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12 pages, 963 KiB  
Article
Comparison of the Prevalence and Location of Trigger Points in Dressage and Show-Jumping Horses
by Karine Portier, Camilla Schiesari, Lisa Gauthier, Lin Tchia Yeng, Denise Tabacchi Fantoni and Maira Rezende Formenton
Animals 2025, 15(11), 1558; https://doi.org/10.3390/ani15111558 - 27 May 2025
Cited by 1 | Viewed by 596
Abstract
Myofascial trigger points (MTrPs) are localized, hypersensitive areas in muscles that can cause pain and reduced performance. This study aimed to compare the prevalence and location of MTrPs in show-jumping and dressage horses. A secondary objective was to evaluate the potential of thermography, [...] Read more.
Myofascial trigger points (MTrPs) are localized, hypersensitive areas in muscles that can cause pain and reduced performance. This study aimed to compare the prevalence and location of MTrPs in show-jumping and dressage horses. A secondary objective was to evaluate the potential of thermography, pressure algometry, and facial expression scoring in characterizing MTrPs in horses. Fourteen horses (seven dressage, seven show-jumping) were examined. Muscle palpation was used to identify MTrPs. Thermography was used to compare the skin surface temperature of MTrPs with adjacent control areas. Additionally, facial expressions were recorded during palpation and scored by three blinded observers using the Horse Grimace Scale (HGS). MTrPs were found in all horses. Both groups showed a high prevalence (>60%) of MTrPs in the back. Dressage horses had a higher prevalence of MTPrs in the neck (17%) and a lower prevalence in the rump (17%) than show-jumping horses (3% and 30%, respectively). Temperatures at MTrP sites were significantly higher than at control points (p < 0.01). Facial expression scores were also significantly higher during MTrP palpation compared to control (16 [0–24] vs. 6 [0–19], p = 0.004). These findings open a perspective for better recognition and treatment of myofascial pain in athletic horses. Full article
(This article belongs to the Section Equids)
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15 pages, 610 KiB  
Systematic Review
Mainly Visual Aspects of Emotional Laterality in Cognitively Developed and Highly Social Mammals—A Systematic Review
by Guido Gainotti
Brain Sci. 2024, 14(1), 52; https://doi.org/10.3390/brainsci14010052 - 5 Jan 2024
Cited by 2 | Viewed by 2337
Abstract
Several studies have shown that emotions are asymmetrically represented in the human brain and have proposed three main models (the ‘right hemisphere hypothesis’, the ‘approach-withdrawal hypothesis’ and the ‘valence hypothesis’) that give different accounts of this emotional laterality. Furthermore, in recent years, many [...] Read more.
Several studies have shown that emotions are asymmetrically represented in the human brain and have proposed three main models (the ‘right hemisphere hypothesis’, the ‘approach-withdrawal hypothesis’ and the ‘valence hypothesis’) that give different accounts of this emotional laterality. Furthermore, in recent years, many investigations have suggested that a similar emotional laterality may also exist in different animal taxa. However, results of a previous systematic review of emotional laterality in non-human primates have shown that some of these studies might be criticized from the methodological point of view and support only in part the hypothesis of a continuum in emotional laterality across vertebrates. The aim of the present review therefore consisted in trying to expand this survey to other cognitively developed and highly social mammals, focusing attention on mainly visual aspects of emotional laterality, in studies conducted on the animal categories of horses, elephants, dolphins and whales. The 35 studies included in the review took into account three aspects of mainly visual emotional laterality, namely: (a) visual asymmetries for positive/familiar vs. negative/novel stimuli; (b) lateral position preference in mother–offspring or other affiliative interactions; (c) lateral position preference in antagonistic interactions. In agreement with data obtained from human studies that have evaluated comprehension or expression of emotions at the facial or vocal level, these results suggest that a general but graded right-hemisphere prevalence in the processing of emotions can be found at the visual level in cognitively developed non-primate social mammals. Some methodological problems and some implications of these results for human psychopathology are briefly discussed. Full article
(This article belongs to the Special Issue Animal Models of Neurological Disorders)
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16 pages, 309 KiB  
Article
Poor Association between Facial Expression and Mild Lameness in Thoroughbred Trot-Up Examinations
by Katrina A. Anderson, Ashleigh V. Morrice-West, Adelene S. M. Wong, Elizabeth A. Walmsley, Andrew D. Fisher, R. Chris Whitton and Peta L. Hitchens
Animals 2023, 13(11), 1727; https://doi.org/10.3390/ani13111727 - 23 May 2023
Cited by 3 | Viewed by 2220
Abstract
Musculoskeletal injuries in racehorses are difficult to detect prior to catastrophic breakdown. Lameness is commonly attributed to orthopaedic pain in horses, therefore, subtle lameness may be a pre-clinical sign of injury and, if identified early, could allow for preventative intervention. Our objective was [...] Read more.
Musculoskeletal injuries in racehorses are difficult to detect prior to catastrophic breakdown. Lameness is commonly attributed to orthopaedic pain in horses, therefore, subtle lameness may be a pre-clinical sign of injury and, if identified early, could allow for preventative intervention. Our objective was to determine if facial expressions could be used to detect mild lameness as an indicator of orthopaedic pain in ‘fit to race’ horses. The Horse Grimace Scale (HGS) and the facial expressions in ridden horses (FEReq), were used to score images (n = 380) of mildly lame (n = 21) and non-lame (n = 17) Thoroughbred horses by two independent observers. Using an Equinosis Lameness Locator®, the lameness status of each horse was determined according to published thresholds [forelimb lameness (>|14.5 mm|) and hindlimb lameness (>|7.5 mm|)]. Inter and intraobserver reliability were assessed using two-way random-effects models. Univariable associations between lameness and facial expression parameters were identified using logistic and linear regression. Interobserver reliability was moderate (κ 0.45; 95% CI 0.36, 0.55). Horses with moderate mouth strain (HGS) and tense and extended upper lip (FEReq) were less likely to be lame (p = 0.042 and p = 0.027, respectively). Exposed sclera was associated with lameness (p = 0.045). Higher orbital tightening (HGS) scores were associated with a lower degree of maximum head amplitude (HDmax) lameness (p = 0.044). Tension and moderate tension above the eye, for the HGS and FEReq scores, were associated with increasing amplitude of HDmax (p = 0.048 and p = 0.034, respectively). Inconsistent associations between lameness status and HGS and FEReq scores may limit the potential use of the facial expression for the prediction of mild orthopaedic pain during pre-race lameness examinations. More objective parameters associated with mild orthopaedic pain should be explored. Full article
(This article belongs to the Special Issue Health, Safety, and Welfare in Horse Racing)
14 pages, 2907 KiB  
Article
Analysis of Various Facial Expressions of Horses as a Welfare Indicator Using Deep Learning
by Su Min Kim and Gil Jae Cho
Vet. Sci. 2023, 10(4), 283; https://doi.org/10.3390/vetsci10040283 - 10 Apr 2023
Cited by 5 | Viewed by 4382
Abstract
This study aimed to prove that deep learning can be effectively used for identifying various equine facial expressions as welfare indicators. In this study, a total of 749 horses (healthy: 586 and experiencing pain: 163) were investigated. Moreover, a model for recognizing facial [...] Read more.
This study aimed to prove that deep learning can be effectively used for identifying various equine facial expressions as welfare indicators. In this study, a total of 749 horses (healthy: 586 and experiencing pain: 163) were investigated. Moreover, a model for recognizing facial expressions based on images and their classification into four categories, i.e., resting horses (RH), horses with pain (HP), horses immediately after exercise (HE), and horseshoeing horses (HH), was developed. The normalization of equine facial posture revealed that the profile (99.45%) had higher accuracy than the front (97.59%). The eyes–nose–ears detection model achieved an accuracy of 98.75% in training, 81.44% in validation, and 88.1% in testing, with an average accuracy of 89.43%. Overall, the average classification accuracy was high; however, the accuracy of pain classification was low. These results imply that various facial expressions in addition to pain may exist in horses depending on the situation, degree of pain, and type of pain experienced by horses. Furthermore, automatic pain and stress recognition would greatly enhance the identification of pain and other emotional states, thereby improving the quality of equine welfare. Full article
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9 pages, 827 KiB  
Communication
Would the Cephalic Development in the Purebred Arabian Horse and Its Crosses Indicate a Paedomorphic Process?
by Arcesio Salamanca-Carreño, Pere M. Parés-Casanova, Néstor Ismael Monroy-Ochoa and Mauricio Vélez-Terranova
Animals 2022, 12(22), 3168; https://doi.org/10.3390/ani12223168 - 16 Nov 2022
Cited by 3 | Viewed by 2143
Abstract
This study examined paedomorphosis in PAH and F1 crossbreds. A sample of 99 horses was selected from 40 different breeders and consisted of three groups: stallions (n = 16), mares (n = 53), and geldings (n = 30), ranging from [...] Read more.
This study examined paedomorphosis in PAH and F1 crossbreds. A sample of 99 horses was selected from 40 different breeders and consisted of three groups: stallions (n = 16), mares (n = 53), and geldings (n = 30), ranging from 10 months to 27 years in age. All horses presented a concave celloid lateral left head profile in the acquired photographic images. The hypothesis proposed in this study suggested the lateral profile of the head in juveniles was representational in the adult form due to the neonate’s facial bones (part of the splanchnocranium) developing at a different rate to those of the skull. The methodology utilized geometric morphometrics to identify 23 landmarks so as to identify profile curvature indicative between the three groups (stallions, mares, and geldings). Principal component analysis reduced the number of variables to 14 examinable landmarks. Using a two-NPMANOVA and multivariate regression test, it was demonstrated that an isometric relationship between the concave celloid profile in the juvenile and its adult counterpart existed. This result supported the hypothesis that PAH and F1 crossbreds expressed a paedomorphic trait due to the adult form retaining the concave celloid profile identified in the juvenile. Full article
(This article belongs to the Special Issue Anatomical Variations in Equine Veterinary Medicine)
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20 pages, 2021 KiB  
Article
Facial Expressions of Horses Using Weighted Multivariate Statistics for Assessment of Subtle Local Pain Induced by Polylactide-Based Polymers Implanted Subcutaneously
by Júlia R. G. Carvalho, Pedro H. E. Trindade, Gabriel Conde, Marina L. Antonioli, Michelli I. G. Funnicelli, Paula P. Dias, Paulo A. Canola, Marcelo A. Chinelatto and Guilherme C. Ferraz
Animals 2022, 12(18), 2400; https://doi.org/10.3390/ani12182400 - 13 Sep 2022
Cited by 12 | Viewed by 2953
Abstract
Facial-expression-based analysis has been widely applied as a pain coding system in horses. Herein, we aimed to identify pain in horses undergoing subcutaneously polylactide-based polymer implantation. The sham group was submitted only to surgical incision. The horses were filmed before and 24 and [...] Read more.
Facial-expression-based analysis has been widely applied as a pain coding system in horses. Herein, we aimed to identify pain in horses undergoing subcutaneously polylactide-based polymer implantation. The sham group was submitted only to surgical incision. The horses were filmed before and 24 and 48 h after implantation. Five statistical methods for evaluating their facial expressions (FEs) were tested. Primarily, three levels of scores (0, 1, and 2) were applied to the seven FEs (ear movements, eyebrow tension, orbicularis tension, dilated nostrils, eye opening, muzzle tension, and masticatory muscles tension). Subsequently, the scores of the seven FEs were added (SUM). Afterwards, principal component analysis (PCoA) was performed using the scores of the seven FEs obtained using the first method. Subsequently, weights were created for each FE, based on each variable’s contribution variability obtained from the PCoA (SUM.W). Lastly, we applied a general score (GFS) to the animal’s face (0 = without pain; 1 = moderate pain; 2 = severe pain). The mechanical nociceptive threshold (MNT) and cutaneous temperature (CT) values were collected at the same moments. The results show no intra- or intergroup differences, when evaluating each FE separately or in the GFS. In the intragroup comparison and 48 h after implantation, the control group showed higher values for SUM, PCoA, and SUM.W, although the horses implanted with polymers displayed more obvious alterations in the CT and MNT. Our findings show that the five statistical strategies used to analyze the faces of the horses were not able to detect low-grade inflammatory pain. Full article
(This article belongs to the Section Equids)
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14 pages, 3815 KiB  
Article
Can Ponies (Equus Caballus) Distinguish Human Facial Expressions?
by Katrina Merkies, Yuliia Sudarenko and Abigail J. Hodder
Animals 2022, 12(18), 2331; https://doi.org/10.3390/ani12182331 - 7 Sep 2022
Cited by 3 | Viewed by 4084
Abstract
Communication within a species is essential for access to resources, alerting to dangers, group facilitation and social bonding; human facial expressions are considered to be an important factor in one’s ability to communicate with others. Evidence has shown that dogs and horses are [...] Read more.
Communication within a species is essential for access to resources, alerting to dangers, group facilitation and social bonding; human facial expressions are considered to be an important factor in one’s ability to communicate with others. Evidence has shown that dogs and horses are able to distinguish positive and negative facial expressions by observing photographs of humans, however there is currently no research on how facial expressions from a live human are perceived by horses. This study investigated how ponies distinguish facial expressions presented by live actors. Trained actors (n = 2), using the human Facial Action Coding System, displayed four facial expressions (anger, sadness, joy and neutral) individually to twenty ponies. Heart rate and behaviors of the ponies including first monocular eye look, eye look duration (right and left side bias) and latency to approach were observed. A generalized linear mixed model (GLIMMIX) using Sidak’s multiple comparisons of least squared means determined that when exposed to anger expressions ponies looked more often with their left eye first and when exposed to joy, looked more often with their right eye first (p = 0.011). The ponies spent more time looking at angry expressions (p = 0.0003) in comparison to other expressions. There was no variation in heart rate across expressions (p > 0.89). Regardless of human facial expression, ponies looked longer (p = 0.0035), took longer to approach (p = 0.0297) and displayed more oral behaviours (p < 0.0001) with one actor than the other indicating increased arousal or negative valence. Ponies with more experience as a lesson mount had lower heart rates (p < 0.0001) carried their head lower (p < 0.0001), kept their left ear on the actor (p < 0.03) and exhibited more oral behaviours (p < 0.0001) than ponies with less experience. This study demonstrates that ponies are able to distinguish facial expressions presented by a live human, but other factors also contribute to their responses to humans. Full article
(This article belongs to the Special Issue Animals’ Tenth Anniversary)
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18 pages, 758 KiB  
Article
Development of a Composite Pain Scale in Foals: A Pilot Study
by Aliai Lanci, Beatrice Benedetti, Francesca Freccero, Carolina Castagnetti, Jole Mariella, Johannes P. A. M. van Loon and Barbara Padalino
Animals 2022, 12(4), 439; https://doi.org/10.3390/ani12040439 - 11 Feb 2022
Cited by 8 | Viewed by 3173
Abstract
Prompt pain management is crucial in horses; however, tools to assess pain are limited. This study aimed to develop and pilot a composite scale for pain estimation in foals. The “Foal Composite Pain Scale” (FCPS) was developed based on literature and authors’ expertise. [...] Read more.
Prompt pain management is crucial in horses; however, tools to assess pain are limited. This study aimed to develop and pilot a composite scale for pain estimation in foals. The “Foal Composite Pain Scale” (FCPS) was developed based on literature and authors’ expertise. The FCPS consisted of 11 facial expressions, 4 behavioural items, and 5 physical items. Thirty-five pain-free foals (Control Group) and 15 foals experiencing pain (Pain Group) were used. Foals were video-recorded at different time points: the Control Group only at inclusion (C), while the Pain Group at inclusion (T1), after an analgesic treatment (T2), and at recovery (T3). Physical items were also recorded at the same time points. Videos were scored twice by five trained observers, blinded to group and time points, to calculate inter- and intra-observer reliability of each scale item. Fleiss’ kappa values ranged from moderate to almost perfect for the majority of the items, while the intraclass correlation coefficient was excellent (ICC = 0.923). The consistency of FCPS was also excellent (Cronbach’s alpha = 0.842). A cut-off ≥ 7 indicated the presence of pain. The Pain Group scores were significantly higher (p < 0.001) than the Control Group and decreased over time (T1, T2 > T3; p = 0.001). Overall, FCPS seems clinically applicable to quantify pain and improve the judgment of the quality of life in foals, but it needs modifications based on these preliminary findings. Consequently, further studies on a larger sample size are needed to test the feasibility and validity of the refined FCPS. Full article
(This article belongs to the Special Issue Advancing Equestrian Practice to Improve Equine Quality of Life)
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11 pages, 1336 KiB  
Article
Objective Assessment of Chronic Pain in Horses Using the Horse Chronic Pain Scale (HCPS): A Scale-Construction Study
by Johannes P. A. M. van Loon and Lucia Macri
Animals 2021, 11(6), 1826; https://doi.org/10.3390/ani11061826 - 18 Jun 2021
Cited by 28 | Viewed by 7349
Abstract
The objective assessment of chronic pain is of utmost importance for improving welfare and quality of life in horses. Freedom from disease and pain is one of the ‘five freedoms’ that are necessary for animal welfare. The aim of this study was to [...] Read more.
The objective assessment of chronic pain is of utmost importance for improving welfare and quality of life in horses. Freedom from disease and pain is one of the ‘five freedoms’ that are necessary for animal welfare. The aim of this study was to develop a pain scale for the assessment of chronic pain in horses (Horse Chronic Pain Scale; HCPS), which is based on behavioural and facial expressions. The scale was used to assess 53 horses (26 horses diagnosed with chronic painful conditions by means of clinical examination and additional diagnostic procedures (consisting of osteoarthritis, chronic laminitis, chronic back and neck problems, chronic dental disorders) and 27 healthy control animals). Animals were assessed once daily for three consecutive days by two observers that were blinded to the condition of the animals and were unaware of any analgesic treatment regimens. The HCPS consists of two parts, the Horse Chronic Pain Composite Pain Scale (HCP CPS, with behavioural parameters) and the EQUUS-FAP (Equine Utrecht University Scale for Facial Assessment of Pain). The HCP CPS had good inter-observer reliability (intraclass correlation coefficient (ICC) = 0.84, p < 0.001), while the EQUUS-FAP component (with facial expression-based parameters) had poor inter-observer reliability (ICC = 0.45, p < 0.05). The inter-observer reliability of the combined HCPS was good (ICC = 0.78, p < 0.001). The HCPS revealed significant differences between horses with chronic painful conditions and control horses on 2 out of 3 days (p < 0.05). In conclusion, we tested a composite pain scale for the assessment of chronic pain in horses based on behavioural and facial expression-based parameters. Further studies are needed to validate this pain scale before it can be used in practice. Full article
(This article belongs to the Special Issue Towards a better assessment of acute pain in equines)
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18 pages, 1944 KiB  
Review
Towards Machine Recognition of Facial Expressions of Pain in Horses
by Pia Haubro Andersen, Sofia Broomé, Maheen Rashid, Johan Lundblad, Katrina Ask, Zhenghong Li, Elin Hernlund, Marie Rhodin and Hedvig Kjellström
Animals 2021, 11(6), 1643; https://doi.org/10.3390/ani11061643 - 1 Jun 2021
Cited by 45 | Viewed by 10820
Abstract
Automated recognition of human facial expressions of pain and emotions is to a certain degree a solved problem, using approaches based on computer vision and machine learning. However, the application of such methods to horses has proven difficult. Major barriers are the lack [...] Read more.
Automated recognition of human facial expressions of pain and emotions is to a certain degree a solved problem, using approaches based on computer vision and machine learning. However, the application of such methods to horses has proven difficult. Major barriers are the lack of sufficiently large, annotated databases for horses and difficulties in obtaining correct classifications of pain because horses are non-verbal. This review describes our work to overcome these barriers, using two different approaches. One involves the use of a manual, but relatively objective, classification system for facial activity (Facial Action Coding System), where data are analyzed for pain expressions after coding using machine learning principles. We have devised tools that can aid manual labeling by identifying the faces and facial keypoints of horses. This approach provides promising results in the automated recognition of facial action units from images. The second approach, recurrent neural network end-to-end learning, requires less extraction of features and representations from the video but instead depends on large volumes of video data with ground truth. Our preliminary results suggest clearly that dynamics are important for pain recognition and show that combinations of recurrent neural networks can classify experimental pain in a small number of horses better than human raters. Full article
(This article belongs to the Special Issue Perception and Expression of Facial Expressions in Animals)
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14 pages, 631 KiB  
Review
Enhanced Understanding of Horse–Human Interactions to Optimize Welfare
by Katrina Merkies and Olivia Franzin
Animals 2021, 11(5), 1347; https://doi.org/10.3390/ani11051347 - 9 May 2021
Cited by 44 | Viewed by 16572
Abstract
Horses (Equus caballus) have been domesticated for millennia and are regularly utilized for work, sport, and companionship. Enhanced understanding of human–horse interactions can create avenues to optimize their welfare. This review explores the current research surrounding many aspects of human–horse interactions [...] Read more.
Horses (Equus caballus) have been domesticated for millennia and are regularly utilized for work, sport, and companionship. Enhanced understanding of human–horse interactions can create avenues to optimize their welfare. This review explores the current research surrounding many aspects of human–horse interactions by first highlighting the horse’s sensory capabilities and how they pertain to human interactions. Evidence exists that suggests that horses can read humans in various ways through our body odours, posture, facial expressions, and attentiveness. The literature also suggests that horses are capable of remembering previous experiences when working with humans. The interrelatedness of equine cognition and affective states within the horse’s umwelt is then explored. From there, equine personality and the current literature regarding emotional transfer between humans and horses is examined. Even though horses may be capable of recognizing emotional states in humans, there remains a gap in the literature of whether horses are capable of empathizing with human emotion. The objective of this literature review is to explore aspects of the relationship between humans and horses to better understand the horse’s umwelt and thereby shed new light on potential positive approaches to enhance equine welfare with humans. Full article
(This article belongs to the Special Issue Positive Welfare Indicators for On-Farm Welfare Assessment)
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16 pages, 2410 KiB  
Article
Identification of Body Behaviors and Facial Expressions Associated with Induced Orthopedic Pain in Four Equine Pain Scales
by Katrina Ask, Marie Rhodin, Lena-Mari Tamminen, Elin Hernlund and Pia Haubro Andersen
Animals 2020, 10(11), 2155; https://doi.org/10.3390/ani10112155 - 19 Nov 2020
Cited by 24 | Viewed by 9549
Abstract
Equine orthopedic pain scales are targeted towards horses with moderate to severe orthopedic pain. Improved assessment of pain behavior and pain-related facial expressions at rest may refine orthopedic pain detection for mild lameness grades. Therefore, this study explored pain-related behaviors and facial expressions [...] Read more.
Equine orthopedic pain scales are targeted towards horses with moderate to severe orthopedic pain. Improved assessment of pain behavior and pain-related facial expressions at rest may refine orthopedic pain detection for mild lameness grades. Therefore, this study explored pain-related behaviors and facial expressions and sought to identify frequently occurring combinations. Orthopedic pain was induced by intra-articular LPS in eight horses, and objective movement asymmetry analyses were performed before and after induction together with pain assessments at rest. Three observers independently assessed horses in their box stalls, using four equine pain scales simultaneously. Increase in movement asymmetry after induction was used as a proxy for pain. Behaviors and facial expressions commonly co-occurred and were strongly associated with movement asymmetry. Posture-related scale items were the strongest predictors of movement asymmetry. Display of facial expressions at rest varied between horses but, when present, were strongly associated with movement asymmetry. Reliability of facial expression items was lower than reliability of behavioral items. These findings suggest that five body behaviors (posture, head position, location in the box stall, focus, and interactive behavior) should be included in a scale for live assessment of mild orthopedic pain. We also recommend inclusion of facial expressions in pain assessment. Full article
(This article belongs to the Special Issue Towards a better assessment of acute pain in equines)
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10 pages, 993 KiB  
Article
Objective Assessment of Acute Pain in Foals Using a Facial Expression-Based Pain Scale
by Johannes van Loon, Nicole Verhaar, Els van den Berg, Sarah Ross and Janny de Grauw
Animals 2020, 10(9), 1610; https://doi.org/10.3390/ani10091610 - 10 Sep 2020
Cited by 8 | Viewed by 5649
Abstract
Pain assessment is very important for monitoring welfare and quality of life in horses. To date, no studies have described pain scales for objective assessment of pain in foals. Studies in other species have shown that facial expression can be used in neonatal [...] Read more.
Pain assessment is very important for monitoring welfare and quality of life in horses. To date, no studies have described pain scales for objective assessment of pain in foals. Studies in other species have shown that facial expression can be used in neonatal animals for objective assessment of acute pain. The aim of the current study was to adapt a facial expression-based pain scale for assessment of acute pain in mature horses for valid pain assessment in foals. The scale was applied to fifty-nine foals (20 patients and 39 healthy controls); animals were assessed from video recordings (30–60 s) by 3 observers, who were blinded for the condition of the animals. Patients were diagnosed with acute health problems by means of clinical examination and additional diagnostic procedures. EQUUS-FAP FOAL (Equine Utrecht University Scale for Facial Assessment of Pain in Foals) showed good inter- and intra-observer reliability (Cronbach’s alpha = 0.95 and 0.98, p < 0.001). Patients had significantly higher pain scores compared to controls (p < 0.001) and the pain scores decreased after treatment with NSAIDs (meloxicam or flunixin meglumine IV) (p < 0.05). Our results indicate that a facial expression-based pain scale could be useful for the assessment of acute pain in foals. Further studies are needed to validate this pain scale. Full article
(This article belongs to the Special Issue Towards a better assessment of acute pain in equines)
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7 pages, 626 KiB  
Article
Does Thirty-Minute Standardised Training Improve the Inter-Observer Reliability of the Horse Grimace Scale (HGS)? A Case Study
by Francesca Dai, Matthew Leach, Amelia Mari MacRae, Michela Minero and Emanuela Dalla Costa
Animals 2020, 10(5), 781; https://doi.org/10.3390/ani10050781 - 30 Apr 2020
Cited by 28 | Viewed by 4845
Abstract
The Horse Grimace Scale (HGS) is a facial-expression-based pain coding system that enables a range of acute painful conditions in horses to be effectively identified. Using valid assessment methods to identify pain in horses is of a clear importance; however, the reliability of [...] Read more.
The Horse Grimace Scale (HGS) is a facial-expression-based pain coding system that enables a range of acute painful conditions in horses to be effectively identified. Using valid assessment methods to identify pain in horses is of a clear importance; however, the reliability of the assessment is highly dependent on the assessors’ ability to use it. Training of new assessors plays a critical role in underpinning reliability. The aim of the study was to evaluate whether a 30-minute standardised training program on HGS is effective at improving the agreement between observers with no horse experience and when compared to an HGS expert. Two hundred and six undergraduate students with no horse experience were recruited. Prior to any training, observers were asked to score 10 pictures of horse faces using the six Facial Action Units (FAUs) of the HGS. Then, an HGS expert provided a 30-minute face-to-face training session, including detailed descriptions and example pictures of each FAU. After training, observers scored 10 different pictures. Cohen’s k coefficient was used to determine inter-observer reliability between each observer and the expert; a paired-sample t-test was conducted to determine differences in agreement pre- and post-training. Pre-training, Cohen’s k ranged from 0.20 for tension above the eye area to 0.68 for stiffly backwards ears. Post-training, the reliability for stiffly backwards ears and orbital tightening significantly increased, reaching Cohen’s k values of 0.90 and 0.91 respectively (paired-sample t-test; p < 0.001). The results suggest that this 30-minute face-to-face training session was not sufficient to allow observers without horse experience to effectively apply HGS. However, this standardised training program could represent a starting point for a more comprehensive training program for those without horse experience in order to increase their reliably in applying HGS. Full article
(This article belongs to the Special Issue Towards a better assessment of acute pain in equines)
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27 pages, 735 KiB  
Review
Mouth Pain in Horses: Physiological Foundations, Behavioural Indices, Welfare Implications, and a Suggested Solution
by David J. Mellor
Animals 2020, 10(4), 572; https://doi.org/10.3390/ani10040572 - 29 Mar 2020
Cited by 42 | Viewed by 22854
Abstract
A proposition addressed here is that, although bitted horses are viewed by many equestrians as being largely free of bit-related mouth pain, it seems likely that most behavioural signs of such pain are simply not recognised. Background information is provided on the following: [...] Read more.
A proposition addressed here is that, although bitted horses are viewed by many equestrians as being largely free of bit-related mouth pain, it seems likely that most behavioural signs of such pain are simply not recognised. Background information is provided on the following: the major features of pain generation and experience; cerebrocortical involvement in the conscious experience of pain by mammals; the numerous other subjective experiences mammals can have; adjunct physiological responses to pain; some general feature of behavioural responses to pain; and the neural bases of sensations generated within the mouth. Mouth pain in horses is then discussed. The areas considered exclude dental disease, but they include the stimulation of pain receptors by bits in the interdental space, the tongue, the commissures of the mouth, and the buccal mucosa. Compression, laceration, inflammation, impeded tissue blood flow, and tissue stretching are evaluated as noxious stimuli. The high pain sensitivity of the interdental space is described, as are likely increases in pain sensitivity due to repeated bit contact with bruises, cuts, tears, and/or ulcers wherever they are located in the mouth. Behavioural indices of mouth pain are then identified by contrasting the behaviours of horses when wearing bitted bridles, when changed from bitted to bit-free bridles, and when free-roaming unbitted in the wild. Observed indicative behaviours involve mouth movements, head-neck position, and facial expression (“pain face”), as well as characteristic body movements and gait. The welfare impacts of bit-related pain include the noxiousness of the pain itself as well as likely anxiety when anticipating the pain and fear whilst experiencing it, especially if the pain is severe. In addition, particular mouth behaviours impede airflow within the air passages of the upper respiratory system, effects that, in their turn, adversely affect the air passages in the lungs. Here, they increase airflow resistance and decrease alveolar gas exchange, giving rise to suffocating experiences of breathlessness. In addition, breathlessness is a likely consequence of the low jowl angles commonly maintained during dressage. If severe, as with pain, the prospect of breathlessness is likely to give rise to anxiety and the direct experience of breathlessness to fear. The related components of welfare compromise therefore likely involve pain, breathlessness, anxiety, and fear. Finally, a 12-point strategy is proposed to give greater impetus to a wider adoption of bit-free bridles in order to avoid bit-induced mouth pain. Full article
(This article belongs to the Special Issue The Horse as an Athlete: Sports Medicine, Rehabilitation and Wellness)
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