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  4. Clinical Occurrences in the Neurorehabilitation of Dogs with Severe Spinal Cord Injury

Clinical Occurrences in the Neurorehabilitation of Dogs with Severe Spinal Cord Injury

Animals, 2023 · DOI: 10.3390/ani13071164 · Published: March 25, 2023

Spinal Cord InjuryVeterinary MedicineNeurorehabilitation

Simple Explanation

Dogs with severe spinal cord injuries are prone to clinical issues like pressure ulcers and UTIs. This study examines the frequency of these issues in dogs undergoing intensive neurorehabilitation to inform preventative strategies. Of 488 dogs, 79.5% experienced at least one clinical occurrence. Neurogenic bladder was most frequent (58%), followed by diarrhea (35.5%), urinary incontinence (21.3%), and fecal incontinence (20.5%). Preventive measures, like ultrasound monitoring, positioning, exercises, and early neurorehabilitation, can help prevent clinical occurrences.

Study Duration
Between 1 September 2016 and 1 February 2023
Participants
488 dogs with neurological conditions
Evidence Level
Prospective observational clinical study

Key Findings

  • 1
    A significant association was found between neuroanatomical localization and clinical occurrences, with 85% of occurrences in dogs with thoracolumbar localization.
  • 2
    A significant association was found between the presence of clinical occurrences and paraplegia or tetraplegia.
  • 3
    A significant relationship exists between deep pain perception (DP) and the prevalence of occurrences.

Research Summary

This study investigated the prevalence of clinical occurrences in dogs undergoing neurorehabilitation for severe spinal cord injuries. The study found a high prevalence of clinical occurrences, with neurogenic bladder and diarrhea being the most common. Preventive measures such as POCUS, positioning, exercises, and early neurorehabilitation can reduce the incidence of these occurrences.

Practical Implications

Preventative Care Protocols

The study highlights the need for proactive preventative measures for dogs undergoing neurorehabilitation for severe spinal cord injuries. Implementing early and consistent protocols may improve patient outcomes and quality of life.

Breed Specific Attention

The study identifies French Bulldogs and Dachshunds as being more prone to clinical occurrences, highlighting the need for targeted preventative strategies for these breeds.

Thoracolumbar Injury Focus

Given the high prevalence of clinical occurrences in dogs with thoracolumbar injuries, veterinary professionals should give special attention to monitoring and managing these patients.

Study Limitations

  • 1
    The study had a heterogeneous distribution of neurolocation which may introduce bias.
  • 2
    The study population consisted of dogs at a single referral rehabilitation center, which may limit the generalizability of the findings.
  • 3
    No significance was found between the presence of pressure sores and muscle atrophy with neither paraplegia nor tetraplegia.

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