Unesp-Botucatu Composite Scale to assess pain in horses
(Unesp-Botucatu horse acute pain scale – UHAPS)
1. Positioning in the stall
Score
Videos
The horse’s head is at the outside door or the horse is eating
0
The horse is inside the stall, but looking at the outside door, observing the environment
1
The horse is not close to the outside stall door and does not look interested in the environment
2
2. Locomotion
Score
Videos
The horse moves freely alone
0
The horse does not move, or is reluctant to move
1
The horse is agitated, restless
2
3. Lifting hind limbs
Score
Videos
No lifting of hind limbs
0
Lifting hind limbs
1
Lifting hind limbs and extending the head
2
4. Kicking at the abdomen
Score
Videos
The horse kicks at the abdomen
1
5. Pawing on the floor (fore limbs)
Score
Videos
Pawing
1
6. Looking at the affected area
Score
Videos
The horse looks at the painful area
1
7. Head movement
Score
Videos
Head straight ahead most of the time
0
Lateral and/or vertical occasional head movements
1
Lateral and/or vertical continuous head movements
2
8. Locomotion when led by the evaluator
Score
Videos
The horse moves freely when led
0
The horse does not move, or is reluctant to move when led
1
The horse is agitated, restless
2
9. Heart rate (compared to initial values)
Score
Videos
25-50% increase
1
> 50% increase
2
10. Response to palpation of the painful area
Score
Videos
No response or change in relation to pre-procedure palpation response of the affected area
0
Mild reaction to palpation of the affected area
1
Violent reaction to palpation of the affected area
2