Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana.
Lexitas Pharma Services, Inc., Durham, North Carolina.
J Neurotrauma. 2019 Nov 1;36(21):3018-3025. doi: 10.1089/neu.2019.6479. Epub 2019 Jun 6.
Gait evaluation after spinal cord injury (SCI) is an important component of determining functional status. Analysis of center of pressure (COP) provides a dynamic reflection of global locomotion and postural control and has been used to quantify various gait abnormalities. We hypothesized that COP variability would be greater for SCI versus normal dogs and that COP would be able to differentiate varying injury severity. Our objective was to investigate COP, COP variability, and body weight support percentage in dogs with chronic SCI. Eleven chronically non-ambulatory dogs after acute severe thoracolumbar SCI were enrolled. COP measurements in x (right-to-left, COPx) and y (craniocaudal, COPy) directions were captured while dogs walked on a pressure-sensitive treadmill with pelvic limb sling support. Root mean square values (RMS_COPx and RMS_COPy) were calculated to assess variability in COP. Body weight support percentage was measured using a load cell. Gait also was quantified using an open field scale (OFS) and treadmill-based stepping and coordination scores (SS, RI). Mean COPx, COPy, RMS_COPx, and RMS_COPy were compared between dogs with SCI and previously evaluated healthy controls. RMS measurements and support percentage were compared with standard gait scales (OFS, SS, RI). Mean COPy was more cranial and RMS_COPx and RMS_COPy were greater in SCI versus normal dogs ( < 0.001). Support percentage moderately correlated with SS ( = 0.019; R = 0.47). COP analysis and body weight support measurements offer information about post-injury locomotion. Further development is needed before consideration as an outcome measure to complement validated gait analysis methods in dogs with SCI.
脊髓损伤(SCI)后步态评估是确定功能状态的重要组成部分。 分析压力中心(COP)提供了整体运动和姿势控制的动态反射,并已用于量化各种步态异常。我们假设 SCI 犬的 COP 变异性会大于正常犬,并且 COP 能够区分不同的损伤严重程度。我们的目的是研究慢性 SCI 犬的 COP、COP 变异性和体重支持百分比。 11 只患有急性严重胸腰椎 SCI 的慢性非活动性犬被纳入研究。当狗在带有骨盆肢体吊带支撑的压力敏感跑步机上行走时,捕获 COP 在 x(左右,COPx)和 y(前后,COPy)方向上的测量值。使用均方根值(RMS_COPx 和 RMS_COPy)评估 COP 变异性。使用称重传感器测量体重支持百分比。步态也使用开阔场地量表(OFS)和基于跑步机的步调和协调评分(SS、RI)进行量化。将 SCI 犬与之前评估的健康对照组之间的平均 COPx、COPy、RMS_COPx 和 RMS_COPy 进行比较。将 RMS 测量值和支持百分比与标准步态量表(OFS、SS、RI)进行比较。与正常犬相比,SCI 犬的 COPy 更靠前,RMS_COPx 和 RMS_COPy 更大( < 0.001)。支持百分比与 SS 中度相关( = 0.019;R = 0.47)。COP 分析和体重支持测量提供了关于损伤后运动的信息。在考虑将其作为补充 SCI 犬验证步态分析方法的结果衡量标准之前,还需要进一步开发。