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IN-DEPTH: PRE-PURCHASE EXAM FOR SPORT AND PLEASURE HORSES


is then added to cover the practice’s liability. The examination itself is no different between horses being sold for $5000 vs $3,000,000. It is essential for the examining veterinarian to


know the horse’s purchase price to decide whether they can perform the examination. If the purchase price is higher than liability coverage, the contract with the buyer is restricted to that amount or the PPE should be declined. Veterinarians should also decline performing the PPE if they do not feel expe- rienced enough to evaluate the horse, if the horse is intended for a use that they are not familiar with, or if examinations are requested with which they are not familiar. If the horse has been examined or treated by the examining veterinarian at an earlier time, this should be disclosed as well. This aspect is tricky, and this should first be discussed with the owner and persons who presented the horse previously. In some cases, it is better to decline the PPE because of conflict of interest. If applicable, try to contact the buyer’s regular veterinarian to make sure the exam covers all his/her requests. All information should be completed by the seller


AND buyer (including credit card details) and re- quested before starting the examination.


3. The Examination


Before starting a complete physical examination at rest, the horse is identified using an equine passport and microchip scanner, the vaccination status is verified, and a questionnaire on the horse’s history including previous health issues, feeding, stabling, deworming, shoeing, dental care, prior surgeries, etc. is completed and signed by an authorized agent. If the horse was examined and/or treated by the author’s practice at an earlier stage, this is dis- closed. For confidentiality reasons, care should be taken to discuss this with the previous client first. History of former diseases and possible surgeries are also required to be disclosed by the seller. A thorough examination of the horse at rest is performed first. This physical examination in- cludes respiratory and digestive tract, cardiovascu- lar system, eyes, skin, and inspection and palpation of the musculoskeletal apparatus. It is frequently debated whether conformational abnormalities should be discussed. Comments on conformation should only be made when a clear medical issue exists with risk for future performance. A very short or long back, broken toe axis, underrun heels, asymmetric pelvis or front feet are a few examples which should be commented on. Shoeing, especially with so- called orthopedic or “unconventional” shoes are doc- umented in the report. Form, shape, and quality of the feet, as well as examination with hoof testers give us important information. The motion-palpa- tion of neck, back, and limbs completes our static examination.


266 2018  Vol. 64  AAEP PROCEEDINGS Special attention is given to the examination of


the horse in motion when dealing with an equine athlete. The horse is first observed at the walk and trot on a hard surface: straight line, small figure eight, small circles, and backing up are all included. On soft ground, the horse is observed on a lunge line at the walk, trot, and canter. It is preferable to see the horse with its head loose, not tied down, so the horse is free to balance itself as it likes. Apart from symmetrical gait, special attention is given to posi- tion and movement of head and neck, as well as to the transitions between different gaits. Respira- tory and circulatory systems are also examined dur- ing and after exercise on the lunge line. An objective gait analysis system called Qualisys


Motion Capture for most PPEs. This optical-based system is connected to 20 high-speed infrared cameras with a sampling frequency set to 100 Hz. Spherical reflective markers are attached in clusters on the head, withers, and pelvis by the use of double- sided adhesive tape. The marker setting may be expanded to limbs and back to monitor range of motion. Synchronized video recordings of each measurement are made. This technique allows measuring even the slightest asymmetries, get an overview of the complete motion pattern of a horse, and communicate the results (including associated graphs and videos) with customers and veterinari- ans worldwide. It is not uncommon for sellers to initially question this type of examination, being anxious that one would “see too much” or that small asymmetries would be detected with the objective analysis system undetectable to the human eye. However, most of these people come back with other horses, to have this examination performed because they are convinced of its additional value. The examination of the locomotory system is con-


cluded by observing the horse under tack in all gaits, straight lines, and circles. Specific exercises may be performed if requested by the buyer, such as half passes and collections for a dressage horse or jump- ing over fences for eventers or show jumpers. Examination under tack is not a standard in Eu-


rope. In fact, it is quite controversial. Many col- leagues think the evaluation of the horse under tack is the sole responsibility of the rider/trainer. How- ever certain lamenesses or behavioral problems may be missed if the under saddle examination is not performed. Comments on the character of the horse may be included, especially if we consider it a risk for the buyer. An inexperienced rider purchasing a stal- lion that is difficult to handle may pose a risk for the buyer and this should be given attention. The same animal may not be a problem in profes- sional hands. An older horse that kicks when trying to do a flexion test may be worth mention- ing, while in a young horse having travelled from the stable for the first time, this should be put in perspective.


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