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Veterinary researchers at the University of Melbourne have published new research on the adaption of bone as an outcome of a $5.25 million Equine Limb Injury Prevention Program funded by the Victorian State Government, Racing Victoria Ltd and the University of Melbourne.
The program, run by the University of Melbourne Equine Centre in Werribee, is focused on developing best-practice strategies to prevent bone and joint injuries in racehorses. It involves a collaboration between veterinarians, biomechanical engineers and bone biology researchers. Head of the Equine Centre Professor Chris Whitton said:
“At the moment, bone injuries are regarded as an inevitable consequence of training, but this needn’t be the case”.
“Understanding the bone’s response to exercise and over-stress is critical to preventing injuries and fatalities and ensuring the long-term sustainability of the industry”.
New research findings:-
Most trainers know that a horse’s skeleton needs to be adapted to high speed exercise in order to reduce the risk of limb injuries, but there is limited data on how long it takes for bone to adapt to changes in exercise intensity throughout a racehorse’s training program.
The new Equine Limb Injury Prevent Program research indicates that any horse rested from training for longer than a week has developed de-adapted bone and is at risk of injury from excessive high speed work; this a return to high speed training should be gradual.
Stress fractures, small cracks and focal injuries in the subchondral bone (‘bone fatigue injuries’) are common at the base of the cannon bone of racehorses (Fig. 1). They occur because of the accumulation of damage to the bone from repetitive high-intensity exercise.
Figure 1: (a) bone unadapted to training; (b) bone adapted to training; (c) bone adapted to rest; (d) microcracks – these can accumulate and propagate into a stress fracture, and may progress to catastrophic fracture. The grey represents mineralised bone. Source: Modified from Martig S, Chen W, Lee PVS, Whitton RC, 2014. Bone fatigue and its implications for injuries in racehorses. Equine Vet J 46, 408-415.
During training, the horse’s bone adapts to even short bursts of speed by laying down new bone to increase the total amount of bone (a process called modelling, Fig. 1). Damaged bone is also repaired by being removed and replaced by fresh new bone (remodelling). The modelling and remodelling process increases the bone’s resistance to injury.
Because it is time consuming, costly, and potentially unethical to assess the effect of different training loads on subchondral bone fatigue on racehorses, we have developed a mathematical model to better understand this complex process.
In our model, we looked at the effects of incremental changes in training load for untrained two-year-old racehorses, for trained racehorses that had rested (spelled) for at least four weeks, and for trained racehorses that are currently in training for more than four weeks.
The model showed that even with the most rapidly progressive training regimen it take about 16 weeks of training for complete adaption of bone to racing speeds for a young horse entering training for the first time. In practice it will take longer because training speeds need to be built up slowly to avoid injury in a poorly adapted skeleton. There are no shortcuts. Complete adaptation may be several weeks less for racehorses that have undergone at least one full preparation.
Conversely bone loss can be quite rapid when race training is interrupted. The model shows that even with relatively short rest periods of ten days there is the potential for a 10% loss of bone in areas that undergo high loading when galloping. This makes the bone considerably weaker and therefore prone to injury if high speed exercise is reintroduced too quickly. Based on the model, the bone loss as a result of a 10 day rest will take 20 days to be replaced following the careful reintroduction of training. Intense speed work should be avoided during this period.
As we refine this model further we will incorporate variations of training intensity to better mirror actual racehorse training programs so that we can make more specific recommendations.
In the meantime, trainers need to be cautious in returning horses to work too rapidly if they have been rested from training for longer than a week.
The scientific article from this study is published online in the journal Biomechanics and Modeling in Mechanobiology . To access a full copy, contact Dr Peta Hitchens or follow the link: https://doi.org/10.1007/s10237-017-0998-z