Bennaim Michael, Porato Mathilde, Jarleton Astrid, Hamon Martin, Carroll James D, Gommeren Kris, Balligand Marc
Am J Vet Res. 2017 Feb;78(2):195-206. doi: 10.2460/ajvr.78.2.195.
OBJECTIVE To evaluate the effects of postoperative photobiomodulation therapy and physical rehabilitation on early recovery variables for dogs after hemilaminectomy for treatment of intervertebral disk disease. ANIMALS 32 nonambulatory client-owned dogs. PROCEDURES Dogs received standard postoperative care with photobiomodulation therapy (n = 11), physical rehabilitation with sham photobiomodulation treatment (11), or sham photobiomodulation treatment only (10) after surgery. Neurologic status at admission, diagnostic and surgical variables, duration of postoperative IV analgesic administration, and recovery grades (over 10 days after surgery) were assessed. Time to reach recovery grades B (able to support weight with some help), C (initial limb movements present), and D (ambulatory [≥ 3 steps unassisted]) was compared among groups. Factors associated with ability to ambulate on day 10 or at last follow-up were assessed. RESULTS Time to reach recovery grades B, C, and D and duration of postoperative IV opioid administration did not differ among groups. Neurologic score at admission and surgeon experience were negatively associated with the dogs' ability to ambulate on day 10. The number of disk herniations identified by diagnostic imaging before surgery was negatively associated with ambulatory status at last follow-up. No other significant associations and no adverse treatment-related events were identified. CONCLUSIONS AND CLINICAL RELEVANCE This study found no difference in recovery-related variables among dogs that received photobiomodulation therapy, physical rehabilitation with sham photobiomodulation treatment, or sham photobiomodulation treatment only. Larger studies are needed to better evaluate effects of these postoperative treatments on dogs treated surgically for intervertebral disk disease.
目的 评估术后光生物调节疗法和物理康复对因椎间盘疾病行半椎板切除术后犬早期恢复指标的影响。
动物 32只非活动状态的客户拥有的犬。
方法 犬在术后接受标准护理，其中11只接受光生物调节疗法，11只接受假光生物调节治疗的物理康复，10只仅接受假光生物调节治疗。评估入院时的神经状态、诊断和手术指标、术后静脉镇痛给药持续时间以及恢复等级（术后10天以上）。比较各组达到恢复等级B（在一些帮助下能够支撑体重）、C（出现最初的肢体运动）和D（可自主行走[≥3步]）的时间。评估与术后第10天或最后一次随访时行走能力相关的因素。
结果 各组达到恢复等级B、C和D的时间以及术后静脉给予阿片类药物的持续时间无差异。入院时的神经评分和外科医生经验与犬在术后第10天的行走能力呈负相关。术前诊断性影像学检查发现的椎间盘突出数量与最后一次随访时的行走状态呈负相关。未发现其他显著相关性，也未发生与治疗相关的不良事件。
结论及临床意义 本研究发现，接受光生物调节疗法、假光生物调节治疗的物理康复或仅接受假光生物调节治疗的犬之间，与恢复相关的指标无差异。需要开展更大规模的研究，以更好地评估这些术后治疗方法对因椎间盘疾病接受手术治疗的犬的效果。
