Occupational health is a key priority for the horseracing industry, yet little research on occupational injuries exists. This study investigated the prevalence and the effect of injury in British horseracing staff during a 12-month period. An online retrospective survey was answered by 352 participants, identifying self-reported injury prevalence, injury management practices and attitudes towards workplace injury reporting. Chi Squared tests for independence were undertaken. A total of 310 (88.1%) staff reported injuries; risk factors for injury type included self-perceived job security, working hours, and perceived job control. Physical limitations, loss of confidence, workplace changes, and lifestyle implications were reported as consequences of injury. A total of 75.3% (n = 134) of staff were likely to seek time-off following fractures, but only 48.6% (n = 86) would take time-off for concussion. Attitudes towards injury management were influenced by financial circumstances, perceived staff shortages, previous injury experiences, and perceived employer expectations. The high self-reported injury prevalence could result in decreased workforce efficiency, poor physical health, and negative implications on retention and career longevity. The perception of invisible injuries, i.e., concussion, and subsequent management, should be of immediate concern to racing organizations. This paper identifies recommendations to enhance the safety and wellbeing of horseracing staff.

Horseracing has identified several factors influencing staff wellbeing; however, the relationship between injury, anxiety, and depression is yet to be established. This study investigated anxiety and depression scores and their association to pain management, coping, and help-seeking behaviour in injured British horseracing staff. An online retrospective survey was completed by 175 participants, identifying injury prevalence, coping strategies, occupational risk factors, and Hospital Anxiety and Depression Scale (HADS) scores. Analysis identified 65.14% (n = 114) of staff reported anxiety scores above the threshold (≥8) and 59.52% (n = 104) of staff reported depression scores ≥8. Median anxiety and depression scores were higher for staff who viewed their employer as unhelpful (anxiety p = 0.001; depression p = 0.020). Heightened anxiety and depression were associated with an increased likelihood to use pain medication to manage at work, including non-steroidal anti-inflammatory drugs (NSAID’s), alcohol, nicotine, and prescription drugs (p < 0.05). Implications for staff wellbeing is evident; anxiety and depression risks are high following injury, which may influence help-seeking behaviour, perceived job security, and coping mechanisms. This paper suggests it is vital to continue to investigate poor mental health and injury in racing staff and the implications for equine welfare.

Breast biomechanics, exercise-induced breast pain (EIBP) and performance effects in female athletes are established. Wearing sports bras during exercise reduces breast movement and EIBP. Despite the prevalence of female equestrians, little investigation of breast movement during horse riding exists, yet excessive breast movement, embarrassment and EIBP are reported. Breast movement relative to the torso is linked to EIBP, associated with magnitude and direction of forces generated. Equestrians may experience novel breast and upper-body movement patterns in response to large vertical excursions of the horse. This study aimed to establish relative vertical breast displacement (RVBD), EIBP and positional changes in three support conditions: ‘no support’, ‘low support’ and ‘high support’. Thirty-eight female equestrians rode a Racewood™ Equine Simulator in each breast support condition in medium walk, medium trot (sitting) and medium canter. Trials were filmed and analysed using Quintic® Biomechanics V29. Significant reductions in RVBD (P<0.001) and EIBP (P<0.001) were identified with increased breast support in all gaits. In medium trot (sitting) a significant reduction in range of movement (ROM) of shoulder-elbow-wrist (P<0.001) was seen from low to high support. ROM of torso-vertical angles were reduced from no support to low support (P<0.001) and further by high support (P<0.001). This reduction in ROM was significantly greater in large breasted riders (cup size DD-FF) (n=21) (P<0.001) compared to small breasted (cup size AA-D) (n=17). These results suggest that appropriate breast support positively impacts EIBP and riding position in female riders possibly enhancing performance. As RVBD and reported EIBP were not wholly comparative with results in female runners, further research is warranted to establish breast movement in equestrianism in three dimensions.

Horses evolved to live in herds, continuously moving and foraging. Domestic horses often have limited social contact and movement, with high calorific intake, contributing to obesity. “Track grazing” is an increasingly popular management system, but evidence of its impact on weight management, behaviour, and welfare is limited. Horses (n = 19) resident at HorseWorld (UK) were observed July to October 2023, monitoring bodyweight (kg), Body Conditions Score (BCS), hoof health, behaviour, and welfare indicators. Horses on track grazing systems lost significantly more bodyweight (kg) (F(1,15) = 8.752, p = 0.010) than their restricted grazing counterparts, although this was not supported by BCS findings which may be ineffective for subtle body weight changes. Horses on track grazing systems lost (mean ± S.D.) 10.67 ± 9.9 kg from their starting weight, whereas those on the traditional paddock systems gained 6.8 ± 13.7 kg. Hoof health and general welfare assessment scores were maintained. More behaviours in “positive”, “negative”, and “neutral” categories were observed in paddock system horses than those on the track grazing system, although these differences were not statistically significant. These findings suggest that horses prone to bodyweight gain can be managed effectively using track grazing systems whilst maintaining health and welfare.

The breasts are a barrier to female participation in physical activity. Breast and bra issues are prevalent in female horse riders. Wearing a sports bra can minimize these issues, but many do not exclusively wear one for horse-riding. This study investigated the impact of live online breast educational talks on subsequent self-perception of knowledge and understanding. Two online surveys (GoogleForms™), one immediately pre-talk and one immediately post-talk, were created to assess perceived impact. The talks consisted of five sections: breast anatomy; types of sports bras; breast issues in relation to exercise; breast issues specifically related to horse riders and the importance of increasing awareness in the horse-riding community. Four educational talks were delivered to different groups of college and university students (n = 67) studying equine courses. Completed pre- and post-talk surveys (40 female, 2 male) were analyzed using a generalized linear model and post hoc Tukey tests. Comfort talking to others about breast health issues increased significantly after the talks, particularly for larger-breasted (≥ D cup) participants (p = 0.032). Knowledge of bra fit, breast support, and breast pain significantly increased (p < 0.01) post-talk, particularly in those who had not previously experienced breast pain whilst horse-riding (p ≤ 0.001). The intervention was successful at increasing participant understanding and knowledge of breast health issues, although different educational tools such as access to online resources or in-person talks may prove beneficial to equestrians to further increase comfort in broaching breast health issues with peers and support networks in future.