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. 2025 Apr 9;12:1574351. doi: 10.3389/fvets.2025.1574351

Table 1.

Score sheet of the Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP) (29).

Data Categories Score
Head Normal head movement/interested in environment 0
Less movement 1
No movement 2
Eyelids Opened, sclera can be seen in case of eye/head movement 0
More opened eyes or tightening of eyelids. And edge of the sclera can be seen 50% of the time 1
Obviously more opened eyes or obvious tightening of the eyelids. Sclera can be seen >50% of the time 2
Focus Focused on environment 0
Less focused on environment 1
Not focused on environment 2
Nostrils Relaxed 0
A bit more opened 1
Obviously more opened, nostrils flaring and possibly audible breathing 2
Corners mouth/lips Relaxed 0
Lifted slightly 1
Obviously lifted 2
Muscle tone head No fasciculations 0
Mild fasciculations 1
Obvious fasciculations 2
Flehming and/or yawning Not seen 0
Seen 2
Teeth grinding and/or moaning Not heard 0
Heard 2
Ears Position: orientation toward sound/clear response with both ears or ear closest to source 0
Delayed/reduced response to sounds 1
Position: backwards/no response to sounds 2
Total …/18