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  4. Outcome in Cats with Acute Onset of Severe Thoracolumbar Spinal Cord Injury Following Physical Rehabilitation

Outcome in Cats with Acute Onset of Severe Thoracolumbar Spinal Cord Injury Following Physical Rehabilitation

Vet. Sci., 2021 · DOI: 10.3390/vetsci8020022 · Published: January 29, 2021

Veterinary MedicineRehabilitation

Simple Explanation

This study investigates the effectiveness of physical rehabilitation for cats with sudden, severe spinal cord injuries in their mid-back area. Researchers reviewed the medical records of 36 cats with thoracolumbar (TL) spinal cord injuries. Twenty-nine cats received intensive physical rehabilitation, while seven did not. The study found that cats who could still feel deep pain in their legs were more likely to regain the ability to walk and urinate voluntarily. Cats without deep pain sensation could sometimes achieve 'spinal walking,' a reflex movement, but rarely regained voluntary urination. The researchers concluded that physical rehabilitation can be beneficial for cats with severe spinal cord injuries, even if they have lost deep pain sensation. However, owners should be aware that bladder dysfunction might persist.

Study Duration
2006-2017
Participants
36 cats with acute onset of TL spinal cord injury
Evidence Level
Retrospective study

Key Findings

  • 1
    Cats with pelvic limb deep pain perception (DPP) had a significantly higher rate of functional recovery of voluntary ambulatory status and voluntary micturition.
  • 2
    Spinal walking was achieved in 45% of cats without DPP who underwent intensive physical rehabilitation, although none regained voluntary micturition.
  • 3
    Treatment with a clinic-based rehabilitation program and the presence of a crossed extensor reflex were significantly associated with a higher possibility of regaining functional ambulatory status.

Research Summary

This retrospective study examined the effect of physical rehabilitation on cats with acute thoracolumbar spinal cord injuries. Thirty-six cats were reviewed, with 29 receiving intensive physical rehabilitation and 7 serving as a control group. The study found a positive correlation between the presence of deep pain perception and the recovery of voluntary movement and urination. Additionally, spinal walking was observed in some cats without deep pain perception following rehabilitation. The study concludes that physical rehabilitation may benefit cats with severe spinal cord injuries, even those without deep pain perception, although bladder dysfunction may persist. The presence of a crossed extensor reflex and early improvements in underwater treadmill performance were identified as potential indicators for developing spinal walking.

Practical Implications

Rehabilitation Benefits

Physical rehabilitation should be considered a beneficial treatment option for cats with severe spinal cord injuries, potentially improving their ambulatory status.

Prognostic Indicators

The presence of deep pain perception, crossed extensor reflex, and improvements in underwater treadmill performance may serve as useful prognostic indicators for recovery.

Owner Expectations

Owners should be informed about the possibility of persistent bladder dysfunction, even with rehabilitation, and the need for ongoing management.

Study Limitations

  • 1
    Small sample size
  • 2
    Retrospective, nonrandomized design
  • 3
    Nonstandardized therapeutic protocol

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