Therapeutic Modalities

Extracorporeal shock wave therapy improves short-term limb use after canine tibial plateau leveling osteotomy

Summary:

To determine the influence of postoperative extracorporeal shock wave therapy (ESWT) on hind limb use after tibial plateau leveling osteotomy (TPLO).

Conclusion:

CONCLUSION:
Weight bearing increased faster after TPLO in dogs treated with postoperative ESWT.

RESULTS: The PVF (5.5 ± 1.0 N/kg, mean ± SD) and VI (0.67 ± 0.14 N-s/kg) of surgically treated limbs in the ESWT cohort were higher 8 weeks after surgery compared with preoperative (3.8 ± 1.1 N/kg, P < .0001 and 0.47 ± 0.21 N-s/kg, P = .0012, respectively) values. In the control cohort, PVF (2.9 ± 1.3 N/kg, P = .0001) and VI (0.33 ± 0.20 N-s/kg, P = .0003) 2 weeks after surgery and VI (0.42 ± 0.2 N-s/kg, P = .0012) 8 weeks after surgery were lower (4.59 ± 2.33 N/kg and 0.592 ± 0.35 N-s/kg, respectively) than before surgery. Other parameters did not differ between groups.

Author & Journal:Barnes, Kate et al, Vet Surg. 2019 Aug 30. doi: 10.1111/vsu.13320

Pilot study measuring the effects of bandaging and cold compression therapy following tibial plateau levelling osteotomy.

Summary:

To compare cold compression therapy, modified Robert-Jones bandage or the combination of cold compression therapyplus modified Robert-Jones bandage on operated limbs following tibial plateau levelling osteotomy in dogs.

Conclusion:

There was no significant difference in weight-bearing, range of motion or limb swelling between groups. There was a trend for dogs in the cold compression therapy and cold compression therapy with a bandage groups to have a greater increase in weight-bearing after surgery compared with the bandage-only group.

Author & Journal:Kieves, NR, et al, J Small Anim Pract. 2016: 57(10): 543-547.

A randomized blind placebo-controlled trial investigating the effects of photobiomodulation therapy (PBMT) on canine elbow osteoarthritis.

Summary:

The effect of photobiomodulation therapy (PBMT) or sham light therapy on pain, nonsteroidal anti-inflammatory drug (NSAID) requirement, and lameness was studied in 20 dogs with naturally occurring elbow osteoarthritis.

Conclusion:

There was greater improvement in lameness score post PMBT versus S therapy (P = 0.001). A greater reduction in pain score was detected in 9/11 parameters in group PBMT (P < 0.05). Regularly scheduled PBMT at 10 to 20 J/cm2 per joint for 6 weeks was successful in improving lameness and pain scores, and in lowering NSAID requirement in canine elbow osteoarthritis patients.

Author & Journal:Looney AL, et al, Can Vet J 2018 59(9):959-966