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采用多种诊断技术评估正常和跛行犬在地面行走时的前肢步态变化。

Evaluation of forelimb gait variation overground at a walk in sound and lame dogs using a combination of diagnostic techniques.

机构信息

University Animal Hospital, Swedish University of Agricultural Sciences, Ultunaallén 5A, Uppsala, SE-75007, Sweden.

Department of Anatomy, Physiology and Biochemistry, Faculty of Veterinary Medicine, Swedish University of Agricultural Sciences, P.O. Box 7070, Uppsala, SE-75007, Sweden.

出版信息

Acta Vet Scand. 2024 Jun 20;66(1):25. doi: 10.1186/s13028-024-00746-w.

Abstract

BACKGROUND

Kinetic and kinematic gait analysis is increasingly practised as a part of lameness evaluation in dogs. The aim of this study was to examine the normal short- and long-term variation in forelimb gait in sound control dogs (CD) at a walk using seven selected variables of objective kinetic and kinematic gait analyses. Also, to compare the findings in CD to a group of forelimb lame dogs with elbow osteoarthritis (OAD). An additional aim was to test a kinetic based graphic method for lameness detection; symmetry squares (SS). A prospective longitudinal study was carried out on client owned CD and OAD. Clinical and orthopaedic evaluations were performed to ensure soundness and detect and grade lameness. Seven kinetic and kinematic variables and SS were tested for lameness evaluation. The CD were divided into two subgroups, CD1 and CD2, and examined twice: CD1 with two months interval and CD2 with 3-4 h interval. The OAD group was evaluated once and compared to the CD groups' first examination.

RESULTS

Thirteen CD and 19 OAD were included. For CD1 and CD2, there were no significant differences in any examined variable between examination occasions. Total peak force/impulse symmetry and fore-hind peak force/impulse symmetry differed significantly between OAD and CD. Symmetry squares had a 74% agreement to subjective orthopaedic evaluations.

CONCLUSIONS

In CD, no difference in the examined variables was seen between examination occasions. Four out of seven objective variables differed significantly between CD and OAD. The graphic SS method might have diagnostic potential for lameness detection, making it possible to detect a shift from lame to non-lame limbs. Potentially, this might be especially helpful in bilaterally lame dogs, which often represent a clinical challenge in lameness evaluation.

摘要

背景

运动学和运动分析越来越多地被应用于犬跛行评估。本研究旨在使用 7 个选定的客观运动学和运动分析变量,检查正常控制犬(CD)在行走时的前肢步态的短期和长期变化,并将这些发现与一组患有肘关节炎(OAD)的前肢跛行犬进行比较。另一个目的是测试一种基于动力学的跛行检测图形方法,即对称方块(SS)。对有临床症状的 CD 和 OAD 进行了前瞻性纵向研究。进行临床和骨科评估,以确保健康,并检测和分级跛行。对 7 个运动学和运动学变量和 SS 进行了跛行评估。将 CD 分为 CD1 和 CD2 两个亚组,分别进行两次检查:CD1 间隔两个月,CD2 间隔 3-4 小时。OAD 组仅进行一次评估,并与 CD 组的第一次检查进行比较。

结果

共纳入 13 只 CD 和 19 只 OAD。对于 CD1 和 CD2,两次检查之间的任何检查变量均无显著差异。总峰值力/冲量对称性和前-后峰值力/冲量对称性在 OAD 和 CD 之间存在显著差异。对称方块与主观骨科评估有 74%的一致性。

结论

在 CD 中,两次检查之间的检查变量没有差异。七个客观变量中有四个在 CD 和 OAD 之间存在显著差异。图形 SS 方法可能具有跛行检测的诊断潜力,能够检测从跛行到非跛行肢体的转变。潜在地,这对于双侧跛行的狗可能特别有帮助,因为这些狗在跛行评估中经常是一个临床挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af58/11191351/a25d55242b3b/13028_2024_746_Fig1_HTML.jpg

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