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经皮电刺激神经对骨关节炎犬步态参数的影响。

Effect of Transcutaneous Electrical Nerve Stimulation on Gait Parameters in Dogs with Osteoarthritis.

作者信息

Pedersen Anja, Hyytiäinen Heli K, Rhodin Marie, Forterre Franck, Penell Johanna, Bergh Anna

机构信息

Department of Clinical Sciences, Swedish University of Agricultural Sciences, 750 07 Uppsala, Sweden.

Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, P.O. Box 57, 00014 Helsinki, Finland.

出版信息

Animals (Basel). 2024 May 30;14(11):1626. doi: 10.3390/ani14111626.

DOI:10.3390/ani14111626
PMID:38891673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11171175/
Abstract

Osteoarthritis is a common degenerative disease in dogs, often manifested as pain, joint swelling, and lameness. Despite the lack of scientific evidence for its treatment efficacy, transcutaneous electrical nerve stimulation (TENS) is used in dogs as a pain-relieving treatment. This randomised single-blinded cross-over study investigated the effect of TENS on gait parameters in fifteen dogs with osteoarthritis. Stance time, swing time, stride time, stride length, peak vertical force (%BW), vertical impulse (%BW*sec), and symmetry indices were obtained using a pressure-sensitive mat. TENS treatment of 80 Hz and 100 µs with an individually selected amplitude was conducted for 45 min once daily for a treatment period of seven or ten days. No significant differences were seen between TENS and placebo for any of the gait parameters. Hence, in this study, TENS did not affect gait parameters, compared to placebo. Further studies are needed to confirm the observations.

摘要

骨关节炎是犬类常见的退行性疾病,常表现为疼痛、关节肿胀和跛行。尽管缺乏关于其治疗效果的科学证据,但经皮电刺激神经疗法(TENS)仍被用于犬类的止痛治疗。这项随机单盲交叉研究调查了TENS对15只患有骨关节炎犬的步态参数的影响。使用压敏垫获取站立时间、摆动时间、步幅时间、步幅长度、垂直峰值力(%体重)、垂直冲量(%体重*秒)和对称性指数。采用80Hz和100µs、个体选定幅度的TENS治疗,每天进行1次,每次45分钟,治疗期为7天或10天。在任何步态参数方面,TENS与安慰剂之间均未观察到显著差异。因此,在本研究中,与安慰剂相比,TENS并未影响步态参数。需要进一步的研究来证实这些观察结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2a/11171175/30adc9495490/animals-14-01626-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2a/11171175/69b8c45f9846/animals-14-01626-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2a/11171175/8e168ec3ddc3/animals-14-01626-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2a/11171175/30adc9495490/animals-14-01626-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2a/11171175/69b8c45f9846/animals-14-01626-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2a/11171175/8e168ec3ddc3/animals-14-01626-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b2a/11171175/30adc9495490/animals-14-01626-g003.jpg

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本文引用的文献

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J Small Anim Pract. 2023 Oct;64(10):599-610. doi: 10.1111/jsap.13650. Epub 2023 Jul 16.
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Ground reaction forces, temporospatial parameters, range of motion, and limb characteristics were analyzed for small and medium size sound dogs with the use of pressure sensitive walkway.利用压敏步态分析系统对小型和中型猎犬的地面反作用力、时空间参数、运动范围和肢体特征进行了分析。
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Physiotherapeutic Strategies and Their Current Evidence for Canine Osteoarthritis.
犬类骨关节炎的物理治疗策略及其现有证据
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A Systematic Review of Complementary and Alternative Veterinary Medicine in Sport and Companion Animals: Electrotherapy.运动和伴侣动物补充与替代兽医学的系统评价:电疗法
Animals (Basel). 2022 Dec 23;13(1):64. doi: 10.3390/ani13010064.
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A 2022 Systematic Review and Meta-Analysis of Enriched Therapeutic Diets and Nutraceuticals in Canine and Feline Osteoarthritis.2022 年犬猫骨关节炎强化治疗饮食和营养补充剂的系统评价和荟萃分析。
Int J Mol Sci. 2022 Sep 8;23(18):10384. doi: 10.3390/ijms231810384.
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Enflicoxib for canine osteoarthritis: A randomized, blind, multicentre, non-inferiority clinical trial compared to mavacoxib.恩氟昔布治疗犬骨关节炎:一项与马昔康对照的随机、盲法、多中心、非劣效性临床试验。
PLoS One. 2022 Sep 20;17(9):e0274800. doi: 10.1371/journal.pone.0274800. eCollection 2022.
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Characterising the Features of 381 Clinical Studies Evaluating Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Relief: A Secondary Analysis of the Meta-TENS Study to Improve Future Research.对 381 项评估经皮神经电刺激(TENS)缓解疼痛的临床研究特征进行描述:改善未来研究的 Meta-TENS 研究的二次分析。
Medicina (Kaunas). 2022 Jun 14;58(6):803. doi: 10.3390/medicina58060803.
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Proposed Canadian Consensus Guidelines on Osteoarthritis Treatment Based on OA-COAST Stages 1-4.基于骨关节炎临床阶段1-4期的加拿大骨关节炎治疗共识指南提案。
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Identification of canine osteoarthritis using an owner-reported questionnaire and treatment monitoring using functional mobility tests.使用基于犬主报告的问卷识别犬骨关节炎和使用功能运动测试进行治疗监测。
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