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  4. Spinal Locomotion in Cats Following Spinal Cord Injury: A Prospective Study

Spinal Locomotion in Cats Following Spinal Cord Injury: A Prospective Study

Animals, 2021 · DOI: https://doi.org/10.3390/ani11071994 · Published: July 3, 2021

Spinal Cord InjuryVeterinary MedicineNeurorehabilitation

Simple Explanation

Functional neurorehabilitation promotes neural reorganization by stimulating subjects without deep pain perception, leading to a faster recovery when compared to spontaneous recovery, and achieving fewer compensatory errors, or even deviations to neuropathic or adaptive pain pathways, such as spasticity. The present study demonstrates the importance of intensive and repetition-based functional neurorehabilitation, which is essential for subjects classified as grade 0 according to the modified Frankel scale. This article aimed to evaluate the safety and efficacy of intensive neurorehabilitation in paraplegic cats, with no deep pain perception (grade 0 on the modified Frankel scale), with more than three months of injury.

Study Duration
From 2014-09-15 to 2021-03-15
Participants
Nine cats with severe contusion of traumatic origin
Evidence Level
Not specified

Key Findings

  • 1
    Of the nine cats that were admitted in this study, 56% (n = 5) recovered from ambulation, 44% of which (4/9) did so through functional spinal locomotion by reflexes, while one achieved this through the recovery of deep pain perception.
  • 2
    These results suggest that intensive neurorehabilitation can play an important role in ambulation recovery, allowing for a better quality of life and well-being, which may lead to a reduction in the number of euthanasia procedures performed on paraplegic animals.
  • 3
    The present prospective study demonstrates the importance of intensive and repetition-based functional neurorehabilitation in spinal cord injuries, since the INRP allowed 56% of chronic paraplegic cats with no DPP to recover ambulation with functional spinal locomotion reflexes.

Research Summary

Nine cats, admitted to the Arrábida Veterinary Hospital/Arrábida Animal Rehabilitation Center (CRAA), were subjected to a 12-week intensive functional neurorehabilitation protocol, based on ground and underwater treadmill locomotor training, electrostimulation, and kinesiotherapy exercises, aiming to obtain a faster recovery to ambulation and a modulated locomotor pattern of flexion/extension. These results suggest that intensive neurorehabilitation can play an important role in ambulation recovery, allowing for a better quality of life and well-being, which may lead to a reduction in the number of euthanasia procedures performed on paraplegic animals. The protocols of intensive functional neurorehabilitation are safe and can allow a significant improvement in the neurological state of spinal cats.

Practical Implications

Improved Quality of Life

Intensive neurorehabilitation can lead to a better quality of life and well-being for paraplegic animals.

Reduction in Euthanasia

The findings suggest a potential reduction in euthanasia procedures for paraplegic animals due to improved ambulation recovery.

Clinical Application of INRP

Early locomotor training with specific speeds and durations, combined with FES, is beneficial for stimulating motor tracts and inducing neuromodulation in cats with grade 0 MFS.

Study Limitations

  • 1
    Small population sample
  • 2
    Adaptation difficulties of cats to INRP
  • 3
    Not specified

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