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  4. Equine Musculoskeletal Pathologies: Clinical Approaches and Therapeutical Perspectives—A Review

Equine Musculoskeletal Pathologies: Clinical Approaches and Therapeutical Perspectives—A Review

Vet. Sci., 2024 · DOI: 10.3390/vetsci11050190 · Published: April 26, 2024

Veterinary MedicineMusculoskeletal Medicine

Simple Explanation

Sport horses are increasingly susceptible to injury due to rigorous work-outs that sometimes exceed physiological thresholds. Prioritizing exercise preparation and post-care is critical to mitigating injury risks. Despite preventative measures, injuries can still occur, necessitating a nuanced understanding of therapeutic approaches. Equine sports medicine faces challenges in keeping up with expansive therapeutic options. This review elucidates available therapies, including conservative and regenerative methods, for managing musculoskeletal injuries in sport horses. It seeks to address injuries comprehensively, restore organ function, and sustain the horse’s athletic life.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Level 5, Review Article

Key Findings

  • 1
    Musculoskeletal injuries are prevalent in sport horses, impacting their ability to return to exercise. Equine medicine has rapidly developed diverse therapeutic options for these problems.
  • 2
    A comprehensive review of current therapeutic options, from physiotherapy to regenerative therapies, is crucial. Each modality is assessed for benefits, limitations, and potential synergistic actions.
  • 3
    Stem cell-based therapies show promise, but a multidisciplinary approach is essential, considering various therapeutic modalities in tandem. Early diagnosis and intervention are critical for managing these conditions.

Research Summary

Musculoskeletal injuries in sport horses pose significant challenges, often leading to performance losses and affecting the horse's overall well-being, with social and economic implications. A comprehensive approach involving clinical examination, complementary diagnostic exams, and a range of therapeutic options is essential for managing these pathologies effectively. Regenerative therapies, particularly hemoderivatives and stem cell-based therapies, show promise for addressing musculoskeletal injuries at a cellular level, offering integrated treatment strategies to improve outcomes.

Practical Implications

Improved Diagnosis

Implementing comprehensive clinical and orthopedic examinations alongside advanced diagnostic tools can lead to more accurate and timely diagnoses of musculoskeletal conditions in horses.

Optimal Treatment Strategies

Understanding the benefits and limitations of various conservative and regenerative therapies enables tailored treatment plans that maximize healing and functional recovery.

Enhanced Rehabilitation Programs

Integrating physiotherapeutic modalities and controlled exercise programs into rehabilitation plans can promote better biomechanics and restore function to affected tissues, improving overall patient outcomes.

Study Limitations

  • 1
    Lack of controlled clinical trials for regenerative therapies.
  • 2
    Heterogeneity in study designs, hindering meta-analysis.
  • 3
    Inter-individual variability in autologous hemoderivative products.

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