Low‐level laser therapy reduces time to ambulation in dogs after hemilaminectomy: a preliminary study

Draper, William E.; Schubert, Thomas; Clemmons, Roger M.; Miles, Sarita

doi:10.1111/jsap.12017.x

Cited by 17 publications

(39 citation statements)

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“…1,8 Low level laser treatment has become popular and a controlled clinical trial evaluating this modality reported an increased speed of recovery of ambulation. 9 Recommendations on postoperative rehabilitation range from advising against it, to implementing multimodal rehabilitation programs. 1 Objective evidence for the role of rehabilitation in dogs after surgical treatment of TL-IVDH is sparse, and evidence available is somewhat contradictory with retrospective studies suggesting benefit [10][11][12][13] and a recent, randomized, controlled (RCT) clinical trial failing to demonstrate an effect.…”

Section: Introductionmentioning

confidence: 99%

A randomized, blinded, prospective clinical trial of postoperative rehabilitation in dogs after surgical decompression of acute thoracolumbar intervertebral disc herniation

Zidan

Sims

Fenn

et al. 2018

Veterinary Internal Medicne

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BackgroundExperimental evidence shows benefit of rehabilitation after spinal cord injury (SCI) but there are limited objective data on the effect of rehabilitation on recovery of dogs after surgery for acute thoracolumbar intervertebral disc herniations (TL‐IVDH).ObjectiveCompare the effect of basic and intensive post‐operative rehabilitation programs on recovery of locomotion in dogs with acute TL‐IVDH in a randomized, blinded, prospective clinical trial.AnimalsThirty non‐ambulatory paraparetic or paraplegic (with pain perception) dogs after decompressive surgery for TL‐IVDH.MethodsBlinded, prospective clinical trial. Dogs were randomized (1:1) to a basic or intensive 14‐day in‐house rehabilitation protocol. Fourteen‐day open field gait score (OFS) and coordination (regulatory index, RI) were primary outcomes. Secondary measures of gait, post‐operative pain, and weight were compared at 14 and 42 days.ResultsOf 50 dogs assessed, 32 met inclusion criteria and 30 completed the protocol. There were no adverse events associated with rehabilitation. Median time to walking was 7.5 (2 – 37) days. Mean change in OFS by day 14 was 6.13 (confidence intervals: 4.88, 7.39, basic) versus 5.73 (4.94, 6.53, intensive) representing a treatment effect of −0.4 (−1.82, 1.02) which was not significant, P=.57. RI on day 14 was 55.13 (36.88, 73.38, basic) versus 51.65 (30.98, 72.33, intensive), a non‐significant treatment effect of −3.47 (−29.81, 22.87), P = .79. There were no differences in secondary outcomes between groups.ConclusionsEarly postoperative rehabilitation after surgery for TL‐IVDH is safe but doesn't improve rate or level of recovery in dogs with incomplete SCI.

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Section: Introductionmentioning

confidence: 99%

A randomized, blinded, prospective clinical trial of postoperative rehabilitation in dogs after surgical decompression of acute thoracolumbar intervertebral disc herniation

Zidan

Sims

Fenn

et al. 2018

Veterinary Internal Medicne

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“…Treatment options include hemilaminectomy and/or conservative physiotherapy, hydrotherapy, and low-level laser therapy. 48,49,52…”

Section: Intervertebral Disk Prolapsementioning

confidence: 99%

Medical and Surgical Emergencies in Ferrets

Girolamo¹,

Selleri²

2016

Veterinary Clinics of North America: Exotic Animal Practice

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In the last few years, significant improvement in diagnosis and treatment of ferret emergencies has occurred. Scientific advances demonstrated the need of specific practices when dealing with emergencies in ferrets. The risk of overdiagnosis of hypoglycemia with human portable blood glucose meters is a clear example. The purpose of this article is to describe the current approach to common medical and surgical emergencies in ferrets.

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“…[1][2][3][4][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] While postoperative rehabilitation and other alternative treatment methods (eg, acupuncture) have been evaluated, there are limited data on the effect of postopera-tive interventions on outcome in dogs undergoing surgery for IDVH. 13,23 Postoperative rehabilitation after spinal surgery is thought to improve outcome and is widely accepted in human surgery. [24][25][26][27] Although rehabilitation services are gaining popularity and availability in veterinary medicine, limited evidence documents the effects of rehabilitation on postoperative recovery after neurosurgery.…”

Section: Introductionmentioning

confidence: 99%

“…[24][25][26][27] Although rehabilitation services are gaining popularity and availability in veterinary medicine, limited evidence documents the effects of rehabilitation on postoperative recovery after neurosurgery. 13,23,28,29 Draper et al reported an earlier return to ambulation in dogs receiving low level laser therapy after hemilaminectomy for IVDH. 23 Ruddle et al evaluated multiple prognostic factors in dogs undergoing surgery for IVDH, including postoperative rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

“…13,23,28,29 Draper et al reported an earlier return to ambulation in dogs receiving low level laser therapy after hemilaminectomy for IVDH. 23 Ruddle et al evaluated multiple prognostic factors in dogs undergoing surgery for IVDH, including postoperative rehabilitation. 13 Although 77% of the dogs that underwent a rehabilitation program regained ambulation, dogs managed with rehabilitation accounted for only 7% of the total study population, preventing conclusions regarding the effects of rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

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Influence of in‐house rehabilitation on the postoperative outcome of dogs with intervertebral disk herniation

Hodgson¹,

Bevan²,

Evans

et al. 2017

Veterinary Surgery

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Low‐level laser therapy reduces time to ambulation in dogs after hemilaminectomy: a preliminary study

Cited by 17 publications

References 2 publications

A randomized, blinded, prospective clinical trial of postoperative rehabilitation in dogs after surgical decompression of acute thoracolumbar intervertebral disc herniation

A randomized, blinded, prospective clinical trial of postoperative rehabilitation in dogs after surgical decompression of acute thoracolumbar intervertebral disc herniation

Medical and Surgical Emergencies in Ferrets

Influence of in‐house rehabilitation on the postoperative outcome of dogs with intervertebral disk herniation

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