Training adult male
rhesus monkeys to actively
cooperate during in-homecage venipuncture
VIKTOR REINHARDT
Wisconsin Regional Primate
Research Centre,
University of Wisconsin,
1223 Capitol Court, Madison, W1 53715, USA
SUMMARY
A training technique is described for ensuring the active cooperation of
adult male rhesus monkeys (Macaca mulatta) during in-homecage venipuncture.
Five single-housed and 10 pair-housed males (average age 8 years) were
the subjects of the study. On average, 13 training sessions (range 2-26)
were necessary to get a male to voluntarily present a leg in a specially
designed opening of the door and to display no resistance during venipuncture.
Total time spent with a male until he presented a leg ranged from 16 to
74 minutes, with an average of 40 minutes.
Neither the trainer nor the animals received any injuries during the training.
Once trained, all males cooperated during in-homecage venipuncture not
only with the trainer but also with the attending caretakers. One to two
minutes were required to draw a blood sample.
It was concluded that training adult male rhesus monkeys to actively cooperate
during in-
homecage venipuncture increases the scientific value of research by reducing
undue distress
reactions associated with immobilisation. Since the animals cooperate rather
than resist, in- homecage venipuncture also minirnises the risk of injury.
INTRODUCTION
Venipuncture is one of the most common handling procedures to which laboratory
rhesus monkeys are subjected. Usually, an animal is immobilisedin its home
cage or in a special squeeze-apparatus on this occasion. The monkey suffers
considerable distress in either case. The situation is particularly unsatisfactory
when blood needs to be drawn from adult males. Because sharp canines make
males potentially more dangerous than females, they are more forcefully
immobilised. Males are also heavier than females, and carrying a 10 kg
male in a 6 kg transport box from his cage to another room and back constitutes
considerable strain on a person's lower back, particularly when the animal
is housed in an upper-row cage.
A simple and safe training technique has recently been described for ensuring
the cooperation of female rhesus monkeys during venipuncture in their homecage1.
In-homecage venipuncture eliminates undue distress for the monkey2
and makes it unnecessary for the caretaker to move the animal from its
cage. Not only caged but also group-living rhesus monkeys can be trained
to cooperate during venipuncture in a special squeeze-cage3.
The training technique for caged females has been adapted to adult male
rhesus monkeys in the present study.
METHODS
Fifteen male rhesus monkeys (Macaca mulatta) with an average age
of 8.2±2.7 years (Table 1) were the subjects of this study. Ten
animals were housed in 5 compatible pairs in 85 x 170 x 85cm stainless
steel double cages. Each cage was divided by a privacy panel (Figure 1
). A squeeze-back was installed in one half of the cage (Figure 1 ).

FIGURE 1 The double cages for paired
males were provided with a privacy panel.
A squeeze-back was installed in one half of the cage. An animal could be
trapped in
this section by pulling the squeeze-back past the passage hole of the privacy
panel.
An animal could be trapped in the
squeeze-back division of the cage by pulling the squeeze-back past the
passage hole of the privacy panel. The other companion was free to pass
from one half to the other half of the cage in this situation. Five animals
were kept singly in 85 x 85 x 85 cm stainless steel cages with squeeze-backs.
All animals had lived in their cages for more than one year but had never
been restrained with the squeeze-back devices. Each single cage and each
squeeze-back-half of the double cages was equipped with a sturdy sliding
Plexiglass panel fitting over the cage opening. The panel had a smooth-
edged opening (28 cm high and 8 cm wide) that was large enough for a monkey's
leg to be extended out of the cage, but small enough to prevent the monkey
from escaping (Figure 2).
All subjects were familiar with the author and took favoured food from
his hands.
Training sessions started by cautiously pulling the squeeze-back. This
was followed by opening the door while sliding the Plexiglass panel over
the opening. A snap hook, attached to the front of the cage, prevented
the panel from being pushed too far out of its place (Figure 2.)

FIGURE 2 A snap hook, attached to the front
of the cage, prevented the Plexiglass panel
from being pushed too far out of its place.
Here, Hershey is squeezed during one of the inititial sessions
and shows no resistance to saphenous venipuncture.
Note that the monkey is not immobilised although its freedom of movement
is considerably restricted.
During the initial sessions the
animal was squeezed, that is, the squeeze-back was pulled close to the
front of the cage (distance 14-16 cm; Figure 3). The monkey was not immobilised,
but had to get into an upright position to turn around. Reaching a hand
through the opening in the Plexiglass panel, the trainer gently touched
and stroked the back of the animal, grasped one of the animal's legs, and
gently yet firmly pulled the leg out of the cage. This procedure was accompanied
by saphenous venipuncture after several training sessions. Once a male
stopped resisting, he was merely restrained during subsequent training
sessions. The squeeze-back was now pulled less close to the front of the
cage (distance 21- 42 cm), and the animal had room enough to comfortably
move around. Again, the trainer grasped one of the animal's legs and pulled
it through the cage opening. This exercise was combined with saphenous
venipuncture after a few training sessions.
The monkeys were trained with strict consistency, and under no circumstances
were training sessions terminated before the subject's leg was successfully
pulled out of the cage for 1 minute. Once this was achieved the animal
was released, the squeeze-back pushed back, and the animal rewarded with
favoured food (Figure 3).

FIGURE 3 Hershey is rewarded for his good cooperation.
Paired males were trained with one
partner being restrained and the other partner having free access to the
rear portion of the squeeze-back cage. Partners were thus able to keep
visual contact with each other during training procedures.
A male was considered to cooperate when he actively presented one of his
legs in the opening of the Plexiglass panel (Figure 4 ), and showed no
noticeable resistance to having his leg pulled out of the opening and a
blood sample taken (Figure 5).

FIGURE 4 Active cooperation during
in-homecage venipuncture. Here Twist actively
presents a leg for venipuncture. Note that the monkey is restrained with
the help of the
squeeze-back but has room enough to move around comfortably.

FIGURE 5 Twist shows no noticeable
resistance ot having his leg pulled out
of the cage and a blood sample taken.
RESULTS
The time required for pulling a male's leg out of the opening in the Plexiglass
panel for the first time ranged from 1 to 13 minutes, with an average of
4.6±4.1 minutes. Five males remained standing when squeezed, which
made their legs easily accessible to the trainer. Ten males sat down when
they were squeezed for the first few times; it was necessary to lift them
up to their feet and then grasp a leg. After a few sessions, all of the
animals had learned that they were expected to stand during the training.
Initially, the males resisted being touched by repeatedly changing their
position (all 15 animals), by trying to reach back and slap (4 animals),
or by trying to jerk the head back and bite the trainer (1 animal). Once
the training session was over, however, favoured food was accepted as a
reward by all animals. On average, 24.1±18.3 minutes (Table 1) distributed
over 5.8±4.8 training sessions were required to overcome the males'
resistance to having a leg pulled out of the cage and a blood sample taken.
Thereafter the animals were no longer squeezed but merely restrained.
The number of sessions required to get a male to actively present a leg
behind or through the opening in the Plexiglass panel and to display no
resistance during venipuncture ranged from 2 to 26 with an average of 13.1±6.9.
Total time spent with an animal until he presented a leg ranged from 16
to 74 minutes with an average of 40.4±18.8 minutes (Table 1). Mean
duration per training session was thus 40.4 min./13.1 = 3.1 minutes. Training
sessions were distributed over a period of 2 to 16 days.
Paired males and single-caged males did not differ significantly (Mann
Whitney test: p>0.1) in their training performance (Table 1 ).
Neither the trainer nor the animals received any injuries during the training.
Once trained, all males cooperated during in-homecage venipuncture not
only with the trainer but also with the attending caretakers. It took 1
to 2 minutes from entering an animal room to the completion of blood collection.

DISCUSSION
Consistency and positive reinforcement were the key elements of the in-homecage
training program both for females and for males. The training of females,
however, differed from that of the males because females were gradually
habituated to being restrained and to being touched before an attempt was
made to grasp a leg1. Altogether 31 minutes of habituation and training
were necessary until a female no longer displayed signs of resistance to
having a leg gently pulled through the cage door and a blood sample taken1.
The trained animals showed no significant cortisol response to venipuncture,
indicating that they experienced no distress2.
The present study with males suggests that special habituation to being
restrained and touched is not crucial for the success of training. The
males had a leg pulled out of the cage on the first day of training. They
showed no resistance to venipuncture after 24 minutes of training. Unlike
the situation with females, the criterion of success with males was not
merely the absence of resistance but active cooperation by presenting a
leg for venipuncture. This was a safeguard against accidents.
The present report clearly indicates that training adult male rhesus monkeys
to actively cooperate during in-homecage venipuncture is a simple yet rewarding
undertaking. The average investment of 40 minutes per male is negligible
and pays off in several ways:
1. The animal is not unnecessarily distressed by being immobilised in its
cage, or by being removed from its familiar homecage and immobilised on
a table or in a restraint apparatus for the simple procedure of venipuncture.
Working with nonresisting experimental rhesus monkeys in their familiar
environment increases the scientific value of the research conducted on
such animals by eliminating data-confounding reactions caused by fear and/or
resistance.
2. The animal caretaker and the animal cooperate with each other. This
increases the safety of interactions because the monkey no longer needs
to be forcefully subdued and hence is no longer unpredictable and
ready to defend itself by biting and scratching whenever it can.
3. The animal can easily be handled by one caretaker, whereas conventional
blood-collection techniques usually require two or three caretakers to
control the resisting monkey.
It must be emphasised that the training method described in this paper
demands excellent professional skills. Working with adult male macaques
in cooperative ways requires a trustful relationship between the caretaker
and her/his animals. It would be irresponsible to have a fearful, impatient,
or brutal person draw blood from a trained adult rhesus monkey. Such a
person would be at high risk because of the animal's potentially injurious
defensive reactions.
Acknowledgements
I am grateful to my wife Annie and Dr. Dan Houser for providing constructive
comments on this manuscript and to Mrs. Jackie Kinney and Mr. John Wolf
for editing it. Special thanks are due to Mr. Bob Dodsworth for preparing
the photographs for the figures. The in-homecage venipuncture training
program is supported by NIH grant RR-00167 to the Wisconsin Regional Primate
Research Centre.
References
1. Vertein, R. and Reinhardt, V. (1989). Training female rhesus
monkeys to cooperate during in-homecage venipuncture. Laboratory Primate
Newsletter, 28(2): 1-3.
2. Reinhardt, V ., Cowley, D., Scheffler, J., Vertein, R. and Wegner,
F. (1990). Cortisol response of female rhesus monkeys to venipuncture
in homecage versus venipuncture in restraint apparatus. Journal of Medical
Primatology, 19: 601-606.
3. Clarke, M. R., Phillippi, K. M. Falkenstein, J. A. Moran, E. A. and
Suomi, S. J. (1990). Training corral-living rhesus monkeys for fecal
and blood sample collection. American Journal of Primatology, 20:
181.
Reproduced with permission of the Institute of Animal Technology.