{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:03:36Z","timestamp":1761894216731,"version":"3.38.0"},"reference-count":41,"publisher":"American Veterinary Medical Association (AVMA)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2005,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Objective<\/jats:bold>\u2014To evaluate the effects of shock wave\ntreatment on cutaneous nerve function, compared\nwith the effects of local nerve block and sedation.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Animals<\/jats:bold>\u201418 clinically sound Swiss Warmbloods.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Procedure<\/jats:bold>\u2014Horses were randomly allocated to 3\ngroups and received different amounts and types\nof shock waves (extracorporeal shock wave treatment\n[ESWT] or radial pressure wave treatment\n[RPWT]). Horses were sedated with xylazine and\nlevomethadone. Shock waves were applied to the\nlateral palmar digital nerve at the level of the proximal\nsesamoid bones on 1 forelimb. Skin sensitivity\nwas evaluated by means of an electrical stimulus\nat the coronary band before and 5 minutes after\nsedation and at 4, 24, and 48 hours after application\nof ESWT or RPWT. On the contralateral forelimb,\nskin sensitivity was tested before and 10\nminutes after an abaxial sesamoid nerve block.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Results<\/jats:bold>\u2014No significant changes in skin sensitivity\nwere detected, regardless of the shock wave protocol\napplied. Mean reaction thresholds after sedation\nwere more than twice the baseline thresholds. After\nthe abaxial sesamoid block, no reaction was recorded\nin any of the horses.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Conclusions and Clinical Relevance<\/jats:bold>\u2014Application of\nESWT or RPWT to the palmar digital nerve had no\neffect on cutaneous sensation distal to the treated\nregion for at least 2 days after application. The analgesic\neffect of sedation on reaction to electrical stimuli\nwas distinct but varied among horses. 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