The Horse Physio - Delivering care with expertise since 1992

15.2.2022: The Ridden Horse Pain Ethogram – Research and Development

Developing the RHpE

Development of an ethogram for a pain scoring system in ridden horses and its application to determine the presence of musculoskeletal pain

Despite evidence that nearly half of competition horses are perhaps lame, this lameness is not well recognised by owners or trainers. Another way of recognising pain in the ridden horse is through assessing his behaviour. We know that it’s possible to tell the difference between lame and non-lame horses through their facial expressions. This study was to develop an ethogram (list) of whole horse behaviours in the ridden horse, and to find out whether it could be used reliably by one person. The researchers also wanted to determine whether the ethogram could be used to differentiate lame from non-lame horses. The hypothesis was that non-lame horses would have a lower score. The initial ethogram of 117 behavioural markers was whittled down during the study to 24 ridden horse behaviours. The maximum score for the lame horses was 14/24 with the most common score being 9/24. The maximum score for the non-lame horses was 6/24 with the most common score being 2/24. “Recognition of these features as potential indicators of musculoskeletal pain may enable earlier recognition of lameness and avoidance of punishment-based training.”

Dyson, S., Berger, J., Ellis, A., Mullard, J. (2018a) Development of an ethogram for a pain scoring system in ridden horses and its application to determine the presence of musculoskeletal pain. J. Vet. Behav.: Clin. Appl. Res. 23, 47-57.

You can access the full paper here.

Abstract

There is evidence that more than 47% of the sports horse population in normal work may be lame, but the lameness is not recognized by owners or trainers. An alternative means of detecting pain may be recognition of behavioral changes in ridden horses. It has been demonstrated that there are differences in facial expressions in nonlame and lame horses. The purpose of this study was to develop a whole horse ethogram for ridden horses and to determine whether it could be applied repeatedly by 1 observer (repeatability study, 9 horses) and if, by application of a related pain behavior score, lame horses (n = 24) and nonlame horses (n = 13) could be differentiated. It was hypothesized that there would be some overlap in pain behavior scores among nonlame and lame horses; and that overall, nonlame horses would have a lower pain behavior score than lame horses. The ethogram was developed with 117 behavioral markers, and the horses were graded twice in random order by a trained specialist using video footage. Overall, there was a good correlation between the 2 assessments (P < 0.001; R2 = 0.91). Behavioral markers that were not consistent across the 2 assessments were omitted, reducing the ethogram to 70 markers. The modified ethogram was applied to video recordings of the nonlame horses and lame horses (ethogram evaluation). There was a strong correlation between 20 behavioral markers and the presence of lameness. The ethogram was subsequently simplified to 24 behavioral markers, by the amalgamation of similar behaviors which scored similarly and by omission of markers which showed unreliable results in relation to lameness. Following this, the maximum individual occurrence score for lame horses was 14 (out of 24 possible markers), with a median and mean score of 9 (±2 standard deviation) compared with a maximum score of 6 for nonlame horses, with a median and mean score of 2 (±1.4). For lame horses, the following behaviors occurred significantly more (P < 0.05, chi-square): ears back, mouth opening, tongue out, change in eye posture and expression, going above the bit, head tossing, tilting the head, unwillingness to go, crookedness, hurrying, changing gait spontaneously, poor quality canter, resisting, and stumbling and toe dragging. Recognition of these features as potential indicators of musculoskeletal pain may enable earlier recognition of lameness and avoidance of punishment-based training. Further research is necessary to verify this new ethogram for assessment of pain in ridden horses.

Dr Sue Dyson and I are in the process of writing a book for horse owners and riders on how to understand and use the Ridden Horse Pain Ethogram with your own horse. The book will be published by J A Allen, and available sometime In 2023. Sign up to my newsletter at www.thehorsephysio.co.uk for updates.

In the meantime, you can learn more about the Ridden Horse Pain Ethogram through listening to Dr Sue Dyson explaining here it on the Equine Veterinary Education, where you can also listen to her discussing many of the other studies that she has been involved in. You can also take an online course with Equitopia.

© Sue Palmer, The Horse Physio 2021

Treating your horse with care, connection, curiosity and compassion

February 15, 2022
Sue Palmer
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