scholarly journals Physical therapy modalities in the rehabilitation of cats (Felis catus) with neurological and orthopedic conditions

2022 ◽  
Vol 52 (6) ◽  
Author(s):  
Ana Caroline Teixeira Colvero ◽  
Marcelo Luís Schwab ◽  
Dênis Antonio Ferrarin ◽  
Angel Ripplinger ◽  
Mathias Reginatto Wrzesinski ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Neurological Diseases ◽  
Physical Therapy Modalities ◽  
Manual Therapies ◽  
Spinal Cord Trauma ◽  
Duration Of Treatment ◽  
Therapeutic Modalities ◽  
Passive Stretching ◽  
Orthopedic Diseases ◽  
Therapy Sessions

ABSTRACT: This retrospective study described the therapeutic modalities used for the rehabilitation of cats with neurological and orthopedic diseases and provided data regarding the number of sessions, frequency, and treatment duration; the study also evaluated the modality acceptance by this species. Twenty cats were selected, 11 with neurological diseases and nine with orthopedic conditions. Acute spinal cord trauma and femoral fracture were the most frequently observed neurological (72.7%) and orthopedic (44.4%) conditions, respectively. Manual therapies comprised of passive stretching (PS), passive range of motion (PROM), and bicycle movement (BM) exercises were included in all the protocols.Therapeutic modality acceptance was positive for physical agents, thermotherapy, and hydrotherapy (100%);in manual therapies, it was positive in 40% and partially positive in 60% of cats; in kinesiotherapy, it was positive for all the assisted active exercises and negative for the active exercises. The number of physical therapy sessions significantly influenced the positive acceptance of PS (P < 0.05). The PS, PROM, and BM exercises were the most commonly used modalities; the number of physiotherapy sessions and duration of treatment were higher in cats with neurological diseases, and acceptance was positive in most therapeutic modalities.

scholarly journals Neurological and Orthopedic Diseases in Dogs and Cats Submitted to Physiotherapy

2020 ◽  
Vol 48 ◽  
Author(s):  
Ana Caroline Colveiro ◽  
Júlia Silva Rauber ◽  
Angel Ripplinger ◽  
Mathias Wrzesinski ◽  
Marcelo Luís Schwab ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Functional Recovery ◽  
Small Animal ◽  
Physical Therapy Modalities ◽  
Sensory Function ◽  
Neurological Dysfunction ◽  
Group I ◽  
Common Diagnosis ◽  
Orthopedic Diseases ◽  
Therapy Sessions

Background: The goals of physical therapy are to maximize functional recovery, improve mobility, and restore well-being and quality of life. In the veterinary literature, there is a dearth of data on physical therapy in small animal practice. Therefore, this study aimed to identify the main neurological and orthopedic diseases in canine and feline patients seen at the physical therapy service of an animal hospital. Concomitantly, we collected demographic and clinical information on patients, including sex, breed, physical therapy modalities, number and frequency of physical therapy sessions, duration of treatment, and rate of functional recovery.Materials, Methods & Results: The records of animals with neurological and orthopedic diseases seen at the Physical Therapy department of a university-affiliated animal hospital were reviewed. The animals were divided into two groups: I) dogs and cats with neurological diseases and II) dogs and cats with orthopedic diseases. Both groups were distributed according to species, age, sex and race. Dogs and cats were classified into three age groups: puppies (≤ 1 year old), adults (> 1 year and ≤ 10 years old) and elderly (> 10 years old). A total of 384 records were retrieved, of which 370 (96.4%) were of dogs and 14 (3.6%) of cats. Neurological cases accounted for 66% of the total (n = 253), with 243 cases in dogs (96%) and 10 in cats (4%). Among orthopedic cases (n = 131, accounting for the remaining 34%), 127 were in dogs (97%) and only 4 in cats (3%). In the neurological dysfunction group, intervertebral disc disease (72.4%) was the most common diagnosis. Among the orthopedic disorders, femur fracture (23.1%) was most prevalent. In group I (neurological), 66.7% of outcomes in canine patients and 44.4% in felines were considered satisfactory. In group II (orthopedic), 61% of outcomes in dogs and 66.7% in cats were considered satisfactory.Discussion: Physical therapy has many applications in small-animal practice. After spinal cord decompression surgery in dogs with IVDD, for instance, it helps maintain and recover motor and sensory function, and is considered safe and well-tolerated in dogs after thoracolumbar hemilaminectomy with disc fenestration. Physical therapy also plays an important role after surgical repair of fractures and dislocations, aiding recovery of range of motion and return to functional activity. The most probable explanation for the wide variation in number of physical therapy sessions can be explained by owners’ satisfaction with the level of recovery achieved by the animal, often leading to discontinuation of physical therapy. The high rate of unsatisfactory outcomes in feline patients can be explained by the type of injury (spinal trauma) and the degree of neurological dysfunction. Adult female dogs were most likely to be referred to the physical therapy sector, and the Dachshund and Poodle breeds were most prevalent. Patients in the neurological dysfunction group had the highest average duration and number of sessions. Massage, stretching, passive joint mobilization, and neuromuscular electrical stimulation (NMES) were the most commonly used modalities in all physical therapy protocols. Satisfactory functional recovery was achieved in more than 60% of cases in both groups. The absence of a control group and the lack of standardization of physical therapy modalities precluded a more definitive confirmation of the results obtained in terms of functional recovery.

scholarly journals Patients’ Satisfaction Evaluation

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0017
Author(s):  
Ebru Kaya Mutlu ◽  
Arzu Razak Özdinçler
Keyword(s):  
Physical Therapy ◽  
Physical Therapy Modalities ◽  
Osteoarthritis Of The Knee ◽  
Global Rating ◽  
Duration Of Treatment ◽  
Patients Satisfaction ◽  
Significant Difference ◽  
Before And After ◽  
Passive Mobilization ◽  
Satisfaction Evaluation

Objectives: Although many studies were focused on the assessment of patients' satisfaction, few studies have specifically addressed this issue for knee osteoartritis. Global rating of change (GRC) scales are very commonly used in clinical research, particularly in the musculoskeletal area. The purpose of this study was to evaluate the patients’ satisfaction of the Mulligan’s Mobilization with Movement (MWM) techniques, Passive Mobilization (PM) techniques and physical therapy modalities (PTM) (superficial heat or cold, Transcutaneous Electrical Nerve Stimulation (TENS) and therapeutic ultrasound) in subjects with osteoarthritis of the knee. Methods: Thirty subjects with bilateral osteoarthritis of the knee were randomly assigned to the MWM group (n=21) or the PM group (n=21) or PTM group (n=22). The duration of treatment was a maximum of 5 weeks (12 sessions) in all groups. The subjects’ satisfaction were assessed before and after treatment by the GRC scales. One-way analysis of variance was used to compare the groups. When significance was observed, pairwise post hoc tests were performed using Tukey’s test. Results: Mean age and body mass index (BMI) of our study group were 54±7 years and 31±5 kg/m²,respectively in the MWM group, 56±6 years and 31±4 kg/m²,respectively in the PM group and 57±6 years and 32±5 kg/m²,respectively in the PTM group There were no significant differences between the groups with respect to age, BMI and GRC before treatment (p>0.05). Patients satisfaction of the three groups after treatment were significantly different (F=6.732 p=0.002). Pairwise comparisons of the treatment groups revealed a significant difference in the patients’ satisfaction between MWM and PTM (p=0.007), and between PM and PTM (p=0.007); there was no significant difference between MWM and PM (p>0.05). Conclusion: Manual therapy seemed to be superior to physical therapy modalities for the patients’ satisfaction. Therefore, we suggest that physiotherapist either can apply MWM or PM techniques based on their clinical experience in the management of osteoarthritis of the knee.

scholarly journals Physical therapy treatment in the functional recovery of dogs submitted to head and femoral neck ostectomy: 20 cases

2020 ◽  
Vol 50 (11) ◽  
Author(s):  
Ana Caroline Teixeira Colvero ◽  
Marcelo Luís Schwab ◽  
Dênis Antonio Ferrarin ◽  
Angel Ripplinger ◽  
Lícia Flávia Silva Herculano ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Functional Recovery ◽  
Physical Therapy Modalities ◽  
Time Interval ◽  
Joint Movement ◽  
Postoperative Rehabilitation ◽  
Passive Stretching ◽  
Physical Therapy Treatment ◽  
Water Treadmill ◽  
Therapy Treatment

ABSTRACT: Patients who undergo excisional surgical procedures such as femoral head and neck ostectomy (FHO) require a postoperative rehabilitation plan which includes different physical therapy modalities. Therefore, this retrospective study was done to demonstrate the different physical therapy modalities utilized in 20 dogs who were subjected to FHO, and to provide data on the frequency of physical therapy modalities, the protocol duration and time interval from the commencement of physiotherapy and surgery and the patient’s functional recovery. All the protocols included the modalities of thermotherapy (heat), massage, passive stretching and passive joint movement. In the initial phase, electrotherapy and therapeutic ultrasound were most often used, while the water treadmill was continued until the treatment was completed. Physiotherapy sessions varied from 3 to 50 in number, and physiotherapy was commenced from day 5 until day 214 post the surgical procedure. The functional recovery of the limb was in the following range: 65% (13/20) satisfactory, 25% (5/20) partially satisfactory and 10% (2/20) unsatisfactory. Physical therapy treatment was thus concluded to be most influential in the functional recovery of the limb, even if was started late.

Use of Physical Therapy in a Dog with Bilateral Severe Plantigrade Stance

2015 ◽  
Vol 51 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Jennifer Ree ◽  
Kei Hayashi ◽  
Jacqueline Woelz ◽  
Sun Young Kim
Keyword(s):  
Physical Therapy ◽  
Sciatic Nerve ◽  
Wound Care ◽  
Neuromuscular Electrical Stimulation ◽  
Physical Therapy Modalities ◽  
Low Level Laser Therapy ◽  
Therapeutic Modalities ◽  
Level Laser ◽  
History Of ◽  
Pelvic Limb

A 3.5 yr old spayed female Staffordshire terrier weighing 25.5 kg was presented with a 7 wk history of bilateral plantigrade stance in the pelvic limbs directly following an ovariohysterectomy procedure. Upon presentation, the dog had bilateral atrophy of the distal pelvic limb muscles, enlarged popliteal lymph nodes, and ulcerative wounds on the dorsa of her rear paws. Orthopedic examination revealed intact calcaneal tendons bilaterally and neurologic examination localized the lesion to the distal sciatic nerve. A diagnosis of compressive and stretch neuropathy was made affecting the distal sciatic nerve branches. Physical therapy modalities included neuromuscular electrical stimulation, ultrasound, and low-level laser therapy. Other therapeutic modalities included the use of orthotics and progressive wound care. The dog had increased muscle mass, return of segmental reflexes, return of nociception, and the ability to walk on pelvic limbs with higher carriage of the hock 15 mo following presentation. The use of custom orthotics greatly increased the quality of life and other physical therapy modalities may have improved the prognosis in this dog with severe bilateral plantigrade stance due to neuropathy.

scholarly journals SAT0611-HPR LOW ADHERENCE TO RECOMMENDED PHYSICAL THERAPY IN PATIENTS WITH AXIAL SPONDYLOARTHRITIS: A MIXED-METHOD CONTENT AND UTILIZATION ANALYSIS.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1266.2-1266
Author(s):  
E. Vanautgaerden ◽  
M. Kaerts ◽  
W. Dankaerts ◽  
K. De Vlam ◽  
T. Swinnen
Keyword(s):  
Physical Therapy ◽  
Disease Activity ◽  
Mixed Method ◽  
Axial Spondyloarthritis ◽  
Physical Therapists ◽  
Skills Training ◽  
Treatment Modalities ◽  
Patient Reported ◽  
Global Disease Activity ◽  
Therapy Sessions

Background:Patients with axial spondyloarthritis (axSpA) encounter limitations during daily activities and societal participation which seriously impart health-related quality of life. Optimal management of axSpA consists of combined pharmacological and non-pharmacological treatment modalities, including the encouragement of exercise and the consideration of physical therapy given the latter’s superior efficacy1. Few studies investigated the use of physical therapy and the alignment of treatment content with practice recommendations among patients with axSpA.Objectives:1) To estimate physical therapy use in patients with axSpA in a real life cohort; 2) to quantitatively and qualitatively describe the content of these physical therapy sessions; 3) explore possible determinants of physical therapy use and content.Methods:This cross-sectional study included 197 patients diagnosed with axSpA (Males/Females: 62.4/37.6%; mean±SD, age 42.6±12.0, BASDAI 3.7±2.1, BASFI 3.6±2.4, BASMI 3.1±1.8) and recruited during their routine consultation. The mixed-method approach included questionnaires (physical therapy use and content, medication, depression/anxiety (HADS), fear (TSK), physician global disease activity (PGDA)) and an in-depth qualitative interview (content of physical therapy). Interviews were analyzed using the Qualitative Analysis Guide of Leuven by two physical therapists. Spearman’s Rho correlations guided the exploration of determinants of physical therapy use and content.Results:Less than half (42.6%, n=84) of the axSpA of patients were in treatment with a physiotherapist. Most patients (40.0%) reported a physical therapy frequency of 1x/week. Session duration was typically 30 minutes (51.7% of the sample) and longer in fewer cases (30.0%). Exercise was in only 31.7% the cornerstone of their sessions. The majority of subjects (53.3%) were classified as receiving ‘passive therapy only’, with 10% of cases in the ‘exercise only’ and 36.7% in the ‘combination therapy’ groups. Interviews also revealed a lack of clear patient-centered treatment goals. We found moderate associations between physical therapy use/content parameters and medication, spinal mobility, fear, anxiety, depression, physician’s global disease activity versus (p<.05), but no relationship with patient-reported pain or disease activity.Conclusion:Despite the importance of exercise and the added value of physical therapy in axSpA, few patients engaged in physical therapy sessions that include exercise training of adequate dosage. Remarkably, physical therapy utilization seems to be predominantly guided by psychological factors. Professional education for physical therapists should therefore include skills training in the management of complex clinical presentations2. Last, future research should prepare the evidence-based implementation of state-of-the-art physical therapy guidelines in axSpA.References:[1]van der Heijde D, et al. 2016 update of the ASAS-EULAR management recommendations for axial spondyloarthritis. Ann Rheum Dis. 2017 Jun;76(6):978-991.[2]Swinnen TW, et al. Widespread pain in axial spondyloarthritis: clinical importance and gender differences. Arthritis Res Ther. 2018 Jul 27;20(1):156.Disclosure of Interests:Evelyne Vanautgaerden: None declared, Marlies Kaerts: None declared, Wim Dankaerts: None declared, Kurt de Vlam Grant/research support from: Celgene, Eli Lilly, Pfizer Inc, Consultant of: AbbVie, Eli Lilly, Galapagos, Johnson & Johnson, Novartis, Pfizer Inc, UCB, Thijs Swinnen: None declared

scholarly journals Standardized Outcomes Measures in Physical Therapy Practice for Treatment and Rehabilitation of Cerebral PALSY: A Systematic Review

2021 ◽  
Vol 11 (7) ◽  
pp. 604
Author(s):  
Maria Dolores Apolo-Arenas ◽  
Aline Ferreira de Araújo Jerônimo ◽  
Alejandro Caña-Pino ◽  
Orlando Fernandes ◽  
Joana Alegrete ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Gait Training ◽  
Physical Therapy Modalities ◽  
Spastic Diplegia ◽  
Evaluation Procedures ◽  
Outcomes Measures ◽  
Prisma Statement ◽  
Spastic Hemiplegia

Cerebral palsy (CP) treatment includes physical therapy and various complementary therapies to the standard clinical treatment. However, there are not many reviews that focus on the methods used and evaluation procedures. This study aims to analyze which tools are most suitable for the evaluation and methodology of patients with CP treated with physical therapy. Following the PRISMA statement, through a PICOS strategy, PubMed/MEDLINE, Web of Science (WOS), Scopus, Science Direct, and Scielo were searched with the following terms: cerebral palsy AND (physical therapy modalities OR therapeutics) AND outcome assessment. The methodological quality of the RCTs was assessed with the Evidence Project risk of bias tool. Thirty-seven RCTs and six RCT protocols, comprising 1359 participants with different types of CP: spastic hemiplegia/paresis, spastic diplegia/paresis, and spastic CP, met the inclusion criteria, uncovering 21 variables measured through 77 different instruments and several interventions. The therapies most widely used in CP are gaming or technology-assisted therapies, aerobic training, hippotherapy, music therapy, gait training, and aquatic exercises. This study provides an overview of what the authors used in the neurorehabilitation field through procedure evaluation and checking the technological advance that began to be used.

Retrospective study of the physical therapy modalities applied in head and neck l ymphedema treatment

Head & Neck ◽  
2015 ◽  
Vol 38 (2) ◽  
pp. 301-308 ◽  
Author(s):  
Pascale Mutti Tacani ◽  
Juliana Pereira Franceschini ◽  
Rogério Eduardo Tacani ◽  
Aline Fernanda Perez Machado ◽  
Débora Montezello ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Physical Therapy ◽  
Head And Neck ◽  
Physical Therapy Modalities

scholarly journals EFEITO DO TREINAMENTO RESISTIDO NA REDUÇÃO DA DOR NO TRATAMENTO DE MULHERES COM FIBROMIALGIA: REVISÃO SISTEMÁTICA

2018 ◽  
Vol 26 (2) ◽  
pp. 170
Author(s):  
Lidiane Cristina Correia ◽  
Bartolomeu Fagundes de Lima Filho ◽  
Fabieli Pereira Fontes ◽  
Larissa Ramalho Dantas Varella ◽  
Jamilson Simoes Brasileiro
Keyword(s):  
Physical Therapy ◽  
Strength Training ◽  
Physical Therapy Modalities

A fibromialgia (FM) é uma doença reumática, de etiologia desconhecida que apresenta como principal característica a dor musculoesquelética, desencadeando um ciclo de descondicionamento. A fisioterapia exerce um papel muito importante com os programas de exercícios físicos, compostos por alongamento, exercício aeróbio e exercício resistido para reverter os sintomas apresentados. Recentemente, estudos têm apontado para o fato de que os exercícios resistidos poderiam ocasionar uma redução da dor em pacientes com FM, gerando um novo questionamento sobre os efeitos do exercício resistido nestes pacientes. Com isso, este estudo teve o objetivo de investigar o efeito do treinamento resistido na redução dor em mulheres com fibromialgia. Para tanto, foi realizado uma revisão de forma sistematizada dos estudos publicados até maio de 2016 nas bases de dados eletrônicas PubMed, PEDro, Scielo e Lilacs. O levantamento dos estudos encontrados foi realizado no período de maio a junho de 2016, usando os seguintes descritores na língua inglesa: Physical Therapy Modalities, strength training, Pain, Fibromyalgia e seus equivalentes na língua portuguesa e espanhola. Após a busca, foram encontrados 85 artigos. Após a análise dos resumos, 80 artigos foram excluídos de acordo com os critérios pré-estabelecidos, restando apenas 5 estudos randomizados controlados, sendo selecionados para análise dos seus dados. Após a análise, conclui-se que o treinamento resistido reduz a dor em mulheres com fibromialgia, a partir da 8ª semana de treinamento, desde que esse seja realizado de forma continuada e orientada, com duração de no mínimo 30 minutos, com frequência de 2 a 3 vezes por semana.

Sign in / Sign up

Export Citation Format

Share Document