuzzy file photo)
Learn about web-based courses in equine anatomy taught by Dr Thomason

Read Mechanical Behavior and Quantitative Morphology of the Equine Laminar Junction by Dr. Thomason and researchers Heather McClinchy, Babak Faramarzi, and Jan Jofriet as published in Anatomical Record in 2005. (Free web paper)

Dr Lisa Lancaster, Michigan State University's Dr Robert Bowker and Hoofcare + Lameness teamed up to produce this award-winning anatomy chart. Order yours today!

© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  
Follow Hoofcare + Lameness on Twitter: @HoofcareJournal
Visit the Hoofcare + Lameness Facebook Page
 
Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Friday, October 14, 2011

Bodo Hertsch: German Veterinarian, Researcher and Educator's Accidental Death Leaves an Empty Podium and an Empty Saddle

Professor Doctor Bodo-Wolfhard Hertsch, 68, a noted international researcher and educator on laminitis and navicular disease in horses, has died at Eichenhof Tremsdorf, the equestrian center he ran with his wife outside Berlin in Germany.

The cause of death being reported by German web sites is that he died of injuries after he fell from a horse.

"His death for us as humans, horses, expert riders and organizers rips a deep hole," said Peter Fröhlich, director of Landesverband Pferdesport Berlin-Brandenburg e. V. (LPBB).

As early as 1993, Dr. Hertsch was studying the microcirculation of the foot at different stages of laminitis and creating angiograms that would eventually yield to the venograms used today. His study "Microangiographic investigations in acute and chronic laminitis in the horse" examined the distal limbs of 27 horses of different breeds as well as of one donkey who were suffering from acute or chronic laminitis.

Most of us in America first met Bodo Hertsch when he spoke at the 1991 Bluegrass Laminitis Symposium, hosted by Dr. Ric Redden in Louisville, Kentucky. "Navicular Bone Microcirculation, Coffin Joint Effusion and Navicular Pathology: The Diagnosis  and Therapy of Chronic Disorders of the Distal Sesamoid Bone in Sport Horses" was the title of his first lecture. We certainly learned the word "podotrochlea" that day.

Even more prophetic, Bodo Hertsch's second lecture: "The Principle of Heel Elevation as a Possible Treatment for Acute and Chronic Laminitis in Horses". He explained to us that laminitis therapy in Germany was based on the Bolz shoe, adopted in 1939. Hertsch reviewed laminitis cases at the vet school and the rate of success of the shoe, which called for lowering the heels. He proposed instead that the heels be raised. His paper is worth reading; it was the early days of raising heels but his explanation of the Bolz shoe and the historic study of laminitis in Germany up until the outbreak of World War II is fantastic.

Dr. Hertsch has a paper on laminitis research in the current edition of Tierärztliche Praxis, the German veterinary journal that challenges the observation that laminitic horses have accelerated heel growth, or retarded toe growth; according to Dr. Hertsch, growth is uniform, but the disease causes the tubules to growth in a different direction, kink, and fold rather than growing downward.

"Growth of the hoof horn in horses with chronic laminitis" examines the correlation between rotation and/or sinking of the third phalanx (P3) and changes of horn growth on the hoof wall. Dr. Hertsch painstakingly reviewed radiographs or performed radiographs on 117 slaughtered or euthanized horses with chronic laminitis. He documented that in the chronic stage the vascularization changed according to the degree of rotation, the duration of the disease and its development.

To quote from an English version of the abstract of the paper: "A rotation angle of approximately 8° was found to predict a change in the direction of the growth of the hoof horn at the dorsal and the lateral hoof wall. In addition, a correlation between the rotation angle of P3 and the length of growth of the hoof could be highlighted. A greater angle could lead to a larger interruption of the dorsal horn growth; meanwhile the palmar/plantar horn growth appeared to be independent. A correlation between a medial/lateral rotation of the pedal bone and the length of the horn was not observed."

Dr. Hertsch's conclusion: "The direction change of the horn tubes might cause a decrease of the visible length growth of a chronic laminitic hoof. Therefore, it appears to be important to differentiate between the externally visible length of the hoof and the real growth of the horn. Apparently, the amount of horn produced is the same on the dorsal hoof wall and in the heel. In horses with moderate laminitis the horn tubes on the dorsal wall were lying in folds, with the consequence of a decreased visible length growth. Only the formation of wrinkles of the horn tubes on the dorsal hoof wall reduced the visible wall length. Formation of wrinkles of the horn tubes in the heel could not be observed.

"Interestingly, the results of this study show that the lateral rotation of P3 does not promote the formation of wrinkles of the horn tubes along the lateral or medial hoof wall. According to our results, a resection of the dorsal hoof wall might be a sensible therapeutic approach in horses with chronic laminitis showing a rotation of P3 of at least 8°."

For many years, Dr. Hertsch was with the veterinary school at the University of Hanover, but had in recent years been Director of the Department of Veterinary Medicine at the Clinic for Horses at the Free University of Berlin. After his retirement, Dr. Hertsch had a private clinic at the equestrian center, Eichenhof Tremsdorf GbR, which he ran with his wife, Ingrid.

Dr Hertsch was the organizer of many meetings in Germany and had most recently, in 2008, organized and chaired the International Symposium on Laminitis  in Berlin. In 1995, he hosted the international symposium on navicular disease. He also authored many books including The Horse's Hoof and How to Shoe It Without Nails, with Hellmuth Dallmer, and Anatomy des Pferdes, as well as many others.

"Horses are his passion: he rides them, he breeds them, he heals them," was a quote from a recent article about Dr. Hertsch.

Recently, Dr. Hertsch had been in Great Britain at Hickstead to represent Germany in a special FEI senior Nations Cup international team competition in show jumping among 38 riders who are also veterinarians. Bodo Hertsch was the champion, and he did it on Lucinda, a 15-year-old mare that he bred and raised himself.

In addition, he led the four-member German "A" Team to win.

That was just his style.

I'll miss Professor Doctor Hertsch. His research contributions are important but his vision for the future and his obvious love for and involvement with horses set him apart and above so many others.

Did any of his horses ever have laminitis? I don't know what drove him to delve so deeply into the disease, but I'm glad he did. He could have chosen any specialty but like so many of the people I know and respect, he chose the most difficult and challenging problem in the horse world and looked it in the eye.

Assistance with this article was provided in Germany by Susanna Forrest, author of the forthcoming book If Wishes Were Horses (and the blog by the same name), in Berlin, and by anatomist Christoph von Horst PhD DVM of HC Biovision in Munich. 

Photo of Professor Doctor Hertsch via Eichenhof Tremsdorf.


 TO LEARN MORE
© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  
Follow Hoofcare + Lameness on Twitter: @HoofcareJournal
Read the Hoofcare + Lameness Facebook Page
 
Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Thursday, September 29, 2011

Laminitis In Action: Coffin Bone Rotation Time Lapse Video (International Laminitis Conference Preview)

Laminitis, caught in the act: The foot of a horse suffering from Potomac Horse Fever is recorded as it goes through two processes subsequent to the damage in the foot caused by the disease: the coffin bone appears to be rotating away from the hoof wall at the toe and down at its tip; it is also "sinking" within the foot. These two processes are called rotation and sinking, or sinker syndrome. Many laminitis terms have parallel names in other parts of the world or even within the same country. (Andrew Van Eps video)

(You might have to watch this a few times, and if you have a slow connection, you might need to click on the stop button. Once the video is buffered, it should play smoothly. Watching it in full-screen mode helps.)

What you are seeing is a time-lapse of the radiographic view of a horse going through the process commonly called "rotation". What rotation actually is and which part of the foot is the chicken and which is the egg is perpetually debated. This particular foot is also "sinking" within the hoof capsule.

Andrew Van Eps
The video was created by Andrew Van Eps, BVSc, PhD, MACVSc, DACVIM of the University of Queensland. Dr. Van Eps earned a PhD while he was researching laminitis at the Australian Equine Laminitis Research Unit under Dr Chris Pollitt. Among the insights Dr. Van Eps' PhD research has contributed to the treatment of laminitis is the efficacy of cryotherapy in the prevention of laminitis. He created the video of the Potomac Horse Fever case during a residency at the University of Pennsylvania School of Veterinary Medicine.

At the Sixth International Equine Conference on Laminitis and Diseases of the Foot in West Palm Beach, Florida next month, Dr. Van Eps returns once again to speak. Among his subjects will be suggestions for ways to apply cryotherapy, clinical techniques to prevent support-limb laminitis and his intriguing-sounding lecture, "Lamellar Bioenergetics Studied Using Tissue Microdialysis".


You might be interested in reading "Equine laminitis: cryotherapy reduces the severity of the acute lesion" and "Equine laminitis model: cryotherapy reduces the severity of lesions evaluated seven days after induction with oligofructose" by van Eps and Dr. Pollitt, originally published in 2004 and 2009, respectively, in the Equine Veterinary Journal.

He's probably forgotten all about this video. But to anyone dealing with laminitis, the question of whether or not rotation is inevitable in a given horse remains a paramount concern. How many horses technically experience laminitis and have damaged laminae, but have minor rotation or none at all, and why is there such variation between horses? How many horses have bouts of laminitis that their owners never even notice? Is it still laminitis if no one notices but the farrier, the next time the horse is due to be trimmed or shod?

And what is rotation? Is the deep digital flexor tendon, which attaches on the underside of the coffin bone, actually pulling up and back on the bone as the laminae at the toe loosen their hold on the bone, as we've been taught, and as this video would so nicely illustrate? Or is it the weight of the horse on the compromised structures, compounded by unusual posture, that encourages a combination of those forces to work in concert?

A paper from New Zealand published in this month's (September 2011) Equine Veterinary Journal proposes that the soft tissue structures in the back of a contracted, bar-humped foot make it possible for the palmar processes of the coffin bone to act like a fulcrum around which the coffin bone rotates, and that the tendon has no involvement. (See "The effect of hoof angle variations on dorsal lamellar load in the equine hoof" by Ramsey, Hunter and Nash.)

Lead author Gordon Ramsey was kind enough to send his paper and this section begs to be highlighted; using a Finite Element analysis model, Ramsey calculated forces on the proximal hoof wall at the toe when the heels are raised, as recommended in some laminitis therapy regimen. Extrapolating from that finding, he challenged the mainstream concept of coffin bone rotation in laminitis.

Please note that the author is from the University of Auckland in New Zealand and so uses "lamellae" instead of "laminae" in his text; instead of referring to raising the heels of the foot, he refers to mechanically altering the palmar angle of the coffin bone. It's food for thought whether measurements of heels and coffin bone palmar angles are interchangeable.

C0004P0141
A typical laminitis foot, with increased heel growth, which would elevate the palmar angle of the coffin bone as per Ramsey's FE model. According to his calculations, as that palmar angle is intentionally increased in some laminitis treatment protocols, the stress on the proximal (closer to the coronet) laminae inside the hoof wall at the toe would be increased. (University of Nottingham vet school photo)


Ramsey writes:

"The first stage of structural failure in a laminitic hoof involves a stretching of the laminar junction (Pollitt 2007), with rotational displacement occurring subsequently. This seems consistent with a mode of failure that begins at the most loaded proximal part of the lamellae, as predicted by this model, with rotation only occurring after the lamellae have been weakened. 

"It has been proposed that rotational displacement of the distal phalanx, as a sequel to weakening or failure of the laminar junction, is a result of the forces imposed by the deep digital flexor tendon (DDFT) and leverage of the dorsal wall on the ground during breakover (Hood 1999). Experimental results have shown that in laminitic ponies the DDFT force is zero for the first 40% of stance and only approaches a normal value near the end of stance, but that the peak vertical ground reaction force (GRF) is only reduced by 13 percent compared to normal ponies (McGuigan et al 2005). 

"Since the peak lamellar load, predicted by this model to occur at the proximal (not the distal) region of the laminar junction, is more strongly influenced by the GRF than the DDFT force and does not occur during breakover, then this mechanism seems unlikely. 

"An alternative proposed mechanism is that the digital cushion and the region of the attachment of the DDFT are a fulcrum about which the distal phalanx rotates (Coffman et al 1970). As both the DDFT and the digital cushion are soft tissues, it seems unlikely that these could provide sufficient support. 

"However, if the hoof has contracted heels or ingrown bars (Strasser 1997), then these could provide support for the palmar processes to act as the fulcrum for rotation. This could explain why in some hooves the distal phalanx rotates but in other cases, where this fulcrum perhaps does not exist, it only displaces vertically."

Join in the discussion at the Laminitis Conference, October 29-31. The early registration discount ends soon!


 TO  LEARN  MORE
© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  
Follow Hoofcare + Lameness on Twitter: @HoofcareJournal
Read this blog's headlines on the Hoofcare + Lameness Facebook Page
 
Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Friday, July 29, 2011

Research: Clayton and Bowker's “Effects of Barefoot Trimming on Hoof Morphology” Focuses on Incremental Heel Recovery

"Lights, cameras, heel angles..." Dr. Hilary Clayton uses the most advanced data collection and analysis systems in the world to track how horses move, grow, stand or even sway. Her electronics matched with Dr Robert Bowker's anatomy studies have placed Michigan State University at the epicenter of global hoof research. Since both Clayton and Bowker espouse the advantages of barefoot hoofcare, it's natural that a study with both names as authors would be published. (McPhail Center photo)
Hilary Clayton, BVMS, PhD, MRCVS has an office in the airy, bright new Mary Anne McPhail Equine Performance Center, a state-of-the art equine sports and lameness facility at the Michigan State University College of Veterinary Medicine. It’s chock full of video equipment, sensors, high-tech saddles that need to be tested or patented, sensors, force plates, remote controls and did I mentioin sensors? There’s a feeling that if something is going to affect a change in the future for horses, its route passes through this building. You also have to wonder what the electric bill is. Everything plugs in and has a stand-by red light glowing in the dark. The sensors are always ready.

Across the parking lot looms the main vet college building and large animal hospital. You go inside and enter a labyrinth of corridors. You descend stairs. Pipes rattle. You walk down more hallways. Turn some corners. And at some point, you stumble into a place that is the antithesis of Dr Clayton’s futuristic electronic world.

You’re facing a mountain of coffin bones. Over here are some old farrier books, and through the microscope, you think you see what the classic professor Robert Bowker PhD DVM wants you to see, that a coffin bone can and does have evidence of osteoporosis.

In this lab, things pile up. They get dusty. The information is layered like the strata of a carefully dug herb garden. Deep historical reference compost and intellectual top soil combine here to make ideas grow. Theories and what-ifs sprout like weeds after a summer shower.

On weekends, Dr. Clayton's interest in dressage makes her showing schedule a living laboratory: she competes her horses unshod. Until last year, her veteran horse MSU MAGIC J competed at the grand prix level. Up-and-coming MSU FANFARE, shown here, currently leads the US Dressage Federation standings in dressage freestyle at second level. Both horses were bred by the university and selected by Dr Clayton for their movement characteristics, not their conformation. She looked for horses with good movement, instead of horses that looked like they could move.

Hilary Clayton calibrates a set of sequential video cameras and hits the “on” switch. Robert Bowker digs a little deeper, reaching for a certain specimen he knows is under the pile. He turns an idea around and realizes he forgot to stop for lunch. And that was hours ago.

Both these laboratories and both these professors study the horse’s foot...at the same university. Both are at the top of the game, and in spite of their proximity, they couldn’t be approaching the hoof from more different perspectives.

And what are the odds that if two professors at the same university were studying the same structure, they’d share a common point of view? Or that they could possibly collaborate on a research project?

College professors are often, by nature, protective of their turf. Someone else on the same campus studying the same thing should be a threat. But Clayton and Bowker have managed to put their well-stocked heads together on research for several years.

This week the latest product of their thinking-alike-but-acting-differently collaboration is a paper on how hoof morphology is influenced by a specific method of barefoot trimming. The paper was published in the Australian Veterinary Journal.

For anyone not familiar with the term, morphology is the study of shape, form and structure in nature. We use the word “morph” colloquially as a verb. When you “morph” into something else, you are changing shape or form.

Foot diagram for trimming protocol. The paper does not contain the word "breakover".

Make no mistake: this paper is not going to tell you how to rehab a horse's hoof. It is, however, going to give more credence to the idea that a specific method of barefoot trimming can successfully achieve a precise goal. Because it did, in the hands of Clayton, Bowker et al.

To be clear, Dr. Clayton is listed as the lead author, with Bowker's name fourth. His inclusion in the study is evident in the discussion section, where information on sensory nerves in the foot is shared. His inclusion also means the study is destined for wide readership among his many followers.

The paper begins with an important sentence that bears repeating. Memorize it: "There is little scientific data describing the effects of any type of barefoot trim, particularly in horses that participate in regular exercise in a riding arena, or how such trimming may affect the overall conformation and health of the foot for an extended period of time."

The problem: horses with mildly underrun heels. The goal: palmar/plantar migration of the heel area of the hoof, increase in heel angle and support length, and an increase in solar angle of the coffin bone. The hypothesis: it's possible.

Michigan State University's McPhail Center is where horses, data and electronics come together.
And not only is it possible, it's possible to do it with a rasp, not a wedge pad or a horseshoe. It's possible to do it so that the inside structures are not disturbed by cranking the hoof capsule into alignment in one shoeing, running the risk of creating separations and flares and adding strain to repositioned ligaments and tendons.

The research project achieved its goals, but it is important to note that this was achieved not by removing shoes, but by applying a specific trimming technique and repeating it, over and over and over.

In the end, the heel angle increased an average of almost nine degrees. The difference between toe and heel angle decreased from 13.8 to 7.2 degrees during the one-year maintenance period.

There are some key elements to this study that must be understood: The horses lived in a pasture, not in stalls. They received regular daily exercise (one to three hours) under saddle on a sand arena in a riding program five days a week. The horses were all Arabians of similar height and weight and age (average 13.6 years).

The horses in the study were barefoot before the research began, so they did not have to go through a transition-to-barefoot period. They were trimmed by one farrier (Cappi Roghan, who deserves some credit) throughout the study; he understood his assignment and acquiesced to stick to the program.

In the end, this study is not a victory for barefoot over shoes. This is a victory for showing that trimming alone can achieve a morphological change.

It just takes a lot of time, that's all.

The timeline of the study would not be considered a victory. It took four months of conscientious trimming to reshape the horses’ hooves, and then 12 additional months for the hoof to grow and stabilize in order to complete the study and prove the trim's effect. The authors felt that 16 months was required, based on the premise that a horse’s hoof grows an average of one centimeter per month, so that each horse, by the end of the study, would have had ample time to grow a completely new hoof.

The interesting aspects of the study are the way that the hoof morphology changed in one aspect then changed back. For instance, the area of the frog initially increased, then decreased.

The authors suggest that the horses’ feet at the beginning of the study illustrated the characteristics of wild horses living on soft sandy substrate, as documented by Brian Hampson PhD at the University of Queensland in his recently completed doctoral thesis, The Effects of Environment on the Feral Horse Foot.

The increase in toe angle during the initial transition period was an average of 2.7 degrees. Because this change was gradual, the authors commented that the trimming technique allowed the foot’s internal structures to gradually adapt, without any pathological consequences such as wall flares.

It should also be noted that the authors concurred that the goals of the trimming—palmar/plantar migration of the heels, increases in heel angle and support length, and increased solar angulation of the coffin bone -- are potentially beneficial to the health of the foot.

The key sentence to this study is found near the end of the paper: “Current knowledge of hoof structure and dynamics is incomplete and these ideas, while speculative, may provide a stimulus for further research.”

Note: The study was supported by the Bernice Barbour Foundation and the American Quarter Horse Association. The research team consisted of, in addition to Drs Clayton and Bowker, veterinary student Sarah Gray and MacPhail Center lab manager LeeAnn Kaiser.

Citation:
Clayton, H., Gray, S., Kaiser, L. and Bowker, R. (2011), Effects of barefoot trimming on hoof morphology. Australian Veterinary Journal, 89: 305–311. doi: 10.1111/j.1751-0813.2011.00806.x


Dr. Clayton on biomechanics of footing for dressage horses, part 1


Dr. Clayton on biomechanics of footing for dressage horses, part 2

To understand the full spectrum of hoof science, it is necessary to consider that it is much more than anatomy and physiology. The hoof is in motion, and how it moves affects its shape, its health and the relative condition of its components. Biomechanics means much more than trying to judge if a horse is landing heel-first or not.

You may need to adjust the volume on your computer. Watch as Dr. Clayton describes the mechanics of how the hoof of a dressage horse interacts with the arena footing. Filmed at the 2007 Adequan/ USDF Annual Convention in Orlando, Florida, this video is available on DVD with several other lectures on hoofcare and lameness from the USDF web site.

The abstract for this article is available online: The Australian Veterinary Journal: Effects of barefoot trimming on hoof morphology. You can also purchase a download of the complete article.

Click on ad image for details; image from Dr. Bowker's research at Michigan State U.

 © Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  
 
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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Wednesday, January 26, 2011

Video: Equine Biomechanics Integrated with an Icelandic Horse's Disco-Rhythm Hoofbeats by Swiss Researchers



Are you awake now?

This video is your wake-up call. It's a fast-cut peek inside the high-tech equine performance testing laboratory at the University of Zurich in Switzerland, where kinematic- and kinetic-research are undergoing an exciting fusion under the direction of biomechanics research professor Michael Weishaupt PhD DMV. Where the disco beat came from is anyone's guess!

Are the researchers trying to turn this Icelandic into an Olympian or a racehorse? No, there are no Frankenhorses in biomechanics labs. "The application of knowledge pertaining to sports medicine does not aim to increase the speed of the horse or allow it to jump higher, but to keep the athlete sound, prepare it optimally for a specific event, and to recognize detrimental influences early in order to avoid an untimely end to an athletic career," wrote Dr Weishaupt along with Zurich's esteemed professor of equine surgery, Dr Jorg Auer, in an explanation of the research at Zurich.

To do that, Weishaupt and his colleagues are combining kinetic and kinematic research in the same evaluation system. Two formerly exclusive branches of biomechanics research are now under the hood of the same laboratory testing matrix.

Kinematics is nothing new to Hoofcare + Lameness readers. Kinematics is simply the study of motion. A student of dressage could be said to be an equine kinematics scholar, on some level.  But in the world of clinical evaluation of horses, we have typically talked about kinematics as the two-dimensional recording of a horse's movement in order to gain insight into a horse's stride's length or velocity or frequency, or to determine lameness. It works very nicely to prove or enhance what we think we see with our naked eyes or what the rider thinks he or she feels from the saddle.

For the past five years or so, kinematics in the laboratory has been moving ahead. Three-dimensional gait analysis has been used in research to delve deeper into the horse's movement so that joints can be analyzed for the complex structures that many of them are. A hinge joint like the fetlock might be analyzed in two dimensions, but what about the hock or the spine? And what about the coffin joint, a complex structure with three types of motion patterns--flexion-extension, abduction-adduction and axial rotation?

And what if a specific location in the limb could be isolated, such as the distal end of the cannon bone, where so many racing injuries occur? If the forces there can be measured over different track surfaces, aren't we light years ahead in preventing breakdowns?

When studying the motion of the horse, it's not just about the legs. The neck and head and back are critical components so gait analysis has expanded to putting markers all over the horse. The angular motion patterns (flexion-extension, lateral bending and lateral excursion) of six vertebrae (T10, T13, T17, L1, L3 and L5) and the axial rotation of the pelvis are calculated by the software used in the research--in the case of our friends in Zurich, that would be the Qualisys system.

In this video, provided by Qualisys, researchers used a similar system at the University of Agricultural Science in Uppsala, Sweden; 12 cameras recorded the horse in three dimensions on a sensitized treadmill so that the movement of the head and neck could be studied with each footfall and with the movement of the rider. Notice that the horse's center of gravity is always clearly marked on the screen.

So now the leading research labs may use three or many more cameras and create almost realistic moving horses on computer screens. Wireless technology has also improved the operations in the equine research laboratory.

If kinematics is the study of motion, kinetics is its alter ego, the study of force. Kinematics might not care if you were a ballerina or a gorilla crossing a Broadway stage--you'd just be a pattern of dots for it to interpret. And kinetics wouldn't care how synchronous or straight your limbs worked as you crossed; kinetics would worry instead about what happened when your feet hit the stage. Did you slide? Did you hit with enough force to break through a board? How long did each foot stay on the floor?

Researchers explore kinetics with force plates and, more recently, the alternative of pressure-sensitive materials such as mats and walkways embedded with sensors. In Zurich's case, it is an instrumented (sensor-embedded) treadmill (photo, above), or "TiF": a "Treadmill-integrated Force" measuring system able to record the vertical ground reaction forces of all four limbs simultaneously and report it instantly.

The buzzwords of kinetics are ground reaction force and center of gravity. A foot in water finds little resistance, but a foot usually lands on somewhat solid ground, depending on the nature of the footing. If the surface was rigid and foot was a wine glass, it would shatter, but it's designed to deform and store energy when it meets the ground. How to measure what happens during that meeting is the goal of kinetic research.

So the scientists at the University of Zurich wanted to analyze how the Icelandic horse on the treadmill in the video is moving (kinematics) while intermittently impacting the ground (kinetics) with his hooves. One of the new advantages of hoof-related research is the integration of the kinetic and kinematic tools. As the video screen draws the dotted horse that the cameras see, the pressure sensors simultaneously are recording the data of the impact of each footfall. The integration of these systems is relatively recent.

But there is a third entity going on here. The addition of a saddle and rider will affect the kinematics of the horse and no doubt the kinetics as well. So the researchers are measuring the pressure and movement of the saddle. Last year the same lab studied dressage horses at the collected walk--a deceptively simple gait that is a challenge to many upper level horses--and measured how much and in what direction at what phase of the stride the saddle moved.

Believe it or not, little research on the walk had been done before, and in particular, no one had tested how the rider and saddle might affect the horse's score at the walk. Since racehorses tend to trot, pace or gallop for a living, you will find a deep history of studies on those gaits over the course of equine biomechanics history. Sport horse kinetics and kinematics is a far less investigated field of study.

In the Zurich tests, all the dressage horses' saddles moved in the same directions at the same phases of the strides, and the rider's movement was the same as well.

And what about the hooves? Labs like Zurich have conducted comparative studies of how a horse moves while unshod, shod normally, and shod with rolled toe or "four point" shoes to study the effects of shoeing changes on kinematics and kinetics--in particular, the timing of the phases of the stride. Does a particular shoe cause a horse to keep its foot on the ground longer than another, and might this be associated with an increased potential for injury? 

So now the dressage horses have gone home and the Icelandic horses are being tested. A research project in progress is Kinetics, kinematics and energetics of the tölt: Effects of rider interaction and shoeing manipulations. The tölt is the amazing fast gait of the Icelandic horse; it is their signature show gait, and possibly unique to the breed. Will changing the shoes on an Icelandic horse change its ability to perform the tölt?

Since no one has studied an Icelandic horse with the resources that are available today, no one really knows.

But someone will. And, by extension, the world will know soon after that.

Thanks to BartMedia Designs for this video.


Here's a little video about using similar but more simplified equipment for testing humans. I hope this helps you understand biomechanics research a little better! The concepts mentioned in this blog post are vastly over-simplified but once you understand the basic concepts, it will all start to make sense.


To learn more: BYSTRÖM, A., RHODIN, M., Von PEINEN, K., WEISHAUPT, M. A. and ROEPSTORFF, L. (2010), Kinematics of saddle and rider in high-level dressage horses performing collected walk on a treadmill. Equine Veterinary Journal, 42: 340–345. doi: 10.1111/j.2042-3306.2010.00063.x

Anyone interested in learning more about equine biomechanics would be well-served by attending the Equinology biomechanics course with Dr. Hilary Clayton at the McPhail Equine Performance Center at Michigan State University's College of Veterinary Medicine in the fall of 2012. A combined course in biomechanics and lameness evaluation with Dr. Clayton will be offered in England in March 2011 at Writtle College.

 © Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.
 
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Monday, January 17, 2011

University of Queensland's Equine Hospital Keeps Its Head Up Above the Flood


The photos of the devastation on the campus of the University of Queensland are pretty discouraging. As you've probably heard by now, the Brisbane River rose far above its banks and spread through and, in some cases, over the beautiful city of Brisbane in Queensland province in the northeastern corner of Australia.

A core group of veterinarians has created a virtual Noah's Ark for the animals that have been able to reach them...but the tragedy of a true flood is that so many animals are stranded where they are.

A dedicated veterinary team fed, washed, provided medical treatment and comfort to the animals that had been able to make it to their new equine hospital in Gatton. Gatton is the site of the University's new vet school, which only opened on August 6th.

University officials described "horses that had worn down their hooves swimming for up to 30 hours to stay afloat. "

Laminitis researcher and equine specialist Andrew Van Eps BVSc, PhD, MACVSc, DACVIM said that seven horses were brought in for medical treatment for injuries sustained in the floods and his staff members were heading out to farms to treat more horses.

“We have horses in various states of health. Quite a few horses have contracted pneumonia after breathing in flood water while swimming to stay alive,” Dr Van Eps said.

“There is a horse here that was housed in a stable when the flood arrived and had to tread water for about a day to survive.

“We are also are caring for a miniature horse foal that is only a few days old and was orphaned by the floods.”

Besides Van Eps, the equine hospital team includes Dr Susan Keane, Dr Philippe Manchon, Dr Steve Zedler, Dr Claire Underwood, Rebecca Johnson, Kylie Semple, Kate Hertrick,Trent Dawson, David Manchon and Natasha Curlew.

Photos and flood details courtesy of the University of Queensland.

 © Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.


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Friday, November 26, 2010

Equine Pituitary Dysfunction Test Choices Analyzed by New Bolton Center's Jill Beech VMD

In our new age of horses as companion animals, a significant proportion of our equine population would be considered into or at least approaching the geriatric phase of life. Equine pituitary disease and disorders are a concern in the horse-owning public and what we call simply "Cushings Disease" is being studied by researchers as a complex condition or even set of conditions and/or disease.

For horse owners, the problem is always to obtain a definitive diagnosis and to understand a prognosis, if it is possible to have one. Laminitis, in subtle or complex forms, often is a side effect of pituitary disease and any progress in understanding, diagnosing and treating the disease more effectively is welcome. Here's an update from one researcher at the University of Pennsylvania.

Jill Beech VMD presented data resulting from recent research at the Dorothy Havemeyer Geriatric Workshop in Cambridge, Massachusetts, October 24-27. Dr. Beech (show left, University of Pennsylvania photo) is the Georgia E. and Philip B. Hofmann Professor of Medicine and Reproduction at University of Pennsylvania School of Veterinary Medicine’s New Bolton Center in Kennett Square, PA. Her clinical and research expertise is focused on equine pituitary disease and disorders. The Dorothy Russell Havemeyer Foundation, Inc. is a private foundation that conducts scientific research to improve the general health and welfare of horses.

Dr. Beech’s research compared two different diagnostic tests, using two different hormones, to measure equine pituitary dysfunction. “First,” says Dr. Beech, “I compared measuring alpha-melanocyte stimulating hormone [MSH] with measuring adrenocorticotropic hormone [ACTH] to determine if one hormone was superior to the other in making a diagnosis. MSH is more specific for the part of the pituitary that is abnormal in horses with Cushing’s disease.”

Although both hormones are secreted from that area, ACTH is also secreted from another area in the pituitary, so it was hypothesized that MSH would be more specific and a better hormone for evaluation. Results, however, did not indicate that MSH was a more sensitive or specific indicator for pituitary dysfunction. Those data, along with the fact that ACTH, but not MSH, can be measured in diagnostic laboratories available to veterinarians has important practical application.

“This means,” says Dr. Beech, “that veterinarians can continue to measure ACTH in a reliable laboratory. At New Bolton Center, we use the laboratory at Ryan Veterinary Hospital of the University of Pennsylvania or the New York State diagnostic laboratory at Cornell.”

Data collected also indicates that when horses have high levels of these hormones, single samples can be misleading due to variability of endogenous concentrations; veterinarians should therefore obtain several basal samples for ACTH measurement.

“If basal levels of ACTH are high, it can be an indication that the horse has Pituitary Pars Intermedia Dysfunction [PPID] or Cushing’s Disease. However, some affected horses have normal basal levels, and in those cases,” says Dr. Beech, “ACTH response to a thyroid releasing hormone [TRH] test should be performed. Affected horses have an abnormal and prolonged increase in their ACTH levels compared to normal horses.”

She and her co-investigators also compared the TRH stimulation test to the domperidone stimulation test, a diagnostic test that initially appeared promising for diagnosing pituitary disease in horses. In this population of horses, the domperidone stimulation test did not appear as good as the TRH stimulation test in differentiating horses with PPID from normal horses.

--end press release--

© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.
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