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胸肢截肢后犬在小跑时的运动学和动力学分析

Kinematic and kinetic analysis of dogs during trotting after amputation of a thoracic limb.

作者信息

Jarvis Sarah L, Worley Deanna R, Hogy Sara M, Hill Ashley E, Haussler Kevin K, Reiser Raoul F

机构信息

School of Biomedical Engineering, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523, USA.

出版信息

Am J Vet Res. 2013 Sep;74(9):1155-63. doi: 10.2460/ajvr.74.9.1155.

DOI:10.2460/ajvr.74.9.1155
PMID:23977887
Abstract

OBJECTIVE

To characterize biomechanical differences in gait between dogs with and without an amputated thoracic limb.

ANIMALS

Client-owned dogs (16 thoracic-limb amputee and 24 quadruped [control] dogs).

PROCEDURES

Dogs were trotted across 3 in-series force platforms. Spatial kinematic and kinetic data were recorded for each limb during the stance phase.

RESULTS

Amputees had significant increases in stance duration and vertical impulse in all limbs, compared with values for control dogs. Weight distribution was significantly increased by 14% on the remaining thoracic limb and by a combined 17% on pelvic limbs in amputees. Braking ground reaction force (GRF) was significantly increased in the remaining thoracic limb and pelvic limb ipsilateral to the amputated limb. The ipsilateral pelvic limb had a significantly increased propulsive GRF. The carpus and ipsilateral hip and stifle joints had significantly greater flexion during the stance phase. The cervicothoracic vertebral region had a significantly increased overall range of motion (ROM) in both the sagittal and horizontal planes. The thoracolumbar vertebral region ROM increased significantly in the sagittal plane but decreased in the horizontal plane. The lumbosacral vertebral region had significantly greater flexion without a change in ROM.

CONCLUSIONS AND CLINICAL RELEVANCE

Compared with results for quadruped dogs, the vertebral column, carpus, and ipsilateral hip and stifle joints had significant biomechanical changes after amputation of a thoracic limb. The ipsilateral pelvic limb assumed dual thoracic and pelvic limb roles because the gait of a thoracic limb amputee during trotting appeared to be a mixture of various gait patterns.

摘要

目的

描述有和没有胸肢截肢的犬类在步态上的生物力学差异。

动物

客户拥有的犬类(16只胸肢截肢犬和24只四足[对照]犬)。

方法

犬类小跑通过3个串联的测力平台。在站立期记录每个肢体的空间运动学和动力学数据。

结果

与对照犬的值相比,截肢犬所有肢体的站立持续时间和垂直冲量显著增加。截肢犬剩余胸肢的重量分布显著增加14%,骨盆肢的重量分布合计增加17%。截肢肢体同侧的剩余胸肢和骨盆肢的制动地面反作用力(GRF)显著增加。同侧骨盆肢的推进GRF显著增加。腕关节以及同侧髋关节和膝关节在站立期有显著更大的屈曲。颈胸段脊柱在矢状面和水平面的总体活动范围(ROM)显著增加。胸腰段脊柱的ROM在矢状面显著增加,但在水平面降低。腰骶段脊柱有显著更大的屈曲,ROM无变化。

结论及临床意义

与四足犬的结果相比,胸肢截肢后,脊柱、腕关节以及同侧髋关节和膝关节有显著的生物力学变化。同侧骨盆肢承担了胸肢和骨盆肢的双重作用,因为胸肢截肢犬在小跑时的步态似乎是各种步态模式的混合。

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