Keg P R, Schamhardt H C, van Weeren P R, Barneveld A
Department of General and Large Animal Surgery, Faculty of Veterinary Medicine, Utrecht University, The Netherlands.
Vet Q. 1996;18 Suppl 2:S106-9.
The practice of applying diagnostic nerve blocks relies on the assumption that the blocks in themselves do not alter the horse's gait. This assumption has recently been challenged. In the present paper a series of sequential nerve blocks (low palmar digital block, abaxial sesamoid block, high palmar block) was applied to clinically sound horses. Before and after each block the gait was clinically scored and Ground Reaction Forces (GRF) were measured. Clinical scoring did not change after any of the nerve blocks. None of the GRF variables changed significantly except for a slight alteration of the time at which the longitudinal GRF changed from a decelerative to a propulsive force. It is concluded that the basic assumption that diagnostic nerve blocks do not essentially alter the gait of a sound horse is correct.
应用诊断性神经阻滞的实践基于这样一种假设,即神经阻滞本身不会改变马的步态。这一假设最近受到了挑战。在本文中,对临床健康的马匹进行了一系列连续的神经阻滞(掌侧指神经低位阻滞、籽骨远轴阻滞、掌侧高位阻滞)。在每次阻滞前后,对步态进行临床评分并测量地面反作用力(GRF)。任何一次神经阻滞后临床评分均未改变。除纵向GRF从减速力转变为推进力的时间略有变化外,GRF的各项变量均无显著改变。结论是,诊断性神经阻滞不会从本质上改变健康马匹步态这一基本假设是正确的。