神经物理治疗拉布拉多犬截瘫1例

IF 0.1 Q4 ORTHOPEDICS International Journal of Physiotherapy Pub Date : 2020-10-01 DOI:10.15621/ijphy/2020/v7i5/778
Neyran Altinkaya, S. Çağatay, E. Necati
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引用次数: 1

摘要

背景:脊髓损伤(SCI)可引起神经系统问题,如肌肉无力、感觉障碍和尿失禁。本病例报告旨在探讨感觉运动康复物理治疗方案对犬截瘫的有效性。病例描述:在一起机动车事故后,一只1岁,27公斤的公狗被带到近东大学动物医院。根据兽医的临床和放射学检查,诊断为T13椎体骨折和T13- l1脊柱水平脱位。狗出现了;站立能力差,后肢和背部肌肉无力,临床检查时尿便失禁。物理治疗项目包括;按摩、感觉刺激应用、神经肌肉电刺激(NMES)、关节活动、站立平衡练习和步态训练。结果测量:因此,在七周治疗期结束时,站立和坐姿平衡、步态、膀胱和肠道功能得到改善。站立时间从3秒增加到>60秒;右侧大腿围从31厘米增加到36厘米,左侧大腿围从32厘米增加到36厘米。犬急性疼痛量表评分从2分降至1分,具有积极意义。结论:本组患者运动功能恢复良好。我们认为狗的年龄和损伤类型(神经失用症)促成了这些积极的结果。因此,早期和积极的物理治疗方案在维持功能独立性方面起着至关重要的作用,也可以应对狗的症状。
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NEUROLOGICAL PHYSIOTHERAPY IN LABRADOR RETRIEVER DOG WITH PARAPARESIS: A CASE REPORT
Background: Spinal cord injuries (SCI) may cause neurological problems such as muscle weakness, sensory disorders, and incontinence. This case report aims to investigate the effectiveness of the sensorimotor rehabilitative physiotherapy program in a dog with paraparesis. Case Description: A 1-year-old, 27 kg male dog was brought to Near East University, Animal Hospital, after a motor vehicle accident. The dog was diagnosed as a T13 vertebral fracture and luxation at the T13-L1 spinal level according to the clinical and radiological examination performed by a veterinary physician. The dog showed; poor standing, weakness in the hind limbs and back muscles, urinary and fecal incontinence at the clinical examination. The physiotherapy program included; massage, sensory stimulation applications, Neuromuscular Electrical Stimulation (NMES), joint mobilizations, standing-balance exercises, and gait training. Outcome Measures: Consequently, improvements were obtained in standing and sitting balance, gait, bladder, and bowel functions at the end of the seven-week treatment period. The standing duration increased from 3 sec to >60 sec; also, thigh circumferences increased from 31cm to 36 cm in the right and 32 cm to 36 cm in the left limb. Canine Acute Pain Scale score was reduced from 2 to 1 in a positive sense. Conclusion: There were a satisfying motor and functional recovery in our case. We believe that the dog’s young age and the type of injury (neurapraxia) contributed to these positive results. Therewithal, early and active physiotherapy program plays a crucial role in maintaining functional independence, also coping with the symptoms in the dog.
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