Evidence map›Paper›PMID 40626894›Full record

ArticleEquine veterinary journal2026

Objective diagnosis of alar fold collapse in active Standardbred trotting racehorses using nasopharyngeal airway pressure measurements.

Eric Strand, Hanna Vermedal, Hanna Margrethe Berg Olsen, Cathrine Taule Fjordbakk, Zoe Louise Fretheim-Kelly

Abstract read
In one paragraph

Article in Equine veterinary journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eric StrandFaculty of Veterinary Medicine, Norwegian University of Life Sciences (NMBU), Ås, Norway.ORCID https://orcid.org/0009-0007-7632-107X
Hanna VermedalFaculty of Veterinary Medicine, Norwegian University of Life Sciences (NMBU), Ås, Norway.ORCID https://orcid.org/0000-0002-1301-3551
Hanna Margrethe Berg OlsenFaculty of Veterinary Medicine, Norwegian University of Life Sciences (NMBU), Ås, Norway.ORCID https://orcid.org/0009-0004-9555-2402
Cathrine Taule FjordbakkFaculty of Veterinary Medicine, Norwegian University of Life Sciences (NMBU), Ås, Norway.ORCID https://orcid.org/0000-0002-4099-4623
Zoe Louise Fretheim-KellyFaculty of Veterinary Medicine, Norwegian University of Life Sciences (NMBU), Ås, Norway.

Funding

Norwegian Research Foundation 311955Swedish-Norwegian Foundation for Equine Research H-19-47-472
6 · The paper itself

Abstract

backgroundClinical evaluation of alar fold (AF) collapse is presently based upon subjective evaluation of improvement in breathing and respiratory noise after suturing the AFs dorsally.

objectivesTo evaluate use of nasopharyngeal airway pressure (NAP) as an objective method of assessing for the presence of AF collapse during exercise. NAPs should also potentially provide a precise means to grade the degree of airway obstruction present and response to surgical treatment. STUDY

designProspective clinical study of actively racing Standardbred horses.

methodsStandardbreds undergoing this test were outfitted with a heart rate monitor and warmed up on the treadmill for approximately 2000 m, prior to instrumentation with the analogue pressure sensor positioned in the nasopharynx. NAPs were measured continuously before and after the AFs were temporarily sutured dorsally, when horses were trotted at a heart rate ≥200 bpm for 2 min under identical testing circumstances. Peak inspiratory and expiratory NAPs were determined for each horse. A two-way repeated measures ANOVA was performed to analyse the effect of suturing the AFs dorsally on inspiratory and expiratory NAPs. When possible, horses were tested again after AF resection surgery.

resultsTwenty-one consecutive cases with suspected AF collapse were tested. Suturing the AFs dorsally had a significant effect on expiratory NAPs (p < 0.001), but not on inspiratory NAPs. Expiratory NAPs decreased from baseline (mean ± SD) 35.8 ± 8.81 cmH MAIN LIMITATIONS: Not all horses were available for NAP testing post-operatively.

conclusionsNAP measurements provided a precise objective means to determine whether a horse was affected with AF collapse and assess improvement in airway function after surgery. AF collapse caused a moderate to marked expiratory airway obstruction in many affected racehorses.

Indexed as

Airway ObstructionHorse DiseasesLaryngeal DiseasesNasopharynxAnimalsFemaleHorsesMalePhysical Conditioning, AnimalPressureProspective Studiesairway pressure measurementalar foldhorseupper respiratory tract obstruction

Identifiers

PMID40626894
PMCPMC13041599

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.