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Biomedical subjects

A E Goodship

Publications and source records attributed to A E Goodship.

At least 55 records · Page 3Linked to original sources

An MRI study of the effect of treadmill training on bone morphology of the central and third tarsal bones of young thoroughbred horses.

Training results in marked modelling of the subchondral bone of the carpus, but the effect of training on the subchondral bone of the distal tarsal joints is unknown. The aim of this study was to determine whether training influenced modelling of the third and central tarsal bones in Thoroughbred horses. Twelve untrained Thoroughbred horses were divided into 2 groups. Group 1 underwent a 19 week progressive training regimen on a high speed treadmill. Group 2 were walked for 40 min daily. Images of left tarsi were obtained by magnetic resonance imaging (MRI) with a 0.5 Tesla superconducting magnet using a spin echo sequence. Sagittal and oblique sagittal slices were made perpendicular to the articular surfaces of the intertarsal joints and were analysed using image analysis software to measure the proportion of dense subchondral bone in the dorsal facet of each bone. Mean +/- s.d. percentage area of dense subchondral bone in the dorsal facet of the central tarsal bone in Group 1 was 47 +/- 8 medially, 46 +/- 4 sagitally and 50 +/- 11 dorsolaterally, whereas in Group 2 it was 39 +/- 16 medially, 43 +/- 8 sagitally and 53 +/- 7 dorsolaterally. For the third tarsal bone mean +/- s.d. percentage area of dense subchondral bone in Group 1 was 32 +/- 10 medially, 39 +/- 11 sagitally and 44 +/- 8 dorsolaterally, whereas in Group 2 it was 28 +/- 8 medially, 37 +/- 6 sagitally and 41 +/- 9 dorsolaterally. There was no significant difference in percentage area of dense subchondral bone between the trained and untrained horses. An effect of treadmill training of Thoroughbred horses on modelling of the central and third tarsal bones could not be demonstrated.

Animals↗

The effect of training on the calcified zone of equine middle carpal articular cartilage.

Carpal osteochondral injury is frequently observed in strenuously trained horses. It is clear that the integrity of articular cartilage and subchondral bone are intimately related, although there is controversy about which component is the most important. Calcified cartilage provides the mechanical link between soft hyaline cartilage and stiff subchondral bone so it is essential to understand the tissue's response to exercise. Middle carpal calcified and uncalcified (hyaline) cartilage thickness was investigated in horses undergoing high- and low-intensity exercise. Twelve untrained horses (18-21 months) were paired, and randomly assigned to an exercise group. Group 1 underwent 19 weeks progressive high-intensity training on a high-speed treadmill. Group 2 underwent walking exercise only. Osteochondral specimens were obtained from 8 test sites per carpus immediately after euthanasia. Histomorphometric measurements of total cartilage, hyaline layer, and calcified zone thickness were obtained from decalcified and undecalcified samples. Mean +/- s.d. (micron) calcified cartilage thickness for dorsal cartilage from Group 1 was 271 +/- 73 and from Group 2 was 163 +/- 49; for palmar cartilage from Group 1 was 195 +/- 42 and Group 2 was 150 +/- 52. Group 1 horses had significantly thicker total cartilage (P < 0.0001) and calcified zone (P < 0.0001) than Group 2, but there was no difference in hyaline layer. Within each group all dorsal sites had thicker calcified cartilage (P < 0.003) than palmar sites, but no difference in hyaline or total cartilage. These findings indicate that high-intensity exercise leads to greater calcified zone depth without alteration in hyaline cartilage thickness, and that this response is maximal at sites that withstand high, intermittent loads. Increasing calcified cartilage thickness with exercise may maintain the articular surface stiffness gradient in the face of alterations in hyaline cartilage and/or subchondral bone stiffness.

Analysis of Variance↗

Osteoinductive response in the dorsal aspect of the carpus of young thoroughbreds in training occurs within months.

Bone mineral density (BMD) was measured by dual x-ray absorptiometry (DXA) in the carpus of 6 Thoroughbreds age 24 months that were exercised on the treadmill for 4.5 months, and of 6 matched control horses. A sagittal slab of known thickness was sawn from one or more of radius, radial carpal (Cr), third carpal (C3), and third metacarpal (Mc3) bones. After the 4.5 month treadmill exercise, there was a significantly greater volumetric BMD in the dorsal aspect of C3 (P = 0.006). Treadmill-exercised horses also had higher BMD in the dorsodistal aspect of the radius (P = 0.03), the dorsal half of Mc3 (P = 0.012), and the dorsal aspect of Cr (P = 0.04). In other areas of interest (AOI) studied on the palmar aspect of the bones, significant increases in exercised horses did not occur. These sizeable changes in bone mass occurred within a few months of initiation of exercise. With technical development, DXA could be applied in vivo for investigation of changes in bone mass of horses which are growing and exercising under various regimes. The data are also relevant to the development of scientifically based training protocols.

Absorptiometry, Photon↗

Disease-specific changes in equine ground reaction force data documented by use of principal component analysis.

OBJECTIVE: To assess the force plate as a diagnostic aid in equine locomotor abnormalities, particularly for abnormalities such as navicular disease that do not have specific diagnostic criteria. ANIMALS: 17 Thoroughbreds without observable locomotor abnormalities (group A), 6 Thoroughbreds with superficial digital flexor tendon injury (group B), and 8 Thoroughbreds with navicular disease (group C). PROCEDURE: Using a force plate, ground reaction force patterns were recorded at the trot. Peak limb vertical force and force/time curve parameters were derived from 4 identifiable points at the beginning and end of vertical and craniocaudal horizontal plots. Principal component analysis (PCA) of group-A data was undertaken on beginning and end of stride data, and the first 2 components were represented graphically. The PCA rotation matrices were applied to equivalent data for horses of groups B and C. RESULTS: Asymmetry of peak vertical force (PVF) could not be differentiated among groups A, B, and C. Values for group-B horses, however, were significantly outside mean group-A values on the PCA plot for beginning of stride phase variables. Group-B data were within the group-A range for end of stride phase variables. Values for group-C horses were significantly outside the group-A range for beginning of stride phase variables and were outside mean group-A values for end of stride phase variables. CONCLUSIONS: PCA of force/time data provides a sensitive method to evaluate the force/time curve associated with 2 specific injury/disease processes. CLINICAL RELEVANCE: Horses alter weight-bearing in biomechanically distinct ways, thus creating potential for the force plate to become an important diagnostic and prognostic tool.

Animals↗

Strain rate and timing of stimulation in mechanical modulation of fracture healing.

Fracture of the long bones results in a repair process that has the potential to restore the anatomic morphology and mechanical integrity of the bone without scar tissue. The repair process can occur in two patterns. In the first, under conditions of rigid stabilization, direct osteonal remodeling of the fracture line can occur with little or no external callus, a process known as direct bone repair. The second pattern of repair involves bridging of the fragments with external callus and formation of bone in the fracture site by endochondral healing. This type of repair is known as indirect bone healing and occurs under less rigid interfragmentary stabilization. The rate of healing and the extent of callus in this type of repair can be modulated by the mechanical conditions at the fracture site. Applying cyclic interfragmentary micromotion for short periods has been shown to influence the repair process significantly, and characteristics of this stimulus influence the healing response observed. In the current study, a short term interfragmentary cyclic micromovement applied at a high strain rate induced a greater amount of periosteal callus than the same stimulus applied at a low strain rate. This high strain rate stimulus applied later in the healing period significantly inhibited the progress of healing. The beneficial effect of this particular biophysic stimulus early in the healing period may be related to the viscoelastic nature of the differentiating connective tissues in the early endochondral callus. In the early endochondral callus, high rates of movement induce a greater deformation of the fracture fragments because of the stiffening of the callus. Alternatively, the transduction pathway may involve streaming potentials as a result of the high movement rate.

Animals↗

Exercise-related alterations in crimp morphology in the central regions of superficial digital flexor tendons from young thoroughbreds: a controlled study.

Injury to the core of the mid-metacarpal region of the superficial digital flexor tendon in Thoroughbred racehorses is a very frequent but poorly understood condition. It has been suggested that subclinical changes induced by galloping exercise weaken the collagen in this region of the tendon, predisposing it to rupture. The longitudinally arranged collagen fibrils in tendon follow a planar waveform, termed the crimp. Fibril bundles with a smaller crimp angle fail at a lower level of strain than those with a larger crimp angle. This study tested the hypothesis that a specific 18 month exercise programme would result in significant reduction of collagen fibril crimp angle and period length in the core region of the superficial digital flexor tendon of young Thoroughbreds (21 +/- 1 months), compared to the normal change in these parameters with age. Central region crimp angle and length were significantly lower in exercised horses than in control horses (P < 0.05). The crimp angle was significantly lower in this central region than in the peripheral region of the tendon in 4 of the 5 exercised horses, as was the crimp length in 3 of the 4 horses. The crimp angle in the peripheral region was significantly greater in exercised horses than in the controls (P < 0.05), which may indicate functional adaptation due to differing mechanical environment between the 2 tendon regions. The results of this study supported previous evidence that galloping exercise modifies normal age-related changes in crimp morphology in the core of the superficial digital flexor tendon. Such changes are indicative of microtrauma and would be detrimental to tendon strength.

Aging↗

Macroscopic 'degeneration' of equine superficial digital flexor tendon is accompanied by a change in extracellular matrix composition.

Injuries to the superficial digital flexor tendon are common in horses required to gallop and jump at speed. Partial rupture of this tendon usually occurs in the central core of the midmetacarpal region and may be preceded by localised degenerative changes. Post mortem examination of apparently normal equine flexor tendons has revealed an abnormal macroscopic appearance in the central core, characterised by a reddish discolouration. We have previously shown that there is also physical damage to the collagen fibres. In the present study we tested the hypothesis that the abnormal appearance is accompanied by changes in the composition of the extracellular matrix of the tendon. Biochemical analysis of the extracellular matrix demonstrated an increase in total sulphated glycosaminoglycan content, increase in the proportion of type III collagen and decrease in collagen linked fluorescence in the central core of 'degenerated' tendons relative to tissue from the peripheral region of the same tendon. Dry matter content and total collagen content were not significantly different between tendon zones or normal and 'degenerated' tendons. These changes suggest a change in cell metabolism and matrix turnover in the central core of the tendon and are likely to contribute to a decrease in mechanical properties in this part of the tendon, predisposing to the characteristic partial rupture of the tendon.

Animals↗

Effects of training on collagen fibril populations in the suspensory ligament and deep digital flexor tendon of young thoroughbreds.

OBJECTIVE: To determine the effect of a specific galloping exercise regimen on collagen fibril mass-average diameters (MAD) in the deep digital flexor tendon (DDFT) and suspensory ligament (SL) of young Thoroughbreds. ANIMALS: 12 Thoroughbred fillies, 21 +/- 1 (mean +/- SD) months old. PROCEDURE: 6 horses underwent a specific 18-month treadmill training program involving galloping exercise. The remaining 6 horses served as controls, undertaking low-volume walking exercise over the same period. Sections were excised from the midpoint of the DDFT and SL, and small strips were dissected from central and peripheral locations for each structure. Fibril diameters were measured from micrographs of transverse ultrathin sections, using a computerized image analysis program. An MAD value was calculated for the central and peripheral regions of the DDFT and SL for each horse. Values for both regions were compared between exercised and control horses. RESULTS: The MAD did not change significantly with exercise for either the DDFT or the SL. CONCLUSION: Loading of the DDFT as a result of this exercise regimen was not sufficient to stimulate collagen fibril hypertrophy, in keeping with current data that indicate this tendon, compared with the SL and superficial digital flexor tendon (SDFT), is subjected to low loads. Microtrauma, in terms of reduction in fibril MAD, may have occurred in the SL at a site different from that sampled. Another possibility is that, between the trot and the gallop, loading of the SL does not increase to the same extent as that of the SDFT.

Animals↗

Exercise of young thoroughbred horses increases impact strength of the third metacarpal bone.

Exercise can have a profound effect on bone mass, but little is known of its effect on bone's material properties. In this experiment, our hypothesis was that a large difference in the training regimen of young thoroughbreds would produce a measurable difference in the mechanical properties of their bone material. When they were about 19 months old, eight thoroughbred racehorses were given one of two exercise regimens that lasted for 19 weeks: four horses (controls) were walked for 40 minutes a day but had no other exercise, and the remaining four (exercised) were additionally trotted for 20 minutes a day and given progressively intensive exercise on a treadmill. Mechanical testing to failure was performed on longitudinal beam specimens of the mid-diaphysis of the metacarpal. There was no difference in Young's modulus or bending strength between the two groups, although these properties varied somewhat depending on the position within the cortex from which the specimens had come. The specimens from the exercised horses had a slightly higher toughness, as measured by work (area under the load-deformation curve). They had a considerably higher impact strength. The impact strength of specimens from the outer cortex was also higher than that of those from the inner cortex in both groups. Impact strength correlated positively with the amount of microcracking produced during testing. Microcracking is related to structural and microstructural features in the bone. Increased loading caused the bone to respond in a way that enhanced its ability to microcrack and hence its toughness.

Analysis of Variance↗

Exercise modifies the age-related change in crimp pattern in the core region of the equine superficial digital flexor tendon.

One of the current concepts with regard to equine superficial digital flexor tendonitis is that cumulative subclinical microscopic damage weakens the structure, predisposing the tendon to partial or complete rupture. This microtrauma is likely to affect the waveform or crimp of the collagen fibrils, which are the units of tensile strength. Collagen fibril crimp morphology characteristics were determined in superficial digital flexor tendons of 18 horses presented for necropsy. Horses were separated into exercised (n = 9) and non-exercised groups (n = 9), based on recent function. Five of the eight exercised horses below the age of 10 years showed a significantly lower crimp angle in the central region of the tendon in comparison with the periphery. Three of those five animals also showed a significantly lower crimp period length in the centre. No non-exercised horses in this age group showed such regional differences. Horses classified as non-exercised may have Horses classified as non-exercised may have undergone competitive galloping activity at an earlier age, implying that changes in central region crimp morphology did not occur at that time, or had reverted to normal values in the intervening period. A lower crimp angle in the core region in comparison with the periphery is abnormal in animals younger than 10 years, on the basis of previous data obtained from wild horses. It is hypothesised that imposed exercise regimens involving galloping modify the normal age-related reduction of crimp angle in the tendon core, probably as a result of the increased number of rapid high-strain cycles experienced by the collagen fibrils.

Journal Article↗

Age-related differences in collagen crimp patterns in the superficial digital flexor tendon core region of untrained horses.

OBJECTIVE: To measure collagen fibril crimp angles and lengths as well as collagen fibril mass-average diameters in central and peripheral regions of the superficial digital flexor tendon of wild horses, to ascertain any age-related changes in either region in the absence of imposed galloping exercise. DESIGN: Measurements from a random cull of wild horses. SAMPLE POPULATION: Superficial digital flexor tendon samples were taken from 23 wild horses ranging in age from two to ten years. PROCEDURE: Horses were divided into 'young' (< 5 years, n = 10), 'middle-aged' (5 to < 10 years, n = 9) and 'old' groups (10+ years, n = 4) and the mean crimp angle, mean crimp length and collagen fibril mass-average diameter calculated for the central region, and for the peripheral region of each group. Differences between groups and regions were analysed using two-tailed t tests. RESULTS: The crimp angle for the central region was found to decrease with age, so that in old horses it was smaller than that for the tendon periphery (P, 0.05). The crimp angle for the latter region did not alter significantly with age. Crimp period lengths and collagen fibril mass-average diameters did not show significant changes with age in either region. CONCLUSIONS: Reduction of the crimp angle in the core of the superficial digital flexor tendon occurs normally with age, as tendons of older animals would have undergone a higher number of loading cycles. It is possible that athletic training increases the frequency and/or the magnitude of high loading cycles experienced by the tendon, and may accelerate and worsen the normal load-related ageing process in the superficial digital flexor tendons of young performance horses, particularly in the central regions where lesions usually occur.

Aging↗

Comparison of collagen fibril populations in the superficial digital flexor tendons of exercised and nonexercised thoroughbreds.

This study was undertaken to test the hypothesis that collagen fibrils, the submicroscopic units of strength in tendon, would hypertrophy in response to a specific defined training programme. Fibril diameters were measured in central and peripheral regions of superficial digital flexor tendon (SDFT) samples from five 18-month-old horses which underwent a subsequent 18 month training programme and 6 age- and sex-matched controls. Central region fibrils from the trained horses had a mass-average diameter (MAD) of 105.3 nm, which was significantly lower (P < 0.01) than that of 131.7 nm for the same region in the control horses. This reduction in fibril diameter in the region of tendon which is predisposed to injury was interpreted as evidence of microtrauma, as it implies the region is weakened by the training regimen. Repeated episodes of microtrauma may accumulate and eventually result in degenerative lesions and clinical tendonitis.

Aging↗

The effect of exercise-induced localised hyperthermia on tendon cell survival.

Tendons that store energy during locomotion, such as the equine superficial digital flexor tendon (SDFT) and human Achilles tendon, suffer a high incidence of central core degeneration which is thought to precede tendon rupture. Although energy storage contributes to the efficiency of locomotion, tendons are not perfectly elastic and some energy is lost in the form of heat. Recent studies have shown that the central core of equine SDFT reaches temperatures as high as 45 degrees C during high-speed locomotion. In this study, we test the hypothesis that hyperthermia causes tendon cell death and results in tendon central core degeneration. Tendon fibroblasts cultured from the core of the equine SDFT were subjected to a temperature of 45 degrees C in an in vitro system for 0-180 min, and cell survival fraction was measured and compared with that for equine dermal fibroblasts and a commercial rat kidney fibroblast cell line (NRK 49F). Tendon fibroblasts were significantly more resistant to hyperthermia than NRK 49F cells after 30, 45 and 60 min of heating and significantly more resistant than dermal fibroblasts after 45 and 60 min of heating. After 10 min of heating at 45 degrees C, the tendon fibroblast cell survival fraction was 91 +/- 4%, whereas heating for 10 min at 48 degrees C resulted in a drop in the cell survival fraction to 22 +/- 4%. In conclusion, while temperatures experienced in the central core of the SDFT in vivo are unlikely to result in tendon cell death, repeated hyperthermic insults may compromise cell metabolism of matrix components, resulting in tendon central core degeneration.

Animals↗

The effects of posterior fixation on internal intervertebral disc mechanics.

Posterior fixation of intervertebral discs is used to treat, and occasionally diagnose, discogenic pain since it is thought that it will reduce the internal loading of the discs in vitro. We measured the internal loading of ten intervertebral discs using stress profilometry under simulated physiological loads and then after posterior fixation. Partial discectomies were performed to simulate advanced disc degeneration and the sequence repeated. Posterior fixation had very little effect on the magnitude of the loads acting on the disc and none when disc degeneration was simulated. It did, however, reduce bulging of the anterior annulus under combined bending and compression (p < 0.03). Recent experiments in vivo have shown that discogenic pain is associated with abnormal bulging of the annulus which suggests that the clinical benefit of fixation may be due to this.

Aged↗

An age-related study of morphology and cross-link composition of collagen fibrils in the digital flexor tendons of young thoroughbred horses.

The superficial digital flexor tendon is the most commonly injured tendon in the racing Thoroughbred. Despite the clinical significance of this structure, only limited data exist regarding normal age-related morphology of the tensile units, the collagen fibrils. The age at which these collagen fibrils become mature in composition and structure may be of importance. Consequently, the association of age and collagen fibril crosslink composition, diameter distribution and crimp morphology in the superficial and deep digital flexor tendons of Thoroughbreds up to and including three years of age has been studied. Replacement of immature crosslinks, peaking of the collagen fibril mass-average diameter and collagen fibril index, and stabilization of collagen crimp morphology changes supported the hypothesis that both digital flexor tendons become mature in structure by two years of age.

Aging↗

In vivo stress measurement can predict pain on discography.

STUDY DESIGN: An in vivo experimental investigation of internal disc mechanics and discogenic pain. OBJECTIVES: To test the hypotheses: 1) The pattern of internal loading of intervertebral discs in vivo is similar to that measured previously in vitro; 2) stress concentrations also are found in clinically degenerate discs in vivo; and stress concentrations are associated with discogenic pain. SUMMARY OF BACKGROUND DATA: Stress concentrations corresponding to potentially painful loading patterns of the intervertebral disc and endplate have been observed in vitro. METHODS: The distribution of stress within the lumbar intervertebral discs of patients with chronic discogenic pain was measured using stress profilometry. The severity of their pain was assessed using provocative discography. RESULTS: Discogenic pain was found to be associated with anomalous loading of the posterolateral anulus (P < 0.001) and nucleus (P < 0.01). Painful discs were found to have a 38% wider posterolateral anulus (P < 0.023) than painless discs and to have a 63% lower mean nuclear stress (P < 0.017). CONCLUSIONS: Stress profilometry is an effective investigation of the mechanics of intervertebral discs in vivo. Discogenic pain is caused by changes in the pattern of loading of the posterolateral anulus or nucleus pulposus.

Adult↗