Freelance Veterinarian, Carmagnola, Turin, Italy.
Department of Clinical Sciences and Services, Royal Veterinary College, University of London, London, UK.
Open Vet J. 2020 Apr;10(1):116-119. doi: 10.4314/ovj.v10i1.16. Epub 2020 Mar 30.
Osteoarthritis (OA) is common in dogs and causes chronic pain that affects the quality of life and may not respond to analgesics.
The objective of this study was to determine whether low-level laser therapy (LLLT) would improve the quality of life and help reducing systemic analgesics, in dogs with OA.
Seventeen client-owned dogs diagnosed with OA and associated pain were included. The diagnosis of OA was confirmed by orthopedic and radiographic examination. Pain was evaluated in each dog with the canine brief pain inventory (CBPI), compiled by the dog owners, as well as with a visual analog scale (VAS) and the colorado state canine chronic pain scale, used by the clinician. The LLLT was performed weekly in each study dog, for a total period of 6 weeks. The CBPI was then repeated at 2, 4, 6, and 8 weeks after the first laser session, whereas the VAS was reassessed at weeks 2 and 6. The dogs were observed for the occurrence of laser-related side effects.
Both CBPI and VAS were significantly reduced after the first laser session (9.2 ± 3.8 and 5.2 ± 1.1, respectively) compared to pretreatment values (11.8 ± 3.6 and 7.6 ± 0.9, respectively; and = 0.018 and < 0.001, respectively) and continued to decrease over time until the end of the therapy. Based on these results and improved function, as assessed by the orthopedic surgeon, the pharmacological analgesic therapy was reduced by the clinician at week 2 in 13 of 17 dogs. Laser-related side effects were not observed.
This retrospective report provides a basis for future investigations, needed to clarify whether laser therapy may be beneficial to treat canine OA-associated pain. The preliminary findings are promising and suggest that LLLT may help reducing the analgesic administration and improving client satisfaction and the quality of life of dogs with OA.
骨关节炎(OA)在犬中很常见,会引起慢性疼痛,影响生活质量,并且可能对镇痛药无反应。
本研究旨在确定低水平激光疗法(LLLT)是否会改善患有 OA 的犬的生活质量并帮助减少全身性镇痛药的使用。
纳入了 17 只被诊断患有 OA 和相关疼痛的宠物犬。通过骨科和影像学检查确认 OA 的诊断。通过犬主人填写的犬简明疼痛量表(CBPI)以及临床医生使用的视觉模拟量表(VAS)和科罗拉多州犬慢性疼痛量表评估每只犬的疼痛。在每只研究犬中每周进行一次 LLLT,总共进行 6 周。第一次激光治疗后 2、4、6 和 8 周重复 CBPI,而 VAS 在第 2 和第 6 周重新评估。观察犬是否出现与激光相关的副作用。
与治疗前相比,第一次激光治疗后 CBPI(9.2 ± 3.8)和 VAS(5.2 ± 1.1)均显著降低(分别为 11.8 ± 3.6 和 7.6 ± 0.9; = 0.018 和 < 0.001),并且随着时间的推移持续降低,直到治疗结束。根据这些结果以及骨科医生评估的功能改善,临床医生在第 2 周时将 17 只犬中的 13 只的药物镇痛治疗减少了。未观察到与激光相关的副作用。
本回顾性报告为进一步研究提供了依据,需要进一步明确激光治疗是否有益于治疗犬的 OA 相关疼痛。初步发现有希望表明 LLLT 可能有助于减少镇痛药的使用,提高患有 OA 的犬的满意度和生活质量。