its... . at. n. .r 54.1 . , fl..." are. .1 . , ft. at as... 1. . 54.54”. 3:31.. I. 1 $4...” {:54 I. 3 I. .151 I , fifiWfiflm .31u.mfi1..\~ a 3.! tvxmup » 3% hum, , 5.5.. r. 93.38.. ‘5... v 53111 t! 31...»... t N: r.. :. a. I. . “3.". F130”... “.4. ‘9 u .. HIM-u...“ .. 8.. .2! }..wwz.‘kfilfifi,lofi ingfxfixlt .=.:. . infirm . Nd. ... . y. . 8:2. .xx‘ .-\l\¢. . . .nUhuI: L we Illlllllllllll“Illllllllllllllllllllllllllllll 3 1293 01688 This is to certify that the thesis entitled The Relationship of Hoof Measurement Parameters To Sole Contact and Distribution In Adult Female Slaughtered Cattle presented by Douglas Eugene Hostetler has been accepted towards fulfillment of the requirements for Master of Science degree 1,, Large Animal Clinical Sciences A/ K? I/Jfizém Major professor ”“3 22 /?7s/ 0-7639 MS U is an Affirmative Action/Equal Opportunity Institution LIBRARY Michigan State Unlverslty PLACE IN RETURN BOX to remove this checkout from your record. TO AVOID FINES return on or before date due. DATE DUE DATE DUE DATE DUE 1190 mm“ THE RELATIONSHIP OF HOOF MEASUREMENT PARAMETERS TO SOLE CONTACT AND DISTRIBUTION IN ADULT FEMALE SLAUGHTERED CATTLE By Douglas Eugene Hostetler A THESIS Submitted to Michigan State University in partial fiJlfillment of the requirements for the degree of MASTER OF SCIENCE Department of Large Animal Clinical Sciences 1998 ABSTRACT THE RELATIONSHIP OF HOOF MEASUREMENT PARAMETERS TO SOLE CONTACT AND DISTRIBUTION IN ADULT FEMALE SLAUGHTERED CATTLE By Douglas Eugene Hostetler The objective of this study was to determine the relationship of the toe height, heel height, and toe height to heel height ratio (T:H) to the area and distribution of sole contact of the hind limbs in adult female cattle. Fifty-three distal hind limbs were collected from adult female cattle presented to a local abattoir. The toe and heel heights were measured, the flexor tendons attached to the metatarsus, and the limbs were positioned in an Instron 8501M uniaxial testing machine. Sole outlines were made and contact images were recorded on pressure-sensitive film at a load of 1300 Newtons applied at a displacement rate of 0.25 mm/s. The mean total sole contact was 1.89 cmz. The median contact of the lateral claws significantly exceeded the mean contact of the medial claws by sixty-nine percent. The majority of the sole contact was distributed in the dorsal and plantar two-thirds of the lateral claw and the dorsal one-third of the medial claw. Low correlations between the hoof measurement parameters and the area and distribution of sole contact were found. ACKNOWLEDGMENTS I would like to thank the members of my graduate committee, Dr. N. Kent Ames, Dr. John Baker, Dr. John Caron, and Dr. Dianne Ulibarri, for their guidance on this project. I would also like to thank Dr. Mike Ciarelli for invaluable guidance and assistance during testing. His help made this project possible. I would also like to thank Dr. Steven Amoczky and the Laboratory for Comparative Orthopaedic Research for the use of laboratory equipment. TABLE OF CONTENTS LIST OF TABLES ........................................................................................................ vi LIST OF FIGURES ...................................................................................................... vii INTRODUCTION .......................................................................................................... 1 LITERATURE REVIEW ............................................................................................... 2 HYPOTHESIS ............................................................................................................. 12 MATERIALS AND METHODS .................................................................................. 13 Specimen Collection and Preparation ................................................................. l3 Limb Loading and Image Generation ................................................................. 14 Image Analysis .................................................................................................. 17 Experimental Design ......................................................................................... 19 Experiment 1: Fresh vs. Thawed Limbs .............................................................. l9 Experiment 2: Loading Cap Placement ............................................................... 19 Experiment 3: Loading Platform Composition .................................................... 20 Experiment 4: Main Study .................................................................................. 20 Statistical Analysis ............................................................................................ 21 RESULTS .................................................................................................................... 23 Results of Repeatability Experiments ................................................................. 23 Experiment 1: Fresh vs. Thawed Limbs ............................................................. 23 Experiment 2: Loading Cap Placement ............................................................... 26 Experiment 3: Loading Platform Composition .................................................... 28 Power Calculations for Experiment 4 ................................................................. 28 Experiment 4: Main Study .................................................................................. 28 Total Contact Between Left and Right Hooves ...................................... 28 Total Contact Between Medial and Lateral Claws .................................. 30 Claw Contact in Zones ........................................................................... 32 Correlation Analysis .............................................................................. 36 DISCUSSION .............................................................................................................. 42 iv CONCLUSIONS .......................................................................................................... 57 APPENDICES ............................................................................................................. 59 Appendix A ....................................................................................................... 59 Appendix B ....................................................................................................... 6O BIBLIOGRAPHY ........................................................................................................ 62 Table 1 Table 2 Table 3 Table 4 LIST OF TABLES Spearman Rank Order Correlation coefficients (R) for the toe height, heel height, and toe height to heel height ratio (T11) of the lateral claw vs. claw contact area in lateral claw zones (N=53). Statistically significant p values are highlighted. ...................................................................................... 38 Spearman Rank Order Correlation coeficients (R) for the toe height, heel height, and toe height to heel height ratio (TzH) of the medial claw vs. claw contact area in medial claw zones (N=53). Statistically significant p values are highlighted. ........................................................ 39 Spearman Rank Order Correlation coefficients (R) for the toe height, heel height, and toe height to heel height ratio (T:H) of the lateral claw vs. the percentage of total contact in lateral claw zone (N=53). ......................... 40 Spearman Rank Order Correlation coefficients (R) for the toe height, heel height, and toe height to heel height ratio (TzH) of the medial claw vs. the percentage of total contact in medial claw zones (N=53). Statistically significant p values are highlighted. ........................................................ 41 Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7. LIST OF FIGURES Hoof measurement parameters, A, toe height; B, heel height; C, dorsal wall length; D, dorsal wall angle; E, diagonal hoof length; F, claw length; G, sole width (adapted from Vermunt and Greenough, 1993). ............................................................................ 5 Distal limb attached to loading cap and positioned in custom loading jig on Instron prior to testing. .................................................... 16 Example of composite image file, contact image, sole outline, and claw zone layers for hoof number 036 with registration reference marks (arrows). The contact image and sole outline layers are superimposed. The contact zones are labeled Lateral Dorsal, Lateral Middle, Lateral Plantar, Medial Dorsal, Medial Middle, and Medial Plantar. ................................................................... 18 Mean total hoof contact i l standard deviation for fresh and thawed limbs, 1.76 i 0.30 cm2 and 2.26 i: 0.55 cm2, respectively (N=7). ................................................................................................... 25 Mean total hoof contact i 1 standard deviation for initial and repeated loading cap placement were 1.39 i 0.21 cm2 and 1.32 i: 0.21 cmz, respectively (N=7). ................................................................................ 27 Median contact area for left and right hooves. The median total contact areas for the hooves were 2.06 cm2 and 1.83 cm2 for right and left hooves, respectively (N=8, p=0.33). ...................................................... 29 Column medians of contact area for lateral and medial claws. The median contact areas were 1.26 cm2 and 0.38 cm2 for lateral and medial claws, respectively (N=53, p<0.001). ........................................... 31 vii Figure 8 Figure 9 Column medians for zone contact area in the lateral claw. The contact area means were 0.48 cmz, 0.18 cm2, and 0.46 cm2 for the lateral dorsal (LD), lateral middle (LM), and lateral plantar (LP) zones, respectively (N=53). ............................... 34 Column medians for zone contact area in the medial claw. The contact area medians were 0.30 cmz, 0.00 cm2, and 0.00 cm2 for the medial dorsal (MD), medial middle (MM), and medial plantar (MP) zones, respectively (N=53). ............................................. 35 viii INTRODUCTION Lameness is a major economic problem facing the dairy industry. Decreased milk production, reproductive inefficiency, and involuntary culling are losses commonly associated with lameness. Wells reports an incidence of 43 cases of lameness/ 100 cows/year of lameness in herds with systematic lameness detection (Wells, Trent, Marsh, and Robinson, 1993) using a locomotion scoring system to determine the presence of lameness and epiderniologic analysis to determine the incidence of lameness in 17 herds. It was concluded in 1985 that economic losses exceeded $200 per lameness case (Amstutz, 1985). This report assigned 1985 dollar values to economic data presented in 1964 (Weaver, 1964). Hoof conformation has been examined to classify dairy cattle for genetic improvement and as a predisposing factor in the development of lameneSs (Vermunt and Greenough, 1995). Previous investigators (Greenough, MacCallum, and Weaver, 1981, Rebhun and Pearson, 1882, Ral, 1990, Kasari, 1993,) have proposed that hoof overgrth leads to an increased incidence of clinical lameness. The proposed etiologies would suggest, that as hoof overgrth occurs, pressure is redistributed towards the heel. The relationship of hoof conformation to sole contact distribution has not been previously examined. The current study was proposed to determine if difi‘erences in hoof conformation alter the sole contact distribution of the bovine hindlimb. LITERATURE REVIEW The study of bovine lameness requires thorough a understanding of the normal anatomy and growth characteristics of the bovine hoof. Normal growth of the hoof wall occurs at the coronary band at a rate of approximately 5.0 mm per month (Greenough et al., 1981). Greenough suggests that the growth of the wall is asymmetric. This suggestion is based on the observed divergence of the growth rings, which are linear depressions in the external wall indicating variable wall thickness, at the dorsal border of the wall. The sole is produced by the corium of the sole. Sole growth has been determined to occur at a rate of 6.0 mm per month (Greenough, Vermunt, and McKinnon, 1990). The junction of the sole and wall is known as the white line, which is characterized by lack of pigment in the tubular and interlaminar horn of this region. The epidermis of the hoof consists of four layers, including the stratum germinativum, the stratum intemum, the stratum medium, and the stratum extemum (Greenough et al., 1981). The deepest layer is the stratum germinativum. Hoof matrix is formed as cells of the germinal layer are forced toward the external surface of the epidermis. The papillary arrangement of the dermis results in the formation of horn arranged in tubules. The hoof matrix is composed of these tubules and intertubular horn. As the replicating cells of the stratum germinativum proceed toward the surface the next layer formed is the stratum intemum. The stratum intemum is also called the horny lamina. 3 The horny lamina is the deepest portion of the insensitive laminae. The stratum medium comprises the thickest portion of the hoof. The external surface of the hoof is the stratum extemum. The stratum extemum is derived from the periople and may be absent over the majority of the hoof. During migration, the cells become keratinized as nutrient supply is lost (Toussaint-Raven, 1985). Under optimal interaction of host, nutrition, and environment, the rate of horn production should equal horn wear. Hoof quality depends upon the environment, the rnicroarchitecture of the hoof, and water content of the hoof horn material or matrix. The hardness of the horn matrix has been shown to be directly related to the density of the tubules (Gunther, Anton, and K'a'sterner, 1983). Normal, good-quality horn has been described as having a tubular density of 80 tubules per mm2 in the wall and 16 tubules per mm2 in the sole (Politiek, Distl, Fjeldaas, Heeres, McDaniel, Nielsen, Peterse, Reurink, and Strandberg, 1986). The water content of the hoof, normally less than 25% (Fritsch, 1966), can also be related to tubular density. Decreased tubular density can allow more water to be absorbed into the intertubular matrix (Vermunt and Greenough, 1995). Exposure to moisture in the environment can increase or decrease the water content of the hoof matrix (Vermunt and Greenough, 1995). Hoof conformation has been studied as a means of classifying dairy cattle for genetic improvement and as a predisposing cause of lameness (V ermunt and Greenough, 1995). One report, a review of hoof conformation studies, described several measurement techniques used to assess hoof conformation in cattle (Vermunt and Greenough, 1995). One technique involves measurement of the dorsal wall length and determination of the 4 dorsal wall angle with a modified protractor (Hahn, McDaniel, and Wilk, 1984). Vermunt reported that heel height, claw width, claw (sole) length, toe to heel height ratio (TzH), diagonal claw length, and sole area measurements have been performed in trait heritability studies, and that heritabilities and genetic variation for claw measurements and disorders were high enough that genetic improvement in these traits could be achieved (Vermunt and Greenough, 1995). The dorsal wall length is measured from the periople to the apex of the toe. Dorsal wall angle determination involves placing a modified protractor on the proximal three cm of the dorsal wall and measuring the angle between the dorsal wall and the weight-bearing surface. Heel height is typically measured at the bulbs of the heel and is the distance from the hair line to the ground (Vermunt and Greenough, 1995). Claw width is the greatest distance between the axial and abaxial wall. Claw or sole length is the length of the weight-bearing surface from the dorsal wall to the plantar aspect of the sole. The toe height to heel height ratio is calculated by dividing the height of the toe at the dorsal coronary band by the heel height. The diagonal length is the distance fi'om the distal toe (apex) to the proximal aspect of the heel (horn-skin junction of the heel). The diagonal is measured along the abaxial wall. The sole area, determined with sole imprints or hoof tracings, is estimated by the product of the claw length and the claw width (Vermunt and Greenough, 1995) since the weight-bearing surface of the sole is not rectangular. Figure l Hoof measurement parameters, A, toe height; B, heel height; C, dorsal wall length; D, dorsal wall angle; E, diagonal hoof length; F, claw length; G, sole width (adapted from Vermunt and Greenough, 1995). 6 The majority of hoof conformation studies deal with heritabilities of claw traits and selection of breeding stock based on these traits. Hahn et al. (1984), McDaniel (1994), Smit, Verbeek, Peterse, Jansen, McDaniel, and Politiek, (1986), Baumgarter and Distl (1990) demonstrated a moderate-to-high heritability for dorsal wall angle, dorsal wall length, and heel height. Two studies concluded that the heritabilities of claw measurements and claw disorders were of sufficient magnitude that these traits could be used for genetic improvement (Politiek et al., 1986; Ral, 1990). Causal relationships between lameness and hoof conformation are difficult to prove because change in conformation may be a predisposing factor or the result of digital disease (Ral, 1990). Ral also suggested that increased T:H were correlated to a high frequency of claw disorders, abnormal conditions of the hoof that cause lameness (Ral, 1990). Animals have been the subject of biomechanical studies Since the first kinematic experiments involving cinematographic procedures in the late 18003. These early studies utilized high-speed cinematography to evaluate locomotion patterns of the horse (Muybridge, 1899). Advancement of biomechanics eventually led to development of equipment to assess ground reaction forces, the external forces acting on the limb as a result of contact with the ground. Early work with cattle involved measuring the vertical component of the external forces acting on individual digits of the hindlimb by placing the subject’s hoof on a platform and measuring the weight borne by each claw (Toussaint- Raven, 1973). This platform measured only the vertical component of load with no measurement of the load distribution on the claws. More recent studies involve the use of force plates (Scott, 1988). Force plates incorporate piezoelectric devices or strain gauges 7 to measure ground reaction forces. In kinetic studies the forces are evaluated in the vertical, medial-lateral, and anterior-posterior directions. Scott reported the use of a force plate in conjunction with a pedobaroscope to evaluate the vertical ground reaction forces and contact area in growing heifers (Scott, 1988). This report concluded that, at the time of peak vertical force, the heel and abaxial wall regions of the hoof provided support. While this study characterized the distribution of contact and vertical forces for the entire limb, it did not examine the conformational changes associated with hoof growth, wear, or trimming. Determination of the external forces acting on the hooves involves examination of the ground reaction forces applied to the digit. Previous biomechanical studies in cattle have not evaluated forces acting within the digit. Scott (1988) suggested that the areas of support (sole contact) can change with hoof growth, wear and corrective hoof trimming, however, no data were presented in Scott’s study to support this suggestion. Based on extrapolation from the literature on equine joint mechanics, increases in the T:H will change the angle of the cofiin (distal interphalangeal joint), resulting in an increase in the moment about the joint (Bartel, Schryver, Lowe, and Parker, 1978). A moment is the product of the applied force and the perpendicular distance from the axis of rotation to the point on the line of transmission of that force. An increase in the moment about the distal interphalangeal joint would increase the load on the deep digital flexor tendon (Bartel et al., 1978). Using Bartel’s mathematical model, increasing the moment about the distal interphalangeal joint during midstance phase, when the metatarsal angle is perpendicular to 8 the ground, will shift the center of pressure in the caudal direction to the plantar area of the sole. Abnormal growth and wear of the bovine hoof are important predisposing factors associated with lameness (Greenough et al., 1981). Abnormal rates of horn production and horn wear can occur with modern agricultural practices. Elevated dietary protein (Manson and Leaver, 1988) and high-energy diets (Greenough et al., 1990) required for maximum productivity can lead to increased horn production. Intensive housing commonly uses concrete flooring, which has been shown to alter the normal rates of wear of the plantar region of the hooves (Hahn et al., 1986). As the dorsal wall lengthens, weight is shifted to the caudal aspect of the sole near the sole heel junction (Kasari, 1993). Scott has conducted biomechanical studies to examine the relationship between limb loading and the pressures generated under the soles in cattle (Scott, 1988; Scott, 1989). In a study using a pedobaroscope, it was reported that there was no significant difl‘erence in contact area between fore- and hindlimbs and that, at the time of peak vertical ground reaction force, the heels and abaxial walls provided support (Scott, 1988). A pedobaroscope is a device that measures the sole contact by collecting video images of distortions of refracted light caused by application of pressure on membrane-covered glass. Later, Scott reported that there is often a symmetrical distribution of lesions between contralateral feet and concluded that secondary lesions develop due to increased loading in one limb in an attempt to unload the site of the primary lesion in the other limb (Scott, 1989). This author suggested that the study of applied loads to the feet of cattle was important to improve the understanding of mechanical factors associated with 9 lameness. There have been no published reports of the relationship between hoof conformation and biomechanical properties of the bovine digit. Evaluation of digital disease in cattle requires a thorough understanding of the common conditions resulting in lameness. Common lameness conditions associated with abnormal hoof conformation include laminitis, pododermatitis circumscripta, horn erosion, and white line disease (Baggott and Russell, 1981). Laminitis is a multifactorial disease resulting from the interaction of the host, infectious agents, and nutritional and/or management factors. Infectious agents include bacterial agents that release endotoxins or exotoxins and viruses that affect vascular permeability or result in decreased tissue perfirsion. Nutritional or management causes of laminitis include elevated dietary protein (Manson and Leaver, 1988) and excessive energy in diets (Greenough et al., 1990) required for maximum productivity, subacute rumen acidosis as a result of inadequate rumen bufi‘ering or decreased efi‘ective fiber intake (N ordlund, 1996), and slug feeding behavior of cattle in response to social pressure, seasonal stresses, high ambient temperature, or humidity (Guard, 1996). Subclinical, acute, subacute, and chronic laminitis have been described in cattle. No clear distinction of the forms can be established because the condition can progress from one form of laminitis to another. It has been reported that the specific laminitis form observed is dependent upon the severity, frequency, and duration of exposure to insults, and the genetic predisposition of the animal affected (Mortensen, 1994). Singh, using an endotoxin model of subclinical laminitis, examined the histological changes associated with laminitis (Singh, Murray, and Ward, 1994b). Separation of the 10 matrix from the papillae and laminae was demonstrated. Blood and serum from hemorrhage of the corium and/ or laminae was incorporated into the matrix, resulting in a decrease of the horn quality. As horn production resumes, following an insult to the corium or laminae, the blood and serum are included into the newly formed horn. As the newly formed horn matures and moves toward the surface the petechial hemorrhage is observed within the sole matrix. Increased T:H can occur as a combination of two factors. As the toe lengthens, due to the asymmetrical horn production, i.e., divergence of the growth rings at the dorsal border, the T:H becomes larger. Horn grth is accelerated, especially in the dorsal wall and sole. Accelerated wear of the damaged matrix of the plantar sole and heel can also occur. Chronic laminitis has been associated with generally accelerated hoof growth or production ( Mortensen, Vermunt, Smits, Enevoldsen, vanKeulen, Greenough, Bergsten, Menzel, Brizzi, Pluvinage, Bargai, Murray, and Kelly, 1992). Pododermatitis circumscripta lesions, also known as Rusterholz ulcers or sole ulcers, are defined as granulation tissue protruding through a defect in the sole superficial to the insertion of the deep digital flexor tendon to the distal phalanx (Greenough et al, 1981). In one study, pododermatitis circumscripta was the most frequently diagnosed sole lesion resulting in lameness (Greenough and Vermunt, 1991). Possible etiologies for pododermatitis circumscripta include localized avascularity of the corium at the site of ulcer formation (Singh, Murray, and Ward, 1994), exostosis of the plantar aspect of the distal phalanx at the insertion of the deep digital flexor tendon (Greenough et al, 1981), and/or increased concussive forces at the sole heel junction (Rebhun and Pearson, 1982). ll Localized avascularity of the corium at the site of ulcer formation can occur as a result of subclinical laminitis (Singh, Murray, and Ward, 1994). Exostosis of the plantar aspect of the distal phalanx at the insertion of the deep digital flexor tendon occurs as a result Of increased tension on the tendon (Greenough et al, 1981). HYPOTHESIS Increased toe height, decreased heel height, or an increased T:H leads to a plantar redistribution of the sole contact. Specific Aims 1) Examine the contact area of the sole under a standard load and testing protocol. 2) Examine the relationship between external measurements, toe height, heel height, and T:H, and the contact area and contact distribution of the weight-bearing surface of the hoof in cadaver limbs. 12 MATERIALS AND METHODS Specimen Collection and Preparation Right or left rear limbs were harvested from adult female cull cattle presented for slaughter at a local abattoir'. The limbs were disarticulated at the tarsal-metatarsal joint. The hooves were cleaned with a pressure washer and the specimens were frozen at -20° C within 12 hours of collection. Twenty-four hours prior to testing, the specimens were removed from the freezer and allowed to thaw at room temperature. Initial measurements of the hoof parameters, toe height, and heel height were collected (Figure 1). The soft tissues were removed {Tom the proximal aspect of the limb segment to expose 10 cm of the metatarsal bone. The proximal metatarsus was transected at 90° to the long axis with a band saw to ensure a flat perpendicular loading surface. The deep and superficial flexor tendons were attached to the metatarsus with a spiked washer and 4.5 mm cortical bone screw” to prevent hyperextension of the fetlock and pastem during loading. A 3.5 mm hole was drilled through both cortices at the mid-diaphyseal point perpendicular to the long axis of the “ Marco Packing Co., Plainwell, MI b Synthes (USA), Paoli, PA 13 14 metatarsus. The hole was tapped to accommodate a 4.5 mm cortical bone screw. The fetlock and pastem were maintained in a neutral position during tendon attachment by clamping the metatarsus in a vice with the sole surface perpendicular to the metatarsus. Limb Loading and Image Generation The limb was placed in a custom specimen jig ° (Figure 2). The angle of the long axis of the metatarsus to the loading stem of the cap was measured on the anterior and lateral aspect to maintain a parallel relationship. This ensured axial loading of the metatarsus. The jig was attached to a 500 lb. load cell mounted on an Instron 8501 M uniaxial testing machined. The loading platform consisted of an oak board 1.5 inches thick covered with a clear plastic overlay marked with perpendicular registration lines in the anterior-posterior and medial-lateral directions. The hoof was positioned on white copy paper and preloaded to approximately 70 Newtons (N). The sole outline was traced and reference points were marked at the edge of the paper for future analysis. The load was removed but the limb remained suspended. The preload was reapplied with the hoof positioned on pressure- sensitive film" (Appendix A). Once in place, a compressive load of 1300 N (300 lb.) was applied to the proximal metatarsus to mimic normal weight-bearing force (Appendix B). The load was applied at a displacement rate of 25 mm/min. The contact ° Engineering Research Department, Michigan State University, East Lansing, MI d Instron, model 8501M, Canton, MA ° Fuji Superlow Pressure Prescale Film, Japan, Itochu International , New York, NY 15 distribution pattern of the hoof and registration marks were recorded on Fuji Superlow pressure-sensitive film‘. The contact image and outline were then scanned on a flatbed scanner; at 300 dots per inch (dpi). The contact images and sole outlines were saved to disk as black-and-white image files. f HP ScanJet 4P, Hewlett-Packard Co., Camas, WA t i l r i l Figure 2 Distal limb attached to loading cap and positioned in custom loading jig on Instron prior to testing. 17 Image Analysis The contact image was opened using Adobe Photoshop 3.0g software and saved as a composite file. The sole outline was then opened, copied, and pasted as a layer over the contact image. The outline layer was then positioned over the contact (background) image so that the reference marks on each image were superimposed. The sole outline for each digit was divided into three equal parts, based on the percentage of total sole length, to allow determination of dorsal, middle, and plantar zones of the sole. This arbitrary division of the sole was accomplished by creating another layer in the composite copied from a grid consisting of three equal sections. The grid was positioned over each digit and scaled to the total length of the digit. The total composite image, including the contact image, the sole outline, and zone grids, was saved (Figure 3). The grid layer over a digit was selected. For each zone of the digit, contact information was copied from the background layer, pasted, and saved as a new file. The image protocol was repeated for each zone of each digit and saved on disk. The image for each zone was then analyzed for contact area (cmz) using image analysis software (Sigrnascan Pro Image 2.0“). Contact area for each zone of each digit was determined and saved. 8 Adobe Systems, Mountain View, CA " Jandel Scientific Software, San Rafael, CA I: 18 Lateral Claw Medial Claw Lateral Dorsal ' 0"" Medial Dorsal \. Lateral Middle Medial Middle - <- -> Lateral Plantar Medial Plantar Figure 3 Example of composite image file, contact image, sole outline, and claw zone layers for hoof number 036 with registration reference marks (arrows). The contact image and sole outline layers are superimposed. The contact zones are labeled Lateral Dorsal, Lateral Middle, Lateral Plantar, Medial Dorsal, Medial Middle, and Medial Plantar. 19 Experimental Design Potential sources of error identified were the effect of freezing of the specimens prior to testing, the site of tendon attachment, loading cap placement, and the effect of the loading platform composition. Experiment 1: Fresh vs. Thawed Limbs Experiments were performed to examine the potential effect of freezing and thawing of the limbs on the sole contact distribution and area. Since all of the experimental data was collected on frozen specimens it was decided to evaluate the effect of freezing on a small number of replicates. Seven fresh limbs were prepared, tested, and then fi'ozen at — 20° C for 24 hours. The frozen limbs were then thawed at room temperature, 20° C, and retested. The total contact areas were compared with a paired T-test to determine if a large measurement difi‘erence was introduced by fi'eezing the specimens. Experiment 2: Loading Cap Placement The placement of the limb in the loading cap was examined on seven specimens by testing each limb and repeating the test after removing the loading cap and repositioning the limb in the cap with no rotation. The results were compared using a paired T-test to determine if a large data collection error was introduced in the sole contact area by the loading cap placement. 20 Experiment 3: Loading Platform Composition In order to test the effect of the loading platform composition on the repeatability of the experiment, a concrete platform was constructed in the same dimensions as the oak platform. Six limbs were to be tested using this platform and the oak platform. The limbs were tested on the oak platform, raised, and testing was repeated on the concrete platform. During testing the surface of the concrete platform became visibly worn. Further testing of the platform was discontinued and the images were deleted from the study. Experiment 4: Main Study The main study of the project was designed to determine if a correlation exists between external hoof measurements, toe height, heel height, and T:H of each claw, and the sole contact area and the distribution of sole contact between the sole zones of each claw. Each rear limb was prepared and tested using the standardized protocol. Image analysis was performed and the information was stored in a spreadsheet. After testing twenty limbs, sample size calculations were performed in Sigma Stat 2.0i statistical software using the variance of the twenty initial limbs, alpha error of 0.05, and a power of 0.80 to estimate the total number of samples required. Based on this information an additional thirty-three limbs were tested. IJandel Scientific Software, San Rafael. CA 21 Statistical Analysis Nonparametric statistical testing was employed in some instances for the present study due to a relatively small sample size and the fact that some of the data were not normally distributed, i.e., non-gaussian. The spreadsheet information was opened in the Sigrnastat 2.0g statistics program. Data from the spreadsheets were analyzed to determine if statistically significant differences were observed in the total contact between left and right hooves, between lateral and medial claws, and between contact or the percentage of the total contact in the zones within each claw. Total contact of the eight right hooves and eight randomly chosen lefi hooves were examined utilizing the Mann-Whitney Rank Sum test to determine if the testing protocol resulted in statistically significant differences in the contact observed. The total contact data for lateral and medial claws of all fifty-three limbs were analyzed to determine if a statistically significant difference in total sole contact was noted between the claws. The Mann-Whitney Rank Sum test was also utilized in this case. Contact differences within the claws were examined to determine if there was a significant difference in the contact observed in the three zones of the claw. These data were analyzed using the Kruskal- Wallis ANOVA on Ranks and all pairwise comparisons were made with the Student- Newman-Keuls test. Spearman Rank Order Correlation analysis was performed to determine if there was a relationship between the toe height, heel height, or the T:H of each claw and the contact area (cmz) or the percentage of the total contact that was observed in each zone of the weight-bearing surface of the claw. Non-parametric testing was used in this analysis 22 since the dependent variable, % contact, was a percentage value and therefore restricted to a value between 0 and 100. The statistical tests were performed using statistical software (Sigma-Stat 2.0i or Microsoft Excel 5.0‘). J'Microsofi Corporation, Bothell, WA RESULTS Results of Repeatability Experiments The data acquired from the repeatability experiments were analyzed to determine if statistically significant error would be introduced by using previously flozen limbs, the site of tendon attachment, the loading cap placement, or the surface of the testing platform. Experiment 1: Fresh vs. Thawed Limbs Seven limbs were tested to examine repeatability of the total contact area (cmz) in fresh and thawed limbs. The mean total contact areas i 1 standard deviation for the flesh and flozen limbs were 1.76 i 0.30 cm2 and 2.26 i 0.55 cmz, respectively (Figure 4). The total sole contact area data were analyzed with a Paired T-test to determine if significant error was introduced by fleezing and thawing the limbs prior to testing. The results of the Paired T-test were t=-l .88 with 6 degrees of freedom and p=0.l 1. Individual zone contact data were also analyzed with a Paired T-test to determine if significant error was introduced into zone contact information by freezing and thawing. The mean contact for the lateral dorsal zone of the flesh limbs was 0.50 cm2 and 0.57 cm2 for the lateral dorsal zone following the fleeze thaw cycle. The results of the Paired T-test for the lateral dorsal zone were t=-0.98 with 6 degrees of freedom (N=7, p=0.36). The mean contact for the lateral middle zone was 0.56 cm2 and 0.72 cm2 for the flesh and thawed limbs, 23 24 respectively. The results of the Paired T-test for the lateral middle zone was t=-0.907 with 6 degrees of freedom (N=7, p=0.40). The mean contact for the lateral plantar zone was 0.34 cm2 and 0.31 cm2 for the flesh and thawed limbs, respectively. The results of the Paired T-test for the lateral plantar zone was t=0.51 with 6 degrees of fleedom (N=7, p=0.63). The mean contact for the medial dorsal zone was 0.19 cm2 and 0.27 cm2 for the flesh and thawed limbs, respectively. The results of the Paired T-test for the medial dorsal zone was t=-2.4S with 6 degrees of fleedom (N=7, p=0.05). The mean contact for the medial middle zone was 0.11 cm2 and 0.25 cm2 for the flesh and thawed limbs, respectively. The results of the Paired T-test for the medial middle zone was t=-2.48 with 6 degrees of fleedom (N=7, p=0.05). The mean contact for the medial plantar zone was 0.03 cm2 and 0.08 cm2 for the flesh and thawed limbs, respectively. The results of the Paired T-test for the medial plantar zone was t=-2.76 with 6 degrees of fleedom (N=7, p=0.03). 25 Mean Total Hoof Contact i9 § § Total Hoof Qpntact (cm') 2 Figure 4 Fresh Thawed Mean total hoof contact i 1 standard deviation for flesh and thawed limbs, 1.76 i 0.30 cm2 and 2.26 i 0.55 cmz, respectively (N=7). 26 Experiment 2: Loading Cap Placement The placement of the metatarsus in the loading cap was examined in seven limbs by testing the limb, repeating the testing after each limb had been removed flom the cap and repositioning the cap with no rotation. The mean total hoof contact areas i 1 standard deviation for the initial and repeated loading cap placement were 1.39 i 0.21 cm2 and 1.32 i 0.21 cmz, respectively. The data were compared with a paired T-test to determine if there were large differences in total claw contact associated with the position of the limb in the loading cap. Results of the paired T-test included a t statistic of 0.670 with 6 degrees of fleedom and p=0.670. The differences in the total hoof contact area were not significant (Figure 5). Total Hoof Contact (an) 27 Man Tolal Hoof Contact E El E p 8 p 8 p 8 Initial CapPlaeement Figure 5 Mean total hoof contact i 1 standard deviation for initial and repeated loading cap placement were 1.39 i 0.21 cm2 and 1.32 i 0.21 cmz, respectively (N =7). 28 Experiment 3: Loading Platform Composition The surface of the loading platform was examined to determine the difference in observed contact area and distribution as a result of the platform composition. Six limbs were scheduled for examination. Visible wear of the surface of the concrete in the region of toe contact occurred during testing. The concrete platform testing and analysis were discontinued and the samples were deleted flom the study due to the altered surface smoothness of the concrete platform. Power Calculations for Experiment 4 Based on power and sample size calculations following the preliminary testing of twenty limbs, it was estimated that a total of fifty limbs would require testing to achieve a power of 0.80 at an alpha error (p) of 0.05. Experiment 4: Main Study Total Contact Between Left and Right Hooves The total contact area between left and right hooves was evaluated to determine if the testing protocol introduced significant differences in the contact between lefi and right hooves, potentially altering the results of medial and lateral digits. The median total contact areas for the hooves were 2.06 cm2 and 1.83 cm2 for left and right hooves, respectively. The total contact area was analyzed using the Mann-Whitney Rank Sum Test (p=0.33, N=8) (Figure 6). No significant difl‘erence was noted between left and right hooves. The mean total sole contact for all hooves in the study was 1.89 cm2 (N=53). 29 Median Contact Area - N ail-NU: 9 01 Total Contact Area (cmz) Figure 6 Median contact area for left and light hooves. The median total contact areas for the hooves were 2.06 cm2 and 1.83 cm2 for lefi and light hooves, respectively (N=8, p=0.33). 30 Total Contact Between Medial and Lateral Claws The total sole contact areas of the lateral and medial claws were examined to determine if there was a statistically significant difference in the sole contact between claws. The median contact areas were 1.26 cm2 and 0.38 cm2 for lateral and medial claws, respectively. The median sole contact area of the lateral claws exceeded the median sole contact area of the medial claws by 69 percent. The data for total sole contact of the claws were examined using the Mann-Whitney Rank Sum Test and a statistically significant difl‘erence was observed. (N=53, p<0.001) (Figure 7). This finding indicates that there is a statistically significant diflerence in sole contact area between the lateral and medial claws. Total Contact 31 Median Contact Area Area (cmz) Lateral Medial Claw Figure 7 Column medians of contact area for lateral and medial claws. The median contact areas were 1.26 cm2 and 0.38 cm2 for lateral and medial claws, respectively (N=53, p<0.001). 32 Claw Contact In Zones The sole contact areas in the lateral dorsal (LD), lateral middle (LM), lateral plantar (LP), medial dorsal (MD), medial middle (MM), and medial plantar (MP) zones of the claws were examined to determine if statistically significant difl‘erences in sole contact were observed between the sole surface zones within the claw. The data were first analyzed with the Kruskal-Wallis ANOVA on Ranks (K-W ANOVA) to determine if statistically significant differences in sole contact were observed. A multiple pairwise comparison was then performed with the Student-Newman-Keuls (SNK) Test. The median sole contact areas for the zones of the lateral claws were 0.483 cmz, 0.175 cm2, and 0.464 cm2 for the LD, LM, and LP zones, respectively. The results of the K—W AN OVA for the lateral claw revealed statistically significant diflerences between the sole contact areas of the LD, LM, and LP zones (l-l=26.77 with 2 degrees of freedom) (p< 0001, N=53). The median sole contact areas for the zones of the medial claws were 0.295 cmz, 0.00 cm2, and 0.002 for the MD, MM, and MP zones, respectively. The results of the K-W ANOVA for the medial claw revealed statistically significant differences between the sole contact areas of the MD, MM, and MP zones (H=76.9l with 2 degrees of freedom) (p< 0.001, N=53). Statistically significant differences in the column medians for sole contact area were observed for both the lateral (Figure 8) and medial (Figure 9) claws. The median sole contact area (cmz) in the LD (0.483 cm2) and LP (0.464 cmz) zones had significantly greater sole contact areas than the LM zone (0.175 cmz) (Figure 8). The median sole contact area (cmz) in the MD zone (0.295 cmz) had significantly greater sole contact area than the MM (0.00 cmz) or the MP (0.00 cmz) zones (Figure 9). The SNK testing 33 performed on the data flom the lateral claw zone contact areas revealed statistically significant differences between the LD and LM zones as well as statistically significant differences between the LM and LP zones (p<0.05, N=53). The SNK performed on the data from the medial claw zone contact areas revealed statistically significant differences between the MD and MM zones as well as between the MD and MP zones (p<0.05, N=53). Sole contact in different areas of the sole of the lateral and medial claws were indicated by these results. Median Contact Area 1 0.9 I 0.8 - 0.7 + 0-6 “L 0.483 0.464 Contact Area (cmz) Lateral Dorsal Lateral Middle Lateral Plantar Claw Zone Figure 8 Column medians for zone contact area in the lateral claw. The median contact areas were 0.48 cmz, 0.18 cm2, and 0.46 cm2 for the lateral dorsal (LD), lateral middle (LM), and lateral plantar (LP) zones, respectively (N=53). 35 Median Contact Area v 0.7 0.00 0.00 Medial Dorsal Medial Middle Medial Plantar Claw Zone Figure 9 Column medians for zone contact area in the medial claw. The contact area medians were 0.30 cm2, 0.00 cm2, and 0.00 cm2 for the medial dorsal (MD), medial middle (MM), and medial plantar (MP) zones, respectively (N=53). 36 Correlation Analysis Spearman Rank Order Correlations were performed on the fifty-three limbs included in the main study to examine the relationship between the measured toe height, heel height, and T:H on the total sole contact area (cmz) recorded in each zone of the lateral and medial claws (Table 14). No significant correlation existed for the comparison of the lateral toe height and the total sole contact area (cmz) in the LD, LM, or the LP zones. Comparison of the medial claw toe height to the sole contact area (cmz) in the MD, MM, and MP zones revealed significant correlation (p=0.01) between the medial toe height and sole contact area (cmz) in the MM zone. The correlation coeficient (R) was 0.34 for the comparison of the medial toe height and sole contact area (cmz) in the MM zone. Correlation analysis using the Spearman Rank Order Correlation was performed to examine the relationship between the heel height and the sole contact area (cmz) in the dorsal, middle, and plantar zones of the respective claw. Significant low correlations were found between the lateral claw heel height to the sole contact area (cmz) in the LP zone and between the medial claw heel height and contact in the dorsal and middle zones of the medial claw. The correlation coefficients (R) were -0.28, 0.27, and 0.35, respectively. The p values were 0.04, 0.05, and 0.01, respectively. Correlation analysis was performed for the lateral and medial T:H and the sole contact area (cmz) in the LD, LM, and LP, and the MD, MM, and MP zones respectively. Significant correlation (R=0.33, p=0.02) existed between the lateral claw T:H and contact 37 in the LP zone. A significant relationship also existed between the medial claw T:H and contact in the MD zone (R=-0.32) (p=0.02) (N=53). Linear regressions were not performed to examine the predictive ability of the measured lateral and medial claw toe height, heel height, and T:H on the percentage of total sole contact observed in each zone of the respective claw because the correlations between the variables were small. No significant relationship between the toe height, heel height, or T:H of the lateral claw and the percentage of claw contact in the LD, LM, or LP zones were found when Spearman Rank Order Correlation analysis was performed. Significant correlation was detected between the medial claw toe height and the percentage of total claw contact in the MD, (R=-0.28) (p=0.04), and MM, (R= 0.34) (p=0.01) zones. The analysis of the relationship between medial claw heel height and the percentage of the total claw contact area in the dorsal, middle, and plantar sole zones of the respective claw revealed a significant relationship (p=0.02) only between the medial claw heel height and the percentage of total claw contact in the middle zones of the medial claw. The correlation coeflicient (R) was 0.32 for the comparison of the medial claw heel height and the percentage of the total claw contact in the MM zone. No significant relationship was found between the T:H and the percentage of total claw contact in the zones of the medial claw. 38 Table 1 Spearman Rank Order Correlation coefficients (R) for the toe height, heel height, and toe height to heel height ratio (T:H) of the lateral claw vs. claw contact area in lateral claw zones (N=53). Statistically significant p values are highlighted. Spearman Rank Order Correlation N R p value Toe Height vs. Contact in Lateral Dorsal Zone 53 -0.09 0.54 Toe Height vs. Contact in Lateral Middle Zone 53 -0.23 0.09 Toe Height vs. Contact in Lateral Plantar 53 0.23 0.10 Zone Heel Height vs. Contact in Lateral Dorsal Zone 53 -0.05 0.72 Heel Height vs. Contact in Lateral Middle 53 0.04 0.77 Zone Heel Height vs. Contact in Lateral Plantar 53 -0.28 0.04 Zone T:H vs. Contact in Lateral Dorsal Zone 53 -0.06 0.69 T:H vs. Contact in Lateral Middle Zone 53 -0.08 0.58 T:H vs. Contact in Lateral Plantar Zone 53 0.33 0.02 39 Table 2 Spearman Rank Order Correlation coefficients (R) for the toe height, heel height, and toe height to heel height ratio (T:H) of the medial claw vs. claw contact area in medial claw zones (N=53). Statistically significant p values are highlighted. Spearman Rank Order Correlation N R p value Toe Height vs. Contact in Medial Dorsal Zone 53 0.06 0.65 Toe Height vs. Contact in Medial Middle Zone 53 0.34 0.01 Toe Height vs. Contact in Medial Plantar 53 0.16 0.24 Zone Heel Height vs. Contact in Medial Dorsal Zone 53 0.27 0.05 Heel Height vs. Contact in Medial Middle 53 0.35 0.01 Zone Heel Height vs. Contact in Medial Plantar 53 0.11 0.42 Zone T:H vs. Contact in Medial Dorsal Zone 53 -0.32 0.02 T:H vs. Contact in Media] Middle Zone 53 -0.16 0.26 T:H vs. Contact in Medial Plantar Zone 53 -0.06 0.69 40 Table 3 Spearman Rank Order Correlation coefficients (R) for the toe height, heel height, and toe height to heel height ratio (T:H) of the lateral claw vs. the percentage of total contact in lateral claw zone (N=53). Spearman Rank Order Correlation N R p value Toe Height vs. % Contact in Lateral Dorsal 53 -0.03 0.80 Zone Toe Height vs. % Contact in Lateral Middle 53 -0.02 0.09 Zone Toe Height vs. % Contact in Lateral Plantar 53 0.23 0.10 Zone Heel Height vs. °/o Contact in Lateral Dorsal 53 -0.24 0.08 Zone Heel Height vs. % Contact in Lateral Middle 53 -0.10 0.47 Zone Heel Height vs. % Contact in Lateral Plantar 53 0.20 0.16 Zone T:H vs. % Contact in Lateral Dorsal Zone 53 0.20 0.16 T:H vs. % Contact in Lateral Middle Zone 53 0.07 0.61 T:H vs. % Contact in Lateral Plantar Zone 53 0.17 0.21 41 Table 4 Spearman Rank Order Correlation coefficients (R) for the toe height, heel height, and toe height to heel height ratio (T:H) of the medial claw vs. the percentage of total contact in medial claw zones (N=53). Statistically significant p values are highlighted. Spearman Rank Order Correlation N R p value Toe Height vs. % Contact in Medial Dorsal 53 -0.28 0.04 Zone Toe Height vs. % Contact in Medial Middle 53 0.34 0.01 Zone Toe Height vs. % Contact in Medial Plantar 53 0.12 0.37 Zone Heel Height vs. % Contact in Medial Dorsal 53 -0.18 0.20 Zone Heel Height vs. °/e Contact in Medial 53 0.32 0.02 Middle Zone Heel Height vs. % Contact in Medial 53 0.07 0.63 Plantar Zone T:H vs. % Contact in Medial Dorsal Zone 53 0.02 0.92 T:H vs. % Contact in Medial Middle Zone 53 -0. 14 0.30 T:H vs. % Contact in Medial Plantar Zone 53 -0.03 0.81 DISCUSSION Several points regarding the design of the present study should be addressed, including the anatomic landmark for measurement of the heel depth, pressure-sensitive film selection, the total load applied to the limb, the displacement rate, the site of tendon attachment, the loading platform construction, and the use of frozen specimens. Heel depth in the present study, the distance from the proximal aspect of the abaxial groove to the sole, was measured perpendicular to the sole. This method differs only slightly from the technique reported in the literature (Vermunt and Greenough, 1995) and allows the use of a consistent anatomic landmark. Differences in the axial and abaxial heel height on each claw will not affect this measurement. This measurement technique also provides other investigators the ability to repeat the measurement with accuracy. The most sensitive film available was selected because the researcher’s intent was to detect the maximum amount of sole contact. Less-sensitive film could have been used that would have allowed densiometric evaluation of pressure distribution. Selection of less-sensitive film would also result in loss of the areas with minimal contact pressure and would therefore decrease the total contact area recorded. With the selection of the most sensitive film available, the areas of contact that exceeded the upper level of pressure sensitivity of the film produced maximum indicator density (saturation) on the film. Saturation of the film results in loss of the ability to detect the pressure gradient 42 43 using a densiometer. Pressure and load distribution information were beyond the scope of the present study. The total load applied to the specimens in this study was chosen to mimic the normal load applied to a rear digit in a standing adult cow. The total load in this study (1300 N) was selected as slightly higher than one fourth of the average live weight (550 kg) of the adult cattle presented for slaughter on the day the specimens were collected. Although Scott reports that only 45% of the body weight is supported by the hindlimbs in cattle at rest (Scott, 1988), the peak loading in this study represented transient weight shifting to rest the contralateral limb. The displacement rate of 25 mm per minute was selected to allow gradual and controlled loading of the tendons and ligaments. A rapid loading rate might have caused a difference in the contact image due to the relatively elastic response of the tendons and ligaments of the distal limb. The slower loading rate was elected to ensure integrity of soft tissues as tendon and ligament failure is dependent on loading rate. The rate chosen allowed the operator to suspend loading and maintain displacement as the maximum load was applied. The utilization of commercially available software for image analysis precluded expensive and time-consuming customized programming for image analysis. Commercially available software also had the benefit of providing readily accessible professional technical support. The use of commercially available software would also enable other researchers to easily repeat or expand the present study. 44 Tendons were attached to the metatarsus at fifty percent of the metatarsal length in the present study to for several reasons. Fifty percent of the metatarsal length was chosen because this site is easily identified. This site posed no interference with loading cap placement. Screw and spiked washer placement at fifty percent of the metatarsal length attached the flexor tendons proximal to the site where the tendons divide to act on each digit. No significant error was introduced by the site of tendon attachment. The placement of the limb in the loading cap, Experiment 2, did not significame alter the contact area observed in the present study. These limbs were loaded on the oak platform before and after removal and replacement of the loading cap. The oak loading platform was used in this study to allow a smooth, flat, hard surface for loading that would allow height adjustment for anatomic variation of the metatarsal length. A concrete platform was constructed and initially tested but was abandoned as wear of the concrete in the toe region altered the surface of the platform. While concrete would more accurately mimic the surface on which most confined cattle walk, a gradually changing surface would have resulted in loss of contact information in later specimens. Repeating this study with in vivo testing on concrete may produce data that would more accurately mimic the sole contact occurring in the normal environment of cattle on concrete. The lack of significant differences in the loading cap experiment led the researcher to conclude that the loading platform did not significantly affect the repeatability of the experiment. There was no significant difference in the contact observed between the left and right hooves. This finding supports literature reports citing no difference in the loading of 45 contralateral limbs during kinetic studies (Scott, 1988). No significant error was introduced related to the selection of left or right hooves for the present study. If the protocol had introduced more contact in either lefl or right hooves, a difference should have been noted. During Experiment 1, it was noted that the total sole contact in limbs that were frozen, thawed, and tested exceeded the total contact in the previously tested fresh limbs by twenty-eight percent (Figure 4). While this finding was not statistically significant at a significance level of 0.05, the p value of 0.11 approaches the level of significance for total sole contact. The mean contact area in the lateral dorsal zone of the thawed specimens was 14% greater than the mean contact area in this zone of the fresh specimens. The mean contact area for the lateral middle zone increased 30% as a result of the freeze-thaw cycle. The mean contact area of the lateral plantar zone decreased 8% following the freeze-thaw cycle. The differences in contact in the zones of the lateral claw as a result of freezing and thawing are not statistically significant, however the amount of change in the mean contact area is of note. The differences of the mean contact in the zones of the medial claw as a result of the freeze-thaw cycle are statistically significant. The mean contact in the zones of the medial claw increased 42%, l27%, and 166% for the dorsal, middle, and plantar zones, respectively. The observed difference in sole contact may be a result of tissue changes occurring in the sofi tissues of the limb during the freeze-thaw cycle. In order to control the site of tendon attachment during the thawed specimen test, the limb was frozen following the fresh specimen test with the attachment screw in place. During the freezing and thawing process the tendons may have stretched resulting in an alteration of the 46 tension on the flexor tendon during loading. Freezing and thawing may also have had an effect on the digital cushion resulting in altered loading of the sole. This suggests that caution should be exercised when comparing the results obtained from thawed limbs to those obtained flom fresh limbs. Due to logistic problems encountered with sample collection and scheduling mechanical testing, flesh limbs could not be utilized for the present study. Tissue degeneration as a result of prolonged storage precluded the use of flesh limbs for mechanical testing. The present study made several contributions to the body of information on the biomechanics of the bovine digit. These contributions include additional information on the area and distribution of sole contact in cattle. The mean total rear hoof contact area information collected during the present study (1.89 cmz) is slightly higher than the data presented by Scott for the contact area in the rear hooves (Scott, 1988). The observed discrepancy may have occurred as a result of several factors. This discrepancy is expected since the limbs utilized in the present study were obtained from adult female cattle, whereas the previous work involved measuring the total sole contact area of the hooves of growing maiden heifers over a six-month period. The previous results cited (Scott, 1988) were obtained flom in vivo testing, whereas the present study evaluated in vitro sole contact of thawed, previously frozen limbs, at a standard compressive load. The present study demonstrates that the sole contact is increased following a freeze-thaw cycle. During in vivo testing the magnitude of the applied load may vary with the individual subject. If the sole contact area is dependent 47 upon the compressibility of the sole matrix, greater contact may occur if the sole is subjected to a larger peak compressive load. The value presented as the total sole contact area in Scott’s study was the sum of medial and lateral rear claw mean contact areas listed for the final samples obtained in the study. By choosing the final samples obtained from the six maiden heifers, the contact area estimates should be the means fi'om the oldest age group in the study. This estimate is from maiden heifers and some growth potential may remain. Whether the mean sole contact area obtained flom adult female cattle is better to evaluate than data from younger heifers depends upon the focus of the study. if analysis of the sole contact area changes associated with somatic growth is the primary focus of the study, then following heifers through maturity would be the best population subset to evaluate. If, however, the changes in hoof conformation and/ sole contact associated with gestation, lactation, nutrition, environment, infectious diseases, or seasons are the focus, then the study should be performed on mature cattle to decrease the influence of skeletal growth on the parameter of interest. An interesting observation from the sole contact area data obtained from the present study was that the total sole contact observed on a flat smooth surface was smaller than the researcher expected. That a tremendous amount of weight is borne over a relatively small sole surface area was implied by this finding. The pressure, defined as the applied force divided by the area of application, generated over this small sole contact area would thus be quite large. The observed small contact area may be due to an irregular sole surface resulting from abnormal wear of the sole. The sole contact would be much greater 48 if the limb were loaded on a compressible surface, such as dirt or sand and therefore dissipate the large pressures generated under the sole. The dissipation of load would potentially decrease the prevalence of lameness in a herd. The potential for traumatic insult to the sensitive structures of the hoof, the corium and sensitive lamina, would suggest chronic cyclic overloading as a potential etiology for development of laminitis/inflammation of the corium. If, as suggested, chronic cyclic overloading is a contributing factor in the development of laminitis, studies examining this relationship would be beneficial. One potential method to examine this relationship would be to evaluate the sole load distribution in cattle with no evidence of laminitis, and to repeat the testing of these cattle at regular intervals making observations of lesions associated with subclinical laminitis in the herd. The image analysis protocol utilizing digital photography previously described could be used for determination of lesion distribution. Analysis of the results of the prospective study would determine if the sole load distribution was related to the distribution of subclinical laminitis lesions in the herd. Statistically significant differences were found in the contact between lateral and medial claws (p<0.05). These findings agree with the findings of Peterse (I985), Toussaint-Raven (1973), and Scott (1988). In this study the median contact area of the lateral claws exceeded that of the medial claws by 69 percent. A previous report suggested that the contact in the lateral claw of the rear hoof exceeds the medial claw by twenty to fifty percent (Scott, I988). A possible explanation for this discrepancy involves the stance of the subject during in vivo testing. If the cow adopted a base-wide stance during testing, the metatarsus would not be perpendicular to the ground in the longitudinal 49 plane and therefore more contact would occur in the normally shorter medial claw. This explanation supports previous reports on the biomechanics of the bovine hindlimb (Toussaint-Raven, 1985) Bovine hindlimb lameness has been reported to occur more frequently in the lateral digit (Wells, Trent, Marsh, McGovern, and Robinson, l993b; Smit et al., 1986). The disparity of contact between medial and lateral claws in the present study supports the chronic cyclic relative overloading theory as a risk factor for development of digital disease. If, as suggested, chronic cyclic overloading is a contributing factor for the development of digital disease, studies examining this relationship would be beneficial. One potential method to examine this relationship would be to utilize a prospective study similar to that previously described for the development of lesions associated with subclinical lamintis. Repeated evaluation of the cattle at regular intervals making observations of digital disease occurrence in the herd and analysis of the results of the prospective study would determine if the sole load distribution was related to the lesion distribution in the herd. This study allowed the development of a standardized system for determining the dorsal to plantar distribution of sole contact. Sole contact distribution zones in the present study were created by dividing the length of each claw outline into three equal parts. This division ensured that each zone contained one-third of the total claw length. Sole contact information could then be collected flom each zone. Previous work resulted in the development of a system of hoof zones, the Liverpool Standard, for describing the location of lesions based on anatomic areas of the weight-bearing surface of the bovine claw (Mortensen et al., 1992). In the present study, templates created from the Liverpool 50 standard zones could not consistently be used to create zones for sole contact distribution because the shape of the sole did not always conform to the shape of the template. The Liverpool standard template would have resulted in the loss of some sole contact information from this study. The method of sole zone division used in this study could be used for filture studies examining the dorsal to plantar distribution of sole contact in hooves of varied shape. The information obtained using the present model provides a more objective description of the dorsal to plantar distribution of sole contact in abnormally shaped hooves than the results obtained using the Liverpool standard template. The Liverpool standard template, however, provides medial to lateral or axial to abaxial distribution information that the present method cannot provide. The results of this study confirm that there is a statistically significant difference in the sole contact between the zones of the claw. There were significant differences between the dorsal and middle zones of the lateral claw, between the middle and plantar zones of the lateral claw, between the dorsal and middle zones of the medial claw, and between the dorsal and plantar zones of the medial claw (p< 0.05). The sole contact area of the lateral claw is distributed in the dorsal and plantar zones. The observation of greater contact in the dorsal and plantar zones of the lateral claw may support the cyclic overloading theory for the development of pododermatitis circumscripta, toe ulcers, and sole abscesses as a result of chronic subclinical laminitis (Greenough et al, 1981). Decreased contact in the middle zone of the lateral claw may explain the researcher’s observation that the majority of sole lesions occur either in the toe region (dorsal zone), or at the sole-heel junction (plantar zone) of the lateral claw of the hind limb of cattle. The sole contact area of the 51 medial claw is distributed in the dorsal zone. The contact distribution results conflict with the published literature, that suggests the majority of the contact under the soles of cattle is distributed in the region of the heel and abaxial walls (Kasari, 1991). One explanation relates to cow conformation and the position of the metatarsus during the mid-stance phase. If a cow were sickle-hocked, i.e., possessing a tibiotarsal-metatarsal angle of less than or equal to 130° (Greenough et al, 1981), the metatarsus would not be perpendicular to the ground during mid-stance when viewed flom the lateral aspect. If the same cow were cow-hooked or possessed a base-wide stance, the metatarsus would not be perpendicular to the ground during mid-stance when viewed flom the rear (Greenough et al, 1981). Either of the these conditions would alter the loading and possibly the sole contact distribution of the hoof (Toussaint-Raven, 1985). Another explanation for this difference is that the present study evaluated hooves of varied hoof conformation, normal and overgrown, whereas Kasari (1991) discussed only overgrown hooves. In Kasari’s report, the definition of hoof overgrowth and the method of determination of contact distribution were not described. In the present study, the contact image represented mid- stance contact and not contact associated with the entire ground contact phase, flom heel strike to toe ofl‘. If the peak vertical forces or maximum sole surface contact during locomotion do not occur when the metatarsus is perpendicular to the ground, as suggested in the literature (Scott, 1988), the distribution of contact may actually be different. Studies of contact distribution changes that occur as a firnction of locomotion are indicated. These studies should include kinetic and kinematic evaluation of cattle with varied rear limb conformation, taking care to assess hoof conformation and possibly block the results by 52 the hoof conformation parameter to attempt to control confounding of the limb conformation data. The typical location of the lesion of pododermatitis circumscripta is the plantar zone of the lateral claw. Although no lesions of pododermatitis circumscripta were found in the sample population, the median contact area of the LP zone was significantly higher than the median contact area of the LM zone but was not significantly different than the median contact area of the LD zone. A relatively large proportion of the contact occurs in the LP sole zone. The theory that chronic relative overloading can be a major predisposing factor in the development of pododermatitis circumscripta would be supported by these findings. Further studies examining pressure distribution within the claw during locomotion may be beneficial in exploring the potential etiologic factors associated with lameness in cattle. The distribution of claw contact was evaluated as sole contact area in cm2 and as the percentage of the total claw contact area in each sole zone. While the sole contact area in cm2 is important, large variations in sole contact areas made distribution evaluation difficult. By using a percentage of the total claw sole contact, hooves with large variation in sole contact area could be compared. The hoof conformation parameters utilized included the toe height, heel height, and the T:H. These easily measured parameters were chosen as a result of the personal experience of the investigator as a professional hoof trimmer and the previous report of a high correlation between the T:H and claw disorders resulting in lameness (Ral, I990). The heel height measurement technique involved measurement of the heel height as the 53 height of the heel perpendicular to the ground measured at the junction of the abaxial groove and the coronary band. This modification of the measurement technique previously described (Vermunt and Greenough, I995) enabled use of an anatomic landmark (abaxial groove) to decrease the variability associated with the heel height measurement as described by Vermunt. The conformation parameter with the highest correlation to the percentage of total medial claw contact in zones was the medial claw toe height. None of the correlations were of sufficient magnitude to allow meaningful regression analysis. This finding indicates that other conformation parameters may have a higher correlation to the distribution of sole contact than the measurements utilized in the present study. Future studies should include the evaluation of other hoof measurement parameters, specifically the dorsal wall angle, dorsal wall length, and claw or sole length based on the previous heritability studies (Hahn et al., 1984; McDaniel, I994; Smit et al., I986; and Baumgarter and Distl, I990). The final portion of this study dealt with the predictive potential of hoof measurement and contact distribution. Correlation analysis performed revealed only low correlation (R<0.80) between the toe height, heel height or the T:H and the percentage of total claw sole contact in each sole zone. With low correlations, regression analysis would be of little value. If the correlation analysis revealed a stronger relationship (R>0.80) between the variables the predictive potential would have been explored. Since the data collected were not normally distributed (non-gaussian) the predictive potential of the 54 variables would have been evaluated with a non-parametric test. Chi-squared testing could have been utilized after the independent variables were transformed to categorical values. The low correlation between the contact distribution and external hoof measurement parameters resulted in the rejection of the hypothesis in this experiment. Increased toe height, decreased heel height, or an increased T:H does not appear to result in a plantar redistribution of the sole contact. The distribution of sole contact cannot be predicted using the selected external hoof measurement parameters. Statistically, low correlation between contact in the sole zones selected for this study and changes in the toe height, heel height, and T:H indicate that other evaluation techniques may be better at distinguishing changes in contact or load distribution associated with hoof conformation changes related to overgrowth or abnormal wear. Other evaluations that could be performed include the utilization of a more sensitive recording medium, selection of different hoof conformation parameters, such as the dorsal wall angle or diagonal hoof length, and creation of different sole zones that would detect differences in the contact distribution with greater sensitivity. One potential explanation for the low predictive ability of this measurement technique is that a number of factors are involved in the distribution of load on the hoof. These factors may include sole surface area, sole depth, hardness or elasticity of the sole matrix, and the sole contact surface. Certainly the musculoskeletal system can adapt to the gradual changes in hoof conformation associated with hoof grth or wear. One weakness of in vitro studies, is that soft tissues do not behave as they do during in vivo evaluations. Future in vivo studies should examine changes in load or contact distribution 55 associated with trimming the hooves. These studies should also examine changes in sole contact and load distribution in lame cattle. Information on the contact area of the bovine digit was collected and analyzed using commercially available products and software. The development of the technique of collecting contact information with commercially available pressure-sensitive film would enable firture studies involving in vivo testing to be performed in field situations. The film could be incorporated into a cassette which could then be placed on a force platform in a portable runway. Development of a system of this nature could lead to a relatively easy to assemble and readily available portable biomechanics laboratory which could be utilized in conducting research on gait analysis and lameness in cattle. The use of a portable laboratory in bovine gait analysis studies would allow the collection of data fiom a relatively large number of cattle at one site. By setting up the laboratory on a farm, the entire herd could be tested without incurring the expense and subject stress associated with transporting the herd to a central laboratory. On daily operations the testing apparatus could be placed in the exit alley fi'om the parlor and data could be collected with minimal disruption of the normal herd routine. The collection of baseline data could be performed on normal cattle and compared to the data fiom lame herdmates. This would allow identification of disturbances in gait associated with specific conditions resulting in lameness. In herd lameness situations, repeated examination of cattle would allow the identification of biomechanical changes associated with the development of conditions associated with lameness. One specific application could be the repeated evaluation of cattle at risk of developing lameness secondary to the occurrence of 56 subclinical laminitis. In filture studies the image analysis procedures outlined in this study could easily be used to evaluate conformation changes associated with corrective hoof trimming. A digital photograph could be recorded before and after corrective hoof trimming was performed. These images could then be analyzed to determine differences in the hoof measurement parameters obtained from the lateral or medial views of the hoof, including toe height, heel height, dorsal wall angle, dorsal wall length, and diagonal claw length. In addition to these parameters, a digitized photograph of the sole could easily be evaluated to obtain claw length and width. The changes in hoof conformation could be compared to the changes in loading and kinematic data to determine the quantitative effect of hoof trimming on the gait and sole loading pattern of the subject. CONCLUSIONS Even though the hypothesis that increased toe height, decreased heel height, or an increased T:H leads to a plantar redistribution of the sole contact was rejected, this study led to several important findings. An in vitro method of load application and collection of the contact distribution profile of the bovine hoof was developed. A method of computer- assisted image analysis utilizing commercially available software was also developed. The total sole contact area of the rear hoof on a flat smooth surface is approximately 2.0 cm2. With sole contact areas this small, the forces applied to the sole during weight-bearing become extremely large. These large forces may contribute to the development of lameness. The provision of comfortable, appropriately sized, free-stalls or loose housing rest areas should be a priority in herds with intensive housing. Comfortable flee-stalls or loose housing areas may promote hoof health by resting the corium of the sole. Corrective hoof trimming to increase the weight-bearing surface area should result in dissipation of these large forces. If chronic cyclic overloading is a major contributor to digital disease, increased production, reproductive efficiency, and decreased treatment costs as a result of increased cow-comfort could be dramatic. The sole contact in the lateral claw is greater than the sole contact in the medial claw. The majority of sole contact of the lateral claw is distributed in the dorsal and plantar zones and the majority of sole contact of the medial claw is in the dorsal zone. 57 58 In conclusion, this study confirms that there is a significant relationship between toe height measurement and some of the sole contact distribution in the bovine hoof. Based on the information obtained from this study changes in sole contact cannot be predicted by measuring changes in the hoof conformation parameters toe height, heel height or T:H. Further studies are indicated to examine the pressure distribution changes on the sole in cattle as a result of corrective or routine hoof trimming. Additional studies evaluating the sole contact, load distribution changes, and hoof conformation associated with lameness in cattle are indicated. These studies would be beneficial to practitioners, hoof care professionals, and producers interested in the prevention of lameness in cattle. APPENDICES Appendix A Hoof Testing Protocol Notes on Fuji Film 1.0 Select Superlow Pressure film. 2.0 Cut films to 5x7 in. Roll is 10 5/8" cut 7"piece flom roll and cut in half to achieve two 5 5/16"x7”sections 3.0 Place “0” film on top of “a” film. 4.0 “c” film contains red pressure indicator, place dull surfaces together, mark corner with fingernail to confirm red indicator. 5.0 Place film in sheet protector (14 cm x 22 cm) one halfof sheet protector. Hoof loss surface white «c» VVVVVVVVVVVVVVVVV developer ”a” ooooooooooooooooooooooo glossy surface (tan) dye Wood Base 6.0 Load hoof with white glossy side up. 7.0 Scan with glossy side down. 59 60 Appendix B use 500# load cell Laboratory For Comparative Orthopaedic Research $111321; 1tg7lnstron Hoof Testing Protocol Labtech2Hoofiest Program 1. Start with actuator C e 40 mm 2. Place 14 cm x 21.5 cm tracing paper on testing platform. 3. Place hoof assembly on posts, making certain that bearings glide freely by moving up and down. Before inserting locking pin, blow air through hole to remove metal filings or debris. 4. Reset minimum load. Rezero with the hoof hanging. 5. Move actuator down while holding both digits above platform. 6. Preload to _=_ 70N (15 1b.); adjust actuator until adequate sole contact is achieved. 7. Position dorsal wall of each digit in contact with toe board. Tighten toe board with wrench. 8. Trace hoof outline on paper and mark reference points (medial, lateral, plantar, axial, and abaxial grooves). 9. Raise actuator, zero load cell and remove tracing paper. 10. Place Fuji film on testing platform. 11. Lower actuator while holding both digits above film, position dorsal walls against toe board until sole contact is achieved. 12. Adjust preload to E 70 N (15 lb.) and visually inspect wall contact. Position “Suppress Current” to zero displacement 61 f 13. Load to E 1300 N (3001b) using wave form settings of: | POS’N Shape .400 0.25 I | RAMPS s RAMP mm mm/sec] at a displacement rate of 0.25 mm/ s and range of -25.0 mm. 14. Hit hold key to stop displacement at 1300 N ( load will drop), mark reference points (medial, lateral, and plantar). Record minimum load (maximum compressive load) 15. Hold digits. l6. Unload to 0 load (hit reset button) raise actuator to remove FUJI film without touching or sliding hoof on film. 17. Save mechanical testing data. BIBLIOGRAPHY Amstutz, HE, (1985) Prevention and control of lameness in dairy cattle. Vet. Clin. North Am. FoodAnim. Pract. 1(1): 25-38 Baggott, D.G., Russell, A. M., Lameness in cattle. (1981) Brit. Vet. J.. 137(1): 113-132 Bartel, D. L., Schryver, HF, Lowe, J.E., Parker, RA, (1978) Locomotion in the horse: a procedure for computing the internal forces in the digit. Am. J. Vet. 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Disorders of the Ruminant Digit, Banfl‘: 210-226 Mortensen, K, Vermunt, J., Smits, M., Enevoldsen, C., vanKeulen, K, Greenough, P. R., Bergsten, C., Menzel, A., Brizzi, A., Pluvinage, P., Bargai, U., Murray, R., Kelly, J. D., (1992) The Liverpool standard. an international recommendation for registration of lesions of the sole horn of cattle. Proc. VIIth Int ’1. Symp. Disorders of the Ruminant Digit, Rebild Muybridge, E. (1899) Animals in motion. Chapman and Hall Ltd, London, Nordlund, K. (1996) Questions and answers regarding rumenocentesis and the diagnosis of herd-based subacute rumen acidosis. Bov. Proc. 28:75-81 Peterse, D.J., (1985) Laminitis and interdigital dermatitis and heel horn erosion. Vet. Clin. North Am. Food Anim. 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J. 150:41-51 Singh, 88, Murray, R.D., Ward, W.R., (1994 b) Gross and histopathological study of endotoxin-induced hoof lesions in cattle. J. Comp. Path. 110: 103-115 Smit, H., Verbeek, B., Peterse, D.J., Jansen, J., McDaniel, B.T., Politiek, RD, (1986) Genetic aspects of claw disorders, claw measurements and “type” scores for feet in fliesian cattle. Livestock Prod Sci. 15:205-217 Toussaint-Raven, E., (1985) Cattle Footcare And Claw Trimming, Farming Press Ltd, Ipswich, Suffolk, England. Toussaint-Raven, E., (1973) Determination of weight-bearing by the bovine foot. Neth. J. Vet. Sci. 5: 99 Vermunt, J.J., Greenough, PR, (1995) Structural characteristics of the bovine claw: horn growth and wear, horn hardness and claw conformation. Br. Vet. J. 151(2): 157-180 Weaver, AD, (1964) Some aspects of bovine foot disease. Nord Vet. Med 16 [suppl 1]:258-264 Wells, 8]., Trent, A.M., Marsh, W.E. and Robinson, RA, (1993) Prevalence and severity of lameness in lactating dairy cows in a sample of Minnesota and Wisconsin herds. .I.A.V.M.A. 202(1):78-82 Wells, S.J., Trent, A.M., Marsh, W.E., McGovern, PG. and Robinson, R.A., (1993b) Individual cow risk factors for clinical lameness in lactating dairy cows. Prev. Vet. Med, 17: 95-109 nICHIcoN STATE UNIV. LIBRARIES llllllllllllllllllllllllllIllllllllllllll 31293016880639