Sherif Tamara, Twele Friederike, Meller Sebastian, Müller-Anders Alexandra, Volk Holger A
Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover, Germany.
Front Vet Sci. 2023 May 18;10:1168335. doi: 10.3389/fvets.2023.1168335. eCollection 2023.
Ataxia is a clinical sign seen in several neurological diseases and has been reported as an adverse effect of anti-seizure medication such as phenobarbital (PB). Efforts to objectify canine ataxia in order to provide appropriate treatment or monitor adverse effects of drugs remain limited. Automated quantitative gait analysis can be useful for the acquisition of objective data for the evaluation and monitoring of ataxia in dogs. The aim of this prospective clinical study was to examine the gait characteristics of dogs with PB induced ataxia and compare them with healthy dogs using a computer- and treadmill-based gait analysis system. Six healthy dogs and five dogs with idiopathic epilepsy (IE) with PB-induced ataxia underwent video- and computer-assisted gait analysis during slow walking (maximum speed of 0.7 m/s) on a treadmill with four ground reaction force plates (one plate per limb). Kinetic and spatio-temporal gait parameters of dogs' locomotion were analyzed, including individually calculated coefficients of variation. Dogs with IE treated with PB showed higher variability in spatio-temporal but not in kinetic gait parameters. Double support phase of gait cycles was increased on the cost of single support and swing phases. Body weight standardized ground reaction forces in vertical, craniocaudal, and mediolateral direction were severely affected by ataxia. Compensatory mechanisms in locomotion of dogs with PB-induced ataxia included spatio-temporal and kinetic gait characteristics, most likely in order to compensate imbalance caused by limb incoordination.
共济失调是在几种神经系统疾病中出现的临床体征,并且已被报道为抗癫痫药物(如苯巴比妥(PB))的不良反应。为了提供适当的治疗或监测药物不良反应而对犬共济失调进行客观化的努力仍然有限。自动定量步态分析对于获取用于评估和监测犬共济失调的客观数据可能有用。这项前瞻性临床研究的目的是使用基于计算机和跑步机的步态分析系统,检查患有PB诱导性共济失调的犬的步态特征,并将其与健康犬进行比较。六只健康犬和五只患有特发性癫痫(IE)且伴有PB诱导性共济失调的犬,在配备四个地面反作用力板(每个肢体一个板)的跑步机上缓慢行走(最大速度0.7米/秒)期间,接受了视频和计算机辅助的步态分析。分析了犬运动的动力学和时空步态参数,包括单独计算的变异系数。接受PB治疗的IE犬在时空步态参数上表现出更高的变异性,但在动力学步态参数上没有。步态周期的双支撑阶段增加,代价是单支撑和摆动阶段减少。垂直、头尾和内外侧方向上体重标准化的地面反作用力受到共济失调的严重影响。患有PB诱导性共济失调的犬在运动中的代偿机制包括时空和动力学步态特征,最有可能是为了补偿肢体不协调引起的不平衡。
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