The Use of Canine Stifle Orthotics for Cranial Cruciate Ligament Insufficiency

Carr, Brittany Jean; Canapp, Sherman O.; Meilleur, Stephanie; Christopher, Scott A.; Collins, Jeffery; Cox, Catherine

doi:10.18849/ve.v1i1.10

Cited by 13 publications

(11 citation statements)

References 21 publications

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“…These devices, as well as offering protection against impacts, slow down movement and allow a greater control of the pace thanks to muscle activation. In addition, they improve proprioception and reduce fatigue by taking some of the load off of the injured limb, as demonstrated by Carr and collaborators [157,202]. Some exercises for the rehabilitation of CrCL rupture can be completed in specific pools.…”

Section: Rehabilitationmentioning

confidence: 98%

Cranial Cruciate Ligament Rupture in Dogs: Review on Biomechanics, Etiopathogenetic Factors and Rehabilitation

Spinella

Arcamone

Valentini

2021

Veterinary Sciences

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Cranial cruciate ligament (CrCL) rupture is one of the most common orthopaedic conditions in veterinary medicine. CrCL plays a fundamental role in the stability and biomechanics of the femoral-tibio-patellar joint, and its incorrect functionality severely impacts on the quality of life of patients. In dogs, the structural weakening of this joint due to the progressive degeneration of the ligament is the most accredited etiopathogenetic hypothesis in relation to the dog signalment (breed, sex and age) and the stifle joint conformation. In humans, this injury is often traumatic and generally occurs during sporting activities. CrCL rupture can be managed conservatively or surgically, and decisions regarding treatment are due to numerous factors: the patient’s age and health, the degree of stifle instability, and cost. Physiotherapy protocols play an important role in rehabilitation, with similar goals in humans and dogs: pain management, physiological articular range of motion recovery, periarticular and core muscle strengthening, and proprioceptive deficit correction. Physiotherapy, even if often neglected in veterinary medicine, is mandatory for the recovery of the correct functionality of the injured limb and for the return to normal daily and sporting activities.

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Section: Rehabilitationmentioning

confidence: 98%

Cranial Cruciate Ligament Rupture in Dogs: Review on Biomechanics, Etiopathogenetic Factors and Rehabilitation

Spinella

Arcamone

Valentini

2021

Veterinary Sciences

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“…In this report, temporospatial variables were evaluated for the complete gait cycle as well as stance and swing phases individually. Determining the influence of application of an orthosis on each phase provide new information over previous studies, as these focused only on the stance phase.…”

Section: Discussionmentioning

confidence: 41%

“…However, scientific literature on orthoses is limited in dogs, consisting essentially of case reports or case series about carpal or tarsal orthoses, and review articles . A small retrospective case series recently reported on paw pressure in dogs wearing stifle orthoses, but no studies have been published on the effect of any orthoses on joint motion in dogs. The purpose of this study is to report a method of evaluating 3‐dimensional (3D) pelvic limb joint motion in dogs wearing stifle orthoses.…”

Section: Introductionmentioning

confidence: 99%

Pelvic limb kinematics in the dog with and without a stifle orthosis

Torres

Sandberg

et al. 2017

Veterinary Surgery

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The restrictive motion of the stifle orthosis is not fully translated to the underlying joint, based on the limited differences between the motion of braced and unbraced stifles. This effect varies with plane of motion and phase of the gait cycle, with most changes in stifle motion being detected during the stance phase. The stifle orthosis had an equal or greater effect on the motion of adjacent joints, especially the tarsus.

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“…Orthoses may additionally provide dynamic or adaptable post-operative coaptation that limits the need for longterm casting or bandaging (8). Many diseases, such as jointlevel instabilities, tendinopathies, ligament injuries, and cranial cruciate ligament diseases (3,(9)(10)(11)(12), which may have previously resulted in amputation or been medically unmanageable (8), can now be treated with orthotic devices, thus the demand for orthoses as a primary or adjunctive therapy is growing (2).…”

Section: Introductionmentioning

confidence: 99%

“…Pioneers of orthotics and external prosthetics in veterinary medicine have employed the expertise of human orthotists and prosthetists (8,13) and have critically evaluated the clinical impact and outcome of these devices in veterinary patients (9,14). Scientific study to develop evidence-based strategies for effective orthotic device use (3,(10)(11)(12)15) cannot be denied as an absolute necessity; however, in the veterinary population it is the owner who must be sufficiently satisfied with the experience to continue treatment or recommend a treatment plan to other owners. The study of client satisfaction has contributed to other areas of veterinary medicine (10,14,(16)(17)(18) and increasing our understanding of how veterinary patients are managed within the home environment can bring additional insight to the success of orthoses as treatment plans outside of the clinical setting.…”

Section: Introductionmentioning

confidence: 99%

Orthotic Device Use in Canine Patients: Owner Perception of Quality of Life for Owners and Patients

et al. 2021

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Orthotic devices are an established treatment for neuromusculoskeletal disease in the human population. Orthoses are an emerging veterinary therapy due to limited practitioner experience, availability of devices, and published data from veterinary patient outcomes. Expanding client education and veterinary expertise in the application of orthoses may allow greater access and successful utilization of these devices to treat appendicular disease. While orthoses have the potential to improve quality of life for veterinary patients, consideration needs to be made for owner related factors with device use. Owner satisfaction and experience may greatly impact compliance with treatment recommendations; therefore, it is crucial that owner expectations are met. The purpose of the present study was to evaluate owner-reported outcomes of orthosis for canine patients and their owner's subjective responses about the shared pet/owner experience utilizing a promoter score. It was hypothesized that owner's impressions of their pet's experience with the orthotic device would influence owner perceptions of quality of life for both the owner and the pet, and these factors would impact the likelihood of the owner to recommend a veterinary orthosis to a friend. An anonymous online survey was sent to 136 clients of a single veterinary orthoses manufacturer. Fifty-six surveys were completed and included for analysis. The owner's reported quality of life was in agreement (P = 0.02) with reported pet quality of life. There was also a higher likelihood (P = 0.02) for the owner to recommend a veterinary orthotic device to a friend when owner perceptions of pet quality of life were positive as compared to negative or neutral. Willingness to recommend an experience to a friend is a reflection of satisfaction with the experience. The dependence of owner and pet quality of life should therefore guide therapeutic decisions for patient management and client communication to ensure that the orthosis experience is positive for both patient and owner.

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The Use of Canine Stifle Orthotics for Cranial Cruciate Ligament Insufficiency

Cited by 13 publications

References 21 publications

Cranial Cruciate Ligament Rupture in Dogs: Review on Biomechanics, Etiopathogenetic Factors and Rehabilitation

Cranial Cruciate Ligament Rupture in Dogs: Review on Biomechanics, Etiopathogenetic Factors and Rehabilitation

Pelvic limb kinematics in the dog with and without a stifle orthosis

Orthotic Device Use in Canine Patients: Owner Perception of Quality of Life for Owners and Patients

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