Localizing lameness: The Challenge:
Traditionally, veterinarians have had to rely on subjective visual assessment as the only method available for performing lameness diagnosis.
However, subjective visual evaluation of horses with mild or multiple limb lameness is difficult. Agreement between veterinarians in these cases is poor. This is not the fault of the veterinarian and not a reflection of poor ability but a limitation of the human eye’s temporal resolution. Increasing the temporal resolution by high-frequency capturing of movement asymmetry using wirelessly transmitted data from body-mounted inertial sensors is a solution to improve the veterinarian’s ability to detect and quantify lameness in horses.
More certain detection and quantification of mild and multiple limb lameness can assist equine lameness practitioners to more efficiently use their hard-won limb palpation, nerve and joint block and diagnostic imaging techniques to better serve their clients.
Solution:
The “Lameness Locator” objectively detects and quantifies body movement asymmetry in a horse using small, body-mounted inertial sensors and a hand-held tablet PC. Instrumentation of the horse is quick, easy, and completely non-invasive. Data collection is in real time and veterinarians are free to perform their usual lameness evaluation routine without distraction.
Data is analyzed quickly using a unique set of algorithms developed after 18 years of research on sound and lame horse movement. This unique set of data analysis algorithms helps to determine the affected limb or limbs, the severity of lameness within each limb and the timing of peak lameness pain within the stride cycle of each limb.
Results are then presented to the veterinarian in an intuitive graphical interface that is easy to interpret and report to clients.
- Current users of Lameness Locator find that it is most helpful under the following circumstances:
- Horses with mild lameness
- Horses with apparent multiple limb lameness
- Horses with apparent compensatory lameness
- Quantifying the effectiveness of nerve and joint blocks
- Confirming the incidental nature of equivocal imaging abnormalities
- Developing a further diagnostic approach based on type of lameness (impact, pushoff) exhibited
- Documenting soundness in pre-purchase evaluations
A lameness evaluation with the Lameness Locator takes 10 minutes from beginning to end. The system components are three sensors, a rugged, extended battery life tablet PC for field use (included), software pre-loaded on the tablet PC, and a module for charging the batteries in the sensors.
The horse is trotted and data is transmitted wirelessly in real time and analyzed by proprietary algorithms in the tablet PC. The effective transmission range is 100 yards or more, though a result is usually achieved in 30 - 50 yards. The comprehensive lameness assessment is immediately available to the practitioner.
The proprietary Lameness Locator analysis uses the motion data transmitted by the sensors and algorithms developed during 18 years of gait analysis at the University of Missouri E. Paige Laurie Equine Lameness Program. That research used treadmills and high speed cameras to mathematically characterize normal and impaired gait. Translational research adapted the system for commercial deployment as a convenient, robust, miniaturized system.
