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

GREENOUGH
Bovine laminitis and lameness. A hands-on approach
1st ed., 328 pages, 495 ill., W.B. Saunders, July 2007
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BAXTER
Adams & Stashak's lameness in horses
6th ed, 1245 pages, 2500 ill., John Wiley & Sons, March 2011
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ROSS-DYSON
Diagnosis and management of lameness in the horse
2nd Ed., 1424 pages, 1674 ill., Elsevier, December 2010
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McILWRAITH
Diagnostic and surgical arthroscopy in the horse
3rd ed., 480 pages, 1409 ill., Elsevier, January 2006
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KRAUS
External fixation in small animal practice
1st ed., 233 pages, 300 ill., Blackwell Science, December 2003
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