Cryotherapy Improves Limb Use But Delays Normothermia Early After Stifle Joint Surgery in Dogs.

Autor:	Szabo SD; College of Veterinary Medicine, Midwestern University, Glendale, AZ, United States., Levine D; Department of Physical Therapy, University of Tennessee at Chattanooga, Chattanooga, TN, United States., Marcellin-Little DJ; Department of Veterinary Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, CA, United States., Sidaway BK; College of Veterinary Medicine, Midwestern University, Glendale, AZ, United States.; Incise Veterinary Surgery, Peoria, AZ, United States., Hofmeister E; College of Veterinary Medicine, Midwestern University, Glendale, AZ, United States.; College of Veterinary Medicine, Auburn University, Auburn, AL, United States., Urtuzuastegui E; College of Veterinary Medicine, Midwestern University, Glendale, AZ, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in veterinary science [Front Vet Sci] 2020 Jul 03; Vol. 7, pp. 381. Date of Electronic Publication: 2020 Jul 03 (Print Publication: 2020).
DOI:	10.3389/fvets.2020.00381
Abstrakt:	Objective: To evaluate the short-term efficacy and safety of cold compression therapy (CCT) relative to a soft padded bandage (SPB) in dogs undergoing surgery to manage cranial cruciate ligament injury. Methods: Dogs were randomized into groups that received CCT or SPB after surgery. Weight bearing was measured using a weight distribution platform before and the day after surgery. Stifle joint flexion and extension were measured using a goniometer before and the day after surgery. Rectal temperatures were measured every 15 min for 2 h after surgery and the morning after surgery. Mechanical nociceptive thresholds (MNT) were measured using an algometer the day after surgery. Findings in both groups were compared using a mixed model ANOVA. Results: 20 dogs were enrolled: 10 in the CCT and 10 in the SPB group. Dogs undergoing CCT had more stifle joint flexion ( P = 0.008) and weight bearing ( P < 0.001) after surgery than dogs with SPB. MNT after surgery correlated statistically with stifle joint flexion after surgery ( r = -0.315, P = 0.014), extension after surgery ( r = 0.310, P = 0.016), and weight bearing after surgery ( r = 0.314, P = 0.003). Return to normothermia was delayed in the CCT group, with temperatures ~0.5°C (1.0°F) lower 105 ( P = 0.018) and 120 min ( P = 0.013) after surgery. Conclusion: Relative to bandaging, CCT had a positive short-term impact on stifle flexion and weight bearing. CCT delayed warming after surgery but dogs were only mildly hypothermic [0.5°C [1.0°F]]. (Copyright © 2020 Szabo, Levine, Marcellin-Little, Sidaway, Hofmeister and Urtuzuastegui.)
Databáze:	MEDLINE
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