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Clinical use of the Lameness Locator™: Additional to or replacement of the clinical examination
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Lameness is a clinical sign not a disease. Determining the existence of the clinical sign might be simple, but determining the importance of a clinical sign is not. Training and developed skill of the veterinarian position him/her best to figure this out. It is ridiculous to think that simple measurement of a clinical sign, even if that measurement is very precise and accurate, can replace a clinical examination performed skillfully. So, Lameness Locator, can only be an aid and not a replacement of the clinical examination.
That being said, it is important that we elevate the profession out of the mysterious portrayal that simple “detection of lameness” can only be achieved by a handful of masters with natural abilities and unique experience. Detection and measurement of lameness is a difficult but simple problem. If a horse has lameness it will, definitely, change its movement, and the way it changes its movement has been thoroughly investigated and is well understood. Vertical movement of the torso, more specifically asymmetry of vertical movement of the torso, is the most sensitive indicator of lameness. If a horse is painful on a limb it will try to reduce the force it places on that limb, and since the lion’s share of energy and momentum resides in the torso and not the limbs, reducing the force will be reflected in changes in vertical movement of the torso. Many other body movement changes can also occur because of pain, but if these changes are separated from the vertical movement of the torso, they are also dependent upon other things, like anatomy and conformation, or simply habit. They are more strongly affected by confounding variables. [...]
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