Comparing Rest Alone to Bandaging and Rest in Horses With Superficial Digital Flexor Tendinopathy

Abstract

<strong>PICO question</strong><br /><p>In horses with superficial digital flexor tendonitis is bandaging and rest compared to rest alone more effective at promoting healing?</p><strong>Clinical bottom line</strong><br /><p>There is currently a lack of scientific evidence to suggest that bandaging promotes effective tendon healing following injury. However, rigid bandages significantly limit lesion propagation in equine superficial digital flexor (SDF) tendinopathies. The result of this PICO question suggests that a short period (ten days) of cast immobilisation during the initial inflammatory phase of the injury improves prognosis by limiting lesion propagation. The level of confidence in the outcomes from the body of evidence in the four studies identified is moderate.</p><br /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/oa-icon.jpg" alt="Open Access" /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed" />

The role of DMSO and MSM in treatment of tendinopathies affection in equine: A comparative study

“…In the MSM group, the lameness score was reduced non-significantly. Many other research scholars summarized the same results as lameness score is reduced after administering DMSO and MSM agents (14,20,42,43). Likewise, the SDS was built to show that the severity of pain decreased significantly between the two groups on day 21 to day 42 time points.…”

Study design synopsis: Evidence syntheses—What are they and why do we need them?

“…All have key principles in common, which includes the formulation of a structured question, a systematic search of the available literature, a defined process of reviewing and selecting suitable publications and a methodology for analysing the final included evidence. Rapid reviews currently used in veterinary medicine include methodologies such as critically appraised topics (e.g., RCVS Knowledge Summaries) and BestBETs (e.g., BestBETS for Vets) 3–5 . These were developed to be used by clinicians to provide rapid and accessible evidence summaries 6 .…”

“…Rapid reviews currently used in veterinary medicine include methodologies such as critically appraised topics (e.g., RCVS Knowledge Summaries) and BestBETs (e.g., BestBETS for Vets). [3][4][5] These were developed to be used by clinicians to provide rapid and accessible evidence summaries. 6 They use the key methodological steps outlined above, but are designed to be quick, which means that several steps are shortened-the clinical question is normally narrow and specific, the searches and appraisal are often limited, and they can be conducted by a single person.…”

Highlights of recent clinically relevant papers

“…In this knowledge summary, Rafael Alzola and Sarah Freeman address the PICO question ‘In horses with superficial digital flexor tendonitis is bandaging and rest compared to rest alone more effective at promoting healing?’…”