Ishihara Akikazu, Reed Stephen M, Rajala-Schultz Päivi J, Robertson James T, Bertone Alicia L
Department of Veterinary Biosciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210, USA.
J Am Vet Med Assoc. 2009 Mar 1;234(5):644-51. doi: 10.2460/javma.234.5.644.
To evaluate use of kinetic gait analysis for detection, quantification, and differentiation of hind limb lameness and spinal ataxia in horses.
Prospective clinical study.
36 horses. Procedures-Kinetic gait analysis with a force plate was performed for 12 clinically normal horses, 12 horses with hind limb lameness, and 12 horses with spinal ataxia. Kinetic variables were compared among groups, correlated to subjective grading, and used to build predictive models to assess the accuracy of discrimination.
Subsets of kinetic variables were characteristically altered in ataxic and lame gaits. Ataxic horses had significantly increased lateral force peak and variation in vertical force peaks in both hind limbs. Lame horses had significantly decreased vertical force peak and increased variation in vertical force peaks only in the lame hind limb. These variables were used to differentiate between spinal ataxia and hind limb lameness with excellent accuracy. There were significant correlations between a subset of kinetic variables and subjective lameness and neurologic grades.
Kinetic gait variables, specifically lateral force peak and the variation in vertical force, can be used to support the differential diagnosis between spinal ataxia and hind limb lameness in horses. Kinetic gait analysis may also be applied for quantification of equine hind limb gait abnormalities as well as confirming lack of lameness and ataxia in soundness examinations.
评估动态步态分析在检测、量化和区分马后肢跛行与脊髓性共济失调方面的应用。
前瞻性临床研究。
36匹马。
对12匹临床正常的马、12匹后肢跛行的马和12匹脊髓性共济失调的马,使用测力板进行动态步态分析。比较各组之间的动力学变量,将其与主观评分相关联,并用于建立预测模型以评估鉴别准确性。
共济失调步态和跛行步态中,动力学变量的子集有特征性改变。共济失调的马两后肢的侧向力峰值和垂直力峰值变化显著增加。跛行的马仅在跛行后肢的垂直力峰值显著降低,垂直力峰值变化增加。这些变量用于区分脊髓性共济失调和后肢跛行,准确性极佳。一部分动力学变量与主观跛行和神经学分级之间存在显著相关性。
动态步态变量,特别是侧向力峰值和垂直力变化,可用于辅助诊断马的脊髓性共济失调和后肢跛行。动态步态分析也可用于量化马后肢步态异常,以及在健康检查中确认无跛行和共济失调。