Akaraphutiporn Ekkapol, Kwananocha Irin, Meechai Chularach, Suksomboonwong Pijitra, Aramsriprasert Suchanun, Meethong Ornjira, Triampitak Arttapol, Wangdee Chalika
Department of Veterinary Surgery, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, 10330, Thailand.
Research and Academic Service, Faculty of Veterinary Medicine, Kasetsart University, Bangkok, 10900, Thailand.
Vet World. 2024 Mar;17(3):550-557. doi: 10.14202/vetworld.2024.550-557. Epub 2024 Mar 7.
Electrical stimulation (ES) and light amplification by stimulated emission of radiation (LASER) therapy are frequently used in post-operative rehabilitation; however, there is currently insufficient research comparing their effectiveness. This study aimed to assess the effectiveness of post-operative rehabilitation following medial patellar luxation (MPL) surgical correction by comparing ES and LASER therapy when combined with exercise. This was compared with a control group that consisted solely of post-operative home exercise implemented by the owner.
We conducted a prospective clinical trial on dogs that had undergone surgical treatment for MPL. The dogs were categorized into the following three groups: The control group, which did not participate in any post-operative rehabilitation program; the ES group, which received post-operative rehabilitation involving ES therapy; and the LASER group, which underwent post-operative rehabilitation featuring LASER therapy.
There were no significant differences among the groups regarding the evaluation parameters, including lameness score, pain score, thigh muscle circumference, and range of motion. Although there may have been a difference in pain score in some groups, it could be attributed to the pre-operative condition of patients. These results aligned with the owner questionnaires' canine brief pain inventory assessments, showing no significant differences between treatment groups.
Post-operative rehabilitation for MPL correction may enhance limb usage, joint function, muscle mass, and pain relief. However, the duration and level of post-operative pain may influence the necessity for rehabilitation. In addition, ES and LASER therapy offer similar pain-relieving effects after MPL surgery; therefore, the choice between these methods depends on the availability of equipment and veterinarian preferences.
电刺激（ES）和激光疗法常用于术后康复；然而，目前比较它们有效性的研究不足。本研究旨在通过比较电刺激和激光疗法联合运动时对内侧髌骨脱位（MPL）手术矫正术后康复的有效性。将其与仅由主人进行术后家庭运动的对照组进行比较。
我们对接受MPL手术治疗的犬进行了一项前瞻性临床试验。将犬分为以下三组：未参与任何术后康复计划的对照组；接受包括电刺激疗法的术后康复的电刺激组；接受以激光疗法为特色的术后康复的激光组。
在包括跛行评分、疼痛评分、大腿肌肉周长和活动范围等评估参数方面，各组之间无显著差异。尽管某些组的疼痛评分可能存在差异，但这可能归因于患者的术前状况。这些结果与主人问卷中的犬简短疼痛量表评估结果一致，显示治疗组之间无显著差异。
MPL矫正术后康复可能会增强肢体使用、关节功能、肌肉量并缓解疼痛。然而，术后疼痛的持续时间和程度可能会影响康复的必要性。此外，电刺激和激光疗法在MPL手术后具有相似的止痛效果；因此，这些方法之间的选择取决于设备的可用性和兽医的偏好。
