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热量限制以及适度或强化物理治疗方案对超重患骨关节炎犬跛行治疗的影响。

Effects of caloric restriction and a moderate or intense physiotherapy program for treatment of lameness in overweight dogs with osteoarthritis.

作者信息

Mlacnik Evamaria, Bockstahler Barbara A, Müller Marion, Tetrick Mark A, Nap Richard C, Zentek Jürgen

机构信息

Institute of Nutrition, Movement Science Group Vienna (Project Group Dog), Veterinary University of Vienna, Veterinärplatz 1, A 1210 Vienna, Austria.

出版信息

J Am Vet Med Assoc. 2006 Dec 1;229(11):1756-60. doi: 10.2460/javma.229.11.1756.

Abstract

OBJECTIVE

To evaluate the effects of a weight reduction program combined with a basic or more complex physical therapy program including transcutaneous electric nerve stimulation on lameness in overweight dogs with osteoarthritis.

DESIGN

Nonblinded prospective randomized clinical trial. Animals-29 adult overweight or obese dogs with a body condition score of 4/5 or 5/5 and clinical and radiographic signs of osteoarthritis.

PROCEDURES

A weight-loss program was initiated for all dogs. One group received caloric restriction and a home-based physical therapy program. The other group received the identical dietetic protocol and an intensive physical therapy program including transcutaneous electrical nerve stimulation. Lameness was assessed clinically and by kinetic gait analysis on a treadmill with 4 force plates to measure symmetry of ground reaction forces (GRFs) of the affected and contralateral limbs in bimonthly intervals for 6 months.

RESULTS

Significant weight loss was achieved in both groups; however, greater weight reduction was attained by dogs treated with caloric restriction and intensive physiotherapy. Mobility and symmetry indices of GRFs were improved after 6 months; the best outcome was detected in the group receiving energy restriction combined with intensive physical therapy.

CONCLUSIONS AND CLINICAL RELEVANCE

Caloric restriction combined with intensive physical therapy improved mobility and facilitated weight loss in overweight dogs. The combination of dietetic and physical therapy may help to improve the health status more efficiently than dietetic treatment alone.

摘要

目的

评估减重计划联合基础或更复杂的物理治疗方案(包括经皮电刺激神经疗法)对超重患骨关节炎犬跛行的影响。

设计

非盲前瞻性随机临床试验。动物——29只成年超重或肥胖犬,身体状况评分为4/5或5/5,并有骨关节炎的临床和放射学体征。

步骤

对所有犬开始实施减重计划。一组接受热量限制和家庭物理治疗方案。另一组接受相同的饮食方案和强化物理治疗方案,包括经皮电刺激神经疗法。每两个月对跛行进行临床评估,并通过在配备4个测力板的跑步机上进行动态步态分析,测量患侧和对侧肢体地面反作用力(GRF)的对称性,持续6个月。

结果

两组犬均实现显著减重;然而,接受热量限制和强化物理治疗的犬减重更多。6个月后,GRF的活动度和对称性指标得到改善;在接受能量限制联合强化物理治疗的组中检测到最佳结果。

结论及临床意义

热量限制联合强化物理治疗可改善超重犬的活动能力并促进减重。饮食和物理治疗相结合可能比单纯饮食治疗更有效地改善健康状况。

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