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Equine Cushing’s and Insulin Resistance Group Inc.

NO Laminitis!
Conference Proceedings 2017

No Laminitis! 2017

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Bowker, Kellon, Clougher, Gustafson, et al 2017 Download - 13 PDF Files


Tiered Management Approach to EMS and PPID
Eleanor M. Kellon, VMD
Successful prevention or rehabilitation of laminitis takes finding the correct Diagnosis, establishing a supportive Diet—and Drugs if needed—maintaining the correct physiological Trim and, when the horse is able, an appropriate Exercise program (DDT+E). This lecture will show how a tiered-management approach maximizes the chances of successfully maintaining or rehabilitating a Pituitary Pars Intermedia Dysfunction and/or Equine Metabolic Syndrome equine, and bringing them into optimal health.



Abgestufter Ansatz zur Behandlung von EMS und PPID
Eleanor M. Kellon, VMD
Die erfolgreiche Prävention oder Rehabilitation einer Hufrehe erfordert das Stellen der richtigen Diagnose, den Einsatz einer unterstützenden Diät—und bei Bedarf Medikamente—die Einhaltung einer korrekten physiologischen Hufbearbeitung und wenn das Pferd soweit ist, ein geeignetes Bewegungsprogramm (DDT + E). Dieser Artikel zeigt wie ein abgestufter Management-Ansatz die Erfolgschancen der Rehabilitation eines Equiden mit einer Hypophysen Pars Intermedia Dysfunktion (PPID) und/oder einem Equinen Metabolischen Syndrom (EMS) maximiert und einen optimalen Gesundheitszustand herstellt.


Endocrinopathic Laminitis: How is it Different?
Eleanor M. Kellon, VMD
Researchers initially assumed endocrinopathic laminitis was similar in mechanism to other models of laminitis. However, histopathological studies of tissues obtained from horses with laminitis induced via insulin infusion show a different picture. We will look at what is currently known about these differences.



Die Endokrinopathische Laminitis: wie unterscheidet sie sich?
Eleanor M. Kellon, VMD
Forscher gingen zunächst davon aus, dass die endokrinopathische Hufrehe im Mechanismus anderen Formen von Hufrehe ähnelte. Histopathologische Untersuchungen an Geweben von Pferden mit über Insulininfusion induzierter Hufrehe zeigen jedoch ein anderes Bild. Wir werden uns ansehen, was derzeit über diese Unterschiede bekannt ist.


Acute Care for Endocrinopathic Laminitis
Eleanor M. Kellon, VMD
Because of the unique pathophysiology of endocrinopathic laminitis, usual acute care measures may be ineffective or even potentially harmful. This lecture will explore approaches to acute care that provide targeted and more effective pain control, focusing on the underlying pathology.


Inflammation in Equine Metabolic Syndrome (EMS)
Eleanor M. Kellon, VMD
An extensive body of research in human (dan) and laboratory animal insulin resistance has linked obesity, inflammation, and insulin resistance. The picture in equines is less clear. We will review published findings and the implications with regard to etiology, management, and complications of Equine Metabolic Syndrome (EMS) in horses.


Entzündung beim Equinen Metabolische Syndrom (EMS)
Eleanor M. Kellon, VMD
Eine umfangreiche Forschung zur Insulinresistenz von Menschen und Labortieren hat Fettleibigkeit, Entzündung und Insulinresistenz in Verbindung gebracht. Das Bild bei Pferden ist weniger klar. Wir werden veröffentlichte Ergebnisse und die Auswirkungen auf Ätiologie, Management und Komplikationen des Equinen Metabolischen Syndroms (EMS) bei Pferden überprüfen.


Understanding Laminitis: How We View "Normal" Function
Robert M. Bowker, VMD, PhD
Virtually all traditional laminitis researchers believe the hoof wall is the primary loading structure for the foot, with the laminae acting as the suspensory apparatus of the coffin bone. Our belief is that, by using the hoof wall as the loading structure, we are setting up these horses for laminitis through these husbandry practices, irrespective of the actual cause. This presentation will show, via histological observations, that by focusing on the hoof wall and this suspensory apparatus, foot tissues are potentially compromised prior to laminitis, as they are gradually adapting to this mechanism of loading and support; this sets our horses up to fail upon insult.


Grundlagen zur Hufrehe: Das verstehen wir unter "normaler" Funktion
Robert M. Bowker, VMD, PhD

Praktisch alle traditionellen Hufreheforscher glauben, dass die Hufwand die primäre Belastungsstruktur für den Fuß ist, wobei die Lamellen als Aufhängevorrichtung des Hufbeins fungieren. Wir glauben, dass wir durch die Nutzung der Hufwand als Belastungsstruktur die Pferde durch diese Haltungspraktiken auf eine Hufrehe einstellen, unabhängig von der tatsächlichen Ursache. In diesem Vortrag wird anhand histologischer Beobachtungen gezeigt, dass durch den Fokus auf die Hufwand und die Hufbeinaufhängung das Hufgewebe bereits vor der Hufrehe potenziell geschädigt wird, da es sich allmählich an diesen Belastungs- und Stützmechanismus anpasst; dadurch laufen unsere Pferde Gefahr, bei einem Schub zu versagen.


The Vascular Cushion of the Frog: Avoiding Consequences of Laminitis through an Understanding of Fascia, Microvessels, and Dissipation of Energy
Robert M. Bowker, VMD, PhD

Most work in equine hoof research has focused upon the above-mentioned husbandry practices of hoof wall support and loading to suspend the distal phalanx and other foot tissues. Building on the previous hour, this lecture will show morphological evidence that blood flow through the foot is designed to pass from the central foot towards the rear, providing support and dissipating vibrational energy. Many pathological changes can be seen in feet long before typical symptoms would be observed


Das Gefäßpolster des Strahls: Vermeidung von Hufrehe-Folgen durch das Verständnis von Faszien, Mikrogefäßen und Energiedissipation
Robert M. Bowker, VMD, PhD

Die meisten Arbeiten in der equinen Hufforschung haben sich auf die oben erwähnten Haltungspraktiken der Hufwandunterstützung und -belastung konzentriert, wobei das Hufbein und andere Fussgewebe aufgehängt sind. Aufbauend auf den vorangegangenen Vortrag wird hier der morphologische Nachweis erbracht, dass der Blutfluss durch den Fuß so konzipiert ist, dass er von der Mitte des Hufes zum hinteren Hufbereich verläuft, um ihn zu stützen und Schwingungsenergie zu zerstreuen. Viele pathologische Veränderungen können an den Füßen festgestellt werden, lange bevor typische Symptome auftreten.


The Coffin Bone:
How does Adaptation to Early Changes Impact the Hoof During Laminitis? 
Robert M. Bowker, VMD, PhD
Osteoporosis in the coffin bone is seen so often that everyone accepts it as normal. Early stage osteoporosis can be seen often, as the foot gradually loses its bone in the dorsal cortex with invasion of blood vessels and pores. We will discuss why we believe this sets the foot and coffin bone up for a catastrophic process during a bout of laminitis.


Considering the Live Horse:
The Impact of Nerves During Laminitis and Rehabilitation
Robert M. Bowker, VMD, PhD
Dissections of cadaver feet have shown only a limited view of equine sensory innervations of the distal limb and do not take into consideration how they affect the live animal. The horse is really interested in the sensations other than pain exclusively, to know how he can begin to be comfortable when standing. Ongoing research will be presented to show how the foot is innervated and the impact nerves have on blood flow and comfort in all gait abnormalities, especially acute and chronic laminitis, and founder.


How Did We Get Here:
Historical Review of Diagnosis and Treatment of PPID and EMS
Jaini Clougher, BVSc, BSc
The ECIR Group has had a unique opportunity to view veterinary research and development of the recognition of PPID and IR in the Equine, along with the ability to experience first-hand how diagnosis is undertaken and how treatments succeed. This lecture will explore how that view has brought us to today.


Informed Dietary Decision Making – the Benefit of Forage Analysis
Kathleen Gustafson, PhD
Forage is the foundation of the equine diet, yet nutrient value, common mineral deficiencies, regional differences in forages, and the factors that determine forage quality are underappreciated. Through data compiled over several years, attendees will learn the benefits of forage analysis, how to determine hay quality, the impact of quality on specific nutrients and minerals, and different approaches to mineral supplementation.


Trim – the Essential, Missing Ingredient
Lavinia Fiscaletti, BS
Too often the trim is the last and forgotten part of rehabilitation. Learn the simple methods used to recognize common hoof capsule distortions and how to determine the corrections needed to realign the hoof capsule with the bony column.


Multimodal Treatment for Chronic Foot Pain in Horses
Lisa Lancaster, DVM, PhD

Practitioners agree that successful treatment of chronic equine foot pain requires a multimodal approach. However, there is no agreement on which modalities are the most effective, and there is limited research to guide us on the specifics. This first hour will be an introduction to the concepts and methods of chiropractic and acupuncture, two of the modalities I use most frequently when addressing chronic foot pain in horses. Attendees will gain an understanding of how the concepts and methods can be applied to other modalities that they may already be using to help horses recover from chronic foot pain.


Minerals and Hoof Health
Carol Layton, B.Sc, M.Ed
The overall health of a horse, including hooves, coat, and immune system, depends on a number of factors. Nutrition is one factor that is completely within our control and offers significant results. The most common deficiencies in pasture and hay tests are the minerals copper and zinc. It's very common for iron, and sometimes manganese, to be excessive, which can lead to a secondary deficiency in copper and zinc. The aim of this presentation is to show how dramatic an improvement can be with copper and zinc supplementation targeted to forage intake.