Machin Hanna, Kato Eriko, Adami Chiara
Department of Clinical Sciences and Services, Royal Veterinary College, University of London, Hatfield, UK.
Bioveterinary Sciences, Royal Veterinary College, University of London, London, UK.
Vet Anaesth Analg. 2019 Mar;46(2):251-254. doi: 10.1016/j.vaa.2018.09.003. Epub 2018 Sep 19.
Measurement of sensory thresholds could represent a complementary tool to behavioural pain scores in cats. The aim of this study was to investigate the feasibility of quantitative sensory testing (QST) with the Electronic von Frey Anesthesiometer (EVF) and von Frey filaments (VFF) in healthy cats, and to assess the limits of agreement (LOA) between the two devices.
Prospective clinical study.
A total of 15 client-owned healthy cats.
Two investigators (A and B) carried out the measurements independently. The EVF and the VFF were applied on the upper lip and at the level of the medial aspect of the stifle. A 1-hour interval was allowed between the sets of measurements taken by investigators A and B; each investigator repeated the entire session of measurements after 24 hours. The LOA between the EVF and the VFF were analysed with the intraclass correlation coefficient (ICC), and with the Bland Altman method.
QST with both the EVF and the VFF was feasible in healthy cats; however, the willingness of the cats to cooperate was negatively affected by the repetition of the measurements on the second day. The presence of the cat owners seemed to facilitate the trial. There was a fair agreement between the EVF and the VFF (ICC = 0.49; 95% confidence interval: 0.13-0.70).
and clinical relevance Our findings indicate that both EVF and VFF may be used for QST in cats. Further trials will be needed to verify the usefulness of QST with EVF and VFF in feline patients suffering from actual chronic pain.
测量感觉阈值可能是猫行为疼痛评分的一种补充工具。本研究的目的是探讨使用电子von Frey麻醉计(EVF)和von Frey细丝(VFF)对健康猫进行定量感觉测试(QST)的可行性,并评估两种设备之间的一致性界限(LOA)。
前瞻性临床研究。
总共15只客户拥有的健康猫。
两名研究人员(A和B)独立进行测量。将EVF和VFF应用于上唇和 stifle内侧水平处。研究人员A和B进行的测量组之间留出1小时间隔;每位研究人员在24小时后重复整个测量过程。使用组内相关系数(ICC)和Bland Altman方法分析EVF和VFF之间的LOA。
在健康猫中使用EVF和VFF进行QST都是可行的;然而,第二天重复测量对猫的合作意愿产生了负面影响。猫主人在场似乎有助于试验。EVF和VFF之间存在合理的一致性(ICC = 0.49;95%置信区间:0.13 - 0.70)。
我们的研究结果表明,EVF和VFF均可用于猫的QST。需要进一步试验以验证在实际患有慢性疼痛的猫科动物患者中使用EVF和VFF进行QST的有效性。