Barbara Bockstahler

Kinematic motion analysis of the joints of the forelimbs and hind limbs of dogs during walking exercise regimens

OBJECTIVE To assess forelimbs and hind limb joint kinematics in dogs during walking on an inclined slope (uphill), on a declined slope (downhill), or over low obstacles (cavaletti) on a horizontal surface and compare findings with data acquired during unimpeded walking on a horizontal surface. ANIMALS 8 nonlame dogs (mean +/- SD age, 3.4 +/- 2.0 years; weight, 23.6 +/- 4.6 kg). PROCEDURES By use of 10 high-speed cameras and 10 reflecting markers located on the left forelimbs and hind limbs, joint kinematics were recorded for each dog during uphill walking, downhill walking, and walking over low obstacles or unimpeded on a horizontal surface. Each exercise was recorded 6 times (10 s/cycle); joint angulations, angle velocities and accelerations, and range of motion for shoulder, elbow, carpal, hip, stifle, and tarsal joints were calculated for comparison. RESULTS Compared with unimpeded walking, obstacle exercise significantly increased flexion of the elbow, carpal, stifle, and tarsal joints and extension in the carpal and stifle joints. Only uphill walking caused increased hip joint flexion and decreased stifle joint flexion; downhill walking caused less flexion of the hip joint. During obstacle exercise, forward angle velocities in the elbow and stifle joints and retrograde velocity in the tarsal joint changed significantly, compared with unimpeded walking. Joint angle acceleration of the elbow joint changed significantly during all 3 evaluated exercises. CONCLUSIONS AND CLINICAL RELEVANCE These evidence-based data indicated that each evaluated exercise, except for downhill walking, has a specific therapeutic value in physical therapy for dogs.

A review of osteoarthritis and obesity: current understanding of the relationship and benefit of obesity treatment and prevention in the dog

Obesity is an increasingly important health problem for both man and dog. Osteoarthritis (OA) is a significant cause of pain and disability in both species. A link between obesity and OA has been established in man, though the exact mechanism of the relationship remains to be fully elucidated - current research supports both biomechanical and biochemical theories. There is good evidence (class I*) to support weight loss as an effective treatment for human knee OA. In the dog, the relationship is just beginning to be investigated. The results of one study in dogs (class IV evidence*) suggest that preventing the development of overweightness and obesity reduces the prevalence of hip dysplasia and OA of the hip and other joints. Three other studies (class III and IV evidence*) support weight loss as an effective treatment for OA in affected overweight and obese dogs. Further research could yield greater understanding of the pathophysiology of this relationship, perhaps identifying novel therapeutic targets. Confirmation and better understanding of the positive effect of treating and preventing obesity on symptoms and prevalence of OA is likely to be valuable in the campaign against canine obesity.

Fourier analysis of vertical ground reaction forces in dogs with unilateral hind limb lameness caused by degenerative disease of the hip joint and in dogs without lameness.

OBJECTIVE To evaluate the applicability of Fourier analysis for assessment of ground reaction forces (GRFs) and differentiation between dogs with unilateral hind limb lameness caused by degenerative joint disease of the hip (DJD-H) and dogs without lameness. ANIMALS 37 dogs with or without unilateral DJD-H. PROCEDURES Data were obtained from other studies and analyzed retrospectively. Among the 37 dogs, 20 had unilateral DJD-H and 9 (non-Belgian Malinois breeds) had no lameness; another 8 were nonlame Belgian Malinois (radiographically confirmed Fédération Cinologique International classification A [ie, no hip dysplasia or DJD-H]). Gait data acquisition was performed as dogs walked on a treadmill with integrated force platforms. The peak vertical force, mean vertical force, and vertical impulse were compared among the 3 groups. Fourier analysis was performed on the force-time curves for the vertical GRF, and calculated Fourier coefficients were compared within and between groups. RESULTS Lameness in the hind limbs with DJD-H was detectable via conventional analysis of the GRF as well as via Fourier analysis. However, subtle gait aberrations in the forelimbs of the dogs with DJD-H were detected solely via Fourier analysis of GRFs and remained undetected via conventional analysis. CONCLUSIONS AND CLINICAL RELEVANCE Results support the applicability of Fourier analysis for evaluation of force-time curves of GRFs. Fourier analysis can reveal subtle alterations of gait that might otherwise remain inapparent; however, further investigation is necessary before this method can be routinely applied for lameness detection in dogs.

Compensatory load redistribution in naturally occurring osteoarthritis of the elbow joint and induced weight-bearing lameness of the forelimbs compared with clinically sound dogs.

The current study investigated the compensatory load redistribution due to osteoarthritis of the elbow joint using ground reaction forces of all four legs, simultaneously measured on a treadmill with integrated force plates. Three groups of dogs were used: the first group was clinically sound; the second group suffered from a naturally occurring osteoarthritis of the elbow joint, and a reversible lameness was induced in the third group. The naturally occurring osteoarthritis resulted in a compensatory gait pattern to reduce the stress on the affected limb. The load was reduced on the lame limb and increased on the contralateral hindlimb. The symmetry index indicated a weight-shift to the contralateral forelimb and diagonal hindlimb, which resulted in a more balanced weight distribution than in normal dogs. Dogs with induced lameness showed comparable but less pronounced alterations. These results suggested that forelimb lameness could lead to overload on non-affected extremities and the vertebral spine.

Hind limb kinematics during therapeutic exercises in dogs with osteoarthritis of the hip joints

OBJECTIVE To assess joint kinematics in dogs with osteoarthritis of the hip joints during walking up an incline or down a decline and over low obstacles and to compare findings with data for nonlame dogs. ANIMALS 10 dogs with osteoarthritis of the hip joints (mean ± SD age, 6.95 ± 3.17 years; mean body weight, 34.33 ± 13.58 kg) and 8 nonlame dogs (3.4 ± 2.0 years; 23.6 ± 4.6 kg). PROCEDURES Reflective markers located on the limbs and high-speed cameras were used to record joint kinematics during walking up an incline or down a decline and over low obstacles. Maximal flexion, extension, and range of motion of the hip joints were calculated. RESULTS Osteoarthritis of the hip joints reduced extension of both hip joints and flexion of the contralateral hind limb, compared with flexion of the lame hind limb, during walking down a decline. Walking up an incline resulted in decreased extension of the stifle joint in both hind limbs of osteoarthritic dogs; extension was significantly decreased for the lame hind limb. During walking over low obstacles, maximal flexion of the stifle joint was increased significantly for the contralateral hind limb. Maximal flexion was increased in both tarsal joints. CONCLUSIONS AND CLINICAL RELEVANCE Osteoarthritis of the hip joints led to complex changes in the gait of dogs, which involved more joints than the affected hip joint alone. Each exercise had specific effects on joint kinematics that must be considered when planning a rehabilitation program.

Conservative treatment of partial gastrocnemius muscle avulsions in dogs using therapeutic ultrasound -- A force plate study.

OBJECTIVES In this report two cases of partial gastrocnemius muscle avulsion treated with pulsed therapeutic ultrasound are described. METHODS The outcome in these two dogs was evaluated using ultrasonographic imaging and the measurement of ground reaction forces with a force plate. RESULTS Both dogs showed an amelioration of the clinical signs within one month after commencement of the ultrasound therapy. The follow-up time for these cases was one year and six months respectively. Both of the dogs were free of lameness and had returned to their normal amount of exercise. Palpation of the fabella associated with the muscle injury did not produce any signs of pain. Ultrasonographic imaging did not detect any signs of haemorrhage or oedema, although scarring of muscle fibres was present. The force-plate analyses revealed an improvement. CLINICAL SIGNIFICANCE These results suggest that therapeutic ultrasound could be a beneficial treatment modality for this kind of muscle injury.

Cytogenetic variation between four cases of feline fibrosarcoma

Short term cultures of four feline fibrosarcomas were analysed cytogenetically. There was marked genetic heterogeneity between the four cats, each showing a different clonal abnormality. The aberrations detected were one deleted B2, one marker F1 and two reciprocal translocations, t (A2q; E3q) and t (A1q; B4p).

Systematic review of ground reaction force measurements in cats.

Although orthopaedic abnormalities in cats are frequently observed radiographically, they remain clinically underdiagnosed, and kinetic motion analysis, a fundamental aspect of orthopaedic research in dogs and horses, is not commonly performed. More information obtained with non-invasive measurement techniques to assess normal and abnormal gait in cats would provide a greater insight into their locomotion and biomechanics and improve the objective measurement of disease alterations and treatment modalities. In this systematic review, 12 previously performed studies that investigated ground reaction force measurements in cats during locomotion were evaluated. The aims of these studies, the measurement methods and equipment used, and the outcomes of parameters used to assess both sound and diseased cats are summarised and discussed. All reviewed studies used pressure sensitive walkways to gain data and all provided an acclimatisation period as a prerequisite for measurements. In sound cats during walking, the forelimb peak vertical force was greater than in the hindlimb and the peak vertical force in the hindlimb was greater in cats than in dogs. This review confirms that ground reaction forces can be used to evaluate lameness and treatment effects in the cat.

Physical agent modalities in physical therapy and rehabilitation of small animals.

Physical agent modalities can be effective components of the overall rehabilitation of small animals. This article reviews the effects, indications, contraindications, and precautions of cold, superficial heat, therapeutic ultrasound, and electrical stimulation.

A comparison of ground reaction forces during level and cross-slope walking in Labrador Retrievers

BackgroundInclined or slippery surfaces and various other types of obstacles are common demands in our environment. Dogs with impaired locomotion might have difficulties to manage rough terrain. Gait analyses using force plates or pressure plates, which are well established to characterize limb loads in human medicine as well as in animals, are mostly limited to level surfaces. Therefore, the aim of this study was to investigate the effect of cross-slope walking in ten healthy Labrador Retrievers using a pressure plate walkway system. The dogs walked over the pressure plate on a level surface, with a lateral elevation angle of 10° (CS1) or 15° (CS2) until five valid trials were achieved. Three measurements were obtained at weekly intervals. Peak vertical force (PFz), vertical impulse (IFz), step length, and velocity were determined.ResultsCompared to level walking (LW), cross-slope walking was associated with a significant decrease in GRF of the up-slope (US) hindlimb, which was compensated for by the down-slope (DS) forelimb. The other diagonal limb pair showed less pronounced effects during CS1, but in CS2 more weight was shifted onto the DS hindlimb during the first two measurements, thus reducing weight on the US forelimb (for IFz). The effect diminished from trial to trial, with GRF values approaching LW standards finally. The IFz was a more sensitive measure than the PFz. The step length of the DS forelimb was significantly decreased in both cross-slope conditions, while the step length of the US forelimb only decreased during CS2.ConclusionsThe dogs adapted their gait pattern and step length to compensate for the discrepancy in apparent leg length caused by the cross-slope. The results suggest that cross-slope walking requires functional musculoskeletal adaptations that may be difficult for animals with impaired locomotion. Further, this knowledge might be of clinical impact for early diagnosis of neurological disorders, mild lameness and proprioceptive deficits.