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  4. Influence of Spinal Shock on the Neurorehabilitation of ANNPE Dogs

Influence of Spinal Shock on the Neurorehabilitation of ANNPE Dogs

Animals, 2022 · DOI: 10.3390/ani12121557 · Published: June 16, 2022

NeurologyVeterinary MedicineRehabilitation

Simple Explanation

Acute noncompressive nucleus pulposus extrusion (ANNPE) in dogs involves spinal cord contusion and potential spinal shock signs, with conservative treatment and physical rehabilitation. This study explores how spinal shock affects neurorehabilitation outcomes and recovery time in ANNPE dogs. The research aims to determine if spinal shock impacts the success and speed of recovery following neurorehabilitation in dogs with ANNPE.

Study Duration
5 Years
Participants
33 dogs with T3–L3 injuries
Evidence Level
Prospective controlled cohort clinical study

Key Findings

  • 1
    Spinal shock negatively impacted the speed of successful outcomes.
  • 2
    Higher Spinal Shock Scale (SSS) scores correlated with longer hospitalization.
  • 3
    An intensive neurorehabilitation protocol (INRP) proved safe and feasible, yielding notable ambulation rates.

Research Summary

This study investigates the impact of spinal shock on neurorehabilitation outcomes in dogs with Acute Noncompressive Nucleus Pulposus Extrusion (ANNPE). The presence of spinal shock was found to negatively influence the speed of recovery and increase the duration of hospitalization. The study demonstrates the feasibility and effectiveness of an intensive neurorehabilitation protocol, leading to significant ambulation rates among affected dogs.

Practical Implications

Prognostic Tool

The Spinal Shock Scale (SSS) can aid in predicting recovery time and tailoring treatment plans for ANNPE dogs.

Rehabilitation Strategies

Intensive neurorehabilitation protocols are safe and effective for improving ambulation in ANNPE dogs, even those with spinal shock.

Clinical Decision Making

Consideration of spinal shock presence and severity is crucial when assessing prognosis and planning rehabilitation for ANNPE dogs.

Study Limitations

  • 1
    Reduced sample size
  • 2
    Lack of intra and inter-observers
  • 3
    No SSS validation

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