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Pechette Markley A, Kieves NR, Rivas LB, Shoben AB. Evaluation of surface type and time of day on agility course performance. Front Vet Sci 2024; 11:1415634. [PMID: 38988979 PMCID: PMC11233466 DOI: 10.3389/fvets.2024.1415634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2024] [Accepted: 06/13/2024] [Indexed: 07/12/2024] Open
Abstract
Introduction Canine agility competitions are performed on a variety of surfaces. In the equine and human literature, surface type has been associated with speed, performance, and injury risk. The aim of this study was to evaluate the effect of general surface type and time of day on calculated speed (yards per second over a measured course distance) and course performance during the UKI Agility International (UKI) U.S. Open. We hypothesized that surface type would affect calculated speed, with sand being the slowest. Materials and methods Data on course performance from the 2021 and 2022 events were obtained directly from UKI. The officiating judge measured course length, automatic timers recorded dogs' course times, and speeds were calculated from these values. Three surfaces (dirt, grass, and sand) were compared across three categories of courses (jumpers, standard, and speedstakes). Differences in calculated speeds and qualifying rates were estimated using generalized estimating equations (GEE) to account for multiple runs by the same handler. Results Among jumpers courses, those run on sand in 2021 were markedly slower than those run on dirt. Grass and dirt were more similar in terms of average calculated speed, though some courses run on grass were significantly faster than courses run on dirt and vice versa. Time of day effects observed were inconsistent, with more variability observed for dirt and sand than for grass. Discussion There was a notable variation in calculate speed based on surface with sand being slowest, likely due to the increased energy cost required to run on sand due to its high compliance. Calculated speeds on grass and dirt appeared generally similar, but there was substantial variability of calculated speed among various courses, making comparison of surface effects challenging. Variables within the surface itself (such as compaction level and moisture content) likely play a role in the effects of surface on speed and performance. This study provides insight into the complexity of surface effects on performance in agility dogs and highlights the need for canine-specific surface studies on the effect of surface variables and how these relate to risk of development of musculoskeletal injuries.
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Affiliation(s)
- Arielle Pechette Markley
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, United States
- Red Sage Integrative Veterinary Partners, Fort Collins, CO, United States
| | - Nina R Kieves
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, United States
| | - Linda Blake Rivas
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States
| | - Abigail B Shoben
- Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, United States
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Rohlf CM, Garcia TC, Marsh LJ, Acutt EV, le Jeune SS, Stover SM. Effects of Jumping Phase, Leading Limb, and Arena Surface Type on Forelimb Hoof Movement. Animals (Basel) 2023; 13:2122. [PMID: 37443919 DOI: 10.3390/ani13132122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/20/2023] [Accepted: 06/23/2023] [Indexed: 07/15/2023] Open
Abstract
During the stance phase of equine locomotion, ground reaction forces are exerted on the hoof, leading first to rapid deceleration ("braking") and later to acceleration ("propulsion") as the hoof leaves the ground. Excessive hoof deceleration has been identified as a risk factor for musculoskeletal injury and may be influenced by arena surface properties. Therefore, our objective was to evaluate the effect of arena surface type (dirt, synthetic) on hoof translation of the leading and trailing forelimbs during jump takeoff and landing. Solar hoof angle, displacement, velocity, and deceleration were captured using kinematic markers and high-speed video for four horses jumping over a 1.1 m oxer at 12 different arenas (5 dirt, 7 synthetic). Surface vertical impact and horizontal shear properties were measured simultaneously. The effects of surface type (dirt, synthetic), jump phase (takeoff, landing), and limb (leading, trailing) on hoof movement were assessed using ANOVA (p < 0.05), while the relationships of hoof movement with surface mechanical properties were examined with correlation. Slide time (p = 0.032), horizontal velocity of the hoof (p < 0.001), and deceleration (p < 0.001) were greater in the leading limb, suggesting a higher risk of injury to the leading limb when braking. However, surface type and jump phase did not significantly affect deceleration during braking.
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Affiliation(s)
- Christina M Rohlf
- Department of Surgical and Radiological Sciences, University of California-Davis, Davis, CA 95616, USA
- Biomedical Engineering Graduate Group, University of California-Davis, Davis, CA 95616, USA
| | - Tanya C Garcia
- Department of Surgical and Radiological Sciences, University of California-Davis, Davis, CA 95616, USA
| | - Lyndsey J Marsh
- Animal Biology Graduate Group, University of California-Davis, Davis, CA 95616, USA
| | - Elizabeth V Acutt
- Clinical Large Animal Diagnostic Imaging, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Sarah S le Jeune
- Department of Surgical and Radiological Sciences, University of California-Davis, Davis, CA 95616, USA
| | - Susan M Stover
- Department of Surgical and Radiological Sciences, University of California-Davis, Davis, CA 95616, USA
- Biomedical Engineering Graduate Group, University of California-Davis, Davis, CA 95616, USA
- Animal Biology Graduate Group, University of California-Davis, Davis, CA 95616, USA
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Rohlf CM, Garcia TC, Fyhrie DP, le Jeune SS, Peterson ML, Stover SM. Shear ground reaction force variation among equine arena surfaces. Vet J 2023; 291:105930. [PMID: 36427603 DOI: 10.1016/j.tvjl.2022.105930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 11/09/2022] [Accepted: 11/21/2022] [Indexed: 11/25/2022]
Abstract
Shear forces at the surface-hoof interface affect hoof slide, surface grip, forces transferred to the limb, and injury risk. However, the variation in shear forces among surfaces with different compositions have not been quantified. Shear ground reaction forces were measured on five dirt and seven synthetic arena surfaces. Cohesion/adhesion and angle of internal friction/coefficient of friction were calculated. Surface composition, surface temperature, cushion depth, and moisture content were also measured. The effects of surface material (dirt/synthetic) on shear properties were assessed using analysis of variance (ANOVA; P < 0.05). The relationships between surface composition or management properties and shear properties were analyzed using linear correlation. Shear properties were not different between dirt and synthetic surface categories; however, surface fiber content was correlated with adhesion and coefficient of friction. These correlations predict that more fiber will decrease soil adhesion (r = -0.75; P < 0.01) and increase the coefficient of friction (r = 0.81; P < 0.01). Furthermore, maximum shear force was significantly correlated with cushion depth (r = 0.61; P < 0.01) and moisture content (r = 0.57; P < 0.01), where shear force was greater on surfaces with thicker cushion layers or higher moisture content. The findings suggest that shear mechanical behavior is more dependent on surface composition than surface material categories (dirt/synthetic) and also indicate that arena owners can influence shear forces by adjusting either surface composition or management.
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Affiliation(s)
- C M Rohlf
- JD Wheat Veterinary Orthopedic Research Laboratory, University of California-Davis, 1285 Veterinary Medicine Dr. Bldg. VM3A Rm. 4206, Davis, CA 95616 USA; Department of Biomedical Engineering, University of California-Davis, 451 E. Health Sciences Dr., Davis, CA 95616 USA.
| | - T C Garcia
- JD Wheat Veterinary Orthopedic Research Laboratory, University of California-Davis, 1285 Veterinary Medicine Dr. Bldg. VM3A Rm. 4206, Davis, CA 95616 USA; Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, 1275 Medical Science Dr., Davis, CA 95616 USA
| | - D P Fyhrie
- Department of Biomedical Engineering, University of California-Davis, 451 E. Health Sciences Dr., Davis, CA 95616 USA; Department of Orthopedic Surgery, School of Medicine, University of California-Davis, 4860 Y Street, Suite 3800, Sacramento, CA 95817, USA
| | - S S le Jeune
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, 1275 Medical Science Dr., Davis, CA 95616 USA
| | - M L Peterson
- Racing Surfaces Testing Laboratory, University of Kentucky, 907 National Ave., Lexington, KY, USA
| | - S M Stover
- JD Wheat Veterinary Orthopedic Research Laboratory, University of California-Davis, 1285 Veterinary Medicine Dr. Bldg. VM3A Rm. 4206, Davis, CA 95616 USA; Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, 1275 Medical Science Dr., Davis, CA 95616 USA
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Hoof Impact and Foot-Off Accelerations in Galloping Thoroughbred Racehorses Trialling Eight Shoe-Surface Combinations. Animals (Basel) 2022; 12:ani12172161. [PMID: 36077882 PMCID: PMC9454475 DOI: 10.3390/ani12172161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 08/17/2022] [Accepted: 08/19/2022] [Indexed: 11/24/2022] Open
Abstract
The athletic performance and safety of racehorses is influenced by hoof−surface interactions. This intervention study assessed the effect of eight horseshoe−surface combinations on hoof acceleration patterns at impact and foot-off in 13 galloping Thoroughbred racehorses retired from racing. Aluminium, barefoot, GluShu (aluminium−rubber composite) and steel shoeing conditions were trialled on turf and artificial (Martin Collins Activ-Track) surfaces. Shod conditions were applied across all four hooves. Tri-axial accelerometers (SlamStickX, range ±500 g, sampling rate 5000 Hz) were attached to the dorsal hoof wall (x: medio-lateral, medial = positive; y: along dorsal hoof wall, proximal = positive; and z: perpendicular to hoof wall, dorsal = positive). Linear mixed models assessed whether surface, shoeing condition or stride time influenced maximum (most positive) or minimum (most negative) accelerations in x, y and z directions, using ≥40,691 strides (significance at p < 0.05). Day and horse−rider pair were included as random factors, and stride time was included as a covariate. Collective mean accelerations across x, y and z axes were 22−98 g at impact and 17−89 g at foot-off. The mean stride time was 0.48 ± 0.07 s (mean ±2 SD). Impact accelerations were larger on turf in all directions for forelimbs and hindlimbs (p ≤ 0.015), with the exception of the forelimb z-minimum, and in absolute terms, maximum values were typically double the minimum values. The surface type affected all foot-off accelerations (p ≤ 0.022), with the exception of the hindlimb x-maximum; for example, there was an average increase of 17% in z-maximum across limbs on the artificial track. The shoeing condition influenced all impact and foot-off accelerations in the forelimb and hindlimb datasets (p ≤ 0.024), with the exception of the hindlimb impact y-maximum. Barefoot hooves generally experienced the lowest accelerations. The stride time affected all impact and foot-off accelerations (p < 0.001). Identifying factors influencing hoof vibrations upon landing and hoof motion during propulsion bears implication for injury risk and racing outcomes.
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Horan K, Kourdache K, Coburn J, Day P, Carnall H, Harborne D, Brinkley L, Hammond L, Millard S, Lancaster B, Pfau T. The effect of horseshoes and surfaces on horse and jockey centre of mass displacements at gallop. PLoS One 2021; 16:e0257820. [PMID: 34813584 PMCID: PMC8610270 DOI: 10.1371/journal.pone.0257820] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 09/12/2021] [Indexed: 11/18/2022] Open
Abstract
Horseshoes influence how horses' hooves interact with different ground surfaces, during the impact, loading and push-off phases of a stride cycle. Consequently, they impact on the biomechanics of horses' proximal limb segments and upper body. By implication, different shoe and surface combinations could drive changes in the magnitude and stability of movement patterns in horse-jockey dyads. This study aimed to quantify centre of mass (COM) displacements in horse-jockey dyads galloping on turf and artificial tracks in four shoeing conditions: 1) aluminium; 2) barefoot; 3) GluShu; and 4) steel. Thirteen retired racehorses and two jockeys at the British Racing School were recruited for this intervention study. Tri-axial acceleration data were collected close to the COM for the horse (girth) and jockey (kidney-belt), using iPhones (Apple Inc.) equipped with an iOS app (SensorLog, sample rate = 50 Hz). Shoe-surface combinations were tested in a randomized order and horse-jockey pairings remained constant. Tri-axial acceleration data from gallop runs were filtered using bandpass Butterworth filters with cut-off frequencies of 15 Hz and 1 Hz, then integrated for displacement using Matlab. Peak displacement was assessed in both directions (positive 'maxima', negative 'minima') along the cranio-caudal (CC, positive = forwards), medio-lateral (ML, positive = right) and dorso-ventral (DV, positive = up) axes for all strides with frequency ≥2 Hz (mean = 2.06 Hz). Linear mixed-models determined whether surfaces, shoes or shoe-surface interactions (fixed factors) significantly affected the displacement patterns observed, with day, run and horse-jockey pairs included as random factors; significance was set at p<0.05. Data indicated that surface-type significantly affected peak COM displacements in all directions for the horse (p<0.0005) and for all directions (p≤0.008) but forwards in the jockey. The largest differences were observed in the DV-axis, with an additional 5.7 mm and 2.5 mm of downwards displacement for the horse and jockey, respectively, on the artificial surface. Shoeing condition significantly affected all displacement parameters except ML-axis minima for the horse (p≤0.007), and all displacement parameters for the jockey (p<0.0005). Absolute differences were again largest vertically, with notable similarities amongst displacements from barefoot and aluminium trials compared to GluShu and steel. Shoe-surface interactions affected all but CC-axis minima for the jockey (p≤0.002), but only the ML-axis minima and maxima and DV-axis maxima for the horse (p≤0.008). The results support the idea that hoof-surface interface interventions can significantly affect horse and jockey upper-body displacements. Greater sink of hooves on impact, combined with increased push-off during the propulsive phase, could explain the higher vertical displacements on the artificial track. Variations in distal limb mass associated with shoe-type may drive compensatory COM displacements to minimize the energetic cost of movement. The artificial surface and steel shoes provoked the least CC-axis movement of the jockey, so may promote greatest stability. However, differences between horse and jockey mean displacements indicated DV-axis and CC-axis offsets with compensatory increases and decreases, suggesting the dyad might operate within displacement limits to maintain stability. Further work is needed to relate COM displacements to hoof kinematics and to determine whether there is an optimum configuration of COM displacement to optimise performance and minimise injury.
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Affiliation(s)
- Kate Horan
- The Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Campus, Midlothian, United Kingdom
- * E-mail:
| | | | - James Coburn
- James Coburn AWCF Farriers Ltd, Newmarket, United Kingdom
| | - Peter Day
- The Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom
| | - Henry Carnall
- James Coburn AWCF Farriers Ltd, Newmarket, United Kingdom
| | - Dan Harborne
- James Coburn AWCF Farriers Ltd, Newmarket, United Kingdom
| | - Liam Brinkley
- James Coburn AWCF Farriers Ltd, Newmarket, United Kingdom
| | - Lucy Hammond
- The British Racing School, Newmarket, United Kingdom
| | - Sean Millard
- The Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom
| | - Bryony Lancaster
- The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Campus, Midlothian, United Kingdom
| | - Thilo Pfau
- The Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom
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Horan K, Kourdache K, Coburn J, Day P, Brinkley L, Carnall H, Harborne D, Hammond L, Millard S, Pfau T. Jockey Perception of Shoe and Surface Effects on Hoof-Ground Interactions and Implications for Safety in the Galloping Thoroughbred Racehorse. J Equine Vet Sci 2020; 97:103327. [PMID: 33478759 DOI: 10.1016/j.jevs.2020.103327] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 11/16/2020] [Accepted: 11/16/2020] [Indexed: 10/22/2022]
Abstract
Riding racehorses is a high-risk profession and optimizing safety alongside performance is paramount. Horseshoes play a critical role in providing traction with the ground surface and are therefore a major determinant of safety. However, the subjective perceptions of expert riders influence attitudes towards using different shoes and must be taken into consideration before any changes may be implemented. This study used a questionnaire-based method to evaluate jockey opinion of four shoeing conditions (aluminum, steel, GluShu, and barefoot) trialed at gallop over turf and artificial surfaces. Nine Lickert-style questions explored impact, cushioning, responsiveness, grip, uniformity, smoothness of ride, safety, adaptation period, and overall rating for each shoe-surface combination. A total of 94 questionnaires, based on 15 horse-rider pairs, were assessed using descriptive statistics and linear mixed models performed in SPSS (P < .05). Data indicate that shoe type significantly affected all question responses, with the exception of impact. Surface-type significantly affected perception of grip and safety. Overall, jockeys showed a preference for aluminum and steel shoes across both artificial and turf tracks. These rated "excellent" and were considered to be "very supportive" in approximately 80% of trials, with a 100% "active" response, good grip, and a quick adaptation period. In contrast, barefoot and GluShu conditions were generally considered "moderately supportive," with barefoot appearing favorable on the artificial surface. On turf, barefoot was deemed the least smooth and the only condition that jockeys sometimes marked "unsafe" (17% of responses). Future work aims to investigate the relationship between jockey opinion and hoof kinematic data.
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Affiliation(s)
- Kate Horan
- The Royal Veterinary College, Brookmans Park, Hertfordshire, UK.
| | | | | | - Peter Day
- The Royal Veterinary College, Brookmans Park, Hertfordshire, UK
| | | | | | | | | | - Sean Millard
- The Royal Veterinary College, Brookmans Park, Hertfordshire, UK
| | - Thilo Pfau
- The Royal Veterinary College, Brookmans Park, Hertfordshire, UK
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Clayton HM, Hobbs SJ. Ground Reaction Forces: The Sine Qua Non of Legged Locomotion. J Equine Vet Sci 2019; 76:25-35. [PMID: 31084749 DOI: 10.1016/j.jevs.2019.02.022] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Revised: 02/27/2019] [Accepted: 02/27/2019] [Indexed: 11/19/2022]
Abstract
Legged locomotion results from the feet pressing against the ground to generate ground reaction forces (GRFs) that are responsible for moving the body. By changing limb coordination patterns and muscle forces, the GRFs are adjusted to allow the horse to move in different gaits, speeds, and directions with appropriate balance and self-carriage. This article describes the typical GRF patterns in each gait, the adaptations that produce turning, and the GRF patterns used to unload the painful limb when the horse is lame. The intent is to provide information that is of practical interest and value to equine scientists rather than being a comprehensive review of the topic.
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Affiliation(s)
| | - Sarah Jane Hobbs
- Centre for Applied Sport and Exercise Sciences, University of Central Lancashire, Preston, UK
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Comparing subjective and objective evaluation of show jumping competition and warm-up arena surfaces. Vet J 2017; 227:49-57. [DOI: 10.1016/j.tvjl.2017.09.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2015] [Revised: 08/30/2017] [Accepted: 09/07/2017] [Indexed: 11/21/2022]
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Singer E, Garcia T, Stover S. Hoof position during limb loading affects dorsoproximal bone strains on the equine proximal phalanx. J Biomech 2015; 48:1930-6. [PMID: 26003484 DOI: 10.1016/j.jbiomech.2015.04.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Revised: 04/05/2015] [Accepted: 04/07/2015] [Indexed: 11/19/2022]
Abstract
Sagittal fractures of the proximal phalanx (P1) in the racehorse appear to be associated with turf racing surfaces, which are known to restrict forward slide of the foot at impact. We hypothesized that restriction of forward foot slip would result in higher P1 bone strains during metacarpophalangeal joint (MCPJ) hyperextension. Unilateral limbs from six equine cadavers were instrumented with strain gauges and bone reference markers to measure dorsoproximal P1 bone strains and MCPJ extension, collateromotion and axial rotation during in vitro limb loading to 10,500 N. By limiting movement of the distal actuator platform, three different foot conditions (forward, free, and restricted) were applied in a randomised block design. Bone reference markers, recorded by video, were analyzed to determine motion of P1 relative to MC3. Rosette strain data were reduced to principal and shear magnitudes and directions. A mixed model ANOVA determined the effect of foot position on P1 bone strains and MCPJ angles. At 10,000 N load, the restricted condition resulted in higher P1 axial compressive (p=0.015), maximum shear (p=0.043) and engineering shear (p=0.046) strains compared to the forward condition. The restricted condition had higher compressive (p=0.025) and lower tensile (p=0.043) principal strains compared to the free condition. For the same magnitude of principal or shear strains, axial rotation and collateromotion angles were greatest for the restricted condition. Therefore, the increase in P1 principal compressive and shear bone strains associated with restricted foot slip indicate that alterations in foot:ground interaction may play a role in fracture occurrence in horses.
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Affiliation(s)
- Ellen Singer
- Department of Musculoskeletal Biology, Institute of Aging and Chronic Disease, School of Veterinary Medicine, University of Liverpool, Leahurst, Chester High Road, Neston CH64 7TE UK.
| | - Tanya Garcia
- JD Wheat Veterinary Orthopedic Research Laboratory, School of Veterinary Medicine, University of California, One Shields Avenue, Davis, CA, USA
| | - Susan Stover
- JD Wheat Veterinary Orthopedic Research Laboratory, School of Veterinary Medicine, University of California, One Shields Avenue, Davis, CA, USA
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Effect of superficial harrowing on surface properties of sand with rubber and waxed-sand with fibre riding arena surfaces: a preliminary study. Vet J 2015; 203:59-64. [DOI: 10.1016/j.tvjl.2014.10.027] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2013] [Revised: 09/02/2014] [Accepted: 10/23/2014] [Indexed: 11/20/2022]
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Northrop AJ, Dagg LA, Martin JH, Brigden CV, Owen AG, Blundell EL, Peterson ML, Hobbs SJ. The effect of two preparation procedures on an equine arena surface in relation to motion of the hoof and metacarpophalangeal joint. Vet J 2013; 198 Suppl 1:e137-42. [DOI: 10.1016/j.tvjl.2013.09.048] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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