Fri 10 February 2012
The use of force plate measurements to titrate the dosage of a new COX-2 inhibitor in lame horses
Equine Veterinary Journal March 2009 41 3 309-312(4)
Reasons for performing study: Lameness is a highly prevalent condition in horses and the principal cause of removal from athletic activity. In clinical studies to evaluate nonsteroidal anti-inflammatory drug therapies, force plates are commonly used to assess improvement of lameness objectively.
Hypothesis: To use a force plate to determine the optimal dose of a new COX-2 inhibitor (firocoxib) that will reduce lameness, when administered orally to horses once daily.
Methods: Sixty-four horses that exhibited chronic lameness presumed due to osteoarthritis, including navicular disease, in at least one of the frontlimbs and at a stable level of severity, were included. Horses were treated per os s.i.d. for 7 days as follows: vehicle control, firocoxib at 0.05, 0.1 or 0.25 mg/kg bwt. Force plate analysis of each horse was done for the selected (most) lame frontlimb at trot. Once between Days -19 and -4 (initial examination), and again on Day -2 or -1 (baseline), pretreatment force plate assessments were performed, and thereafter horses were assessed on Days 0, 2 and 6, approximately 10 h post treatment each time. Peak vertical force (PVF) and lameness grades at initial examination and at baseline, and their change from baseline in the 4 different treatment groups were analysed statistically at a significance level of P<0.05.
Results: The PVF results were found to be superior to vehicle control already at Day 0 for 0.25 mg/kg bwt and at Days 2 and 6 for 0.1 and 0.25 mg/kg bwt (P<0.05). Mean clinical lameness for both concentrations decreased >1 grade at Day 6.
Conclusions and clinical relevance: With the dosage of 0.25 mg/kg bwt lameness did not improve more than with 0.1 mg/kg bwt. Thus, 0.1 mg/kg bwt s.i.d. was considered to be the effective dose at reducing chronic lameness in horses presumed due to osteoarthritis, including navicular disease.
OrthoVet Books

STASHAK
Practical guide to lameness in horses
1st ed., 448 pages, 159 ill., Williams & Wilkins, June 2002
List price: € 53,00
Sell price: € 45,00

KRAUS
External fixation in small animal practice
1st ed., 233 pages, 300 ill., Blackwell Science, December 2003
List price: € 91,00
Sell price: € 77,00

LEWIS
Self-assessment colour review of small animal orthopaedics
1st ed., 192 pages, 500 ill., Manson Publishing/The Veterinary Press, June 1998
List price: € 35,00
Sell price: € 30,00

MORTELLARO-PETAZZONI-VEZZONI
Atlante BOA (Breed-oriented Orthopaedic Approach). Approccio ortopedico orientato alla razza
Coordinamento editoriale a cura di Silvia Boiocchi. 1 ed., 95 pages, 350 ill., INNOVET, June 2008
List price: € 95,00
Sell price: € 80,00

HOULTON
BSAVA Manual of canine and feline musculoskeletal disorders
1st ed., 448 pages, 225 ill., BSAVA Publications, September 2006
List price: € 125,00
Sell price: € 106,00
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