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Preventing Lameness
     in Dairy Cattle
              from the inside out…
              …and the outside in.
Ernest Hovingh                                          eph1@psu.edu
Dept. of Veterinary & Biomedical Sciences   Pennsylvania State University
Dealing with lameness…
• The P-I-M approach
 –Prevent lame cows
 –Identify lame cows
 –Manage/treat lame cows
Why does lameness occur?
• From the inside out…
  – „Internal factors‟ affecting
    hoof health (genetics, laminitis,
    loss of cushioning, excessive
    pressure)


• From the outside in…
  – „External factors‟ affecting
    hoof health
Why does lameness occur?
• Physiological…
  – Production of hoof tissue



• Mechanical…
  – Forces, pressures and
    stresses affecting
    hoof health
Metabolic disorders                                   Nutrition
                                   • Milk fever                                 • Lack of effective fiber
                                     • Ketosis                               • Poor feeding management
                                                                         • Incorrect forage:concentrate ratio
                                                                                • Poor rumen buffering
                                                                                     • Weight loss
                     Death of “gram negative” bacteria

Infectious diseases                 Endotoxin release                      Infectious claw disease
                                                                                   • Digital dermatitis
        • Metritis
                                 Changes in blood circulation in claw                • Septic arthritis
        • Mastitis
                                                                                        • Foot rot

                                                    Laminitis
                                                                                              Genetics
                                                          • Weakened claw capsule           • Conformation
  Environment &                                                                              • Horn quality
                                                        • Poor quality horn formation
   management                                     • Breakdown of support system in the claw     Other?
   • Trauma & handling
         • Trimming
• Heat stress / cow comfort
       • Cleanliness
                                                                             LAMENESS
A complicated puzzle
• Cow-to-cow variation

• Season-to-season variation

• Farm-to-farm variation

• Regional variation
P3 & the claw capsule


    P3             Claw
                  capsule




    P3
Different areas of the corium
• Tissue
  between P3
                     Coronary band & heel
  & claw
  capsule that     Hoof wall
  „makes‟ the
  claw capsule   White line

                              Sole


                                     Photo courtesy of C. Mülling, Berlin
Why does it matter?
• Unhealthy/damaged corium = poor quality/
  defective claw tissue (sole, heel, wall, etc.) =
  more susceptible to infection, mechanical
  damage, etc.
Interrupted production of sole tissue



         P3


Corium



              Sole
Sole ulcer



            P3

Corium



         Sole
Damage to the corium
• Pressure (+/- bruising)
  reduces blood flow to
  corium
• Interaction of trimming,     P3
  housing, nutrition, heat
  stress, hygiene, handling,
  etc.
Healthy feet – from the outside in…
 • “External” factors affecting the quality/
   health of the hoof:
   – Cow comfort
   – Animal handling & movement
   – Trimming
   – Nutrition
   – Heat stress
   – Hygiene & foot bathing
1. Cow comfort
• Excessive standing  prolonged
  pressure on corium  poor quality hoof
  tissue produced by corium
1. Cow comfort
• Access to stalls
  – Stocking density
  – Time away from pen

• Condition/comfort of stalls
  – Stall size/dimensions
  – Improper freestall/tiestall structure
  – Uncomfortable resting surface
  – Poor stall management
Access to stalls
• Stocking density
  – Overcrowding reduces resting time
                         14                                Lying in stall
                         13                                Standing in alleys
                         12
             Hours/day
                         11
                         10
                          9
                          8
                          7
                          6
                          5
                              100%   109%    120%      133%         150%
                                 Stocking density (cows/stalls)
                                              Fregonesi et al. J Dairy Sci. 90(7):3349-
Access to stalls
  • Stocking density
      – Overcrowding reduces resting time
         (Fregonesi et al, 2007)
      – Reduces available feeding space
      – NFACC Code of practice (Canada)
         1.2 cows/stall max
      – UK/EU?  require
        1.1 stalls/cow!

Taking Advantage of Natural Behavior…
    http://tinyurl.com/eXtensionarticle1

                                            Credit: Dan McFarland
Access to stalls
    • Stocking density – dry & transition cows
        – Even more critical than lactating cows
        – Strongly suggest staying under 100% -
          definitely not over!




…Pen Moves and Facility Designs…
   tinyurl.com/eXtensionarticle2
®
  HOBO
dataloggers
Cow 1646 - Total Lying Time
             16



             14



             12
Lying Time




             10
                                                                                 (9.5 hr)
             8



             6



             4
                      20 after dry off
                      Dry period
             2
                      10 day pre-calving
                      Post Calving
             0
              38794       38804          38814   38824   38834   38844   38854    38864     38874

                                                         Date
Cow 1448 - Total Lying Time
             18


             16

                                                                                      (15.2 hr)
             14


             12
Lying Time




             10

                                                                 (Cow 1646)           (9.5 hr)
              8


              6

                      20 after dry off
              4
                      Dry Period
              2
                      10 pre-calving
                      post-calving
              0
              40025        40035         40045   40055   40065        40075   40085      40095

                                                         Date
Calving Ease
  10 days pre-calving
                                  1                     3
                             (Unassisted)         (Medium pull)


Avg. # lying bouts per day        7.3                    6.9

       Avg. length of bout        2.1                    1.7

     Total lying time         12.3 hr.               10.9 hr.
                              Pilot data, Penn State Veterinary Extension
Time away from pen/stalls
• “Time out-of-pen”  max. ~3 hr./day
  – Include time in headlocks/palpation rail for
    management purposes
Time spent out of pen for milking: 14 cows, milked 3X; four separate
recordings, over 4 months.
                                       Cook & Nordlund. Veterinary Journal. 179(3):360-
Photo: M. Ventorp, SLU
Condition/comfort of stalls
• Stall size, structure & condition that
  allows cows to:
  – Get in, lie down, get up, get out…(easily!)
Goal: 80-90% (or more!)
                  of the cows in the stalls
                   should be lying down




  If less than ~75%, lameness
prevalence in pen is likely >20%
          (Cook et al, 2004)
Condition/comfort of stalls
• You don‟t need a measuring tape…
Condition/comfort of stalls
• You don‟t need a measuring tape…
Improper stall structure/design



        Hovinghcowgettingupvideo1.avi
Uncomfortable resting surface
“Cows spent 2.3 less hrs/day lying in freestalls when the
level of sand was 5.4 inches below the curb vs. „full‟
stalls. On average, cows spent 25 fewer minutes lying
down in freestalls for every inch below the level of the
curb.”




                                      Drissler, M., et al. JDS. 2005
Graphic: D. McFarland, PSU
Sand bedding on asphalt stall base
Outer hoof wall
P3
     Lamina (corium)
2. Animal handling/movement
• Poor/improper handling & movement 
  increased mechanical stress & trauma 
  increased wear & damage to weight-
  bearing area of foot
The floor-foot interaction
• Weight of cow
• Compressibility/hardness of floor
• Texture of floor
      - macro & micro
• Other material between floor & claw
     - abrasiveness
     - friction
• Shape/conformation/hardness of foot
• Motion of cow – speed, turning, etc.
The floor-foot interaction




       Hardness: resistance to
indentation/deformation, resistance to
           friction/abrasion
The floor-foot interaction




Hardness: resistance to indentation/deformation,
        resistance to friction/abrasion
Force Exerted on Weight-Bearing Area
               1,400 lb. cow
  Weight               7.75 in2/foot
Distribution      Standing      Walking
Front (50%)      45.2 lb/in2   90.4 lb/in2

Rear (50%)       45.2 lb/in2   90.4 lb/in2
                                             31.5 lbs
                                             (~.35 in2)
Mechanical stress/damage
 Prior to trimming             After trimming




            Approximate outline of claws   [added]


                                                van der Tol et al., JDS 87:1732-
Freestalls




                            Travel lanes
Parlor   Holding pen


                            X
The floor-foot interaction
The floor-foot interaction
Friction/abrasion

       Hoof wall

          White line


              Sole
Friction/abrasion
Rotational shear stress
Case farm
• 75-cow dairy, ~25-30 lame cows in the
  past year (some with repeat episodes)
     • Somewhat more common in 2nd and greater
       lactation animals; no DIM trend; more cases in
       late summer/early fall; occasional case in dry
       cows
• High proportion of cases were white line
  abscesses in zone 3
Case farm
• Zone 3 abscesses
Case farm
• Occasional toe abscess or sole ulcer
• Very little evidence of sole hemorrhage,
  sole ulcers, digital dermatitis, foot rot, etc.
• Relatively shallow heels on most cows
• Freestalls (75+) with access to exercise
  paddocks – good stall usage; minimal
  heat stress abatement
Case farm
• Flat parlor (old tiestall barn) – milk
  ½ herd at a time                                                freestalls




                                                           step

                                                    step




                                            small
                    Flat milking „parlor‟
                                            ramp
Case farm
Case farm
Case farm
Rotation of leg while moving
90o turn, not hurried



    Hovinghwalkvideo1.avi
Rotation of leg while moving
180o hard turn, hurried



     Hovinghwalkvideo2.avi
Animal handling
• Calm & slow! (No prods, dogs, or hollerin‟)
Exiting stall



Hovinghwalkvideo3.avi
Exiting stall
Animal handling/movement
• Technique used to move animals can
  have a significant impact on hoof wear,
  and cause damage to claw tissues
  – Getting cows out of stalls improperly
                                       Modified from: nottotallyrad.blogspot.com

  – Moving cows down
    alleyways, around
    corners
  – Causing animals                                       t
    to crowd/shove/
    push other animals
Case farm
                                                        freestalls

• Animal movement
                                                 step

                                          step




                                  small
          Flat milking „parlor‟
                                  ramp
3. Trimming/lame cow care
• Unbalanced claws  uneven weight
  distribution  (excessive) pressure on
  corium  production of unhealthy/
  compromised sole/white line




               From Toussaint Raven
“Cattle Footcare and Claw Trimming”
Optimize weight distribution




From Toussaint Raven
“Cattle Footcare and Claw Trimming”
Cow trimming/lame cow care
• When / Which cows are trimmed?
• Regular trimming of every cow - at least
  once per lactation cycle – preferably twice
     • Some cows may require very little trimming!

  – Clinically lame cows
    should be „treated‟
    within 24 hours
Cow trimming/lame cow care
• Who trims the cows?
  – Trained, on-farm person
     • Deal with lame cows within 24 hrs!
  – Vet
     • At least for advanced medical/surgical cases
  – Professional hoof trimmer
     • Primarily for routine/maintenance trimming
Cow trimming/lame cow care
• How are they trimmed?
  – Flat soles should result
    in less pressure on any
    one point of the corium
    (see previous webinar)
  – Cows should NOT
    routinely become lame
    after trimming
Don’t go to far
       around the side!!



¼ +”
Toe too short…
  NOT good!!
Don’t overtrim the     Sole is dished and
axial (inside) wall!   very thin (ouch!!)
4. Nutrition
• Rumen acidosis  death of bacteria in
  rumen  bacteria release “vaso-active”
  substances  absorbed into bloodstream
   affect blood flow in foot
   affect ability of corium to
  produce healthy hoof tissue.




                        from Bovine Anatomy – An Illustrated Text. Budras, Habel, et al.
Nutrition
• “Different” rations: (1) on paper, (2) as fed,
  (3) as eaten, (4) as digested…
     • Hopefully they‟re all the same, but…
• Paper ration:
  – Excessive carbohydrate/starch (Thoefner et al., 2004)
  – Starch, starch:fiber ratio, etc.
Nutrition & rumen acidosis
• Ration as mixed/delivered/fed; as eaten
  – Lack of effective fiber (particle length)
     • Chopped too finely
     • Overmixed
  – Sorting of ration
    components by
    cows
Sorting feed at the bunk



      Hovinghfeedsortvideo.avi
Nutrition & rumen acidosis
• Penn State Particle
                                     Penn State Particle
  Separator                         Separator Resources
  – As delivered to the bunk     tinyurl.com/particleseparator

  – At intervals after feeding
    (eg. 2, 4, 6 hours, etc.)
  – If significant (>4 or 5%)
    amount of variability is
    observed, sorting is
    occurring!
Don‟t forget about youngstock!
• Need a balanced, high quality ration
  – Byproducts, waste feed, and feed refusals??
5. Heat stress abatement
• Heat stress  increased standing time 
  pressure on corium… AND/OR
• Heat stress  rumen acidosis  altered
  blood flow in feet…

• … defective/ poor quality claw tissue
  (sole, white line, hoof wall, etc.)  more
  susceptible to infection, mechanical
  damage, etc.
5. Heat stress abatement
5. Heat stress abatement
                              Maximum:
                        30 feet for a 3‟ (dia.) fan
~30°                    40 feet for a 4‟ (dia.) fan




                Airspeed:
             3-5 mph over cows


                                                      Minimum:
                                                        8 feet
6. Keep the feet clean & dry!




Photo credit: J. Shearer
6. Keep the feet clean & dry!
6. Keep the feet clean & dry!
Preventing lameness…
•   Cow comfort
•   Animal handling/movement
•   Trimming
•   Nutrition
•   Heat stress
•   Hygiene
Ernest Hovingh
             eph1@psu.edu


Thank you!

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Can I Really Prevent My Cows from Becoming Lame?

  • 1. Preventing Lameness in Dairy Cattle from the inside out… …and the outside in. Ernest Hovingh eph1@psu.edu Dept. of Veterinary & Biomedical Sciences Pennsylvania State University
  • 2. Dealing with lameness… • The P-I-M approach –Prevent lame cows –Identify lame cows –Manage/treat lame cows
  • 3. Why does lameness occur? • From the inside out… – „Internal factors‟ affecting hoof health (genetics, laminitis, loss of cushioning, excessive pressure) • From the outside in… – „External factors‟ affecting hoof health
  • 4. Why does lameness occur? • Physiological… – Production of hoof tissue • Mechanical… – Forces, pressures and stresses affecting hoof health
  • 5. Metabolic disorders Nutrition • Milk fever • Lack of effective fiber • Ketosis • Poor feeding management • Incorrect forage:concentrate ratio • Poor rumen buffering • Weight loss Death of “gram negative” bacteria Infectious diseases Endotoxin release Infectious claw disease • Digital dermatitis • Metritis Changes in blood circulation in claw • Septic arthritis • Mastitis • Foot rot Laminitis Genetics • Weakened claw capsule • Conformation Environment & • Horn quality • Poor quality horn formation management • Breakdown of support system in the claw Other? • Trauma & handling • Trimming • Heat stress / cow comfort • Cleanliness LAMENESS
  • 6. A complicated puzzle • Cow-to-cow variation • Season-to-season variation • Farm-to-farm variation • Regional variation
  • 7. P3 & the claw capsule P3 Claw capsule P3
  • 8. Different areas of the corium • Tissue between P3 Coronary band & heel & claw capsule that Hoof wall „makes‟ the claw capsule White line Sole Photo courtesy of C. Mülling, Berlin
  • 9. Why does it matter? • Unhealthy/damaged corium = poor quality/ defective claw tissue (sole, heel, wall, etc.) = more susceptible to infection, mechanical damage, etc.
  • 10. Interrupted production of sole tissue P3 Corium Sole
  • 11. Sole ulcer P3 Corium Sole
  • 12. Damage to the corium • Pressure (+/- bruising) reduces blood flow to corium • Interaction of trimming, P3 housing, nutrition, heat stress, hygiene, handling, etc.
  • 13. Healthy feet – from the outside in… • “External” factors affecting the quality/ health of the hoof: – Cow comfort – Animal handling & movement – Trimming – Nutrition – Heat stress – Hygiene & foot bathing
  • 14. 1. Cow comfort • Excessive standing  prolonged pressure on corium  poor quality hoof tissue produced by corium
  • 15. 1. Cow comfort • Access to stalls – Stocking density – Time away from pen • Condition/comfort of stalls – Stall size/dimensions – Improper freestall/tiestall structure – Uncomfortable resting surface – Poor stall management
  • 16. Access to stalls • Stocking density – Overcrowding reduces resting time 14 Lying in stall 13 Standing in alleys 12 Hours/day 11 10 9 8 7 6 5 100% 109% 120% 133% 150% Stocking density (cows/stalls) Fregonesi et al. J Dairy Sci. 90(7):3349-
  • 17. Access to stalls • Stocking density – Overcrowding reduces resting time (Fregonesi et al, 2007) – Reduces available feeding space – NFACC Code of practice (Canada)  1.2 cows/stall max – UK/EU?  require 1.1 stalls/cow! Taking Advantage of Natural Behavior… http://tinyurl.com/eXtensionarticle1 Credit: Dan McFarland
  • 18. Access to stalls • Stocking density – dry & transition cows – Even more critical than lactating cows – Strongly suggest staying under 100% - definitely not over! …Pen Moves and Facility Designs… tinyurl.com/eXtensionarticle2
  • 20. Cow 1646 - Total Lying Time 16 14 12 Lying Time 10 (9.5 hr) 8 6 4 20 after dry off Dry period 2 10 day pre-calving Post Calving 0 38794 38804 38814 38824 38834 38844 38854 38864 38874 Date
  • 21. Cow 1448 - Total Lying Time 18 16 (15.2 hr) 14 12 Lying Time 10 (Cow 1646) (9.5 hr) 8 6 20 after dry off 4 Dry Period 2 10 pre-calving post-calving 0 40025 40035 40045 40055 40065 40075 40085 40095 Date
  • 22. Calving Ease 10 days pre-calving 1 3 (Unassisted) (Medium pull) Avg. # lying bouts per day 7.3 6.9 Avg. length of bout 2.1 1.7 Total lying time 12.3 hr. 10.9 hr. Pilot data, Penn State Veterinary Extension
  • 23. Time away from pen/stalls • “Time out-of-pen”  max. ~3 hr./day – Include time in headlocks/palpation rail for management purposes
  • 24. Time spent out of pen for milking: 14 cows, milked 3X; four separate recordings, over 4 months. Cook & Nordlund. Veterinary Journal. 179(3):360-
  • 26.
  • 27. Condition/comfort of stalls • Stall size, structure & condition that allows cows to: – Get in, lie down, get up, get out…(easily!)
  • 28. Goal: 80-90% (or more!) of the cows in the stalls should be lying down If less than ~75%, lameness prevalence in pen is likely >20% (Cook et al, 2004)
  • 29. Condition/comfort of stalls • You don‟t need a measuring tape…
  • 30. Condition/comfort of stalls • You don‟t need a measuring tape…
  • 31.
  • 32. Improper stall structure/design Hovinghcowgettingupvideo1.avi
  • 34. “Cows spent 2.3 less hrs/day lying in freestalls when the level of sand was 5.4 inches below the curb vs. „full‟ stalls. On average, cows spent 25 fewer minutes lying down in freestalls for every inch below the level of the curb.” Drissler, M., et al. JDS. 2005
  • 36.
  • 37.
  • 38. Sand bedding on asphalt stall base
  • 39.
  • 40.
  • 41.
  • 42.
  • 43. Outer hoof wall P3 Lamina (corium)
  • 44.
  • 45. 2. Animal handling/movement • Poor/improper handling & movement  increased mechanical stress & trauma  increased wear & damage to weight- bearing area of foot
  • 46. The floor-foot interaction • Weight of cow • Compressibility/hardness of floor • Texture of floor - macro & micro • Other material between floor & claw - abrasiveness - friction • Shape/conformation/hardness of foot • Motion of cow – speed, turning, etc.
  • 47. The floor-foot interaction Hardness: resistance to indentation/deformation, resistance to friction/abrasion
  • 48. The floor-foot interaction Hardness: resistance to indentation/deformation, resistance to friction/abrasion
  • 49. Force Exerted on Weight-Bearing Area 1,400 lb. cow Weight 7.75 in2/foot Distribution Standing Walking Front (50%) 45.2 lb/in2 90.4 lb/in2 Rear (50%) 45.2 lb/in2 90.4 lb/in2 31.5 lbs (~.35 in2)
  • 50. Mechanical stress/damage Prior to trimming After trimming Approximate outline of claws [added] van der Tol et al., JDS 87:1732-
  • 51.
  • 52.
  • 53. Freestalls Travel lanes Parlor Holding pen X
  • 54.
  • 55.
  • 56.
  • 59. Friction/abrasion Hoof wall White line Sole
  • 62. Case farm • 75-cow dairy, ~25-30 lame cows in the past year (some with repeat episodes) • Somewhat more common in 2nd and greater lactation animals; no DIM trend; more cases in late summer/early fall; occasional case in dry cows • High proportion of cases were white line abscesses in zone 3
  • 63. Case farm • Zone 3 abscesses
  • 64. Case farm • Occasional toe abscess or sole ulcer • Very little evidence of sole hemorrhage, sole ulcers, digital dermatitis, foot rot, etc. • Relatively shallow heels on most cows • Freestalls (75+) with access to exercise paddocks – good stall usage; minimal heat stress abatement
  • 65. Case farm • Flat parlor (old tiestall barn) – milk ½ herd at a time freestalls step step small Flat milking „parlor‟ ramp
  • 69. Rotation of leg while moving
  • 70. 90o turn, not hurried Hovinghwalkvideo1.avi
  • 71. Rotation of leg while moving
  • 72. 180o hard turn, hurried Hovinghwalkvideo2.avi
  • 73. Animal handling • Calm & slow! (No prods, dogs, or hollerin‟)
  • 76. Animal handling/movement • Technique used to move animals can have a significant impact on hoof wear, and cause damage to claw tissues – Getting cows out of stalls improperly Modified from: nottotallyrad.blogspot.com – Moving cows down alleyways, around corners – Causing animals t to crowd/shove/ push other animals
  • 77. Case farm freestalls • Animal movement step step small Flat milking „parlor‟ ramp
  • 78. 3. Trimming/lame cow care • Unbalanced claws  uneven weight distribution  (excessive) pressure on corium  production of unhealthy/ compromised sole/white line From Toussaint Raven “Cattle Footcare and Claw Trimming”
  • 79. Optimize weight distribution From Toussaint Raven “Cattle Footcare and Claw Trimming”
  • 80. Cow trimming/lame cow care • When / Which cows are trimmed? • Regular trimming of every cow - at least once per lactation cycle – preferably twice • Some cows may require very little trimming! – Clinically lame cows should be „treated‟ within 24 hours
  • 81. Cow trimming/lame cow care • Who trims the cows? – Trained, on-farm person • Deal with lame cows within 24 hrs! – Vet • At least for advanced medical/surgical cases – Professional hoof trimmer • Primarily for routine/maintenance trimming
  • 82. Cow trimming/lame cow care • How are they trimmed? – Flat soles should result in less pressure on any one point of the corium (see previous webinar) – Cows should NOT routinely become lame after trimming
  • 83. Don’t go to far around the side!! ¼ +”
  • 84. Toe too short… NOT good!!
  • 85. Don’t overtrim the Sole is dished and axial (inside) wall! very thin (ouch!!)
  • 86. 4. Nutrition • Rumen acidosis  death of bacteria in rumen  bacteria release “vaso-active” substances  absorbed into bloodstream  affect blood flow in foot  affect ability of corium to produce healthy hoof tissue. from Bovine Anatomy – An Illustrated Text. Budras, Habel, et al.
  • 87. Nutrition • “Different” rations: (1) on paper, (2) as fed, (3) as eaten, (4) as digested… • Hopefully they‟re all the same, but… • Paper ration: – Excessive carbohydrate/starch (Thoefner et al., 2004) – Starch, starch:fiber ratio, etc.
  • 88. Nutrition & rumen acidosis • Ration as mixed/delivered/fed; as eaten – Lack of effective fiber (particle length) • Chopped too finely • Overmixed – Sorting of ration components by cows
  • 89. Sorting feed at the bunk Hovinghfeedsortvideo.avi
  • 90. Nutrition & rumen acidosis • Penn State Particle Penn State Particle Separator Separator Resources – As delivered to the bunk tinyurl.com/particleseparator – At intervals after feeding (eg. 2, 4, 6 hours, etc.) – If significant (>4 or 5%) amount of variability is observed, sorting is occurring!
  • 91. Don‟t forget about youngstock! • Need a balanced, high quality ration – Byproducts, waste feed, and feed refusals??
  • 92.
  • 93. 5. Heat stress abatement • Heat stress  increased standing time  pressure on corium… AND/OR • Heat stress  rumen acidosis  altered blood flow in feet… • … defective/ poor quality claw tissue (sole, white line, hoof wall, etc.)  more susceptible to infection, mechanical damage, etc.
  • 94. 5. Heat stress abatement
  • 95. 5. Heat stress abatement Maximum: 30 feet for a 3‟ (dia.) fan ~30° 40 feet for a 4‟ (dia.) fan Airspeed: 3-5 mph over cows Minimum: 8 feet
  • 96.
  • 97. 6. Keep the feet clean & dry! Photo credit: J. Shearer
  • 98. 6. Keep the feet clean & dry!
  • 99. 6. Keep the feet clean & dry!
  • 100. Preventing lameness… • Cow comfort • Animal handling/movement • Trimming • Nutrition • Heat stress • Hygiene
  • 101. Ernest Hovingh eph1@psu.edu Thank you!