Department of Musculoskeletal & Ageing Science, University of Liverpool, Liverpool, United Kingdom.
Medical Research Council (MRC) and Versus Arthritis as part of the Medical Research Council Versus Arthritis Centre for Integrated Research into Musculoskeletal Ageing (CIMA), Northumberland, United Kingdom.
PLoS One. 2023 Dec 27;18(12):e0291035. doi: 10.1371/journal.pone.0291035. eCollection 2023.
OBJECTIVE: To use a previously validated veterinary clinical examination sheet, Liverpool Osteoarthritis in Dogs (LOAD) questionnaire, combined with kinetic and kinematic gait analysis in dogs with/without mobility problems to demonstrate the capacity of a novel clinical metrology instrument ("GenPup-M") to detect canine mobility impairments. DESIGN: Quantitative study. ANIMALS: 62 dogs (31 with mobility impairments and 31 without mobility impairments). PROCEDURE: The dogs' clinical history was obtained from owners and all dogs underwent a validated orthopaedic clinical examination. Mobility impairments were diagnosed in the mobility impaired group based on clinical history and orthopaedic examination. Owners were asked to complete GenPup-M along with a previously validated mobility questionnaire (Liverpool Osteoarthritis in Dogs (LOAD)) to identify construct validity. As a test of criterion validity, the correlation between instrument scores and the overall clinical examination scores, along with force-platform obtained peak vertical forces (PVF) were calculated. GenPup-M underwent internal consistency and factor analysis. Spatiotemporal parameters were calculated for dogs with/without mobility impairments to define the gait differences between these two groups. RESULTS: Principal Component Analysis identified GenPup-M had two components with Eigenvalues >1 ("stiffness/ease of movement" and "willingness to be active/exercise"). Cronbach's α was used to test internal consistency of GenPup-M and was found to be "good" (0.87). There was a strong, positive correlation between GenPup-M and LOAD responses (r2 = 0.69, p<0.001) highlighting construct validity. Criterion validity was also shown when comparing GenPup-M to clinical examination scores (r2 = 0.74, p<0.001) and PVF (r2 = 0.43, p<0.001). Quantitative canine gait analysis showed that there were statistically significant differences between peak vertical forces (PVF) of mobility impaired and non-mobility impaired dogs (p<0.05). Analyses of PVF showed that non-mobility impaired dogs more evenly distributed their weight across all thoracic and pelvic limbs when compared to mobility impaired dogs. There were also consistent findings that mobility impaired dogs moved slower than non-mobility impaired dogs. CONCLUSION AND CLINICAL RELEVANCE: GenPup-M is a clinical metrology instrument (CMI) that can be completed by dog owners to detect all mobility impairments, including those that are early in onset, indicating the versatility of GenPup-M to assess dogs with and without mobility impairments. Results of the study found that GenPup-M positively correlated with all three objective measures of canine mobility and consequently showed criterion and construct validity. Owner-reported CMIs such as GenPup-M allow non-invasive scoring systems which veterinary surgeons and owners can use to allow communication and longitudinal assessment of a dog's mobility. It is anticipated that GenPup-M will be used by owners at yearly vaccinations/health checks, allowing identification of any subtle mobility changes, and enabling early intervention.
目的:使用先前验证过的兽医临床检查表、利物浦犬骨关节炎(LOAD)问卷,并结合动力学和运动学步态分析,评估有无运动障碍的犬只,以证明新型临床计量仪器(“GenPup-M”)检测犬运动障碍的能力。
设计:定量研究。
动物:62 只犬(31 只有运动障碍,31 只无运动障碍)。
程序:从犬主处获得犬的临床病史,所有犬均接受验证过的骨科临床检查。根据临床病史和骨科检查,在有运动障碍的犬群中诊断出运动障碍。要求犬主完成 GenPup-M 和先前验证过的运动障碍问卷(LOAD),以确定结构效度。作为标准效度的检验,计算仪器评分与整体临床检查评分以及力台获得的最大垂直力(PVF)之间的相关性。对 GenPup-M 进行内部一致性和因子分析。计算有/无运动障碍犬的时空参数,以定义这两组犬之间的步态差异。
结果:主成分分析确定 GenPup-M 有两个特征值大于 1 的成分(“僵硬/运动的容易程度”和“主动/运动的意愿”)。Cronbach's α 用于检验 GenPup-M 的内部一致性,结果为“良好”(0.87)。GenPup-M 与 LOAD 反应之间存在强烈的正相关(r2=0.69,p<0.001),突出了结构效度。当将 GenPup-M 与临床检查评分(r2=0.74,p<0.001)和 PVF(r2=0.43,p<0.001)进行比较时,也显示了标准效度。定量犬步态分析显示,运动障碍犬和非运动障碍犬的最大垂直力(PVF)存在统计学显著差异(p<0.05)。对 PVF 的分析表明,与运动障碍犬相比,非运动障碍犬在所有胸肢和骨盆肢上更均匀地分布体重。还发现一致的结果是,运动障碍犬的移动速度比非运动障碍犬慢。
结论和临床相关性:GenPup-M 是一种可由犬主完成的临床计量仪器(CMI),用于检测所有运动障碍,包括早期发病的运动障碍,表明 GenPup-M 可用于评估有运动障碍和无运动障碍的犬。研究结果发现,GenPup-M 与犬运动的所有三种客观测量均呈正相关,因此具有标准和结构效度。犬主报告的 CMI,如 GenPup-M,允许使用非侵入性评分系统,让兽医和犬主能够进行沟通,并对犬的运动进行纵向评估。预计 GenPup-M 将由犬主在每年的疫苗接种/健康检查时使用,以识别任何细微的运动变化,并进行早期干预。
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