Australian Eventing Safety Study Q & A

Saturday, July 12th, 2008
eventing safety study


Eventing: Danger! Danger. Danger?

Though some other “real” horse publications may have already published details from last month’s release of Australia’s Eventing Safety study, ONLY Citizen Horse has the real dirt on the who’s, why’s, and how’s behind the research.

Ms Denzil O’Brien, former CEO of the Equestrian Federation of Australia (EFA) and now with the Research Centre for Injury Studies at Flinders University, joined us last week for a Q & A session about the details of the report.

Ms O’Brien, how did this study come about?

    Dr. Raymond Cripps approached me in 1999, when I was the CEO of the Equestrian Federation of Australia (EFA), to see if we could set up a collaborative study to look at horse-related injury among EFA members. Information on this topic is fragmented and difficult to synthesise.

    We started of with a survey of EFA members, about their injury history, their riding history, etc., but unfortunately, there were some coding errors, and while the data still exists, it has never been analysed.

    Around that time, there was a sudden (apparent) increase in the number of riders killed in eventing, and Dr. Cripps, who has worked in injury studies at Flinders University for many years, became interested in doing specific [research] on eventing.

    Funding was obtained from the Rural Industries Research & Development Corporation (RIRDC) to see if it was possible to set up a surveillance program here in Australia, to collect data on falls and injuries to riders and horses in the cross-country phase of eventing.

    After the pilot study, the RIRDC provided more funding to extend the surveillance program for a 2 year period (02 - 04). By this time I had left the EFA, but retained an interest in the project, and over the following years, gradually spent more and more time on [the study], using funding from the EFA. For the final year (05/06), we obtained a small grant to trial our data collection and analysis system in two other [equestrian] Federations.

    Dr Cripps was the grant-holder for this project, and I wrote the report.

Expand a bit on why this study was performed?

    The study was performed initially because it provided a focus for a study on horse-related injury in one specific sport, something which had not been done before, and because of the rider deaths in the late 1990s and 2000.

    The project did change direction a bit in its final year. While we continued to collect falls and injuries data, we used the final grant funding to demonstrate the flexibility and capabilities of our database, rather than just reporting the facts. Therefore, in the report, not all aspects of the data are reported on - we tended to use specific aspects of the data which showed the (SHARE) database’s capacities.

Did the study start with a hypothesis?

    We did not start with a hypothesis. The general view of Eventing, from outside, is that it is a risky sport, that people fall off all the time and are injured, but no other work had, in our opinion, developed an accurate way to actually measure risk.

    Dr. Cripps devised a measure of risk per 1000 jumping efforts, a more accurate measure, we believe, than falls per number of starters - after all, the risk in Eventing is associated with jumping, not with starting.

“When we looked at injury rate, we found that only 0.2 eventing riders are injured for every 1,000 jumping efforts.”

Out of all possible athletic study groups, why pick eventing?

    Eventing was selected because it is the equestrian sport which is perceived as the most risky, there was no information whatsoever on what the actual risks were, and we believed that with the cooperation of the EFA, we could obtain full data on the sport (an ambition not totally realised, unfortunately!)

What conclusions about eventing did you and the researchers draw? Any surprises?

    We were able to demonstrate that the actual risks in eventing are low. Using the method of falls per number of starters, we showed that the rate is 3 eventing cross country rider falls for every 100 starters, with some variations across States and across years.

    Using the measure of falls per 1,000 jumping efforts, we showed that there are 1.2 falls for every 1,000 eventing cross country jumping efforts.

    When we looked at injury rate, we found that only 0.2 eventing riders are injured for every 1,000 jumping efforts. On the face of it, this represents a very low risk of falling, and an even lower risk of injury. However, in eventing, the possibility of an injury being catastrophic is always there, and our system can differentiate between injuries incurred as a result of a rider fall, or a horse and rider fall, and (if the information is provided) whether that horse fall was rotational or not.

    During the course of the study, we knew of 35 riders who sustained serious injuries as a result of a rotational horse fall, and 2 of these riders between them spent more than 100 days in hospital.

    In relation to rotational horse falls, you would be aware that it is this type of fall which is contributing to the alarming number of recent rider deaths around the world. Our data on rider deaths only covers until September 2007, and there have been at least 4 more rider deaths since then, as well as a number of very serous injuries.

How does eventing safety rank in terms of other sports evaluated?

    It is difficult to make such a comparison using our methods, as there is no measure similar to falls per number of jumping efforts. One researcher (see Paix, in bibliography), estimated that eventing was more dangerous than motorcycle racing, but his study used injuries/starters. I think that while statistical comparisons may not be possible, it is always worth mentioning that most sports do not include the possibility of being squashed by a 500kg horse …

What is the Australian government’s role in equine sport oversight?

    The Australian Government has no direct role in sport oversight, except through their funding body, the Australian Sports Commission, which sets governance standards for national sports and provides funds to sporting federations on the basis of international/top-level success (eg, Olympic Games, World Championships, etc.)

“[Out] of 35 riders who sustained serious injuries as a result of an eventing rotational horse fall, 2 of these riders between them spent more than 100 days in hospital.

What qualitative effects have come from the report (if any)?

    Hhhmmm, too soon to say, I think! I know that the EFA is looking at some of our recommendations, and the timing of the report’s publication coincides with the international body, the FEI [Federation Equestrian International], paying very close attention to safety in the sport, as are a number of the larger national federations, particularly the USA. There have been rule changes regarding rider and horse falls, to be introduced before the Games in August.

In your mind, what is next to increase eventing safety?

    I really don’t know. Everyone involved in the sport is deeply concerned about the rider and horse deaths in recent months, and are looking at every aspect of the sport in the hope that changes will reduce the number of falls and injuries. I am not privy to the moves in this area, being quite ‘outside the loop’ in a way.

What research is next for you, professionally?

    I am currently working on an unrelated injury data project relating to traffic accidents. However, I am involved in a small group of researchers who are keen to develop a research project in the equine/equestrian area, with a focus on safety.

What’s next for you, personally, in the world of horses?

    I have just taken up riding again after a 3 year break. My horse was very old (28) and eventually died, and I drifted away from riding, but have resumed with enormous enthusiasm! I am in my late 50s, and it is very gratifying to know that even after a prolonged period off the horse, my first experience back on was as though I had ridden just the day before!

    I have been riding horses since I was a child, and now intend to go on doing it until I’m too old to get onto a chair to mount!!!

    I have done a bit of everything in horse sport - Dressage, Show Jumping, Eventing, Showing, and Western, and I describe my skill level as ‘about one foot 6 inches’, in that this represents my jumping/eventing experience!


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Horse Turnout - Opinion 2008

Thursday, May 8th, 2008
turnout
stall or pasture?


I date this entry because I found myself coming to this opinion late in 2007 and feel like I may have moved into the past a bit.

When I started riding (a long time ago), horses didn’t go outside…..EVER. Your horse lived in a stall 24/7 and in the barn they stayed; warm, dry, safe, and ready to ride. It was normal. I never questioned it. I was a little kid, and it seemed to make sense to me. I rode my pony 6 days a week, and when I rode my pony, I mean I RODE my pony for hours. You literally had to pull me off my pony. This posed a problem when he was “wild” and in such good shape you couldn’t wear him out with 10 straight hours of lunging if you wanted to. He was one fit pony. But, he didn’t see daylight unless I was riding outside; along with every other horse in the barn.

Maybe this was confined to the hunter/jumper world, but horses did NOT go outside. You could walk them outside to graze. There were pastures; they were really green and full of grass, mostly because the horses never went out in them.

Give the horses some time to stretch their legs….but not too much time for them to hurt themselves.

Then, shortly after I moved into a small junior horse, turnout became an option. I moved to a barn that had all day turn-out. Still not really understanding the thought behind horse turnout, I figured, “well that’s good”. Of course I wasn’t accustomed to scraping large amounts of mud before a ride, but it was nice to see the horses outside playing, grazing, or in some cases, running like maniacs. They must be doing what they want to be doing.

Then I moved yet to another barn that had many more “high level” show horses. They offered minimal turn-out. Most horses were turned outside from 1-2 hours a day, with split boots and bell boots. This seemed like a nice compromise. Give the horses some time to stretch their legs….but not too much time for them to hurt themselves. A few people, some with VERY nice, expensive horses moved to another show barn that offered more turn-out. I, on the other hand, still thought “well, they get worked and none of the horses seem unhappy”. Now, there were a large amount of horses that wore cribbing collars (red flag) and even more that would weave in their stalls (another red flag). But, most of that I thought was because they were Thoroughbreds off the track, and they all have some nervous wacky habit from being in that atmosphere.

Once I started having a little more forethought and tried to learn more about horses’ behavior, physiology, and overall “natural” state, I realized horses should be outside as much as possible. By all means, bring them into a stall at night or if the weather is bad, but let them be horses. They should be in a herd during the day, relaxing, living as they would in the wild.

Then I had a mare, a mare who REALLY liked other horses. She liked other horses so much that if she was on a fence line with the same horse two days in a row, you couldn’t ride her because she would panic without being able to see the other horse. Now, throw her in a herd, and you can only imagine the monster she would turn into.

At this point, I wanted to give this mare the ability to be a horse. But, I was spending a lot of money so I could ride and show her. This now made it so I was spending a lot of money for her to have friends and I was only able to ride when all the other horses were in the barn and never at a horse shows.

That, didn’t make sense to me. Luckily, the barn(s) we cycled through over the years ended up having rotating turnout for a few hours a day. She didn’t get attached, and was still able to get out a little bit every day (weather permitting).

As a limited turnout routine became commonplace for my mare, more and more “research” came out about the benefits of turnout for the horse’s brain and body. More turnout meant sounder minds and bodies. This too, made sense. Of course, not only does a horse’s digestive system work better because they are moving as they “graze”, but horses are more sound because their joints are moving frequently so they don’t go from standing in their stall, to working, then back to standing in their stall.

I have always, and will always, think horses without jobs (or high level jobs), young horses, horses with special needs, arthritic horses, or horses that are downright bonkers NEED turnout of some sort. But, is all day turnout, every day turnout, the answer for EVERY horse?

I think not only is that an important question for your pocketbook, but an important question for your horse’s overall wellbeing.

I have aspirations for “us”. I also love this horse to death, so I want him to be happy and healthy.

Not EVERY horse actually WANTS to be outside all day. There are many horses that have higher anxiety when outside all day. Maybe the anxiety is from being used to a stall, or even being used to the barn. But, how do you gauge your horse’s happiness?

Every horse is unique, every turnout situation is unique, and it’s important to remember your goals for you and your horse and the pros and cons of turnout in relation to those goals.

Right now, I have an 11 year old Holsteiner gelding, upper level jumper, and he is at the peak of his performance. With this in mind, I will let you know his turnout history so you understand what he is accustomed to in his life.

From birth-1yr ,he was outside all day and brought in at night. From 1-2yrs, he was outside 24/7 (weather permitting) with other horses of all ages. This was in the Midwest, so if it was really cold or thunderstormy, he came in at night. From 3-4yrs, he lived outside 24/7 in all weather (with shelter of course) with no friends. From 5-8yrs, he lived in a run w/shelter and daily turnout with one other horse (he isn’t always that friendly), weather permitting. From 8-10, he lived in a stall with daily turnout. He didn’t like to be outside all that much and would run the fence line to come inside (not every day and for no apparent reason (bugs, weather, feeding, other horses).

So, during the last year he has had some “soundness” issues. He has not been LAME, just off. X-rays all clean, most likely narrowed it down to soft tissue. Stall rest was his prescription. 4 months total. He was walked every day, and generally he seemed very happy in his stall. I got him toys he enjoyed very much. He had a few outbursts of bucking in his stall, but for the most part…he was alert, happy, maybe a little bored, but no more than when he was outside.

Unknown as to how he injured himself, I question turnout for him at all now that he will be coming back into work. I have aspirations for “us”. I also love this horse to death, so I want him to be happy and healthy.

Our need for soundness and his need for “normal” horse behavior poses a conflict of interest…or does it? He likes his job; I would say he loves his job. He has always loved to jump. Flatwork, he could do without, but he loves jumping. He REALLY likes people, he likes interaction with people, he acts like he is a people sometimes. He doesn’t have any bad habits such as cribbing, weaving, chewing. He doesn’t have any health problems that could pose a problem to not going outside (COPD, colic, ulcers, arthritis, tying up). He always seems content in his stall, especially when he is in a work program.

So, I have decided that I am going to keep him from turnout. This means I will probably try to hand-graze him as much as possible and get him out 6 days a week. But, I don’t think in any way I am being cruel. Additionally, I’ve always worried about his focus when consistently turned out, and especially with a friend. He doesn’t scream for his friend, he doesn’t act agitated that he is away from his buddy, but I do notice that he is a little more “nonchalant” about work.

This being said, I think turning horses out is good, but keeping a horse in a stall isn’t bad. It depends on the circumstances of the horse and owner. No, a horse should not remain cooped up in a stall 24/7 with no chance of seeing sunlight. But, a horse that gets consistent work, is showing, could get injured, or could become unable to focus on “work”, maybe should be considered limited to no turnout.

That’s just my opinion of horse turnout in 2008. Maybe that will change. We will see….


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