Marsolais Gregory S, McLean Scott, Derrick Tim, Conzemius Michael G
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA 50010, USA.
J Am Vet Med Assoc. 2003 Mar 15;222(6):739-43. doi: 10.2460/javma.2003.222.739.
OBJECTIVE: To determine hip, stifle, and tarsal joint ranges of motion (ROM) and angular velocities during swimming and walking in healthy dogs and dogs with surgically corrected cranial cruciate ligament (CCL) rupture. DESIGN: Prospective clinical study. ANIMALS: 13 healthy dogs and 7 dogs with CCL rupture. PROCEDURE: Dogs with CCL rupture were enrolled in a postoperative aquatic rehabilitation program and evaluated 21 to 35 days after surgery. Dogs were filmed while swimming in a pool and while walking at a fast (1.3 m/s) or slow (0.9 m/s) pace on a treadmill. Maximal angles of extension and flexion, ROM, and angular velocities were calculated. RESULTS: In healthy dogs, swimming resulted in a significantly greater ROM in the hip joint than did walking, but in dogs with CCL rupture, ROM of the hip joint did not vary with swimming versus walking. For dogs in both groups, swimming resulted in significantly greater ROM of the stifle and tarsal joints than did walking, primarily because of greater joint flexion. Stifle joint ROM was significantly lower in dogs with CCL rupture than in healthy dogs, regardless of whether dogs were swimming or walking. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that following surgical management of a ruptured CCL in dogs, swimming resulted in greater ROM of the stifle and tarsal joints than did walking. This suggests that if ROM is a factor in the rate or extent of return to function in these dogs, then aquatic rehabilitation would likely result in a better overall outcome than walking alone.
目的:确定健康犬以及经手术矫正颅交叉韧带(CCL)断裂的犬在游泳和行走过程中髋关节、膝关节和跗关节的活动范围(ROM)及角速度。 设计:前瞻性临床研究。 动物:13只健康犬和7只CCL断裂犬。 步骤:CCL断裂犬纳入术后水上康复计划,并在术后21至35天进行评估。犬在游泳池游泳时以及在跑步机上以快(1.3米/秒)或慢(0.9米/秒)速度行走时进行拍摄。计算最大伸展和屈曲角度、ROM及角速度。 结果:在健康犬中,游泳时髋关节的ROM显著大于行走时,但在CCL断裂犬中,髋关节的ROM在游泳和行走时并无差异。对于两组犬,游泳时膝关节和跗关节的ROM显著大于行走时,主要是因为关节屈曲更大。无论犬是在游泳还是行走,CCL断裂犬的膝关节ROM均显著低于健康犬。 结论及临床意义:结果表明,犬CCL断裂手术治疗后,游泳时膝关节和跗关节的ROM大于行走时。这表明,如果ROM是这些犬恢复功能的速度或程度的一个因素,那么水上康复可能比单纯行走产生更好的总体结果。
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