Mille Monika Anna, McClement Jamie, Lauer Susanne
Centre for Clinical Veterinary Medicine, Ludwig Maximilians University, 80539 Munich, Germany.
Abington Park Veterinary Referrals, Northampton NN3 7RR, UK.
Vet Sci. 2022 Dec 21;10(1):2. doi: 10.3390/vetsci10010002.
Osteoarthritis (OA) is a common and debilitating condition in domestic dogs. Alongside pharmaceutical interventions and weight loss, exercise and physiotherapy (PT) are important measures in maintaining patient mobility and quality of life. Physiotherapy for OA aims to reduce pain, optimize muscular function and maintain joint function. Physiotherapeutic plans typically include PT exercises combined with therapeutic modalities, lifestyle and environmental modifications to improve the patient's overall quality of life and function. Information on therapeutic clinical efficacy of physiotherapeutic measures for canine OA is still very limited. Thus, physiotherapeutic strategies are still primarily based on evidence extrapolated from human protocols tailored to people with OA. The authors propose a simple systematic PT approach for canine OA, prioritizing measures according to simplicity, cost effectiveness and practicality. This guide (the "Physiotherapy Pyramid") aims to provide a clear stratified approach to simplify decision making and planning for owners, veterinarians and veterinary physiotherapists, leading to more straightforward design and implementation of treatment plans. Measures are implemented starting at the base of the pyramid, subsequently progressing to the top, allowing effective and practical interventions to be prioritized. The levels of the pyramid are in ascending order: environmental modification, exercise plan, OA-specific home exercises and treatment by a veterinary physiotherapist.
骨关节炎（OA）是家犬常见且使人衰弱的病症。除药物干预和体重减轻外，运动和物理治疗（PT）是维持患者活动能力和生活质量的重要措施。OA的物理治疗旨在减轻疼痛、优化肌肉功能并维持关节功能。物理治疗计划通常包括PT锻炼与治疗方式相结合、生活方式和环境调整，以提高患者的整体生活质量和功能。关于犬OA物理治疗措施的治疗临床疗效的信息仍然非常有限。因此，物理治疗策略仍主要基于从针对OA患者量身定制的人类方案推断出的证据。作者提出了一种针对犬OA的简单系统的PT方法，根据简单性、成本效益和实用性对措施进行优先排序。本指南（“物理治疗金字塔”）旨在提供一种清晰的分层方法，以简化宠物主人、兽医和兽医物理治疗师的决策和规划，从而使治疗计划的设计和实施更加直接。措施从金字塔底部开始实施，随后向上推进，以便优先进行有效和实用的干预。金字塔的层次按升序排列：环境调整、运动计划、OA特定的家庭锻炼以及兽医物理治疗师的治疗。
