Bertocci G, Smalley C, Brown N, Bialczak K, Carroll D
Department of Bioengineering, J. B. Speed School of Engineering, University of Louisville, Louisville, KY, 40202, USA.
Department of Rehabilitation and Conditioning, Central Texas Veterinary Specialty Hospital, Austin, TX, 78745, USA.
J Small Anim Pract. 2018 Feb;59(2):121-127. doi: 10.1111/jsap.12770. Epub 2017 Oct 17.
OBJECTIVE: To compare pelvic limb joint kinematics and temporal gait characteristics during land-based and aquatic-based treadmill walking in dogs that have undergone surgical stabilisation for cranial cruciate ligament deficiency. MATERIALS AND METHODS: Client-owned dogs with surgically stabilised stifles following cranial cruciate ligament deficiency performed three walking trials consisting of three consecutive gait cycles on an aquatic treadmill under four water levels. Hip, stifle and hock range of motion; peak extension; and peak flexion were assessed for the affected limb at each water level. Gait cycle time and stance phase percentage were also determined. RESULTS: Ten client-owned dogs of varying breeds were evaluated at a mean of 55·2 days postoperatively. Aquatic treadmill water level influenced pelvic limb kinematics and temporal gait outcomes. Increased stifle joint flexion was observed as treadmill water level increased, peaking when the water level was at the hip. Similarly, hip flexion increased at the hip water level. Stifle range of motion was greatest at stifle and hip water levels. Stance phase percentage was significantly decreased when water level was at the hip. CLINICAL SIGNIFICANCE: Aquatic treadmill walking has become a common rehabilitation modality following surgical stabilisation of cranial cruciate ligament deficiency. However, evidence-based best practice guidelines to enhance stifle kinematics do not exist. Our findings suggest that rehabilitation utilising a water level at or above the stifle will achieve the best stifle kinematics following surgical stifle stabilisation.
目的:比较经颅交叉韧带缺失手术稳定后的犬在陆地和水上跑步机行走时的骨盆肢关节运动学和时间步态特征。 材料与方法:患有颅交叉韧带缺失且经手术稳定 stifles 的客户拥有的犬,在水上跑步机上进行了三次行走试验,包括在四个水位下连续三个步态周期。在每个水位下评估患侧肢体的髋、 stifle 和跗关节活动范围;最大伸展度;以及最大屈曲度。还确定了步态周期时间和站立期百分比。 结果:对 10 只不同品种的客户拥有的犬进行了评估,平均术后 55.2 天。水上跑步机水位影响骨盆肢运动学和时间步态结果。随着跑步机水位升高,观察到 stifle 关节屈曲增加,当水位达到髋部时达到峰值。同样,在髋部水位时髋部屈曲增加。在 stifle 和髋部水位时,stifle 活动范围最大。当水位在髋部时,站立期百分比显著降低。 临床意义:水上跑步机行走已成为颅交叉韧带缺失手术稳定后的常见康复方式。然而,不存在基于证据的最佳实践指南来改善 stifle 运动学。我们的研究结果表明,在手术稳定 stifle 后,使用等于或高于 stifle 的水位进行康复将实现最佳的 stifle 运动学。
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2014