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Biomedical subjects

J M Denoix

Publications and source records attributed to J M Denoix.

At least 19 recordsLinked to original sources

Three-dimensional kinematics of the distal forelimb in horses trotting on a treadmill and effects of elevation of heel and toe.

REASONS FOR PERFORMING STUDY: Comprehensive understanding of the 3-dimensional (3D) kinematics of the distal forelimb and precise knowledge of alterations induced by dorsopalmar foot imbalance remains incomplete because in vivo studies performed with skin markers do not measure the actual movements of the 3 digital joints. OBJECTIVE: To quantify the effects of 6 degree heel or toe wedges on the 3D movements of the 4 distal segments of the forelimb in horses trotting on a treadmill. METHODS: Three healthy horses were equipped with ultrasonic markers fixed surgically to the 4 distal segments of the left forelimb. The 3D movements of these segments were recorded while horses were trotting on a treadmill. Rotations of the digital joints were calculated by use of a joint coordinate system. Data obtained with 6 degree heel or toe wedges were compared to those obtained with flat standard shoes. RESULTS: Use of heel wedges significantly increased maximal flexion and decreased maximal extension of the proximal (PIPJ) and distal (DIPJ) interphalangeal joints. Inverse effects (except for PIPJ maximal extension) were observed with the toe wedges. In both cases, neither flexion-extension of the metacarpophalangeal joint nor extrasagittal motions of the digital joints were statistically different between conditions. CONCLUSIONS: At a slow trot on a treadmill, heel and toe wedges affect the sagittal plane kinematics of the interphalangeal joints. POTENTIAL RELEVANCE: Better understanding of the actual effects of toe and heel wedges on the 3D kinematics of the 3 digital joints may help to improve clinical use of sagittal alteration of hoof balance in the treatment of distal forelimb injuries.

Animals↗

Three-dimensional kinematics of the equine distal forelimb: effects of a sharp turn at the walk.

REASONS FOR PERFORMING STUDY: Sharp turns are suspected to increase expression of several distal forelimb lamenesses even at the walk but the biomechanical consequences of such a movement remain unknown. OBJECTIVE: To quantify the effects of a sharp turn at the walk on the 3-dimensional movements of the distal segments of the forelimb. METHODS: Kinematics of the distal segments were measured in 4 healthy horses invasively with an ultrasonic system. Three-dimensional rotations of the digital joints were calculated by use of a joint coordinate system. Data obtained for a turn at the walk were compared to those obtained in a straight line. RESULTS: During the stance phase in a turn, the inside forelimb underwent an adduction that induced lateromotion and medial rotation in the distal interphalangeal joint and medial rotation in the proximal interphalangeal joint. These movements were maximal at heel-off and decreased during breakover as the hoof underwent a sudden lateral rotation. CONCLUSIONS: Walking in a sharp turn affects the kinematics of the digital joints outside the sagittal plane. POTENTIAL RELEVANCE: This knowledge offers the opportunity to derive hypotheses on biomechanical factors that could contribute to the pathogenesis of digital injuries and on consequences for rational shoeing.

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In vitro assessment of movements of the sacroiliac joint in the horse.

REASONS FOR PERFORMING STUDY: Sacroiliac joint (SIJ) disease is associated with poor hindlimb action, lameness and poor performance in horses. However, little is known about the biomechanics of this low-motion joint. OBJECTIVES: To determine in vitro the capacities of movement of the SIJ in the sagittal plane, and to test the effect of a sacrosciatic and sacrotuberal desmotomy on its stabilisation. METHODS: Six anatomical specimens underwent cycles of flexion-extension of the lumbosacral joint (LSJ) before and after desmotomy. Kinematic triads were linked rigidly to the sacrum, spinous process of vertebra L5 and iliac wing. Angles were measured using a joint coordinate system based on anatomical frames. RESULTS: The LSJ underwent regular movements of flexion and extension (overall mean +/- s.d. range 23.4 +/- 1.6 degrees). The only recorded movement of the SIJ was a nutation during LSJ flexion (overall mean +/- s.d. 0.8 +/- 0.5 degrees). Desmotomy induced an increase of that nutation (overall mean +/- s.d. 1.7 +/- 0.2 degrees). CONCLUSIONS AND POTENTIAL RELEVANCE: Movements of the SIJ were small and coupled only with the flexion of the LSJ. The ligaments surrounding the SIJ have a strong effect on the stabilisation of this joint. Due to the limited amount of movement, its biomechanical study in vivo seems to be difficult. Further in vitro studies would be useful to determine the role of each ligament, to better understand the clinical consequences of the tears frequently observed during necropsy.

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Influence of individual competition level on back kinematics of horses jumping a vertical fence.

REASONS FOR PERFORMING STUDY: The costs and investments required for the purchase and training of showjumpers justify the need to find selection means for jumping horses. Use of objective kinematic criteria correlated to jumping ability could be helpful for this assessment. OBJECTIVES: To compare back kinematics between 2 groups of horses of different competition levels (Group 1, competing at high level; Group 2 competing at low level) while free jumping over a 1 m vertical fence. METHODS: Three-dimensional recordings were performed using 2 panning cameras. Kinematic parameters of the withers and tuber sacrale (vertical displacement, vertical and horizontal velocities), backline inclination and flexion-extension motion of the 3 main dorsal segments (thoracic, thoracolumbar and lumbosacral) were analysed. RESULTS: Group 2 horses had a lower displacement of their withers and tuber sacrale from the end of the last approach stride until the first departure stride (P<0.05). As a result, they increased the flexion of their thoracolumbar and lumbosacral junctions during the hindlimb swing phase before take-off (P<0.05). However, withers and tuber sacrale velocities were slightly modified. Group 1 horses pitched their backline less forward during the forelimb stance phase before take-off and straightened it more after landing (P<0.05), probably indicating a more efficient strutting action of their forelimbs. CONCLUSIONS AND POTENTIAL RELEVANCE: Because significant differences in back motion were found between good and poor jumpers when jumping a 1 m high fence, criteria based on certain back kinematics can be developed that may help in the selection of talented showjumpers.

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Effects of 6 degree elevation of the heels on 3D kinematics of the distal portion of the forelimb in the walking horse.

REASONS FOR PERFORMING STUDY: Understanding of the biomechanical effects of heel elevation remains incomplete because in vivo studies performed with skin markers do not measure the actual movements of the 3 digital joints. OBJECTIVE: To quantify the effects of 6 degree heel wedge on the 3-dimensional movements of the 4 distal segments of the forelimb in the walking horse. METHODS: Four healthy horses were used. Kinematics of the distal segments was measured invasively with a system based on ultrasonic triangulation. Three-dimensional rotations of the digital joints were calculated by use of a 'joint coordinate system' (JCS). Data obtained with heel wedges were compared to those obtained with standard shoes during the stance phase of the stride. RESULTS: Heel wedges significantly increased maximal flexion of the proximal (PIPJ) and distal (DIPJ) interphalangeal joints and maximal extension (mean +/- s.d. +0.8 +/- 0.3 degrees) of the metacarpophalangeal joint (MPJ). Extension of the PIPJ and DIPJ was decreased at heel-off. Few effects were observed in extrasagittal planes of movement. CONCLUSIONS: Heel wedges affect the sagittal plane kinematics of the 3 digital joints. POTENTIAL RELEVANCE: Controversial effects previously observed on the MPJ may be explained by the substantial involvement of the PIPJ, which was wrongly neglected in previous studies performed on the moving horse.

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Tiludronate as a new therapeutic agent in the treatment of navicular disease: a double-blind placebo-controlled clinical trial.

REASONS FOR PERFORMING STUDY: Bisphosphonates, such as tiludronate, are used to normalise bone metabolism via inhibition of bone resorption. Areas of increased bone resorption and formation are typical lesions in a diseased navicular bone. OBJECTIVES: To determine if bone remodelling changes occurring in navicular disease may be corrected with therapies regulating bone metabolism. METHODS: We designed a double-blind, placebo-controlled clinical trial to compare 2 doses of tiludronate, 0.5 mg/kg and 1 mg/kg bwt administered via daily i.v. injections over 10 days for the treatment of navicular disease. Seventy-three horses, split into 2 subpopulations of recent and chronic cases, were enrolled to be followed-up over 6 months. Of these, 33 recent and 17 chronic cases meeting the selection criteria were maintained in the final efficacy analyses. Clinical examinations were videorecorded and reviewed blindly by an independent expert. RESULTS: Horses treated with the higher dose showed optimal improvement of lameness and return to normal level of activity 2-6 months post treatment. The more recent the onset of clinical signs at the time of treatment, the greater the efficacy. The treatment did not modify the response to extension and flexion tests. The lower dose failed to significantly improve the condition. CONCLUSIONS: Tiludronate efficacy is demonstrated in the treatment of navicular disease at the dose of 1 mg/kg bwt. POTENTIAL RELEVANCE: Our results support the clinical relevance of bone remodelling changes in the outcome of navicular disease.

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Effects of trotting speed on muscle activity and kinematics in saddlehorses.

A thorough knowledge of the horse's back and limb movements at different speeds is important in the design of training programmes and the prevention of speed-related injuries. The objective of this study was to investigate changes in muscle activity and kinematics of the trot with increased speed. To evaluate these effects, 4 Saddlehorses were recorded while trotting on a horizontal treadmill at speeds ranging from 3.5-6.0 m/s. The 3-D trajectories of skin markers on the left side of the horse and the dorsal midline of the trunk were established. Electrical activity was obtained simultaneously from 6 muscles using surface electrodes. Ten consecutive strides were analysed for each horse at each of the 5 velocity steps. The increase in speed resulted in a decrease in stride and stance phase duration, increased muscle activity and range of motion of the limbs, but a decrease in back movements. During the stance phase, the limbs appeared more loaded, which resulted in more flexion of the joints and higher excentric muscle activity. During the swing phase, the higher concentric activity of the muscles was responsible for an increased shortening of the limbs. Understanding the effects of speed on equine locomotion is a prerequisite for the development of training programmes.

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Effects of heel and toe elevation upon the digital joint angles in the standing horse.

Five sound mature horses, age 8-14 years, with toe angles 45.5-55.0 degrees were placed on a specially designed platform with only the left forelimb weightbearing, which allowed the successive production of 7 different conditions of foot orientation: neutral position (N), 5, 10, 15 degrees heel (H5, H10, H15) and toe (T5, T10, T15) elevation, performed according to 2 different sequences. For each condition, 2 lateromedial radiographs were taken to evaluate the metacarpophalangeal joint (MPJ) and both interphalangeal joint (PIPJ and DIPJ) angles, respectively. In addition, two-dimensional (2-D) kinematic recordings, using reflective skin markers placed laterally on the left forelimb joints, were performed. The value of each joint angle (JA) and its angular variation to N (AV) were considered for statistical analysis. For all JA and their AV determined radiographically, the condition effect was significant and the sequence did not influence the differences between conditions. The relationships between the JA and the conditions (in the sequence: T15, T10, T5, N, H5, H10, H15) were overall linear for the 3 joints. The maximal range T15-H15 was mean +/- s.d. 6.9 +/- 2.0 degrees for MPJ (dorsal angle decrease), 7.3 +/- 1.0 degrees and 29.5 +/- 1.8 degrees for PIPJ and DIPJ (palmar angle decrease), respectively. Contrary to JA and in spite of large variations in hoof conformation, AV did not show any significant horse effect. Wide differences were observed between the digital JA measured radiographically and from kinematics, which could be related to cutaneous displacement. Heel elevation induced elbow flexion, whereas a slight extension was observed with toe elevation. These movements, even slight (mean elbow angle amplitude: 3.6 +/- 1.3 degrees), may have consequences upon flexor tendon tension.

Analysis of Variance↗

Three-dimensional kinematics of the proximal interphalangeal joint: effects of raising the heels or the toe.

The proximal interphalangeal joint (PIPJ) has always been considered as a low-motion joint with an almost constant angle during loading of the limb. Until very recently, its motion was not taken into account in kinematic studies in vivo. Recent in vivo studies yielded surprisingly high ranges of motion in this joint. The aim of this study was to measure, in terms of the 3 possible rotations (flexion/extension, collateromotion and axial rotation), the movements of the PIPJ in vitro during limb loading in a neutral position (500-6000 N) and after the addition of heel and toe wedges (6 degrees and 12 degrees). The joint coordinate system, as it was recently described for use in the horse, was used to compute the 3 components of rotation. With the hoof in neutral position, low-amplitude flexion movements (7.9 degrees) were observed. They were not associated with collateromotion or axial rotation. The flexion of the joint increased exponentially with load suggesting that, during the midstance phase, heavy loads are necessary to evoke substantial flexion. Raising the heels induced an early flexion of the joint with an increase of its total amplitude. Raising the toe produced an extension at 500 N, beyond which the amount of flexion was reduced. These results show that PIPJ flexion/extension during in vitro loading remains substantially smaller than suggested by in vivo studies based on skin markers. Raising the toe or heel directly affects the behaviour of this joint, but does not induce motion outside the sagittal plane. Hoof wedges are commonly used in clinical practice for purposes other than affecting PIPJ motion. In these cases, their biomechanical effects on this joint should be taken into account.

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Normal three-dimensional behaviour of the metacarpophalangeal joint and the effect of uneven foot bearing.

The purpose of this study was to quantify small amplitude rotational movements in the metacarpophalangeal joint (MPJ) of the horse and to measure the influence of asymmetric placement of the foot on these articular angles. Trihedrons, supporting kinematic markers defining a local frame, were screwed into the third metacarpal bone and the proximal phalanx of 4 isolated forelimbs. The limbs were loaded in a press, and the lateral or medial aspects of the foot were raised alternately by a 12 degrees wedge. The use of the joint coordinate system permitted the simultaneous and continuous computing of the 3 angles of rotation of the joint. During neutral loading, the extension of the MPJ (38.4 +/- 8.7 degrees) was associated with lateral axial rotation of the proximal phalanx (1.8 +/- 0.9 degrees). Addition of a lateral wedge induced medial rotation (-0.9 +/- 0.2 degree) and abduction (2.1 +/- 0.4 degrees) of the proximal phalanx. The opposite phenomenon was observed with a medial wedge. These quantitative results confirmed the combination of axial rotation and widening of the articular space on the opposite side to the raised part of the foot that had earlier been observed in semi-quantitative studies. Despite the high congruence of this joint, this study demonstrated the significant influence of uneven bearing of the foot on the three-dimensional (3-D) behaviour of the MPJ. Even though the amplitude of these movements remained small, their biomechanical effects should be considered to improve our understanding of MPJ injuries and to rationalise exercise management and corrective shoeing in the lame horse.

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Kinematic analysis of the symmetry of limb movements in lame trotting horses.

This study was undertaken to describe the symmetry of movements of fore- and hindlimbs in horses suffering from various spontaneous lamenesses. Two groups of horses were studied: 13 clinically sound horses and 24 lame horses. Using a 3-dimensional (3-D) kinematic analysis system, movements of both sides of each horse were recorded simultaneously while trotting on a track. The differences in motion between left and right homologous joints of each horse were quantified using symmetry indices based on an intercorrelation method. Symmetry indices obtained for each lame horse were then compared with those of sound horses. This comparison showed that the most sensitive lameness indicators were the symmetry indices of the vertical displacement of the proximal markers of the limbs. Symmetry indices of each lame horse were also compared with those of the other lame horses, using correlation coefficients to determine whether or not various lamenesses generate similar alterations of the locomotion symmetry. Values of these coefficients allowed 2 types of lameness to be distinguished. In 21 lame horses, the largest alterations in the symmetry of vertical movements were observed for the proximal markers of the limbs, which may reflect the supporting component of these lamenesses. In contrast, the asymmetries in vertical movements were more pronounced for the distal markers in 3 horses (one stringhalt and 2 carpal injuries), which may reflect the swinging component of these lamenesses. This cross-correlation method can be implemented easily in a computer programme and may represent a first step in the development of an expert system.

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Effects of treadmill speed on the mechanics of the back in the trotting saddlehorse.

Speed related changes in trunk mechanics have not yet been investigated, although high-speed training is currently used in the horse. To evaluate the effects of speed on back kinematics and trunk muscles activity, 4 saddle horses were recorded while trotting on a horizontal treadmill at speeds ranging from 3.5 to 6 m/s. The 3-dimensional (3-D) trajectories of skin markers on the left side of the horse and the dorsal midline of the trunk were established. Electrical activity was simultaneously obtained from the longissimus dorsi (LD) and rectus abdominis (RA) muscles using surface electrodes. Ten consecutive strides were analysed for each horse at each of the 5 velocity steps. Electromyographic and kinematic data were time-standardised to the duration of the stride cycle and compared using an analysis of variance. The back extended during the first part of each diagonal stance phase when the RA was active and the back flexed during the second part of each diagonal stance phase when the LD was active. The onset and end of muscle activity came earlier in the stride cycle and muscle activity intensity increased when speed increased. The amplitude of vertical movement of the trunk and the maximal angles of flexion decreased with increasing speed, whereas the extension angles remained unchanged. This resulted in a decreased range of back flexion-extension. This study confirms that the primary role of trunk muscles is to control the stiffness of the back rather than to induce movements. Understanding the effects of speed on the back of healthy horses is a prerequisite for the prevention and treatment of back pathology.

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The effects of treadmill inclination and speed on the activity of three trunk muscles in the trotting horse.

The purpose of this study was to evaluate the effects of speed and slope on the activity of trunk muscles. The electromyographic (EMG) activity of the splenius (Sp), longissimus dorsi (LD) and rectus abdominis (RA) muscles was recorded with surface electrodes during treadmill locomotion at trot for different combinations of speed (3.5 to 6 m/s) and slope (0 to 6%). Raw EMG signals were processed to determine activity duration, onset and end and integrated EMG (IEMG). For the 3 muscles investigated, onset and end of activity were obtained earlier in the stride cycle when speed increased. A longer duration of activity for the LD, a shorter duration for the RA and an unchanged duration for the Sp were also observed. The IEMG of the latter was poorly affected by speed, whereas it increased linearly with speed for the 2 other muscles. When treadmill inclination changed from 0 to 6%, EMG activity of the LD and RA began and ended later; a longer activity duration was noted. Temporal parameters for Sp did not change with slope. A significant and progressive increase in the IEMG of the 3 muscles was observed with increasing slope. This evaluation of the activity of trunk muscles provides objective data for the use of speed or slope in training programmes.

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A method to synchronise cameras using the direct linear transformation technique.

The aim of this paper is to present a method which enables the recordings of cameras that are not equipped with a synchronisation system to be synchronised a posteriori. Using the Direct Linear Transformation technique, this method estimates the phase difference between two cameras by minimising the reconstruction errors of a moving point. Once the phase difference value is known, one of the recordings is chosen as a reference and the second one is synchronised to the first by cubic spline interpolation.

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The effects of treadmill inclination and speed on the activity of two hindlimb muscles in the trotting horse.

Electromyographic activity (EMG) was used to determine how hindlimb muscle activation patterns vary with speed and incline in the horse. EMG was recorded using surface electrodes over the gluteus medius and tensor fasciae latae muscles during treadmill locomotion at trot for different combinations of speed (3.5 to 6 m/s) and inclination (0, 3 and 6%). Raw EMG signals were processed to determine stride duration, activity onset and end, and integrated EMG (IEMG). Stride and stance phase duration decreased linearly with increasing speed. Stride duration was not influenced by the slope. Onset and end of muscle activity came significantly earlier in the stride cycle when speed increased and later when inclination changed from 0 to 6%. The relative duration of the burst (percentage of stride duration) increased as running speed increased, but tended to decrease with increasing slope. The IEMG of the muscles increased with increasing speed and slope, the largest increase being observed in the tensorfasciae latae. It is concluded that both increases in speed and inclination lead to an increase in the integrated electromyographic activity and hence to a higher workload of the 2 hindlimb muscles investigated.

Animals↗

Spinal biomechanics and functional anatomy.

Knowledge of the normal functional behavior and mechanical properties of the vertebral column is important to understand the pathogenesis of back lesions, to identify the clinical manifestations of back pain, and to ensure a rational approach to physical therapy. The purpose of this article is to present a synthesis of in vivo and in vitro data obtained from different but complementary investigations. Presently, in vivo studies are limited; few gait-specific kinematic and electromyographic investigations are in process. Higher stresses to reach the maximal range of intervertebral motion can be applied on the spine on anatomical specimens than in living horses, and anatomical functional data can be obtained at the level of intervertebral structures. For each movement of flexion, extension, lateroflexion, and rotation, regional and intervertebral mobility is presented with an emphasis on craniocaudal variations and their anatomical causes. Because of the location of their ICR, the dorsoventral movements of a thoracolumbar intervertebral joint can be defined as a rotation around the center of the more caudal vertebral body. This information supports the new concept of intervertebral mobility in the horse and provides additional elements to facilitate understanding of the pathogenesis of back problems in the horse.

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Ultrasonographic evaluation of back lesions.

With progressive advances in ultrasonographic equipment, evaluation of a number of axial skeletal structures is now possible. Ultrasonography is presently the best technique for evaluation of the SSpL and lumbosacral intervertebral discs. It is a useful adjunct to radiography for assessment of spinous processes and AP injuries.

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