Related Experiment Video
Updated: Jul 6, 2026

High-Resolution Fluoro-Respirometry of Equine Skeletal Muscle
Published on: February 3, 2023
Unexplained underperformance syndrome in sport horses: classification, potential causes and recognition
J L L Rivero1, E van Breda, C W Rogers
1Muscular Biopathology Laboratory, Department of Comparative Anatomy and Pathological Anatomy, Faculty of Veterinary Sciences, University of Cordoba, Cordoba, Spain.
Overtraining syndrome (OTS) in horses results from inadequate training and recovery, causing performance loss. The hypothalamo-pituitary-adrenocortical axis dysfunction is a potential cause, but more research is needed for diagnostic tools.
Area of Science:
- Equine Sports Medicine
- Animal Physiology
- Veterinary Science
Background:
- Overtraining syndrome (OTS) in horses is characterized by performance reduction and chronic maladaptation due to insufficient training stress and recovery.
- It is crucial to differentiate OTS from over-reaching, a condition with a shorter recovery period.
- The exact mechanisms of OTS remain poorly understood, with no established objective biomarkers.
Purpose of the Study:
- To investigate the underlying mechanisms of overtraining syndrome (OTS) in horses.
- To explore potential diagnostic tools and differentiate OTS from over-reaching.
- To identify factors contributing to OTS beyond training and recovery imbalances.
Main Methods:
- Review of scientific literature on equine overtraining syndrome.
- Analysis of the role of the hypothalamo-pituitary-adrenocortical axis.
- Assessment of diagnostic approaches including history, clinical signs, and standardized exercise tests.
Main Results:
- Red cell hypervolaemia is not a mechanism for OTS in horses.
- Hypothalamo-pituitary-adrenocortical axis dysfunction is currently the most implicated mechanism.
- Diagnosis relies on thorough assessment of history, performance deficit, and behavioral changes, as objective biomarkers are lacking.
Conclusions:
- OTS in horses is a complex condition primarily caused by an imbalance between training and recovery.
- While hypothalamo-pituitary-adrenocortical axis dysfunction is a potential factor, further research is required.
- Standardized exercise tests may aid in detecting early overtraining by monitoring hormonal responses, but longitudinal studies are needed to validate their predictive potential.
Related Concept Videos
Heart Failure IV: Classification and Diagnostic Evaluation
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy I: Introduction and Classification
Pathophysiology of Heart Failure
Disorders of the Skeletal Muscle
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Dysrhythmias V: Evaluating Dysrhythmias

