Movement asymmetries and lameness in competing performance horses pose significant financial, veterinary, training and management challenges. Horses, like humans, show laterality or ‘handedness’ (a predisposition to favouring one side of the body compared to the other), which may be influenced by training. Understanding how variables, including tack, training environments and surfaces influence measurable movement symmetry are essential for conducting lameness assessments, longitudinal monitoring of horses during training and screening horses during pre-purchase and pre-performance examinations.

Recent work  identified that different normalised threshold values may be required for left vs. right lame horses. Historically, lameness evaluations, assessment of asymmetries and monitoring of training influences on movement symmetries were usually conducted by the eye of the attending veterinarian or trainer. The rise of new technologies over the last two decades, and their implementation in veterinary medicine, including gait analysis software and inertial measurement units (IMUs) have provided quantitative metrics for supporting gait analyses in ridden horses and allow sharing of such information between the training and veterinary teams.

Racing Thoroughbreds generally train and race in one direction, either clockwise or anticlockwise, adapting gait and movement patterns which may result in asymmetrical muscle development and movement asymmetries between the right and left sides. When exercising on a curve, inequal forces are applied to the inside and outside limbs, potentially predisposing horses to asymmetries. The direction of racetracks differs globally, nationally and regionally, and the use of new technology to objectively determine laterality and directional preferences when racing will be useful for developing training programs for horses that present with distinct laterality. Those horses may struggle competing in countries and jurisdictions that race in the opposite direction to usual.

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