Journal of Veterinary Science

  • 제22권6호
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  • Pages.80.1-80.13
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  • 2021
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  • 1229-845X(pISSN)
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  • 1976-555X(eISSN)
대한수의학회 (The Korean Society of Veterinary Science)
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Hyperbaric gaseous cryotherapy for postoperative rehabilitation enhances functional recovery of canine stifle joint: a report on a short-term study

  • Han, Ju-Yeol (Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University) ;
  • Kim, Wan Hee (Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University) ;
  • Kang, Byung-Jae (Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University)
  • 투고 : 2021.05.11
  • 심사 : 2021.09.08
  • 발행 : 2021.11.30
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초록

Background: Hyperbaric gaseous cryotherapy (HGC) is a type of cryotherapy used in human medicine for rehabilitation after orthopedic surgeries. Because HGC is known to reduce acute or chronic pain, research is needed to prove its effectiveness in veterinary medicine. Objectives: To compare the effects of HGC between the HGC treatment group and the nontreatment (NT) group on postoperative swelling, range of motion, lameness score, postoperative pain, and kinetic measurements after stifle joint surgery in dogs. Methods: Dogs were randomized in an HGC group or NT groups. In the HGC group, HGC was applied once a day for a total of 2 days after surgery. All parameters were measured postoperatively and at 1, 2, 10, and 28 days after surgery. Results: Twenty dogs were enrolled: 10 in the HGC group and 10 in the NT group. Soft tissue swelling was not significantly different between groups at any time point. In the HGC group, pain scores decreased significantly 24 h after surgery and 48 h after surgery. Dogs in the HGC group showed a significantly decreased lameness and improvement for all kinetic measurements beginning 48 h after surgery. In addition, the HGC group indicated a significant increase in range of motion as compared with the NT group at 28 days after surgery. Conclusions: HGC plays a powerful role in decreasing initial postoperative pain. Furthermore, the improvement in pain affects the use of the operated limb, and the continued use of the limb eventually assists in the quick recovery of normal function.

키워드

과제정보

This study was supported by the New Faculty Start-up Fund from Seoul National University.

참고문헌

  1. Niebaum K, McCauley L, Medina C. Rehabilitation physical modalities. In: Zink MC, Van Dyke JB, editors. Canine Sports Medicine and Rehabilitation. Chichester: Wiley-Blackwell Publishing; 2018, 136-176.
  2. Millis DL, Ciuperca IA. Evidence for canine rehabilitation and physical therapy. Vet Clin North Am Small Anim Pract. 2015;45(1):1-27. https://doi.org/10.1016/j.cvsm.2014.09.001
  3. Olson JE, Stravino VD. A review of cryotherapy. Phys Ther. 1972;52(8):840-853. https://doi.org/10.1093/ptj/52.8.840
  4. Millis DL. Getting the dog moving after surgery. J Am Anim Hosp Assoc. 2004;40(6):429-436. https://doi.org/10.5326/0400429
  5. Enwemeka CS, Allen C, Avila P, Bina J, Konrade J, Munns S. Soft tissue thermodynamics before, during, and after cold pack therapy. Med Sci Sports Exerc. 2002;34(1):45-50. https://doi.org/10.1097/00005768-200201000-00008
  6. Drygas KA, McClure SR, Goring RL, Pozzi A, Robertson SA, Wang C. Effect of cold compression therapy on postoperative pain, swelling, range of motion, and lameness after tibial plateau leveling osteotomy in dogs. J Am Vet Med Assoc. 2011;238(10):1284-1291. https://doi.org/10.2460/javma.238.10.1284
  7. Mourot L, Cluzeau C, Regnard J. Hyperbaric gaseous cryotherapy: effects on skin temperature and systemic vasoconstriction. Arch Phys Med Rehabil. 2007;88(10):1339-1343. https://doi.org/10.1016/j.apmr.2007.06.771
  8. Desbrosse F. The analgesic properties of cryotherapy using hyperbaric CO2. Equine Vet Pract. 2003;35(1):1-13.
  9. Oosterveld FG, Rasker JJ, Jacobs JW, Overmars HJ. The effect of local heat and cold therapy on the intraarticular and skin surface temperature of the knee. Arthritis Rheum. 1992;35(2):146-151. https://doi.org/10.1002/art.1780350204
  10. Oosterveld FG, Rasker JJ. Effects of local heat and cold treatment on surface and articular temperature of arthritic knees. Arthritis Rheum. 1994;37(11):1578-1582. https://doi.org/10.1002/art.1780371104
  11. Demoulin C, Brouwers M, Darot S, Gillet P, Crielaard JM, Vanderthommen M. Comparison of gaseous cryotherapy with more traditional forms of cryotherapy following total knee arthroplasty. Ann Phys Rehabil Med. 2012;55(4):229-240. https://doi.org/10.1016/j.rehab.2012.03.004
  12. Guillot X, Tordi N, Laheurte C, Pazart L, Prati C, Saas P, et al. Local ice cryotherapy decreases synovial interleukin 6, interleukin 1β, vascular endothelial growth factor, prostaglandin-E2, and nuclear factor kappa B p65 in human knee arthritis: a controlled study. Arthritis Res Ther. 2019;21(1):180. https://doi.org/10.1186/s13075-019-1965-0
  13. Chatap G, De Sousa A, Giraud K, Vincent JPAcute Pain in the Elderly Study Group. Pain in the elderly: Prospective study of hyperbaric CO2 cryotherapy (neurocryostimulation). Joint Bone Spine. 2007;74(6):617-621. https://doi.org/10.1016/j.jbspin.2006.10.011
  14. Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin North Am Small Anim Pract. 1993;23(4):777-795. https://doi.org/10.1016/S0195-5616(93)50082-7
  15. Flesher K, Beale BS, Hudson CC. Technique and outcome of a modified tibial plateau levelling osteotomy for treatment of concurrent medial patellar luxation and cranial cruciate ligament rupture in 76 stifles. Vet Comp Orthop Traumatol. 2019;32(1):26-32. https://doi.org/10.1055/s-0038-1676296
  16. Pratt JN. Avulsion of the tibial tuberosity with separation of the proximal tibial physis in seven dogs. Vet Rec. 2001;149(12):352-356. https://doi.org/10.1136/vr.149.12.352
  17. Akgun K, Korpinar MA, Kalkan MT, Akarirmak U, Tuzun S, Tuzun F. Temperature changes in superficial and deep tissue layers with respect to time of cold gel pack application in dogs. Yonsei Med J. 2004;45(4):711-718. https://doi.org/10.3349/ymj.2004.45.4.711
  18. Rexing J, Dunning D, Siegel AM, Knap K, Werbe B. Effects of cold compression, bandaging, and microcurrent electrical therapy after cranial cruciate ligament repair in dogs. Vet Surg. 2010;39(1):54-58. https://doi.org/10.1111/j.1532-950X.2009.00620.x
  19. Langley GB, Sheppeard H. The visual analogue scale: its use in pain measurement. Rheumatol Int. 1985;5(4):145-148. https://doi.org/10.1007/BF00541514
  20. Hudson JT, Slater MR, Taylor L, Scott HM, Kerwin SC. Assessing repeatability and validity of a visual analogue scale questionnaire for use in assessing pain and lameness in dogs. Am J Vet Res. 2004;65(12):1634-1643. https://doi.org/10.2460/ajvr.2004.65.1634
  21. Murrell JC, Psatha EP, Scott EM, Reid J, Hellebrekers LJ. Application of a modified form of the Glasgow pain scale in a veterinary teaching centre in the Netherlands. Vet Rec. 2008;162(13):403-408. https://doi.org/10.1136/vr.162.13.403
  22. Jaegger G, Marcellin-Little DJ, Levine D. Reliability of goniometry in Labrador Retrievers. Am J Vet Res. 2002;63(7):979-986. https://doi.org/10.2460/ajvr.2002.63.979
  23. Kieves NR, Bergh MS, Zellner E, Wang C. Pilot study measuring the effects of bandaging and cold compression therapy following tibial plateau levelling osteotomy. J Small Anim Pract. 2016;57(10):543-547. https://doi.org/10.1111/jsap.12533
  24. Carr BJ, Dycus D. Canine gait analysis. Recovery Rehabil. 2016:93-100.
  25. Torres BT. Objective gait analysis. In: Duerr FM, editor. Canine Lameness. Hoboken: John Wiley & Sons, Inc.; 2020, 15-30.
  26. Robinson RO, Herzog W, Nigg BM. Use of force platform variables to quantify the effects of chiropractic manipulation on gait symmetry. J Manipulative Physiol Ther. 1987;10(4):172-176.
  27. Dashina TA, Sidorov VD, Dashina T, Sidorov V. Hyperbaric gaseous cryotherapy in the rehabilitative treatment of patients presenting with gonarthrosis and coxarthrosis. Vopr Kurortol Fizioter Lech Fiz Kult. 2010;9(4):3-6.
  28. Jastrzabek R, Straburzynska-Lupa A, Rutkowski R, Romanowski W. Effects of different local cryotherapies on systemic levels of TNF-α, IL-6, and clinical parameters in active rheumatoid arthritis. Rheumatol Int. 2013;33(8):2053-2060. https://doi.org/10.1007/s00296-013-2692-5
  29. Cheung SS. Responses of the hands and feet to cold exposure. Temperature (Austin). 2015;2(1):105-120. https://doi.org/10.1080/23328940.2015.1008890
  30. McMEEKEN J, Lewis MM, Cocks S. Effects of cooling with simulated ice on skin temperature and nerve conduction velocity. Aust J Physiother. 1984;30(4):111-114. https://doi.org/10.1016/s0004-9514(14)60682-6
  31. Chesterton LS, Foster NE, Ross L. Skin temperature response to cryotherapy. Arch Phys Med Rehabil. 2002;83(4):543-549. https://doi.org/10.1053/apmr.2002.30926
  32. Kanlayanaphotporn R, Janwantanakul P. Comparison of skin surface temperature during the application of various cryotherapy modalities. Arch Phys Med Rehabil. 2005;86(7):1411-1415. https://doi.org/10.1016/j.apmr.2004.11.034
  33. Shumway R. Rehabilitation in the first 48 hours after surgery. Clin Tech Small Anim Pract. 2007;22(4):166-170. https://doi.org/10.1053/j.ctsap.2007.09.005
  34. Pacchiana PD, Morris E, Gillings SL, Jessen CR, Lipowitz AJ. Surgical and postoperative complications associated with tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture: 397 cases (1998-2001). J Am Vet Med Assoc. 2003;222(2):184-193. https://doi.org/10.2460/javma.2003.222.184
  35. Algafly AA, George KP, Herrington L. The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance. Br J Sports Med. 2007;41(6):365-369. https://doi.org/10.1136/bjsm.2006.031237
  36. Risberg MA, Mork M, Jenssen HK, Holm I. Design and implementation of a neuromuscular training program following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2001;31(11):620-631. https://doi.org/10.2519/jospt.2001.31.11.620
  37. Monk ML, Preston CA, McGowan CM. Effects of early intensive postoperative physiotherapy on limb function after tibial plateau leveling osteotomy in dogs with deficiency of the cranial cruciate ligament. Am J Vet Res. 2006;67(3):529-536. https://doi.org/10.2460/ajvr.67.3.529