Publicação
Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series
| Resumo: | : This case series study aimed to evaluate the safety, feasibility, and positive outcome of the neurorehabilitation multimodal protocol (NRMP) in 16 chronic post-surgical IVDD Hansen type I dogs, with OFS 0/DPP− (n = 9) and OFS 1/DPP+ (n = 7). All were enrolled in the NRMP for a maximum of 90 days and were clinically discharged after achieving ambulation. The NRMP was based on locomotor training, functional electrical stimulation, transcutaneous electrical spinal cord stimulation, and 4-aminopyridine (4-AP) pharmacological management. In the Deep Pain Perception (DPP)+ dogs, 100% recovered ambulation within a mean period of 47 days, reaching OFS ≥11, which suggests that a longer period of time is needed for recovery. At follow-up, all dogs presented a positive evolution with voluntary micturition. Of the DPP− dogs admitted, all achieved a flexion/extension locomotor pattern within 30 days, and after starting the 4-AP, two dogs were discharged at outcome day 45, with 78% obtaining Spinal Reflex Locomotion (SRL) and automatic micturition within a mean period of 62 days. At follow-up, all dogs maintained their neurological status. After the NRMP, ambulatory status was achieved in 88% (14/16) of dogs, without concurrent events. Thus, an NRMP may be an important therapeutic option to reduce the need for euthanasia in the clinical setting. |
|---|---|
| Autores principais: | Martins, Ângela |
| Outros Autores: | Gouveia, Débora; Cardoso, Ana; Carvalho, Carla; Silva, Cátia; Coelho, Tiago; Gamboa, Oscar; Ferreira, António |
| Assunto: | Spinal cord injury locomotor training functional electrical stimulation transcutaneous electrical SC stimulation chronic dogs 4-aminopyridine neurorehabilitation |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| _version_ | 1866809870471135232 |
|---|---|
| author | Martins, Ângela |
| author2 | Gouveia, Débora Cardoso, Ana Carvalho, Carla Silva, Cátia Coelho, Tiago Gamboa, Oscar Ferreira, António |
| author2_role | author author author author author author author |
| author_facet | Martins, Ângela Gouveia, Débora Cardoso, Ana Carvalho, Carla Silva, Cátia Coelho, Tiago Gamboa, Oscar Ferreira, António |
| author_role | author |
| contributor_name_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Martins, Ângela\"},{\"Person.name\":\"Gouveia, Débora\"},{\"Person.name\":\"Cardoso, Ana\"},{\"Person.name\":\"Carvalho, Carla\"},{\"Person.name\":\"Silva, Cátia\"},{\"Person.name\":\"Coelho, Tiago\"},{\"Person.name\":\"Gamboa, Oscar\"},{\"Person.name\":\"Ferreira, António\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| datacite.creators.creator.creatorName.fl_str_mv | Martins, Ângela Gouveia, Débora Cardoso, Ana Carvalho, Carla Silva, Cátia Coelho, Tiago Gamboa, Oscar Ferreira, António |
| datacite.date.Accepted.fl_str_mv | 2021-08-19T00:00:00Z |
| datacite.date.available.fl_str_mv | 2021-11-03T22:14:23Z |
| datacite.date.embargoed.fl_str_mv | 2021-11-03T22:14:23Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Spinal cord injury locomotor training functional electrical stimulation transcutaneous electrical SC stimulation chronic dogs 4-aminopyridine neurorehabilitation |
| datacite.titles.title.fl_str_mv | Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series |
| dc.contributor.none.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| dc.creator.none.fl_str_mv | Martins, Ângela Gouveia, Débora Cardoso, Ana Carvalho, Carla Silva, Cátia Coelho, Tiago Gamboa, Oscar Ferreira, António |
| dc.date.Accepted.fl_str_mv | 2021-08-19T00:00:00Z |
| dc.date.available.fl_str_mv | 2021-11-03T22:14:23Z |
| dc.date.embargoed.fl_str_mv | 2021-11-03T22:14:23Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10400.5/22482 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | MDPI |
| dc.rights.cclincense.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Spinal cord injury locomotor training functional electrical stimulation transcutaneous electrical SC stimulation chronic dogs 4-aminopyridine neurorehabilitation |
| dc.title.fl_str_mv | Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | : This case series study aimed to evaluate the safety, feasibility, and positive outcome of the neurorehabilitation multimodal protocol (NRMP) in 16 chronic post-surgical IVDD Hansen type I dogs, with OFS 0/DPP− (n = 9) and OFS 1/DPP+ (n = 7). All were enrolled in the NRMP for a maximum of 90 days and were clinically discharged after achieving ambulation. The NRMP was based on locomotor training, functional electrical stimulation, transcutaneous electrical spinal cord stimulation, and 4-aminopyridine (4-AP) pharmacological management. In the Deep Pain Perception (DPP)+ dogs, 100% recovered ambulation within a mean period of 47 days, reaching OFS ≥11, which suggests that a longer period of time is needed for recovery. At follow-up, all dogs presented a positive evolution with voluntary micturition. Of the DPP− dogs admitted, all achieved a flexion/extension locomotor pattern within 30 days, and after starting the 4-AP, two dogs were discharged at outcome day 45, with 78% obtaining Spinal Reflex Locomotion (SRL) and automatic micturition within a mean period of 62 days. At follow-up, all dogs maintained their neurological status. After the NRMP, ambulatory status was achieved in 88% (14/16) of dogs, without concurrent events. Thus, an NRMP may be an important therapeutic option to reduce the need for euthanasia in the clinical setting. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.ulisboa.pt/bitstreams/44089d1c-4da8-4157-87d1-9e8764329863/download |
| id | ul_55822ef8ccd1dc186a37cf00a688cdec |
| identifier.url.fl_str_mv | http://hdl.handle.net/10400.5/22482 |
| instacron_str | ul |
| institution | Universidade de Lisboa |
| instname_str | Universidade de Lisboa |
| language | eng |
| network_acronym_str | ul |
| network_name_str | Repositório da Universidade de Lisboa |
| oai_identifier_str | oai:repositorio.ulisboa.pt:10400.5/22482 |
| organization_str_mv | urn:organizationAcronym:ul |
| person_str_mv | Martins, Ângela Gouveia, Débora Cardoso, Ana Carvalho, Carla Silva, Cátia Coelho, Tiago Gamboa, Oscar Ferreira, António |
| publishDate | 2021 |
| publisher.none.fl_str_mv | MDPI |
| reponame_str | Repositório da Universidade de Lisboa |
| repository_id_str | urn:repositoryAcronym:ul |
| service_str_mv | urn:repositoryAcronym:ul |
| spelling | engMDPIpt_PT: This case series study aimed to evaluate the safety, feasibility, and positive outcome of the neurorehabilitation multimodal protocol (NRMP) in 16 chronic post-surgical IVDD Hansen type I dogs, with OFS 0/DPP− (n = 9) and OFS 1/DPP+ (n = 7). All were enrolled in the NRMP for a maximum of 90 days and were clinically discharged after achieving ambulation. The NRMP was based on locomotor training, functional electrical stimulation, transcutaneous electrical spinal cord stimulation, and 4-aminopyridine (4-AP) pharmacological management. In the Deep Pain Perception (DPP)+ dogs, 100% recovered ambulation within a mean period of 47 days, reaching OFS ≥11, which suggests that a longer period of time is needed for recovery. At follow-up, all dogs presented a positive evolution with voluntary micturition. Of the DPP− dogs admitted, all achieved a flexion/extension locomotor pattern within 30 days, and after starting the 4-AP, two dogs were discharged at outcome day 45, with 78% obtaining Spinal Reflex Locomotion (SRL) and automatic micturition within a mean period of 62 days. At follow-up, all dogs maintained their neurological status. After the NRMP, ambulatory status was achieved in 88% (14/16) of dogs, without concurrent events. Thus, an NRMP may be an important therapeutic option to reduce the need for euthanasia in the clinical setting.application/pdfpt_PTFunctional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case seriesMartins, ÂngelaGouveia, DéboraCardoso, AnaCarvalho, CarlaSilva, CátiaCoelho, TiagoGamboa, OscarFerreira, AntónioHostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf2076-2615DOIIsPartOf10.3390/ani110824422021-11-03T22:14:23Z2021-08-192021-08-19T00:00:00ZHandlehttp://hdl.handle.net/10400.5/22482http://purl.org/coar/access_right/c_abf2open accessSpinal cord injurylocomotor trainingfunctional electrical stimulationtranscutaneouselectrical SC stimulationchronic dogs4-aminopyridineneurorehabilitation4463259 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2021-08-19http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/44089d1c-4da8-4157-87d1-9e8764329863/downloadAnimals11(8)2442SWITZERLAND |
| spellingShingle | Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series Martins, Ângela Spinal cord injury locomotor training functional electrical stimulation transcutaneous electrical SC stimulation chronic dogs 4-aminopyridine neurorehabilitation |
| status | SINGLETON |
| subject.fl_str_mv | Spinal cord injury locomotor training functional electrical stimulation transcutaneous electrical SC stimulation chronic dogs 4-aminopyridine neurorehabilitation |
| title | Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series |
| title_full | Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series |
| title_fullStr | Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series |
| title_full_unstemmed | Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series |
| title_short | Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series |
| title_sort | Functional neurorehabilitation in dogs with an incomplete recovery 3 months following intervertebral disc surgery : a case series |
| topic | Spinal cord injury locomotor training functional electrical stimulation transcutaneous electrical SC stimulation chronic dogs 4-aminopyridine neurorehabilitation |
| topic_facet | Spinal cord injury locomotor training functional electrical stimulation transcutaneous electrical SC stimulation chronic dogs 4-aminopyridine neurorehabilitation |
| url | http://hdl.handle.net/10400.5/22482 |
| visible | 1 |