TL;DR: A rare panmetatarsophalangeal dislocation of the foot in a young male is described and Hyperflexion was instrumental in causing this injury.
Abstract: A rare panmetatarsophalangeal dislocation of the foot in a young male is described. Hyperflexion was instrumental in causing this injury. The dislocation was in the plantar direction.
TL;DR: Hip and knee component evaluation is crucial for monitoring the disease progression in DMD and impairment and mobility is a better predictor of the change compared to ADL and arm function components of MDFRS.
TL;DR: In this article, the authors tested the hypothesis that hyperflexion is an acute stressor for horses and found that the head and neck of the horse was fixed with side reins in a position allowing forward extension on day A and fixed in hyperflexions on day B. The order of treatments alternated between horses.
Abstract: Summary
Bringing the head and neck of ridden horses into a position of hyperflexion is widely used in equestrian sports. In our study, the hypothesis was tested that hyperflexion is an acute stressor for horses. Salivary cortisol concentrations, heart rate, heart rate variability (HRV) and superficial body temperature were determined in horses (n = 16) lunged on two subsequent days. The head and neck of the horse was fixed with side reins in a position allowing forward extension on day A and fixed in hyperflexion on day B. The order of treatments alternated between horses. In response to lunging, cortisol concentration increased (day A from 0.73 ± 0.06 to 1.41 ± 0.13 ng/ml, p < 0.001; day B from 0.68 ± 0.07 to 1.38 ± 0.13 ng/ml, p < 0.001) but did not differ between days A and B. Beat-to-beat (RR) interval decreased in response to lunging on both days. HRV variables standard deviation of RR interval (SDRR) and RMSSD (root mean square of successive RR differences) decreased (p < 0.001) but did not differ between days. In the cranial region of the neck, the difference between maximum and minimum temperature was increased in hyperflexion (p < 0.01). In conclusion, physiological parameters do not indicate an acute stress response to hyperflexion of the head alone in horses lunged at moderate speed and not touched with the whip. However, if hyperflexion is combined with active intervention of a rider, a stressful experience for the horse cannot be excluded.