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术后T3-L3半椎板切除术犬股外侧肌和臀中肌的表面肌电图:一项前瞻性对照观察研究。

Surface electromyography of the vastus lateralis and gluteus medius muscles in post-operative T3-L3 hemilaminectomy dogs: a prospective controlled observational study.

作者信息

Schwartz John A, Carrera-Justiz Sheila, Repac Jennifer A

机构信息

Department of Comparative, Diagnostic & Population Medicine, College of Veterinary Medicine, University of Florida, Gainesville, FL, United States.

Department of Small Animal Clinical Science, College of Veterinary Medicine, University of Florida, Gainesville, FL, United States.

出版信息

Front Vet Sci. 2024 Aug 1;11:1431843. doi: 10.3389/fvets.2024.1431843. eCollection 2024.

Abstract

OBJECTIVE

The objective of this study was to determine if surface electromyography (sEMG) demonstrates differences in muscle activation between normal and dogs recovering from spinal cord injury due to intervertebral disk extrusion.

ANIMALS

Two groups of client-owned small-breed chondrodysplastic-type dogs were tested. Group 1 consisted of seven ambulatory paraparetic dogs that had undergone a hemilaminectomy procedure in the T3-L3 region for intervertebral disk extrusion 1 month prior. Group 2 was made up of seven normal dogs that had no history of intervertebral disk disease or spinal surgery.

PROCEDURES

Each subject walked 10 feet on a nonslip surface for at least five gait cycles for the sEMG to capture muscle activation of the vastus lateralis and gluteus medius, bilaterally. Muscle activation was quantified as the total myoelectric output area under the curve, averaged across all gait cycles.

RESULTS

Muscle activation was significantly greater in the post-operative hemilaminectomy group ( = 0.012). There was a significant difference in muscle activation between each hindlimb in the post-operative hemilaminectomy group, but not in the normal group. The muscle activation was significantly lower on the side that underwent surgery compared to the opposite limb ( = 0.0034).

CONCLUSION AND CLINICAL IMPORTANCE

Post-operative hemilaminectomy dogs have greater hindlimb muscle activation compared to normal dogs, which likely represents a lack of descending inhibition secondary to upper motor neuron syndrome. The side of surgery is correlated with decreased muscle activation. Surface EMG can be used to evaluate muscle activity in dogs recovering from spinal decompression surgery.

摘要

目的

本研究的目的是确定表面肌电图(sEMG)是否能显示正常犬与因椎间盘突出导致脊髓损伤后恢复的犬之间肌肉激活的差异。

动物

对两组客户拥有的小型软骨发育异常型犬进行了测试。第1组由7只可走动的截瘫犬组成,它们在1个月前因椎间盘突出在T3-L3区域接受了半椎板切除术。第2组由7只无椎间盘疾病或脊柱手术史的正常犬组成。

程序

每个受试者在防滑表面上行走10英尺,至少进行五个步态周期,以便sEMG双侧记录股外侧肌和臀中肌的肌肉激活情况。肌肉激活情况通过曲线下的总肌电输出面积进行量化,并在所有步态周期中进行平均。

结果

术后半椎板切除术组的肌肉激活明显更大(P = 0.012)。术后半椎板切除术组各后肢之间的肌肉激活存在显著差异,但正常组不存在。与对侧肢体相比,手术侧的肌肉激活明显更低(P = 0.0034)。

结论及临床意义

与正常犬相比,术后半椎板切除术的犬后肢肌肉激活更大,这可能代表上运动神经元综合征继发的下行抑制缺失。手术侧与肌肉激活降低相关。表面肌电图可用于评估从脊柱减压手术中恢复的犬的肌肉活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9649/11324422/77de3563a2df/fvets-11-1431843-g001.jpg

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