Wed 8 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

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The 5-minute veterinary consult. Musculoskeletal disorders
1st ed., 240 pages, 50 ill., Lippincott Williams & Wilkins, January 2006
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MAY
Self-assessment colour review of equine orthopaedics and rheumatology
1st ed., 192 pages, 320 ill., Manson Publishing/The Veterinary Press, June 1998
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PUSEY-BROOKS-JENKS
Osteopathy and the treatment of horses
1st ed., 234 pages, 350 ill., John Wiley & Sons, October 2010
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Equine locomotion
1st ed., 384 pages, 215 ill., W.B. Saunders, June 2000
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MARTINI
Patologie articolari nel cane e nel gatto
1st ed., 400 pages, 407 ill., Poletto Editore, May 2006
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