Institute of Life Course and Medical Sciences, Faculty of Health and Life Sciences, University of Liverpool, William Henry Duncan Building, 6 West Derby Street, Liverpool, L7 8TX, UK.
J Small Anim Pract. 2023 Oct;64(10):599-610. doi: 10.1111/jsap.13650. Epub 2023 Jul 16.
Mobility impairments associated with musculoskeletal diseases, such as osteoarthritis and degenerative joint disease, affect approximately 200,000 dogs annually and pose a notable challenge to canine health and welfare. Osteoarthritis causes the remodelling of synovial joints, alongside inflammation and impaired mechanical function which can be extremely debilitating. Secondary osteoarthritis commonly affects dogs and can be exacerbated by previous joint abnormalities, such as patellar luxation or cranial cruciate ligament rupture. Although musculoskeletal diseases can affect dogs of any age, the early subtle signs of gait abnormalities are perhaps missed by owners, thus, dogs may be in the latter stages of osteoarthritis progression when they are presented to veterinarians. Dogs showing subtle signs of gait abnormalities must be presented to veterinary practices for acute diagnosis to prevent long-term deterioration. Musculoskeletal diseases, such as osteoarthritis and degenerative joint disease, are commonly diagnosed via visible radiographic changes. However, veterinarians can use a combination of subjective and objective clinical scoring systems, such as clinical metrology instruments and gait assessment in conjunction with radiography to aid their diagnosis and longitudinal monitoring of musculoskeletal diseases. These scoring systems may be more sensitive to earlier signs of mobility impairments in dogs, ultimately, promoting increased canine health and welfare by enabling pain reduction, improvement of muscle strength and preservation of joint function. Current canine mobility scoring systems available to veterinarians will be discussed in turn throughout this review for implementation into clinical practice.
与肌肉骨骼疾病相关的运动障碍,如骨关节炎和退行性关节病,每年影响约 20 万只狗,对犬只的健康和福利构成重大挑战。骨关节炎导致滑膜关节的重塑,以及炎症和机械功能受损,这可能会极其虚弱。继发性骨关节炎通常影响狗,并可能因先前的关节异常而加重,如髌骨脱位或十字韧带断裂。尽管肌肉骨骼疾病可能影响任何年龄段的狗,但主人可能会错过步态异常的早期细微迹象,因此,当狗被带到兽医那里时,它们可能已经处于骨关节炎进展的后期阶段。表现出轻微步态异常迹象的狗必须被带到兽医诊所进行急性诊断,以防止长期恶化。骨关节炎和退行性关节病等肌肉骨骼疾病通常通过可见的放射照相变化进行诊断。然而,兽医可以结合使用主观和客观的临床评分系统,如临床计量仪器和步态评估以及放射照相来帮助他们诊断和纵向监测肌肉骨骼疾病。这些评分系统可能对狗的运动障碍早期迹象更敏感,最终通过减轻疼痛、增强肌肉力量和保护关节功能来提高犬的健康和福利。本综述将依次讨论兽医目前可使用的犬移动性评分系统,以便将其纳入临床实践。