Locomoção espinhal por reflexos em gatos
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2021
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No presente estudo prospetivo pretendeu-se avaliar a segurança e eficácia da neurorreabilitação intensiva, em gatos paraplégicos e com ausência de sensibilidade à dor profunda (grau 0 na escala de Frankel modificada), com mais de 3 meses de lesão. A amostra incluiu 9 gatos admitidos no Hospital Veterinário da Arrábida/Centro de Reabilitação Animal da Arrábida, num período de 7 anos, de 15 de setembro de 2014 até 15 de março de 2021, com lesão de mielopatia não compressiva.
Foi elaborado um protocolo de neurorreabilitação funcional intensivo, com duração de 12 semanas, baseado no treino locomotor em tapete rolante terrestre e aquático, electroestimulação, assim como exercícios de cinesioterapia, de modo a obter uma recuperação da ambulação de forma mais rápida, bem como padrão locomotor de flexão/extensão modelado. Dos 9 gatos que participaram no presente estudo, 56% (n=5) recuperaram a ambulação; destes 44% (n=4) através da locomoção espinhal por reflexos funcional e 1 através da recuperação da sensibilidade profunda.
Os resultados obtidos sugerem que a neurorreabilitação intensiva tem um papel importante na recuperação da ambulação, permitindo uma melhor qualidade de vida e bem-estar dos animais e levando à redução do número de eutanásias em animais paraplégicos.
The purpose of this prospective study was to evaluate the safety and efficacy of intensive neuro-rehabilitation in paraplegic cats with no sensitivity to deep pain (grade 0 on the modified Frankel scale), with more than 3 months of injury. The study included 9 cats admitted to the Arrábida Veterinary Hospital/Arrábida Centre for Animal Rehabilitation for a period of 7 years, from 15 of September 2014 to 15 of March 2021, with injury of compressive myelopathy. A 12-week intensive functional neuro-rehabilitation protocol was developed based on ground and aquatic treadmill locomotor training, electrostimulation, and kinesiotherapy exercises, in order to obtain a faster recovery of the ambulation, as well as modeled locomotor pattern of flexion/extension. Of the 9 cats that participated in the present study, 56% (n=5) recovered the ambulation; of these 44% (n=4) through spinal locomotion by functional reflexes and 1 through the recovery of deep sensitivity. The results suggest that intensive neuro-rehabilitation plays an important role in the recovery of ambulation, leading to an improved quality of life and well-being and to the reduction of euthanasia rates in paraplegic animals.
The purpose of this prospective study was to evaluate the safety and efficacy of intensive neuro-rehabilitation in paraplegic cats with no sensitivity to deep pain (grade 0 on the modified Frankel scale), with more than 3 months of injury. The study included 9 cats admitted to the Arrábida Veterinary Hospital/Arrábida Centre for Animal Rehabilitation for a period of 7 years, from 15 of September 2014 to 15 of March 2021, with injury of compressive myelopathy. A 12-week intensive functional neuro-rehabilitation protocol was developed based on ground and aquatic treadmill locomotor training, electrostimulation, and kinesiotherapy exercises, in order to obtain a faster recovery of the ambulation, as well as modeled locomotor pattern of flexion/extension. Of the 9 cats that participated in the present study, 56% (n=5) recovered the ambulation; of these 44% (n=4) through spinal locomotion by functional reflexes and 1 through the recovery of deep sensitivity. The results suggest that intensive neuro-rehabilitation plays an important role in the recovery of ambulation, leading to an improved quality of life and well-being and to the reduction of euthanasia rates in paraplegic animals.
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Orientação: Eduardo Marcelino ; coorientação: Ângela Martins
Palavras-chave
MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, MEDICINA VETERINÁRIA, VETERINÁRIA, FELÍDEOS, GATOS, NEURORREABILITAÇÃO, PARAPLEGIA, VETERINARY MEDICINE, FELIDS, CATS, NEUROREHABILITATION, PARAPLEGIA