Treatment of traumatic cervical myelopathy with surgery, prolonged positive-pressure ventilation, and physical therapy in a dog

Smarick, Sean D.; Rylander, Helena; Burkitt, Jamie M.; Scott, Nancy E.; Woelz, Jacqueline; Jandrey, Karl E.; Aldrich, Janet; Sturges, Beverly K.

doi:10.2460/javma.230.3.370

Cited by 16 publications

(18 citation statements)

References 20 publications

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“…One case report on a dog with C3-C4 trauma had a successful outcome following 37 days of assisted ventilation. 57 In 14 other cases, the mean duration of ventilation was 4.5 days, and 9 dogs had a favorable outcome (ie, regained the ability to walk). 54 In this case series, the 2 dogs that lacked pain sensation did not recover.…”

Section: Acute Spinal Cord Injurymentioning

confidence: 97%

Acute Spinal Cord Injury

Granger

Carwardine

2014

Veterinary Clinics of North America: Small Animal Practice

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Section: Acute Spinal Cord Injurymentioning

confidence: 97%

Acute Spinal Cord Injury

Granger

Carwardine

2014

Veterinary Clinics of North America: Small Animal Practice

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“…Case studies have reported on the use of physical interventions to increase mobility after canine SCI; stretching in the form of traction 12 , passive ROM, isometric stretch and locomotor training 13 have been used. Any improvements reported in these studies were not attributed solely to the physical interventions employed.…”

Section: Introductionmentioning

confidence: 99%

Hindlimb Stretching Alters Locomotor Function After Spinal Cord Injury in the Adult Rat

Caudle

Atkinson

Brown

et al. 2014

Neurorehabil Neural Repair

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Background Stretching is a widely accepted standard-of-care therapy following spinal cord injury that has not been systematically studied in animal models. Objective To investigate the influence of a daily stretch-based physical therapy program on locomotor recovery in adult rats with moderate T9 contusive SCI. Methods A randomized treatment and control study of stretching in an animal model of acute spinal cord injury (SCI). Moderate spinal cord injuries were delivered with the NYU Impactor. Daily stretching (30 min./day, 5 days/wk for 8 wks) was provided by a team of animal handlers. Hindlimb function was assessed using the BBB Open Field Locomotor Scale and kinematically. Passive range-of-motion for each joint was determined weekly using a goniometer. Results Declines in hindlimb function during overground stepping were observed for the first 4 weeks. BBB scores improved weeks 5–10 but remained below the control group. Stretched animals had significant deficits in knee passive ROM starting at week 4 and for the duration of the study. Kinematic assessment showed decreased joint excursion during stepping that partially recovered beginning at week 5. Conclusion Stretch-based therapy significantly impaired functional recovery in adult rats with a moderate contusive SCI at T10. The negative impact on function was greatest acutely, but persisted even after the stretching ceased at 8 weeks post-injury.

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“…Patients with spine lesions can be treated by different electrotherapeutic methods, the most common being transcutaneous electric nerve stimulation (TENS currents) and electro stimulation by rectangular and exponential impulses (Hayashi et al, 2007;Smarick et al, 2007). Besides these it is possible to use interferential currents and high frequency, Tesla currents as microwaves, or treatment by low frequency non-homogenous magnetic fields (Kahanovitz et al, 1994) and other forms of electric energy with greater or smaller excitatory or tranquillizing effects.…”

Section: Clinical Criteriamentioning

confidence: 99%

Testing the effect of different electrotherapeutic procedures in the treatment of canine ankylosing spondylitis

Krstić¹,

Lazarević-Macanović²,

Prokić³

et al. 2010

Acta vet. (Beogr.)

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This paper presents the results of studies on the effects of suppression of chronic pain by currents with low (TENS), medium (Intf) and high (MT) frequencies, in dogs with ankylosing spondilytis. Prior to imaging diagnostics the dogs were clinically observed, trias was estimated, as well as habitus, neurological signs and degree of pain. After a 10 day treatment it was clear that all three treatments resulted in a significant decrease of pain at rest, during activity or during palpation. TENS currents have shown the highest degree of effect. All treated animals have shown improved motility after a few months of therapy. Despite the fact that all animals had an improved clinical picture none of the applied currents resulted in a complete loss of limping. Dogs treated with Intf currents displayed a decrease in muscular atrophy. Motility of the coxofemoural joint was most evident in the group treated with microwaves

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Treatment of traumatic cervical myelopathy with surgery, prolonged positive-pressure ventilation, and physical therapy in a dog

Abstract: Hypoventilation with tetraparesis in traumatic spinal cord injury can be successfully treated with PPV exceeding 30 days, surgery, and physical therapy.

Cited by 16 publications

References 20 publications

Acute Spinal Cord Injury

Acute Spinal Cord Injury

Hindlimb Stretching Alters Locomotor Function After Spinal Cord Injury in the Adult Rat

Testing the effect of different electrotherapeutic procedures in the treatment of canine ankylosing spondylitis

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