Brantberg Ida, Grooten Wilhelmus J A, Essner Ann
School of Veterinary Science, The University of Liverpool, Leahurst Campus, Chester High Road, Neston CH64 7TE, Wirral, UK.
Djursjukhuset Malmö, IVC Evidensia, Cypressvägen 11, SE-213 63 Malmö, Sweden.
Animals (Basel). 2023 Dec 27;14(1):92. doi: 10.3390/ani14010092.
Stifle injury is common in the companion dog population, affecting weight bearing, neuromuscular control, and balance. Therapeutic exercises after stifle injury seem to be effective, but high-quality research evaluating the effects is lacking. This randomized controlled trial evaluated the effects of a 12-week progressive therapeutic home exercise protocol on three-legged standing, targeting balance and postural- and neuromuscular control and disability in dogs with stifle injury. Thirty-three dogs with stifle injury were randomly allocated to intervention ( = 18) and control groups ( = 15), both receiving a standard rehabilitation protocol. Additionally, the intervention group received a progressive therapeutic exercise protocol. The outcome measures were static body weight distribution between hindlimbs, balance control, the canine brief pain inventory, and the Finnish canine stifle index. Both groups improved after the intervention period, but the group using the progressive therapeutic exercise protocol improved to a greater extent regarding static body weight distribution between the hindlimbs (I: median = 2.5%, IQR = 1.0-4.5; C: median = 5.5%, IQR = 3.0-8.8), pain-related functional disability (I: median = 0.0, IQR = 0.0-0.2; C: median = 0.9, IQR = 0.1-1.8), and stifle function (I: median = 25.0, IQR = 9.4-40.6; C: median = 75.0, IQR = 31.3-87.5), with intermediate to strong effects. These clinically relevant results indicate that this home exercise program can improve hindlimb function and restore neuromuscular control.
stifle损伤在伴侣犬中很常见，会影响负重、神经肌肉控制和平衡。stifle损伤后的治疗性运动似乎有效，但缺乏评估其效果的高质量研究。这项随机对照试验评估了一项为期12周的渐进性家庭治疗运动方案对三足站立的影响，该方案针对stifle损伤犬的平衡、姿势和神经肌肉控制以及残疾情况。33只患有stifle损伤的犬被随机分配到干预组（n = 18）和对照组（n = 15），两组均接受标准康复方案。此外，干预组还接受了渐进性治疗运动方案。结果测量指标包括后肢之间的静态体重分布、平衡控制、犬类简短疼痛量表和芬兰犬stifle指数。干预期后两组均有改善，但采用渐进性治疗运动方案的组在后肢之间的静态体重分布（干预组：中位数 = 2.5%，四分位间距 = 1.0 - 4.5；对照组：中位数 = 5.5%，四分位间距 = 3.0 - 8.8）、疼痛相关功能残疾（干预组：中位数 = 0.0，四分位间距 = 0.0 - 0.2；对照组：中位数 = 0.9，四分位间距 = 0.1 - 1.8）和stifle功能（干预组：中位数 = 25.0，四分位间距 = 9.4 - 40.6；对照组：中位数 = 75.0，四分位间距 = 31.3 - 87.5）方面改善程度更大，效果为中等至强。这些具有临床相关性的结果表明，这项家庭运动计划可以改善后肢功能并恢复神经肌肉控制。
