Survey of referring veterinarians’ perceptions of and reasons for referring patients to rehabilitation facilities

Alvarez, Leilani; Fox, Philip R.; Dyke, Janet B. Van; Grigsby, Patrick

doi:10.2460/javma.249.7.807

Cited by 12 publications

(6 citation statements)

References 24 publications

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“…Although some of the previous studies also used objective data from force platform analysis, conclusions cannot be extrapolated given the difference in the affected joint (stifle), and the primary treatment was surgical, not conservative. Nonetheless, few clinicians are prone to include rehabilitation techniques in the treatment process because of its cost or their lack of knowledge in the field, among others [41].…”

Section: Discussionmentioning

confidence: 99%

Objective Comparison between Platelet Rich Plasma Alone and in Combination with Physical Therapy in Dogs with Osteoarthritis Caused by Hip Dysplasia

Cuervo

Rubio

Chicharro

et al. 2020

Animals

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Osteoarthritis (OA) is one of the most significant joint diseases worldwide. There are different therapies for OA treatment, and a relatively new strategy is the use of plasma rich in growth factors (PRGF), a platelet rich plasma (PRP) derivative. The objective of this study was to objectively assess the efficacy and duration of the effect of an intraarticular injection of PRGF and a combination of PRGF + physical therapy. The objective assessment was provided using a force platform. The obtained parameters were peak vertical force (PVF) and vertical impulse (VI). A total of 24 dogs with lameness and pain associated to OA attributable to bilateral hip dysplasia were included in the study. Animals were divided into two study groups and evaluated at baseline and at 30, 90, and 180 days after intraarticular PRGF or PRGF + physical therapy. Significant differences were observed at every checkpoint with respect to basal time in both groups. However, after 180 days, the PRGF group showed a decrease in PVF and VI with respect to the values obtained at 90 days. However, the PRGF + physical therapy group maintained increased values of both PVF and VI values during the 180-day study period.

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Section: Discussionmentioning

confidence: 99%

Objective Comparison between Platelet Rich Plasma Alone and in Combination with Physical Therapy in Dogs with Osteoarthritis Caused by Hip Dysplasia

Cuervo

Rubio

Chicharro

et al. 2020

Animals

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“…Consideration in balancing professional clinical rehabilitation with home exercise therapy must be weighed and is often influenced by similar variables to those affecting healthy aging. For example, cost and distance were the two variables most likely to prevent referral of a client seeking a rehabilitation specialist for the pet (102). On the other hand, a study examining outcomes from T3-L3 hemilaminectomies in dogs noted that those receiving rehabilitation had fewer post-operative complications, further supporting the notion that professional physiotherapy allows for closer patient monitoring and timelier intervention (103).…”

Section: • a Combination Of Objective And Subjective Assessmentmentioning

confidence: 99%

Canine Geriatric Rehabilitation: Considerations and Strategies for Assessment, Functional Scoring, and Follow Up

Frye

Carr²,

Lenfest

et al. 2022

Front. Vet. Sci.

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Geriatric animals account for half of the pet population in the United States with their numbers increasing annually. Furthermore, a significant percentage of veterinary patients with movement limitations could be grossly categorized as geriatric and living within the end stage of their predicted lifespans. Because mobility is correlated to quality of life and time to death in aging dogs, a major goal in optimizing canine geriatric health is to improve functional movement. Within the geriatric population, identifying disabilities that affect daily living and quality of life may be used by the rehabilitation practitioner to provide stronger prognoses, treatment goals, and outcome measures. Examples of such means are described within this review. In human medicine, the concept of “optimal aging”, or “healthy aging”, has emerged in which inevitable detrimental age-related changes can be minimized or avoided at various levels of physical, mental, emotional, and social health. Both environment and genetics may influence aging. Identifying and improving environmental variables we can control remain a key component in optimizing aging. Furthermore, diagnosing and treating age related comorbidities common to older populations allows for improved quality of life and is often directly or indirectly affecting mobility. Obesity, sarcopenia, and a sedentary lifestyle are a trifecta of age-related morbidity common to both people and dogs. Healthy lifestyle choices including good nutrition and targeted exercise play key roles in reducing this morbidity and improving aging. Disablement models act as essential tools for creating more effective physiotherapy plans in an effort to counter dysfunction and disability. Within these models, functional testing represents a standard and validated means of scoring human geriatric function as well as monitoring response to therapy. Because of the great need in dogs, this review aims to provide a reasonable and testable standardized framework for canine functional scoring. We believe a complete assessment of canine geriatric patients should comprise of identifying environmental variables contributing to health status; diagnosing comorbidities related to disease and aging; and characterizing disability with standardized methods. Only through this process can we construct a comprehensive, reasonable, and targeted rehabilitation plan with appropriate follow up aimed at healthy aging.

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“…Since the 1980s, canine physical therapy started to gain clinical attention, and it has demonstrated tremendous scientific advances. One study reported that approximately 70% of veterinarians in United States refer animals for physiotherapy [1].…”

Section: Introductionmentioning

confidence: 99%

Ground Reaction Forces and Center of Pressure within the Paws When Stepping over Obstacles in Dogs

Charalambous

Strasser²,

Tichy³

et al. 2022

Animals

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Walking over obstacles is a widely used physiotherapy exercise in dogs. Current research is limited to the effect of this exercise in kinematics and muscle activation in dogs. The present study assessed the influence of walking over obstacles on the ground reaction forces (GRFs) and center of pressure (COP) in dogs. Data of dogs walking over one and two obstacles over a pressure platform were retrospectively analyzed and compared to normal walking. Walking over one obstacle did not affect the GRFs and COP of the forelimbs; however, significant changes were observed for the hindlimbs, especially the leading hindlimb. Walking over two obstacles caused significant changes to only one value at the forelimbs, whereas multiple significant changes in the GRFs and COP values were observed at the hindlimbs. Walking over obstacles seems to be challenging even for healthy adult dogs. Further studies are needed to investigate how different heights of obstacles and distances between them can further challenge the animals. The combination of kinetics and kinematics during walking over obstacles may be used in future as a diagnostic tool in geriatric and neurological patients in order to assess their proprioception awareness or to assess the improvement after an intervention, e.g., physiotherapy treatment.

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Survey of referring veterinarians’ perceptions of and reasons for referring patients to rehabilitation facilities

Cited by 12 publications

References 24 publications

Objective Comparison between Platelet Rich Plasma Alone and in Combination with Physical Therapy in Dogs with Osteoarthritis Caused by Hip Dysplasia

Objective Comparison between Platelet Rich Plasma Alone and in Combination with Physical Therapy in Dogs with Osteoarthritis Caused by Hip Dysplasia

Canine Geriatric Rehabilitation: Considerations and Strategies for Assessment, Functional Scoring, and Follow Up

Ground Reaction Forces and Center of Pressure within the Paws When Stepping over Obstacles in Dogs

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