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Effects of different bits and bridles on frequency of induced swallowing in cantering horses

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  • Sport Horse Science, LC

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It has been suggested that the presence of a bit reflexly increases salivation but, at the same time, interferes with the horse'sabilitytoswallow.Theobjectiveofthisstudywastocompareswallowingfrequencyin12horsesexercisingat canter while wearing a head collar, a bitless bridle, a jointed snaffle bit and a Myler correctional-ported barrel bit. Laryngealmovementswererecordedvideoendoscopicallyasthehorsescantered(8ms21)onahighspeedtreadmill, with the use of side reins to flex the poll. Swallowing was stimulated artificially by infusion of sterile water at a con- stant rate of 5mlmin21 through a cannula in the endoscope's biopsy port. The results showed large differences in swallowing frequency between horses. Swallowing frequency was lowerfor the Myler snaffle than for the other con- ditions (P , 0.05). It is concluded that the presence of a bit does not preclude swallowing during exercise at canter withthepollinaflexedposition,butcertaintypesofbitsmaybeassociatedwithareductioninswallowingfrequency.
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Effects of different bits and bridles on
frequency of induced swallowing in
cantering horses
J Manfredi, HM Clayton* and FJ Derksen
Mary Anne McPhail Equine Performance Center, Department of Large Animal Clinical
Sciences, College of Veterinary Medicine, Michigan State University, East Lansing,
MI 48824-1314, USA
*Corresponding author: claytonh@cvm.msu.edu
Submitted 7 December 2004: Accepted 26 October 2005 Research Paper
Abstract
It has been suggested that the presence of a bit reflexly increases salivation but, at the same time, interferes w ith the
horse’s ability to swallow. The objective of this study was to compare swallowing frequency in 12 horses exercising at
canter while wearing a head collar, a bitless bridle, a jointed snaffle bit and a Myler correctional-ported barrel bit.
Laryngeal movements were recorded videoendoscopically as the horses cantered (8 m s
21
) on a high speed treadmill,
with the use of side reins to flex the poll. Swallowing was stimulated artificially by infusion of sterile water at a con-
stant rate of 5 ml min
21
through a cannula in the en doscopes biopsy port. The results showed large differences in
swallowing frequency between horses. Swallowing frequency was lower for the Myler snaffle than for the other con-
ditions (P , 0.05). It is concl uded that the presence of a bit does not preclude swallowing during exercise at canter
with the poll in a flexed position, but certain types of bits may be associated with a reduction in swallowing frequency.
Keywords: exercise physiology; equestrian short; snaffle bit; saddlery
Introduction
Bits have been used for many centuries to control the
horse’s speed and direction of movement
1
by exerting
pressure on structures within the oral cavity and at var-
ious sites on the head. The horse’s response to, and
acceptance of, the bit are important in some eques-
trian sports. In dressage, for example, one of the objec-
tives is the acceptance of the bridle
2
. Horses should
chew gently, introducing air bubbles into the saliva,
which makes it foamy. The presence of foamy saliva
on the lips is regarded favourably by dressage trainers
as a sign that the horse is accepting the bit in a relaxed
manner, accompanied by salivation and chewing.
However, excessive saliva at the mouth could also be
caused by a combination of excessive saliva pro-
duction induced by the bit and inhibition of swallow-
ing by a combination of head position and bit effects.
It has been proposed that the presence of a bit in the
oral cavity triggers the parasympathetic nervous system
to increase salivary output
3
. Increased salivation is likely
to increase swallowing, and during swallowing breath-
ing is interrupted, making excessive swallowing during
exercise undesirable
4
. Furthermore, it has been
suggested that a snaffle bit restrains the movement of
the tongue
5
, making it difficult for the horse to swallow.
Reduced or ineffective swallowing could result in aspira-
tion of saliva into the trachea during exercise. Accord-
ingly, modern bit makers [1] have sought to design bits
that allow greater freedom of the tongue
6
. Others have
proposed the use of bitless bridles that neither trigger
salivation nor impede swallowing
3
.
If the presence of a bit in the oral cavity induces
excessive salivation, it might be expected that horses
would feel a need to swallow more frequently when
wearing a bit, but frequency of swallowing under
different bitting conditions has not been investigated.
Endoscopic visualization of deglutition has been
described in humans
7
and in horses
8
, and the presence
of an endosc ope does not appear to hinder swallow-
ing. Infusion of water through the endoscope induces
1
This is really not a contradiction; if the bit induces salivation and
decreases swallowing, one would expect more saliva at the horse’s
mouth, especially if a flexed head position further decreases
swallowing. Is this possibly the mechanism involved in the saliva
seen at the mouth of collected dressage horses?
Equine and Comparative Exercise Physiology 2(4); 241–244 DOI: 10.1079/ECP200569
qCAB International 2005
the horse to swallow more frequently and has been
used to study arytenoid function in horses
9
. The objec-
tive of this study was to compare frequencies of
artificially induced swallowing in horses exercising
under different bitting conditions.
Materials and methods
The study was approved by the university’s animal ethics
committee. The subjects were 12 sound horses (five Ara-
bians, three Standardbreds, one Thoroughbred, two
Warmbloods, one Quarter Horse) that were habituated
to treadmill exercise, and were fit enough to perform
the study protocol easily without becoming fatigued.
Horses were ridden or lunged in each piece of equip-
ment prior to data collection. The upper airway of all
horses was normal as determined by endos copic
examination at rest and during exercise.
The four pieces of equipment studied were head
collar, loose-ring jointed snaffle bit, Myler correc-
tional-ported barrel bit (Toklat Originals, Inc., Lake
Oswego, OR) and bitless br idle (The Bitless Bridle,
Inc., York, PA). The head collar was fitted so that the
noseband was just below the facial crest, and the
side reins were attached to the rings on the left and
right sides. When a bit was used, the width of the
mouthpiece was 0.5 cm greater than the intra-oral dis-
tance between the left and right commissures of the
lips, the cheekpieces were adjusted so that there
were two small wrinkles at the corners of the lips
and a flash noseband was adjusted to fit snugly, but
not tightly enough, to indent the skin. The bits had a
lateral ring for attachment of the reins, cheekpieces
of the bridle and the mouthpiece. The cannons
extended from the rings toward the central part of
the bit and could articulate directly with each other
as in the jointed snaffle, or could be separated by a
port–as in the Myler bit used in this study. The jointed
snaffle was a loose–ring, hollow mouth bit (Fig. 1). The
central joint allowed rotation of the left and right can-
nons in a transverse plane. In addition, the rings
rotated relative to the cannons in the trans verse and
sagittal planes. The cheek-pieces and side reins were
attached to the rings of the bit. The Myler correc-
tional-ported barrel bit had a joint within its central
barrel (Fig. 1), which allowed the cannons and rings
of the bit to rotate in a sagittal plane, and joints at
each side of the port rotated in a transverse plane.
The rings rotated relative to the cannons in a trans-
verse plane only. The cheek pieces and side reins
were free to move around the rings of the Myler bit.
The bitless bridle was adjusted according to the manu-
facturer’s instructions. The side reins were attached to
rings on the end of the straps, which were connected
to the poll piece on the opposite side via a strap run-
ning beneath the mandible and across the cheek.
Horses were also equipped with a lungeing surcingle
to which the side reins were attached at mid-
thoracic level. The side reins were used to maintain
flexion at the atlanto-occipital joint. When attaching
the side reins, the objective was to tighten the reins
until the dor sum of the horse’s face was vertical (Fig. 2).
The experimental protocol involved warming up the
horses at trot (2 min at 4.5 m s
21
) and canter (1 min at
8ms
21
) without attaching the side reins. The treadmill
was then stopped. An endoscope (GIF-130, Olympus,
Lake Success, NY) was passed through the right nostril
and advanced until the tip of the scope was at the level
of the openings of the auditive tubes, where it was
secured in place using Penrose tubing tied to the nose-
band. A cannula was passed through the biopsy port of
the endoscope and positioned so that the catheter tip
was flush with the tip of the endoscope. The catheter
was attached to a constant-rate infusion pump (Model
1901, Harvar d Apparatus, Dover, MA) and a 20 ml syr-
inge that was filled with distilled water.
The treadmill was restarted and belt speed was
increased until the horse was trotting. The side reins
were attached to rings on each side of the bit, bridle or
head collar and shortened to flex the atlanto-occipital
joint. Treadmill speed was then increased to 8 m s
21
,
which was a comfortable cantering speed for all horses.
The horses cantered at constant speed for at least 20 s
to allow time for the stride to settle into a rhythm
before the infusion of sterile water was begun at a con-
stant rate of 5 ml min
21
. The video recorder (CV-100,
Olympus) was started synchronously with the infuser
and continued to run for 2 min. The infuser and VCR
were then turned off and the treadmill speed was gradu-
ally reduced. As soon as the treadmill stopped, the side
reins were removed and the endoscope was withdrawn.
Horses were led off the treadmill, washed off and
walked to the stall to rest for 30 min, after which the
procedure was repeated using a different bit/bridle.
Horses performed two trials per day on two succes-
sive days. The order in which the different bits and bri-
dles were applied was randomized in the following
manner. The bit/bridle conditions were numbered: 1,
head collar; 2, jointed snaffle; 3, Myler bit; 4, bitless
bridle. Horses performed the trials in the manner of a
Pearson’s square, starting at sequential numbers but pro-
gressing through the conditions in the same order.
The videotapes were analysed to count the number
of swallows per minute when water was being
infused. Differences between the four conditions
FIG.1 Jointed snaffle bit (left) and Myler correctional-ported barrel
bit (right).
J Manfredi et al.242
were sought using non-parametric Friedman’s two-way
ANOVA performed in SPSS 11.5 (SPSS, Chicago, IL)
using a significance level of P , 0.05.
Results
All horses performed the treadmill exercise test easily,
and no pathological conditions of the pharyngeal or
laryngeal structures were identified . Horse 11
became agitated during placement of the endoscope
for the trial with the Myler bit and did not perform
this trial. Swallowing frequency was estimated as an
average of this horse’s swallowing frequencies for
three other trials.
Swallowing frequency varied widely between horses
(Table 1). For example, Horse 3 swallowed 72 times
over the four conditions with a range of 12–22
swallows for the different bitting conditions, whereas
Horse 10 swallowed only 14 times over the four con-
ditions with a range of 3–4 swallows for the dif ferent
bitting conditions. The effect of the order in which
the bits were tested was not significant (P ¼ 0.467),
with the mean ranks being similar between the first
and fourth testing sessions at 2.58, 2.54, 2.83 and
2.01, respectively.
Friedman’s two-way ANOVA indicated that the mean
rank for the Myler snaffle (1.58) was significantly
lower (P ¼ 0.026) than that of the head collar (2.67),
jointed snaffle (2.71) or bitless bridle (3.04).
Discussion
Bitting has been proposed to increase salivation
3
, but
saliva production during exercise has not been
FIG.2 Horse cantering on treadmill wearing Myler correctional-ported barrel bit. Penrose tubing anchoring the endoscope is seen running
from the left side of the noseband to the right nostril, and side reins attached to the bit flex the atlanto-occipital joint. Video monitor and
VCR can be seen in the background.
Table 1 Swallowing frequencies (swallows min
21
) for 12 horses under four
bitting conditions
Horse Head collar Snaffle bit Myler bit Bitless bridle Total
1271310 555
2351918
32219121972
4452718
5384621
6 8 6 4 12 30
7415515
8 8 8 4 10 30
9454619
10 4 4 3 3 14
11 7 3 6 7 23
12 5 7 3 3 18
Total 99 84 58 92 333
Effects of different bits and br idles 243
measured. The fact that swallowing frequency did not
increase when hor ses wore a bit argues against an
increase in salivation. Horses competing in many
equestrian sports are trained to perform with the
poll strongly flexed; greater flexion (smaller angle
between mandible and underside of the neck) may
make it more difficult to swallow because compression
of the pharynx and larynx hinders movement of the
structures involved in swallowing. The reduced swal-
lowing frequency with the Myler bit may have been
due to physical interaction between the bit and the
oral structures, leading to restriction of jaw or
tongue motion, stim ulation of sensory receptors that
inhibited swallowing or reduction in salivation.
Fluid may leave the nasopharynx via the oesophagus
by swallowing, via the nostrils by entrainment into the
expiratory airflow or via the trachea dur ing inhalation.
Since the horses canter ed at the same speed and with
the same head position for all conditions, it seems un-
likely that differences in swallowing frequency were
associated with variations in the amount of infused
water lost via the trachea or the nose. Since mean swal-
lowing rate did not differ between head collar and bitless
bridle, differences between bits are more likely due to
physical interactions between bit and mouth rather
than to other equipment effects such as noseband press-
ure or head position. Extrapolation of these findings to
field conditions must be done with caution. Without
infusion of water into the nasop harynx, swallowing
rates may be unaffected by bitting.
Infusion of distilled water was used to ensure stimu-
lation of the swallowing reflex under all conditions.
The rate of infusion was established in a pilot study
as sufficient to induce swallowing but not great
enough to cause distress. A study of swallowing
induced by injection of water boluses
8
indicated that
the epiglottis moved caudally, a small amount of air
was swallowed and the arytenoid cartilages moved
ventrally and appeared to close. The epiglottis
returned to its normal position after each swallow. In
the study reported here, swallowing was easily recog-
nized on the videotapes by the soft palate rising
above the epiglottis to obscure the view of the
aditus laryngis.
Bits have been implicated in a variety of respiratory
problems
3
. During this study, no evidence of patholo-
gic upper airway obstruction was seen. Similarly, no
differences in respiratory parameters were measured
when horses with intermittent dorsal displacement
of the soft palate (DDSP) wore a tongue-tie or no
tongue-tie
10,11
. Another study failed to find increased
negative inspiratory pressures prior to palate displace-
ment
12
. These results, as well as the lack of DDSP in
our study, do not support the suggestion that bits
cause an increase in negative inspiratory pressures
that, in turn, can lead to DDSP
3
. Since swallowing
temporarily restricts a horse’s ability to brea the, fre-
quent swallowing may not be desirable during athletic
events
4
. However, none of the horses in this study
appeared to experience exercise intolerance second-
ary to a decrease in respiratory function because of
swallowing. On the contrary, depression of the
tongue, which may naturally occur with some bits,
may stabilize the pharynx, allowing for better respirat-
ory function
11
.
Conclusions
Induced swallowing frequency during exercise at the
canter varies between individual horses. The presence
of a bit does not prevent swallowing when horses
canter with the poll flexed, although the type of bit
may affect swallowing frequency.
Acknowledgements
This study was funded by the McPhail Endowment and
the Merck-Merial Veterinary Scholars Program. The
authors thank Dr David Mullineaux for assistance
with the statistical analysis.
References
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Thesis
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The aim of the present study was to investigate whether laterality test results obtained on the ground relate to laterality during riding and to examine the influence of human handedness and horse’s laterality on rein tension. The present study contained an online-survey with 686 riders and 1286 horses as well as the comparison of twelve different methods to investigate horse’s laterality on the ground and during riding between five groups of horses (6.553 horses in total) and rein tension measurements with a group of 88 warmbloods, Quarter Horses and mixed breeds (41 right-lateral, 35 left-lateral and 12 without reported laterality) with 65 riders (49 right-handed, 14 left-handed and 2 ambidextrous) in 110 rides (51 in conventional European riding and 59 in Western riding). Rein tension was analysed using Excel and linear mixed models in SPSS. The relation of different laterality test methods among each other was investigated using cross-tabulations, chi²-tests, phi and Cramer’s V, as well as Pearson-correlations. Heritability was determined using uni- and bivariate linear animal models in DMU6. Laterality test results obtained on the ground did not agree with laterality during riding. Only the rider’s assessment of their horse’s laterality and the lateral displacement of the horse’ hindquarters allowed conclusions on laterality during riding. In most populations the majority of horses had their hindquarters displaced to the right. Based on the rider’s assessment of their horse side preference for dressage tasks, no overall direction of laterality could be documented in any population. Right-lateral and ambidextrous horses were more successful overall. Heritability of the lateral displacement of the hindquarters was high in warmbloods and low to moderate level in Thoroughbreds. In dressage and show jumping there seems to be an advantage for both left-lateral and ambidextrous riders as well as left-lateral horses. A direct relation of the lateral displacement of the hindquarters to sensitive muscle trigger points could not be documented. In addition to the stability of rein tension, two aspects of symmetry (quantitative symmetry between left and right rein tension and temporal symmetry of left and right rein tension peaks) were identified that are influenced mainly by human handedness. Horse’s laterality mainly influenced the magnitude of rein tension as well as the symmetry of the inside versus the outside rein. Right-handed riders depended upon their dominant hand while trying to compensate their horse’s laterality and produced more symmetric rein tension with right-lateral horses. In contrast, left-handed riders reacted to their horse’s non-dominant side, regardless of the horse’s direction of laterality. Less rein tension was applied with a more stable and symmetric contact in Western riding compared to conventional European riding.
... Reasons given for noseband use vary and include aesthetic, bit stablisation, increasing sensitvity to the bit and preventing the horse engaging in undesirable behaviours such as mouth opening, chewing, yawing and teeth grinding (Fenner et al., 2016), all of which may be indicative of an active attempt by the horse to cope with a suboptimal situation (Giusto et al., 2014). It is likely that tongue movement wihtin the oral cavity reduces pressure (Manfredi et al., 2005). To what extent this is prevented by the application of a tight/restrictive noseband is worth considering given both Cornelisse et al.'s (2001) and Chalmers et al.'s (2013) research into the effect of tongue-ties (a piece of equipment used to prevent a horse from getting his tongue over the bit, passed through the mouth and tied below the chin) in horses during exercise and standing respectively. ...
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Equitation encompasses a range of activities in which horses interact closely with humans. The need to ensure both horse management and equitation practice is ethical and sustainable is emphasized globally. Robust and rigorous measurement is critical to objective assessment of practice. This review describes the outcomes of technology application within generic equine science and specific equitation science studies including heart rate monitoring, Electromyography, Infrared Thermography, Pressure Algometry and remote recording of behavior and cognitive functioning. The impact of pressure and tension applied by saddles, girths, head gear and gadgets is considered along with subtle behavioural measurements such as eye blink rate, behavioural switching and laterality, some of which reveal aspects brain functioning that have direct relevance to training. Well designed, reliable technology certainly has the potential to provide researchers with a panacea to problems relating to accuracy, precision and experimenter bias, ushering in a ‘golden age of equitation’. However, to reach this stage careful consideration must be given over to experimental logistics such as sample selection, device calibration and data processing. A series of potential drawbacks with the use of Technology are identified including managing noise and increasing signal strength, dealing with practical implementation issues and managing the volume of data in order to conduct appropriate analysis to reach meaningful conclusions. Technology users are warned against the temptation to engage in Abductive Science when discussing the output of equitation science methodologies. Putting good research into practice, and vice versa, is crucial to future-proofing equitation and horse welfare.
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Article
Bits are frequently blamed for veterinary and performance problems, but there is minimal other research into bridle and horse interaction. Study objectives were to (1) determine sites of maximum pressure under a double bridle headpiece, and under a crank cavesson noseband in trot using a pressure mat; (2) design a headpiece and crank cavesson noseband combination that avoids maximal pressure locations during movement; and (3) compare maximum pressure and gait characteristics of horses wearing the designed bridle (bridle F) with their usual bridle (bridle S). In part 1, peak pressure locations were determined using calibrated pressure mats under the headpiece (n = 8 horses) and noseband (n = 10). In part 2, 12 elite horses and riders with no lameness or performance problem were ridden in bridle F and bridle S in a double blind crossover design. Pressure mat data was acquired from under the headpiece and noseband. High speed motion capture in trot was used to determine forelimb and hind limb protraction, and maximal carpal and tarsal flexion during flight. Under the headpiece, bridle S peak pressure was 106.7% (mean) greater than that of bridle F, and bridle S maximum force was 59.7% greater than that of bridle F. Under the noseband, bridle S peak pressure was 47.8% greater than that of bridle F, and bridle S maximum force was 41.2% greater than that of Bridle F. On gait evaluation, bridle F had 4.1%, 3.5%, and 4.2% greater carpal flexion, tarsal flexion, and forelimb protraction than those of bridle S. These findings suggest an association between reduced peak pressures and improved gait, which may indicate improved comfort for the horse.
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Bit wear is the damage that occurs on the occlusal surfaces of the second premolar teeth when a horse chews the bit. Bit wear can provide evidence of horseback riding and/or horse draught from teeth found in archaeological sites. This article revises our earlier definition of bit wear and describes wear on an expanded study collection of modern bitted and feral horses (72 individuals). An experiment is described in which previously unbitted horses were ridden with organic bits to simulate the wear made by pre-metallic bits. Because the evaluation of bit wear depends partially on the age of the horse, a crown-height/age curve for horse lower second premolars is presented. Finally, horse premolars from the archaeological site of Botai in Kazakstan are evaluated using the new definition of bit wear and are found to provide evidence for horseback riding in northern Kazakstan between 3400 and 2700BC.
Article
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To determine whether abnormal airway pressures have a role in development of dorsal displacement of the soft palate (DDSP), measurements of tracheal and pharyngeal pressures were correlated with nasopharyngeal morphology in exercising horses. Exercising videoendoscopy and measurement of tracheal and pharyngeal pressures were used in 14 clinically normal horses and 19 horses with intermittent DDSP. The pressure signals were superimposed on the videoendoscope image, and both images were saved simultaneously on a videocassette for slow motion analysis to determine the instant displacement occurred in the respiratory cycle. Horses were submitted to an escalating 8-minute high-speed test with a maximal speed of 14 m/s. Compared with clinically normal horses, horses with intermittent DDSP did not have excessively negative inspiratory pressures during exercise. Eight horses displaced the soft palate during inspiration, 4 horses displaced it during expiration, and 7 displaced it by swallowing. Some horses displaced the soft palate at the beginning of the exercise trial, before reaching maximal speed, some horses displaced it at the peak speed, and some horses displaced it when slowing down. Epiglottic size in horses with DDSP was within normal limits, ruling out epiglottic hypoplasia as a cause of DDSP during exercise. Airway pressures were significantly (P < 0.002) altered after DDSP. Pharyngeal and tracheal inspiratory pressures were less negative, whereas pharyngeal expiratory pressure became less positive and tracheal expiratory pressure became more positive after displacement, suggesting a decrease in airflow and an increase in expiratory resistance in the upper airway.
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To determine the effect of a tongue-tie on upper airway mechanics in exercising horses. 5 Standardbreds. Peak inspiratory and expiratory tracheal and pharyngeal pressures and airflow were measured while horses exercised on a treadmill with and without a tongue-tie. Respiratory rate was also measured. Horses ran at speeds that corresponded to 50 (HR50), 75, 90 (HR90), and 100% of maximal heart rate. The tongue-tie was applied by pulling the tongue forward out of the mouth as far as possible and tying it at the level of the base of the frenulum to the mandible with an elastic gauze bandage. Peak inspiratory and expiratory tracheal, pharyngeal, and translaryngeal resistance, minute ventilation, and tidal volume were calculated. Data were analyzed by use of 2-way repeated-measures ANOVA. For post hoc comparison of significant data, the Student-Newman-Keuls test was used. We were unable to detect significant differences between groups for peak inspiratory or expiratory tracheal or pharyngeal resistance, peak pressure, peak expiratory flow, tidal volume, respiratory rate, or minute ventilation. Horses that ran with a tongue-tie had significantly higher peak inspiratory flows, compared with horses that ran without a tongue-tie. In the post hoc comparison, this effect was significant at 4 m/s, HR50, and HR90. Application of a tongue-tie did not alter upper respiratory mechanics in exercising horses and may be beneficial in exercising horses with certain types of obstructive dysfunction of the upper airways. However, application of a tongue-tie does not improve upper airway mechanics in clinically normal horses.
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To evaluate the occurrence of dorsal displacement of the soft palate (DDSP) during high-speed treadmill (HSTM) exercise in racehorses, and determine treatment efficacy relative to the endoscopic findings observed during resting and HSTM endoscopic examination. Retrospective study. Animals-Ninety-two racehorses (74 Thoroughbreds, 18 Standardbreds). The signalment, history (clinical and race), treatments, and video recordings made during resting and HSTM endoscopy were reviewed in 92 racehorses that developed DDSP during HSTM exercise. Only horses that completed 3 starts before and after HSTM examination were included in performance-outcome analysis. Statistical associations were made between the independent variables (the historical findings and the resting and HSTM endoscopic findings) and performance outcome. Forty-five horses (49%) displaced their palate in an uncomplicated manner, whereas the other horses either had another upper-respiratory abnormality in association with DDSP (35) or displaced after swallowing (12). Although respiratory noise was not recorded during HSTM exercise, only 57 horses (62%) that developed DDSP during HSTM examination had a history of abnormal upper-respiratory noise. For the 45 horses that met the criteria for performance outcome analysis, there were no independent variables recorded during resting or HSTM endoscopy that had a significant association with performance outcome. Treatment for DDSP varied by clinician. Overall, 29 horses (64%) had improved average earnings per start after diagnosis and treatment. Thirty-five horses (38%) that had DDSP during HSTM endoscopy had no previous history of abnormal upper-respiratory noise, and 74 (80%) had no structural abnormalities noted on resting endoscopic examination. HSTM examination is an excellent tool for diagnosis of DDSP and the manner in which it occurs. DDSP did not occur similarly in all horses, and was often associated with another upper-respiratory abnormality. Thus, it is unlikely that a single treatment can be applied effectively for all horses that experience DDSP. Both surgical and medical treatments can be beneficial in improving a horse's performance after a diagnosis of DDSP is made. Neither resting nor HSTM endoscopic findings were clearly prognostic.
Article
Tongue-ties are frequently used in an attempt to prevent dorsal displacement of the soft palate (DDSP). The aim of this study was to determine the efficacy of a tongue-tie in horses clinically affected with the disorder. Videoendoscopic recordings and measurements of respiratory airflow were made simultaneously during high intensity treadmill exercise in 6 Thoroughbred racehorses with confirmed DDSP, with and without a tongue-tie. DDSP was confirmed in all 6 horses without the tongue-tie but occurred in only 4 horses with the tongue-tie in place. In one horse the palate displaced only on slowing down after intense exercise and in the other horse DDSP did not occur although palatal instability remained. The presence of the tongue-tie did not result in any significant alteration in run-time to fatigue or in any of the respiratory variables measured. The results suggest that the use of a tongue-tie may prevent DDSP in individual horses although it is not effective in the majority, consistent with the widely accepted anecdotal reports of success rates for its use. Where DDSP was not prevented, application of a tongue-tie did not improve ventilation.
Article
Background: Mechanism(s) of aspiration, a common complication of oropharyngeal dysphagia, is not completely elucidated. Since the pharyngoglottal closure reflex induces vocal cord adduction in healthy young humans, it may help prevent aspiration during premature spill of oral content. Objective: The objective of this study was to characterize this reflex in normal young and elderly humans and dysphagic patients with predeglutitive aspiration; a potential group for developing abnormalities of this reflex. Methods: We used a concurrent video endoscopic and manometric technique for recording of the vocal cords' response to pharyngeal water stimulation. We first studied 9 young (26 +/- 2 years) and 9 elderly (77 +/- 14 years) healthy volunteers to characterize and determine the effect of aging on the pharyngoglottal closure reflex. Subsequently, we studied 8 patients (65 +/- 16 years) with predeglutitive aspiration and 7 age-matched controls to characterize this reflex among patients with compromised airway safety during swallowing. Results: The threshold volume of water for triggering both glottal closure and reflexive pharyngeal swallow in the elderly volunteers for rapid pulse injection was significantly larger than that for the young (p < 0.05). Neither glottal closure reflex nor pharyngeal reflexive swallow could be induced in any of the dysphagic patients with volumes of injected water as large as 1 ml. In contrast, in all age-matched controls, both the pharyngoglottal reflex and reflexive pharyngeal swallow were stimulated with threshold volumes of 0.3 +/- 0.07 and 0.6 +/- 0.05 ml, respectively. Conclusions: Pharyngeal stimulation by water induces vocal cord adduction in humans; the pharyngoglottal closure reflex. Although preserved, a significantly larger volume of water is required to stimulate this reflex by rapid pulse injection in the elderly, suggesting some deterioration in this age group. The pharyngoglottal closure reflex induced by rapid pulse injection is absent in dysphagic patients with predeglutitive aspiration, suggesting its contribution to airway protection against aspiration.
Regulations of the Fédération Equestre Internationale: rules for dressage. Events, 21st edn. Switzerland: Fédération Equestre Internationale
  • Anonymous
Anonymous (2003). Regulations of the Fédération Equestre Internationale: rules for dressage. Events, 21st edn. Switzerland: Fédération Equestre Internationale, p. 12.