Neurological and Orthopedic Diseases in Dogs and Cats Submitted to Physiotherapy

Ana Caroline Colveiro, Júlia Silva Rauber, Angel Ripplinger, Mathias Wrzesinski, Marcelo Luís Schwab, Alessandra Pigatto, Dênis Antonio Ferrarin, Alexandre Mazzanti

Abstract


Background: The goals of physical therapy are to maximize functional recovery, improve mobility, and restore well-being and quality of life. In the veterinary literature, there is a dearth of data on physical therapy in small animal practice. Therefore, this study aimed to identify the main neurological and orthopedic diseases in canine and feline patients seen at the physical therapy service of an animal hospital. Concomitantly, we collected demographic and clinical information on patients, including sex, breed, physical therapy modalities, number and frequency of physical therapy sessions, duration of treatment, and rate of functional recovery.

Materials, Methods & Results: The records of animals with neurological and orthopedic diseases seen at the Physical Therapy department of a university-affiliated animal hospital were reviewed. The animals were divided into two groups: I) dogs and cats with neurological diseases and II) dogs and cats with orthopedic diseases. Both groups were distributed according to species, age, sex and race. Dogs and cats were classified into three age groups: puppies (≤ 1 year old), adults (> 1 year and ≤ 10 years old) and elderly (> 10 years old). A total of 384 records were retrieved, of which 370 (96.4%) were of dogs and 14 (3.6%) of cats. Neurological cases accounted for 66% of the total (n = 253), with 243 cases in dogs (96%) and 10 in cats (4%). Among orthopedic cases (n = 131, accounting for the remaining 34%), 127 were in dogs (97%) and only 4 in cats (3%). In the neurological dysfunction group, intervertebral disc disease (72.4%) was the most common diagnosis. Among the orthopedic disorders, femur fracture (23.1%) was most prevalent. In group I (neurological), 66.7% of outcomes in canine patients and 44.4% in felines were considered satisfactory. In group II (orthopedic), 61% of outcomes in dogs and 66.7% in cats were considered satisfactory.

Discussion: Physical therapy has many applications in small-animal practice. After spinal cord decompression surgery in dogs with IVDD, for instance, it helps maintain and recover motor and sensory function, and is considered safe and well-tolerated in dogs after thoracolumbar hemilaminectomy with disc fenestration. Physical therapy also plays an important role after surgical repair of fractures and dislocations, aiding recovery of range of motion and return to functional activity. The most probable explanation for the wide variation in number of physical therapy sessions can be explained by owners’ satisfaction with the level of recovery achieved by the animal, often leading to discontinuation of physical therapy. The high rate of unsatisfactory outcomes in feline patients can be explained by the type of injury (spinal trauma) and the degree of neurological dysfunction. Adult female dogs were most likely to be referred to the physical therapy sector, and the Dachshund and Poodle breeds were most prevalent. Patients in the neurological dysfunction group had the highest average duration and number of sessions. Massage, stretching, passive joint mobilization, and neuromuscular electrical stimulation (NMES) were the most commonly used modalities in all physical therapy protocols. Satisfactory functional recovery was achieved in more than 60% of cases in both groups. The absence of a control group and the lack of standardization of physical therapy modalities precluded a more definitive confirmation of the results obtained in terms of functional recovery.


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References


Andrades A.O., Aiello G., Colvero A.C.T., Ferrarin D.A., Schneider L., Ripplinger A., Schwab M.L & Mazzanti A. 2018. Modalidades fisioterapêuticas na reabilitação de cães com doença do disco intervertebral toracolombar submetidos à cirurgia descompressiva: 30 casos (2008-2016). Arquivo Brasileiro de Medicina Veterinária e Zootecnia. 70(4): 1089-1098.

Brisson B.A. 2010. Intervertebral disc disease in dogs. Veterinary Clinics of North America Small Animal Practice. 40(5): 829-858.

Corral C. 2019. Rehabilitating the canine cruciate patient: part one. The Veterinary Nurse. 10(2): 73-77.

Drum M.G. 2010. Physical rehabilitation of the canine neurologic patient. Veterinary Clinics of North America Small Animal Practice. 40(1): 181-193.

Drum M.G., Bockstahler B., Levine D. & Marcellin-Little D.J. 2015. Feline Rehabilitation. Veterinary Clinics of North America Small Animal Practice. 45(1): 185-215.

Drum M.G., Marcellin-Little D.J. & Davis M.S.D. 2015. Principles and Applications of Therapeutic Exercises for Small Animals. Veterinary Clinics of the Small Animal. 45(1): 73-90.

Frank L.R. & Roynard P.F.P. 2018. Veterinary Neurologic Rehabilitation: The Rationale for a Comprehensive Approach. Topics in Companion Animal Medicine. 33(2): 49-57.

Gordon E.W., Knap K. & Schulz K.S. 2015. Fundamentos da Reabilitação Física. In: Fossum T.W. (Ed). Cirurgia de Pequenos Animais. 4.ed. Rio de Janeiro: Elsevier, pp.342-389.

Harper T.A.M. 2017. Femoral Head and Neck Excision. Veterinary Clinics of North America Small Animal Practice. 47(4): 885-897.

Henderson A.L., Latimer C. & Milis D.L. 2015. Rehabilitation and Physical Therapy for Selected Orthopedic Conditions in Veterinary Patients. Veterinary Clinics of North America Small Animal Practice. 45(1): 91-121.

Jeffery N.D. 2010. Vertebral Fracture and Luxation in Small Animals. Veterinary Clinics of North America Small Animal Practice. 40(5): 809-828.

Marcellin-Little D.J. & Levine D. 2015. Principles and application of range of motion and 1 stretching in companion animals. Veterinary Clinics of North America Small Animal Practice. 45(1): 57-72.

Millis D.L. & Ciuperca I.A. 2015. Evidence for canine rehabilitation and physical therapy. Veterinary Clinics of North America Small Animal Practice. 45(1): 1-27.

Millis D.L., Drum M. & Levine D. 2014. Therapeutic Exercises: Joint Motion, Strengthening, Endurance and Speed Exercises. In Millis D.L. & Levine D. (Eds). Canine Rehabilitation and Physical Therapy. 2nd edn. Philadelphia: Elsevier, pp.506-525.

Olby N., Halling K.B. & Glick T.R. 2005. Rehabilitation for the neurologic patient. Veterinary Clinics of North America Small Animal Practice. 45(6): 1389-1409.

Packer R.M.A., Seath I.J., O’Neill D.G., De Decker S. & Volk H.A. 2016. DachsLife 2015: an investigation of lifestyle associations with the risk of intervertebral disc disease in Dachshunds. Canine Genetics and Epidemiology. 3(8): 1-15.

Pellegrino F.C., Pacheco E.L. & Vazzoler M.L. 2011. Caracterización de los trastornos neurológicos en los perros: 1652 casos (marzo 2008-junio 2010). Parte I. Revista Argentina de Neurología Veterinaria. 2(1): 78-96.

Sutton A. & Whitlock D. 2014. Massage. In: Millis D.L. & Levine D. (Eds). Canine rehabilitation and physical therapy. 2nd edn. Philadelphia: Elsevier, pp.464-483.

Sharp B. 2012. Feline Physiotherapy and Rehabilitation 2. Clinical application. Journal of Feline Medicine and Surgery. 14(9): 633-645.

Sims C., Waldron R. & Marcellin-Little D.J. 2015. Rehabilitation and Physical Therapy for the Neurologic Veterinary Patient. Veterinary Clinics of North America Small Animal Practice. 45(1): 123-143.

Zidan N., Sims C., Fenn J., Williams K., Griffith E., Early P.J., Mariani C.L., Munana K.R., Guevar J. & Olby N.J. 2018. A randomized, blinded, prospective clinical trial of postoperative rehabilitation in dogs after surgical decompression of acute thoracolombar intervertebral disc herniation. Journal of Veterinary Internal Medicine. 32(3): 1133-1144.




DOI: https://doi.org/10.22456/1679-9216.103615

Copyright (c) 2020 Ana Caroline Colveiro, Julia Silva Rauber, Denis Antonio Ferrarin, Mathias Reginatto Wrzesinski, Marcelo Luis Scwab, Angel Ripplinger, Alessandra Pigatto, Alexandre Mazzanti

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