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- W3210598565 abstract "Musculoskeletal injuries remain a global problem for the Thoroughbred racing industry and there is conflicting evidence regarding the effect of age on the incidence of injuries. The ideal time to commence race training is strongly debated, with limited supporting literature. There is also conflicting evidence regarding the effect of high-speed exercise on musculoskeletal injuries. There is a strong interest in developing training and management strategies to reduce the frequency of injuries. The types of musculoskeletal injuries vary between 2-year-old and older horses, with dorsal metacarpal disease the most common injury in 2-year-old horses. It is likely that risk factors for injury in 2-year-old horses are different than those for older horses. It is also likely that the risk factors may vary between types of injury. This study aimed to determine the risk factors for musculoskeletal injuries and dorsal metacarpal disease. We report the findings of a large scale, prospective observational study of 2-year-old horses in Queensland, Australia. Data were collected weekly for 56-weeks, from 26 trainers, involving 535 2-year-old Thoroughbred racehorses, 1, 258 training preparations and 7, 512-weeks of exercise data. A causal approach was used to develop our statistical models, to build on the existing literature surrounding injury risk, by incorporating the previously established causal links into our analyses. Where previous data were not available, industry experts were consulted. Survival analyses were performed using Cox proportional hazards or Weibull regression models. Analysis of musculoskeletal injuries overall revealed the hazard was reduced with increased exposure to high-speed exercise [Hazard ratio (HR) 0.89, 95% Confidence Interval (CI) 0.84, 0.94, p < 0.001], increased number of training preparations (HR 0.58, 95% CI 0.50, 0.67, p < 0.001), increased rest before the training preparation (HR 0.89, 95% CI 0.83, 0.96, p = 0.003) and increased dam parity (HR 0.86, 95% CI 0.77, 0.97, p = 0.01). The hazard of injury was increased with increasing age that training commenced (HR 1.13, 95% CI 1.06, 1.19, p < 0.001). Analyses were then repeated with the outcome of interest dorsal metacarpal disease. Factors that were protective against dorsal metacarpal disease and musculoskeletal injuries overall included: increased total cumulative distance (HR 0.89, 95% CI 0.82, 0.97, p = 0.001) and total cumulative days exercised as a gallop (HR 0.96, 95% CI 0.92, 0.99, p = 0.03), the number of the training preparations (HR 0.43, 95% CI 0.30, 0.61, p < 0.001). The age that training commenced was harmful for both dorsal metacarpal disease (HR 1.17, 95% CI 1.07, 1.28, p < 0.001 and overall musculoskeletal injuries.). The use of non-ridden training modalities was protective for dorsal metacarpal disease (HR 0.89, 95% CI 0.81, 0.97, p = 0.008), but not musculoskeletal injuries overall. The male sex increased the hazard of DMD compared to females (HR 2.58, 95% CI 1.20, 5.56, p = 0.02), but not MSI overall. In summary, the hazard of musculoskeletal injury is greatest for 2-year-old horses that are born from uniparous mares, commence training at a later age, are in their first training preparation, have undertaken little high-speed exercise or had limited rest before their training preparation. The hazard of dorsal metacarpal disease is greatest for 2-year-old horses that are males, commence training at a later age, are in their first training preparation, have undertaken little high-speed exercise or had limited use of non-ridden training modalities. Close monitoring of these high-risk horses during their training program could substantially reduce the impact of MSI. Furthermore, an understanding of how training methodologies affect the hazard of MSI facilitates modification of training programs to mitigate the risk impact of injury. The strengths of this study include a large sample size, a well-defined study protocol and direct trainer interviews. The main limitation is the inherent susceptibility to survival bias." @default.
- W3210598565 created "2021-11-08" @default.
- W3210598565 creator A5014577317 @default.
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- W3210598565 date "2021-11-02" @default.
- W3210598565 modified "2023-10-18" @default.
- W3210598565 title "Survival Analysis of Training Methodologies and Other Risk Factors for Musculoskeletal Injury in 2-Year-Old Thoroughbred Racehorses in Queensland, Australia" @default.
- W3210598565 cites W1482642432 @default.
- W3210598565 cites W1516787408 @default.
- W3210598565 cites W1849088398 @default.
- W3210598565 cites W1948486674 @default.
- W3210598565 cites W1964688742 @default.
- W3210598565 cites W1971849973 @default.
- W3210598565 cites W1977457683 @default.
- W3210598565 cites W1980390528 @default.
- W3210598565 cites W1987506490 @default.
- W3210598565 cites W1989486916 @default.
- W3210598565 cites W1994885425 @default.
- W3210598565 cites W1997898537 @default.
- W3210598565 cites W1998603008 @default.
- W3210598565 cites W2000236678 @default.
- W3210598565 cites W2002812406 @default.
- W3210598565 cites W2008010157 @default.
- W3210598565 cites W2012687860 @default.
- W3210598565 cites W2013032262 @default.
- W3210598565 cites W2018742866 @default.
- W3210598565 cites W2022047686 @default.
- W3210598565 cites W2024096431 @default.
- W3210598565 cites W2026898205 @default.
- W3210598565 cites W2032492317 @default.
- W3210598565 cites W2035518177 @default.
- W3210598565 cites W2041156867 @default.
- W3210598565 cites W2048053811 @default.
- W3210598565 cites W2051394396 @default.
- W3210598565 cites W2052992482 @default.
- W3210598565 cites W2054590834 @default.
- W3210598565 cites W2056616257 @default.
- W3210598565 cites W2056874281 @default.
- W3210598565 cites W2057092387 @default.
- W3210598565 cites W2058854545 @default.
- W3210598565 cites W2059035066 @default.
- W3210598565 cites W2065088907 @default.
- W3210598565 cites W2067970590 @default.
- W3210598565 cites W2069283734 @default.
- W3210598565 cites W2069971133 @default.
- W3210598565 cites W2070137287 @default.
- W3210598565 cites W2071306321 @default.
- W3210598565 cites W2071811866 @default.
- W3210598565 cites W2075200608 @default.
- W3210598565 cites W2075948765 @default.
- W3210598565 cites W2077130014 @default.
- W3210598565 cites W2078329053 @default.
- W3210598565 cites W2078912379 @default.
- W3210598565 cites W2079014617 @default.
- W3210598565 cites W2082829899 @default.
- W3210598565 cites W2086853997 @default.
- W3210598565 cites W2086886959 @default.
- W3210598565 cites W2091772111 @default.
- W3210598565 cites W2094226539 @default.
- W3210598565 cites W2104051374 @default.
- W3210598565 cites W2105495952 @default.
- W3210598565 cites W2105658990 @default.
- W3210598565 cites W2107808993 @default.
- W3210598565 cites W2108098891 @default.
- W3210598565 cites W2114513805 @default.
- W3210598565 cites W2121650890 @default.
- W3210598565 cites W2121810249 @default.
- W3210598565 cites W2123848145 @default.
- W3210598565 cites W2123933462 @default.
- W3210598565 cites W2130373985 @default.
- W3210598565 cites W2137281998 @default.
- W3210598565 cites W2139551862 @default.
- W3210598565 cites W2140267383 @default.
- W3210598565 cites W2144931681 @default.
- W3210598565 cites W2146158366 @default.
- W3210598565 cites W2146730446 @default.
- W3210598565 cites W2160394634 @default.
- W3210598565 cites W2161709974 @default.
- W3210598565 cites W2162750997 @default.
- W3210598565 cites W2164095563 @default.
- W3210598565 cites W2165428881 @default.
- W3210598565 cites W2168054832 @default.
- W3210598565 cites W2169633564 @default.
- W3210598565 cites W2181322432 @default.
- W3210598565 cites W2331936027 @default.
- W3210598565 cites W2580130797 @default.
- W3210598565 cites W2800877720 @default.
- W3210598565 cites W2803731500 @default.
- W3210598565 cites W2896231580 @default.
- W3210598565 cites W2902037255 @default.
- W3210598565 cites W2964542024 @default.
- W3210598565 cites W2974662060 @default.
- W3210598565 cites W3096070731 @default.