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猫骨关节炎的评估:一项试点研究的新信息。

Evaluation of osteoarthritis in cats: novel information from a pilot study.

作者信息

Guillot Martin, Moreau Maxim, d'Anjou Marc-André, Martel-Pelletier Johanne, Pelletier Jean-Pierre, Troncy Eric

机构信息

Groupe de Recherche en Pharmacologie Animale du Québec (GREPAQ), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada.

出版信息

Vet Surg. 2012 Apr;41(3):328-35. doi: 10.1111/j.1532-950X.2012.00976.x. Epub 2012 Mar 1.

DOI:10.1111/j.1532-950X.2012.00976.x
PMID:22380935
Abstract

OBJECTIVE

To describe structural changes associated with osteoarthritis (OA) in cats and to quantify OA-associated disability using functional evaluations.

STUDY DESIGN

Cross-sectional pilot study with longitudinal data.

ANIMALS

Normal cats (n = 2) and coxofemoral joint OA cats (n = 4) were evaluated by physical examination, radiography, and magnetic resonance imaging (MRI).

METHODS

Structural changes related to OA were scored using computed radiographs (CR) and MRI. Functional evaluation consisted of podobarometric gait analyses performed using a pressure-sensitive mattress and motor activity assessments using collar-attached, accelerometer-based activity sensors.

RESULTS

Structural scores for the coxofemoral joint OA-related lesions were lower in normal cats than OA cats for MRI (P = .07). Use of MRI allowed for whole-organ assessment of the coxofemoral joint. Pelvic limb peak vertical ground reaction force (PVF) was higher in normal cats than OA cats (P = .10). During the night, motor activity was greater in normal cats than OA cats (P = .04). PVF was positively correlated with mean motor activity (Spearman coefficient [Rho] = 0.83, P = .04) and negatively correlated with age and MRI structural score (Rho = -0.93 and -0.79, P < .01 and .06, respectively).

CONCLUSIONS

This study provides the first description of OA-related lesions in cats using MRI. Gait analysis and accelerometry should be considered as objective tools to characterize OA-associated disability, although these assessments were weakly correlated with structural changes.

摘要

目的

描述猫骨关节炎(OA)相关的结构变化,并通过功能评估对OA相关残疾进行量化。

研究设计

采用纵向数据的横断面试点研究。

动物

通过体格检查、X线摄影和磁共振成像(MRI)对正常猫(n = 2)和髋股关节OA猫(n = 4)进行评估。

方法

使用计算机X线摄影(CR)和MRI对与OA相关的结构变化进行评分。功能评估包括使用压敏床垫进行的足底压力步态分析以及使用基于加速度计的项圈式活动传感器进行的运动活动评估。

结果

正常猫的髋股关节OA相关病变的MRI结构评分低于OA猫(P = 0.07)。MRI可对髋股关节进行全器官评估。正常猫的骨盆肢体垂直地面峰值反作用力(PVF)高于OA猫(P = 0.10)。夜间,正常猫的运动活动大于OA猫(P = 0.04)。PVF与平均运动活动呈正相关(Spearman系数[Rho] = 0.83,P = 0.04),与年龄和MRI结构评分呈负相关(Rho = -0.93和-0.79,P分别<0.01和0.06)。

结论

本研究首次使用MRI描述了猫OA相关病变。步态分析和加速度测量应被视为表征OA相关残疾的客观工具,尽管这些评估与结构变化的相关性较弱。

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