Research in Veterinary Science 79 (2005) 239–244
Effect of the analgesic butorphanol on activity behaviour
a Division of Evolutionary Ecology, Department of Biology, University of Bern, 3012 Bern, Switzerland
b Centre for Proper Housing: Poultry and Rabbits, Swiss Federal Veterinary Office, Burgerweg 22, 3052 Zollikofen, Switzerland
During fattening, the bodyweight of modern broad-breasted turkeys increases considerably within a very short space of time. In
particular, the breast muscles increase disproportionately. This leads to a disadvantageous distribution in weight, and as a conse-quence, to a disturbed leg position and skeletal deformations like antitrochanteric degeneration, tibial dyschondroplasia, bending,twisting and rotation of the tibia, osteochondrosis, osteomyelitis, rickets, and epiphyseolysis of the femoral head increases. Thiscases of degenerative joint disease cause severe pain in humans and there are indications that this is also true for turkeys. The pur-pose of this study was to determine if behaviour indicative of such pain in turkeys of the B.U.T. Big 6 breeding line could be atten-uated by administering a quick-acting analgesic, butorphanol. Twelve pairs of turkeys were tested at the ages of 7 and 12 weeks. Onebird in each pair received an analgesic opioid injection, while the other one received a control injection of physiologically balancedsaline solution. The time the birds spent putting weight on their legs, i.e., ÔwalkingÕ and ÔstandingÕ and the distance covered by thebirds were recorded during the 30 min periods before and after the application of the drug. At week seven the treated birds spentsignificantly more time putting weight on their legs than control birds. At week 12, the same tendency was observed. No significantdifferences were found in the distances covered by the animals.
It is concluded that fattening turkeys reduce the time they are putting weight on their legs because these behaviours may be asso-
ciated with pain. Ó 2005 Elsevier Ltd. All rights reserved.
Keywords: Turkeys; Analgesic; Butorphanol; Pain; Activity; Leg disorders
male turkeys is now more than 30 kg ().
Over the last 20 years fattening turkeys have been se-
The disproportional increase of the breast muscle
lected intensively for body weight gain and food conver-
leads to a physiologically unbalanced weight distribution
and to a modification of motion sequences. Bones and
simultaneous optimisation of the mixture of feed, a strong
increase in the amount of consumable meat, in particular
consequence, the leg position of the turkey changes and
the frequency of skeletal problems like antitrochanteric
). The weight of unselected adult male turkeys is
about 8 kg whereas the weight of broad-breasted adult
plasia (bending, twisting androtation of the tibia (), osteo-
* Corresponding author. Present address: Centre for Proper
Housing: Poultry and Rabbits, Burgerweg 22, CH-3052 Zollikofen.
) and epiphyseolysis of the femoral head (
Tel.: +41 31 915 35 19; fax: +41 31 915 35 14.
0034-5288/$ - see front matter Ó 2005 Elsevier Ltd. All rights reserved. doi:10.1016/j.rvsc.2004.11.013
T. Buchwalder, B. Huber-Eicher / Research in Veterinary Science 79 (2005) 239–244
In recent years a considerable number of investigations
on fattening turkeys reported very high incidences of
Most of the investigations describe relatively
profen, methylprednisolone or betamethasone) showed
more activity than control birds treated with physiologi-
cal saline. All of the administered analgesics reduce pain
within a few days via their action on inflammatory pro-
dyschondroplasia peaks at 12 weeks of age. At this age,
cesses. The purpose of the present study was to determine
79% of the toms and 66% of the hens of a heavy breeding
if behaviour indicative of pain in relation to the locomo-
tor system in turkeys of the B.U.T. Big 6 breeding line
and 89% of the toms and 74% of the hens of a Goubin
could also be attenuated by administering a quick-acting
analgesic, butorphanol. The opioid butorphanol has
age, examination of the even heavier B.U.T. T9 and
been used as analgesic since 1978, in both human medical
Big 6 strains revealed incidences of tibial dyschondropla-
science as well as in veterinary medicine (
In an other study antitrochanteric degeneration were
present in the hip joints of all of 70 examined adult tur-
a flock of 17-week-old turkeys of the heavy Hybrid Tur-
recommended non-anti-inflammatory and non-anaes-
key line, 98% of the birds showed an abnormal gait (
thetic analgesic agent for treatments of pain in birds
disorders among male breeding turkeys range from
effects of Butorphanol may be depression of the cardio-
90% to 100% and all birds showed reluctant walking
vascular system and of the spontaneous respiratory activ-
ity and cough, alteration in bronchomotor tone,
(27–34 weeks) all female turkeys of a heavy breeding line
gastrointestinal secretory and motor activity and bladder
sphincter activity, stimulation of the emetic centre, miosis
Prevalence of antitrochanteric degeneration in large
white mail-line turkeys (B.U.T. – M5) was 81% at 54
studied hybrids were very seriously affected by degenera-
tion with other components like Medetomidine it was
used as an effective analgesic sedative (
In domestic animals and human beings degenerative
). The behavioural activity of birds receiving
joint diseases cause severe and chronic pain, especially
analgesic injections was compared with that of birds
receiving control injections. We hypothesise that if the
By analogy and homology, we have to expect that birds
time heavy fattening turkeys spend putting weight on
with similar joint conditions experience comparable pain
their leg joints is limited by pain, then they should
increase this time when given an effective analgesic.
However, until now little research has been conductedto assess pain in birds ). As the sen-
sation of pain cannot be measured directly, behaviouralchanges as well as physiological responses are still the
32 non-beak-trimmed turkeys of unknown sex of the
B.U.T. Big 6 breeding line were purchased from a com-
mercial breeder at five weeks of age. The birds were
marked individually with coloured leg bands and ran-
domly assigned to four groups of eight individuals. The
fects on the behaviour of humans and animals (
groups were then housed in identical pens (4.9 m2), sepa-
), but in birds, behavioural changes as reactions
rated by wire mesh and by solid walls made of plywood up
to pain are subtle, such as slight alteration in posture,
to a height of one metre. The pens were littered with wood
changes of perching position, decrease in appetite or a
shavings and straw and contained a suspended bell-drin-
ker (diameter 40 cm), a feeder (diameter 50 cm), a straw
bale and a perch (180 cm, height 60 cm). Temperature
One of the assessment methods commonly used
was maintained between 15 and 20 °C. Artificial light
in evaluating pain is to measure behaviour in the presence
was provided from 0600 to 2000 h with a 15 min
twilight phase at the beginning and the end of the
investigations on pain related behaviour due to leg weak-
day. Light intensity at the height of the animals was 30 lx.
T. Buchwalder, B. Huber-Eicher / Research in Veterinary Science 79 (2005) 239–244
the lines marked on the foil were then measured witha scroller for distance measurements on geographic
As it turned out the four groups were composed of 25
males and 7 females. In each group of eight birds, threepairs of birds with similar bodyweight (max. 15% differ-
ence) were chosen as test pairs (sex-independently). Pairswere tested twice (weeks 7 and 12). Tests took three days
The effect of group affiliation was verified by analysis
to complete, with four pairs tested (one from each
effects were detected, neither in week seven nor in week
The birds in a test pair were individually marked on
12, all test pairs were treated as independent observa-
their backs with black hair spray and brought into a sep-
tional units. For the behavioural measurements and
arate experimental pen (4.9 m2) containing a suspended
for the distances covered, the ratio between the test
bell-drinker. After 25 min of habituation, behaviour and
and control bird in a pair was calculated. The ratios be-
movements of the animals were observed and addition-
fore and after application of the drug were then com-
ally recorded on video for 30 min. The drug was then
pared by means of Wilcoxon signed ranks test for
administered. One bird received an intramuscular injec-
tion of the analgesic Morphasol, a commercial prepara-
in week 7 the control bird lay one the floor for the whole
tion containing the active ingredient butorphanol
observation time after the treatment and the ratio of this
(0.5 mg/kg), a synthetic opioid which reduces pain via
test pair could therefore not be calculated. All tests are
two sided and alpha level was set to 5%.
), while the other bird received a similar volumeof physiologically balanced saline solution (control) intothe breast muscle (
Control birds lay on the floor for more than half of
among different studies (0.1–4 mg/kg;
the observation time (965 s out of 1800 s) in week 7,
and for almost two thirds of the observation time
At seven weeks of age, turkeys treated with analgesic
Butorphanol is a more efficacious analgesic in birds than
spent significantly more time putting weight on their legs
than control birds (Wilcoxon signed ranks test for
matched pairs, N = 11, T = 7, P = 0.02, In week
12 the animals tended to show a similar reaction, how-
). To avoid too strong depressive and sedative ef-
ever, the difference did not reach statistical significance
fects we chose the relatively low dose rate of 0.5 mg/kg
of butorphanol. The maximum concentration of butor-
During the observation time, control birds covered
phanol in the blood occurs 30–60 min after injection
an average distance of 27.5 m (min. 0.1 m, max.
70.0 m) and 11.9 m (min. 2.3 m, max. 66.8 m) in weeks
). Therefore, the second observation session with
7 and 12, respectively. The ratio of the distances covered
behavioural observations and video recording lasting
by treated and control birds before and after the appli-
30 min, started 45 min after the application of the drug.
cation of the analgesic was not significantly different,neither in week seven nor in week 12 (Wilcoxon signed
ranks test for matched pairs, N = 12; week 7: T = 39,P = 1; week 12: T = 34, P = 0.7; ).
Simultaneous observations of both animals were car-
ried out from a central corridor. Using the programÔObserverÕ (Noldus Information Technology, Wagenin-
gen NL) the duration of two mutually exclusive behav-ioural categories were recorded: behaviour while no
The analgesic Butorphanol had the expected effect.
body weight rests on the joints of the legs (sitting or ly-
Seven-weeks-old broad-breasted fattening turkeys trea-
ing) and behaviour while weight is put on the joints
ted with the analgesic put weight on their legs signifi-
(standing or walking). Additionally, the distance cov-
cantly longer than control animals. A tendency
ered by the birds during the observation period was re-
(P = 0.07) for a similar effect was found in week 12.
corded transmitting the movements of the birds, i.e., the
The fact that 7 and 12 weeks old birds got the same
way covered by the birds, with a permanent marker
dose of the analgesic relatively to their body weight
from the video screen to a plastic foil. The length of
(and not relatively to the seriousness of their lesions)
T. Buchwalder, B. Huber-Eicher / Research in Veterinary Science 79 (2005) 239–244
tory activity and cough but no increase in general activ-
before treatment after treatment
treated and the control birds might therefore have beeneven larger than observed. Butorphanol is known to
have a pain-reducing effect in animals and man and wetherefore conclude from our results, that fattening tur-
keys reduce the time they are active, i.e., standing andwalking because these behaviours are associated with
pain. Taking into account the many studies reportingvery high prevalence of up to 100% of gait problemsand degenerative joint diseases in fattening turkeys, it
seems probable that the pain indicated by the observedbehavioural changes is caused by pathological alteration
of the locomotor system of the legs. Foot pad dermatitisas a source of pain can be excluded as the foot pads of
the tested animals were monitored in weeks 7 and 12 but
no lesions nor ulcerations were observed.
Fig. 1. Ratio between the durations of time that treated birds and
No significant effect of the analgesic on the distance
control birds put weight on their legs, both before and after the
covered by the birds was detected. Turkeys are group
application of an analgesic at 7 and 12 weeks of age. Error bars
living birds, their behaviour is synchronised within the
group and we may expect a high moti-vation in individual birds to stay together with groupmembers. This might have led to a levelling of the dis-
before treatment
tances covered by the test and the control bird. How-
after treatment
ever, it could also be, that walking was less affected by
the analgesic than standing, meaning that walking
would be less painful for the birds. Unfortunately, our
data does not allow further investigation of this ques-
tion, but it would be interesting and worthwhile to study
such possible differences in pain sensation when Ôwalk-ingÕ or ÔstandingÕ using an experimental approach.
This work was supported by a Grant (No. 2.99.07)
from the Federal Veterinary Office. We thank colleagues
at the Centre for Proper Housing: Poultry and Rabbits,
and the staff of the Swiss Poultry Husbandry School fortheir cooperation. The experiment reported here is part
of a dissertation from the Faculty of Natural Sciences of
Fig. 2. Ratio between the distances covered by the treated and the
the University of Berne, Switzerland.
control birds, before and after treatment at 7 and 12 weeks of age. Error bars represent standard deviations.
and the evidence that 12 weeks old birds suffer fromgreater lesions than 7 weeks old birds (
Abourachid, A., 1991. Comparative gait analysis of two strains of
turkey, Meleagris Gallopavo. British Poultry Science 32, 271–277.
the smaller difference in activity behaviour between the
Abourachid, A., 1993. Mechanics of standing in birds: functional
treated and the control birds in week 12.
explanation of lameness problems in giant turkeys. British PoultryScience 34, 887–898.
Possible side effects of the opioid butorphanol are
Cherel, Y., Beaumont, C., Wyers, M., Fleury, R., Delavigne, M., 1991.
among others a general sedation, a depression of the
Estimation de la pre´valence et de lÕhe´ritabilite´ de la dyschondro-
cardiovascular system and of the spontaneous respira-
plasie tibiale du dindon. Avian Pathology 20, 387–401.
T. Buchwalder, B. Huber-Eicher / Research in Veterinary Science 79 (2005) 239–244
Classen, H., Riddell, C., Robinson, F., Shand, P., McCurdy, A., 1994.
Julian, R., 1985. Osteochondrosis, dyschondroplasia, and osteomyeli-
Effect of lighting treatment in the productivity, health, behaviour
tis causing femoral head necrosis in turkeys. Avian Disease 29,
and sexual maturity of heavy male turkeys. British Poultry Science
Julian, R., Bhatnagar, M., 1985. Cartilage lesions associated with
Danbury, T., Weeks, C., Chambers, J., Waterman-Pearson, A., Kestin,
shaky-leg lameness in turkeys. Avian Diseases 29, 218–232.
S., 2000. Self-selection of the analgesic drug carprofen by lame
Keefe, F., Block, A., 1982. Development of an observation method for
broiler chickens. The Veterinary Record 11, 307–311.
assessing pain behaviour in chronic low back pain patients.
Demuth, D., 2001. Tierarzneimittelkompendium der Schweiz 2001/
Behaviour Research and Therapy 13, 363–375.
Keefe, F., Fillingim, R., Williams, D., 1991. Behavioral assessment of
Diamond, S., Freitag, F., Diamond, M., Urban, G., 1992. Transnasal
pain: nonverbal measures in animals and humans. ILAR News 33,
butorphanol in the treatment of migraine headache pain. Headache
Quarterly, Current Treatment and Research 3 (2), 164–170.
Leach, R., Lilburn, M., 1992. Current knowledge on the etiology of
Duff, S., 1984a. The histopathology of degenerative hip disease in male
tibial dyschondroplasia in the avian species. Poultry Science
breeding turkeys. Journal of Comparative Pathology 94, 115–125.
Duff, S., 1984b. The morphology of degenerative hip disease in male
Loeffler, K., 1986. Assessing pain by studying posture, activity and
breeding turkeys. Journal of Comparative Pathology 94, 127–139.
function. In: Duncan, I., Molony, V. (Eds.), Assessing Pain in
Duff, S., Randall, C., 1987. Observations on femoral head abnormal-
Farm Animals, Proceedings of a Workshop held in Roslin,
ities in broilers. Research in Veterinary Science 42, 17–23.
Scotland, 25/26 October 1984. Luxembourg, Commission of the
Duff, S., Hocking, P., Field, R., 1987. The gross morphology of
skeletal disease in adult male breeding turkeys. Avian Diseases 16,
Mansour, A., Khachaturian, H., Lewis, M., Akil, H., Watson, S.,
1988. Anatomy of CNS opioid receptors. Trends in Neurosciences
Duncan, I., Beatty, E., Hocking, P., Duff, S., 1991. Assessment of pain
associated with degenerative hip disorders in adult male turkeys.
Melzack, R., Wall, P., 1982. The Challenge of Pain. Penguin Books,
Research in Veterinary Science 50, 200–203.
Edwards, H., Sørensen, P., 1987. Effects of short fasts on the
Murray, M., Johnson, A., (n.d.) The use of the drug combination
development of tibial dyschondroplasia in chickens. Journal of
medetomidine/Butorphanol as an analgesic sedative in the southern
sea otter. Retrieved July 29, 2003. Available from:
Gades, N., Danneman, P., Wixson, S., Tolley, E., 2000. The magnitude
and duration of the analgesic effect of morphine, butorphanol, and
buprenorphine in rats and mice. Contemporary Topics in Labo-
Paul-Murphy, J., Brunson, D., Miletic, V., 1999. Analgesic effects of
ratory Animal Sciences 39 (2), 8–13.
Butorphanol and buprenorphine in conscious African grey parrots
Gentle, M., 1991. Behavioural and physiological responses to pain in
(Psittacus erithacus erithacus and Psittacus erithacus timneh).
the chicken. In: Symposium 34: Pain and Stress in Birds.
American Journal of Veterinary Research 60, 1218–1221.
Wellington New Zealand, New Zealand Ornithological Congress
Paul-Murphy, J., 1998. Addressing pain in the avian patient. In:
Proceedings AAZV and AAWV Joint Conference.
Gentle, M., Hunter, L., 1991. Physiological and behavioural responses
Paul-Murphy, J., 2002. Evaluating the analgesic effects of Opioids in
associated with feather removal in Gallus var domesticus. Research
Birds. In: Ludders, J., Paul-Murphy, J., Robertson, S., Gaynor, J.,
in Veterinary Science 50 (1), 95–101.
Hellyer, P., Wong, P., Barakatt, C. (Eds.), A Cross Species
Gentle, M., Hunter, L., Waddington, D., 1991. The onset of pain-
Approach to Pain and Analgesia. International Veterinary Infor-
related behaviours following partial beak amputation in the
mation Service, Ithaca, NY, USA, Available from:
chicken. Neuroscience Letter 28, 113–116.
Geown, D., Danbury, T., Waterman-Pearson, A., Kestin, S., 1999.
Paul-Murphy, J., Fialkowski, J., 2001. Injectable anesthesia and
Effect of Carprofen on lameness in broiler chickens. The Veterinary
analgesia of birds. In: Gleed, R., Ludders, J. (Eds.), Recent
Advances in Veterinary Anesthesia and Analgesia: Companion
Harkness, J., Higgs, E., Dieppe, P., 1984. Osteoarthritis. In: Wall, P.,
Animals. International Veterinary Information Service, Ithaca,
Melzack, R. (Eds.), Textbook of Pain. Churchill, Livingstone,
NY, USA, p. A1409.0801, Available from: .
Paul-Murphy, J., Ludders, J., 2001a. Avian analgesia. Veterinary
´ ., Chasseur, C., Mathieu, F., Begaux, F., Malaisse, F.,
Clinics of North America: Exotic Animal Practice 4 (1), 35–45.
Nolard, N., Zhu, D., Suetens, C., Gaspar, C., 2000. La Maladie de
Paul-Murphy, J., Ludders, J., 2001b Guidelines for anesthesia and
Kashim-Beck et le milieu rural au Tibet: un proble`me agri-
analgesia in pigeons (Columba livia). Retrieved July 28, 2003, from
environnemental. Cahiers dÕe´tudes de recherches francophones/
University of Michigan, Unit for Laboratory Animal Medicine
Hocking, P., Lynch, M., 1991. Histopathology of antitrochanteric
degeneration in adult female turkeys of four strains of widely
Prichard, D., 2002. Improving turkey welfare. In: Proceedings of the
differing mature size fed ad libitum or restricted to point of lay.
25th Technical Turkey Conference, pp. 1–5.
Research in Veterinary Science 51, 327–331.
Reim, D., Middleton, C., 1995. Use of butorphanol as an anesthetic
Hocking, P., Bernard, R., Maxwell, M., 1999. Assessment of pain
adjunct in turkeys. Laboratory Animal Science 45 (6), 696–698.
during locomotion and the welfare of adult male turkeys with
Reinmann, M., 1999. Probleme in der Putenhaltung am Beispiel der
destructive cartilage loss of the hip joint. British Poultry Science 40,
tibialen Dyschondroplasie – eine kleine Chronologie. DGV-Refer-
atesammlung, 56. Fachgespra¨ch, Hannover.
Hocking, P., Robertson, G., Gentle, M., 2001. Effects of anti-
Riddell, C., 1975. Pathology of developmental and metabolic disorders
inflammatory steroid drugs on pain coping behaviours in a model
of the skeleton of domestic chickens and turkeys. 1. Abnormalities
of articular pain in the domestic fowl. Research in Veterinary
of genetic or unknown aetiology. Veterinary Bulletin 45, 629–640.
Riddell, C., 1980. A survey of skeletal disorders in five turkey flocks in
Hoffert, M., Couch, J., Diamond, S., 1995. Transnasal butorphanol in
Saskatchewan. Canadian Journal of Comparative Medicine 44,
the treatment of acute migraine. Headache 35, 65–69.
T. Buchwalder, B. Huber-Eicher / Research in Veterinary Science 79 (2005) 239–244
Riddell, C., 1981. Skeletal deformities in poultry. Advances in
US Food and Drug Administration, Center for Drug Evaluation and
Veterinary Science and Comparative Medicine 25, 277–310.
Research 1998. Printed labeling of Butorphanol Tartrate Injection,
Sheridan, A., Howlett, C., Burton, R., 1978. The inheritance of tibial
USP. Retrieved July 29, 2003. Available from:
dyschondroplasia in broilers. British Poultry Science 19, 491–499.
Siegel, S., Castellan, N., 1988. Nonparametric Statistics for the
Wall, P., 1979. On the relation of injury to pain. Pain 6, 253–264.
Behavioural Sciences. McGraw-Hill, New York.
Walser, M., Cherms, F., Dziuk, M., 1982. Osseous development and
Sørensen, P., 1992. The genetics of leg disorders. In: Whitehead, C.
tibial dyschondroplasia in five lines of turkeys. Avian Diseases 26,
(Ed.), Bone Biology and Skeletal Disorders in Poultry, 23rd
Poultry Science Symposium, pp. 213–229.
Williams, l., 1981. The Book of the Wild Turkey. Winchester Press, pp.
Sørensen, P., Harlou, B., 1984. Tibia disorder in broilers: estimation of
heritability and relation to clinical investigations. XVII WorldÕs
Zimmermann, M., 1986. Behavioural investigations of pain in animals.
Poultry Congress, Helsinki, pp. 163–165.
In: Duncan, I., Molony, V. (Eds.), Assessing Pain in Farm
Sweet, S., McGrath, P., 1998. Physiological measures of pain. In:
Animals, Proceedings of a Workshop held in Roslin, Scotland,
Finley, G., McGrath, P. (Eds.), Measurement of Pain in Infants
25/26 October 1984. Luxembourg, Commission of the European
and Children. IASP Press, Seattle, pp. 59–81.
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Curiculum Vitae Angelo Paradiso MD – PhD - Scientific Director of NCI Bari (Italy) Function within OECI - Co-opted Board Member, Chairperson Educational Working Group Education • Degrees: Medicine in 1980, University of Bari • Specialization: -Oncology in 1985, University of Bari, -Applied Pharmacology , 1988, University of Bari Professional Experience (fu