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OBJECTIVE To assess single-day and multiday repeatability of weight distribution (stance) data obtained with a commercial analyzer for dogs with naturally occurring hind limb lameness. ANIMALS 46 dogs (15 and 31 for single-day and multiday trials, respectively). PROCEDURES For single-day trials, 5 to 10 measurements/trial were collected to determine body weight (BW), weight distribution on each limb, and forelimb and hind limb symmetry indices (Sis). The dog was removed from the room and returned immediately; 5 trials were performed. For multiday trials, measurements were performed in the same manner on 2 sequential days. Data were compared among trials (single-day measurements) and between days (multiday measurements). Repeatability (correlation coefficients and Lin concordance correlation coefficients [LCCCs]) and variability (coefficients of variation [CVs]) were assessed. RESULTS In single-day trials, B W (r = 0.999), weight distribution on the lame hind limb (r = 0.915) and contralateral hind limb (r = 0.948), and hind limb SI (r = 0.964) were each significantly correlated among trials. In multiday trials, BW results were similar; weight distribution on the lame hind limb and contralateral hind limb and hind limb SI were each less closely but still significantly correlated between days. The LCCCs were highest for BW, weight distribution on the contralateral hind limb, and hind limb SI in single-day trials and for B W and weight bearing on the contralateral and lame hind limbs in multiday trials. The CVs were lowest for B W and highest for forelimb SI in both trial types. CONCLUSIONS AND CLINICALRELEVANCE The analyzer used allowed repeatable measurement of B W and weight distribution on the hind limbs of dogs with hind limb lameness. Measurement of forelimb stance variables was not repeatable in this group of dogs. [ABSTRACT FROM AUTHOR]

OBJECTIVE To compare the effects of 3 walkway cover types on temporospatial and ground reaction force measurements of dogs during gait analysis with a pressure-sensitive walkway (PSW). ANIMALS 35 client- and staff-owned dogs (25 nonlame and 10 lame). PROCEDURES In a crossover study design, all dogs were evaluated at a comfortable walk on a PSW to which 3 cover types (a 0.32-cm-thick corrugated vinyl mat or a 0.32- o r 0.64-cm-thick polyvinyl chloride yoga mat) were applied in random order. Temporospatial and ground reaction force measurements were obtained and compared among cover types within the nonlame and lame dog groups. RESULTS Several variables, including maximum peak pressure, maximum force (absolute and normalized as a percentage of body weight), and vertical impulse (absolute and normalized) differed significantly in most comparisons among cover types for both nonlame and lame dogs. There was no significant difference in maximum force values between the 0.32-cm-thick corrugated vinyl and 0.64-cm-thick polyvinyl chloride cover types fo r both nonlame and lame dogs. CONCLUSIONS AND CLINICAL RELEVANCE To the authors' knowledge, the cover type used during data collection with a PSW is rarely provided in published reports on this topic. The findings in this study suggested that to ensure that PSW data for dogs are collected in a standardized manner, the same cover type should be used during followup visits to evaluate clinical outcomes, fo r the duration of research studies, and at all locations for multi-institutional studies. The cover type should be specified in future PSW studies to allow direct comparisons of findings between studies. [ABSTRACT FROM AUTHOR]

OBJECTIVE To determine variance effects influencing ground reaction forces (GRFs) in a heterogeneous population of lame dogs during trotting. ANIMALS 30 client-owned dogs with thoracic limb lameness and 31 dogs with pelvic limb lameness. PROCEDURES GRFs, velocity, height at the dorsal aspect of the scapulae (ie, withers), and shoulder height were obtained. Each dog was trotted across a force platform at its preferred velocity. Variance effects for 12 velocity and associated relative velocity (V*) ranges were examined. RESULTS Individual dog, velocity, V*, and limb significantly influenced GRFs. Withers height V* ranges were associated with small variance in GRFs, but all absolute and V* ranges were associated with significant effects for all 4 limbs and both types of lameness. Significant changes in lame limb GRFs and velocity in ipsilateral trials in dogs with thoracic limb and pelvic limb lameness were evident with trial repetition. Withers height V* range of 0.55 to 0.93 captured a large proportion of trials (> 90%) in dogs with thoracic limb or pelvic limb lameness, with limited effects on peak vertical force and vertical impulse. CONCLUSIONS AND CLINICAL RELEVANCE Trial repetition caused alterations to GRFs and subject velocity that may have confounded assessment of lameness, which supported the concept that a priori selection of a velocity or V* range for force platform gait analysis should use a range that captures valid trials efficiently while minimizing GRF variance. These ranges typically would span the preferred velocity of subject dogs, such as withers height V* of 0.55 to 0.93. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To evaluate the effects of selective hip joint denervation on gait abnormalities and signs of hip joint pain in dogs. ANIMALS: 6 healthy adult hound-type dogs. PROCEDURES: Minimally invasive denervation was performed on the right hip joint of each dog. Two weeks later, sodium urate was injected into the right hip joint to induce synovitis. Dogs were evaluated clinically and by use of instrumented gait analysis before and 2 weeks after minimally invasive denervation and 4,8,and 24 hours after induction of synovitis. Dogs were euthanized, and necropsy and histologic examination were performed. RESULTS: No kinetic or kinematic gait modifications were detected 2 weeks after minimally invasive denervation. Denervation did not eliminate signs of pain and lameness associated with sodium urate-induced synovitis. Results of histologic examination confirmed that denervation was an effective method for transecting the innervation of the craniolateral and caudolateral aspects of the hip joint capsule. CONCLUSIONS AND CLINICAL RELEVANCE: In this study, minimally invasive denervation did not result in gait modifications in dogs. Denervation did not abolish the signs of pain and lameness associated with generalized induced synovitis of the hip joint. Further studies are required before conclusions can be drawn regarding the clinical usefulness of hip joint denervation for dogs with hip dysplasia. [ABSTRACT FROM AUTHOR]

OBJECTIVE To evaluate effects of simultaneous intra-articular and IV injection of autologous adipose-derived stromal vascular fraction (SVF) and platelet-rich plasma (PRP) to dogs with osteoarthritis of the hip joints. ANIMALS 22 client-owned dogs (12 placebo-treated [control] dogs and 10 treated dogs). PROCEDURES Dogs with osteoarthritis of the hip joints that caused signs of lameness or discomfort were characterized on the basis of results of orthopedic examination, goniometry, lameness score, the Canine Brief Pain Inventory (CBPI), a visual analogue scale, and results obtained by use of a pressuresensing walkway at week 0 (baseline). Dogs received a simultaneous intraarticular and IV injection of SVF and PRP or a placebo. Dogs were examined again 4, 8, 12, and 24 weeks after injection. RESULTS CBPI scores were significantly lower for the treatment group at week 24, compared with scores for the control group. Mean visual analogue scale score for the treatment group was significantly higher at week 0 than at weeks 4, 8, or 24. Dogs with baseline peak vertical force (PVF) in the lowest 25th percentile were compared, and the treatment group had a significantly higher PVF than did the control group. After the SVF-PRP injection, fewer dogs in the treated group than in the control group had lameness confirmed during examination. CONCLUSIONS A ND CLINICAL RELEVANCE For dogs with osteoarthritis of the hip joints treated with SVF and PRP, improvements in CBPI and PVF were evident at some time points, compared with results for the control group. [ABSTRACT FROM AUTHOR]

OBJECTIVE To develop a model of hip joint synovitis on the basis of intra-articular injection of a sodium urate suspension in dogs and to characterize associated gait changes. ANIMALS 6 healthy adult dogs. PROCEDURES Each dog was sedated, and synovitis was induced by injection of 1 mL of a sodium urate suspension (20 mg/mL) into the right hip joint under ultrasonographic guidance. Observational and instrumented gait analyses to determine temporospatial, kinetic, and kinematic variables were performed prior to and 4,8, and 24 hours after sedation and synovitis induction. RESULTS Injection of a sodium urate suspension into the hip joint of healthy dogs resulted in lameness of the ipsilateral pelvic limb as determined by observational and instrumented gait analyses. For all dogs, lameness was clinically detectable within 1.5 to 2 hours after injection, reached its maximum intensity at 4 hours after injection, and had subsided by 24 hours after injection. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that injection of a sodium urate suspension into the hip joint of healthy dogs reliably induced synovitis and signs of pain and lameness in the ipsilateral pelvic limb that lasted 24 hours. This model can be used in conjunction with instrumented gait analysis to provide information on gait changes associated with hip joint disease and might be useful for evaluating the efficacy of analgesics or other interventions for the treatment of hip joint disease in dogs. [ABSTRACT FROM AUTHOR]

Objective--To evaluate the load redistribution mechanisms in walking and trotting dogs with induced forelimb lameness. Animals--7 healthy adult Beagles. Procedures--Dogs walked and trotted on an instrumented treadmill to determine control values for peak and mean vertical force as well as verticle impulse for all 4 limbs. A small sphere was attached to the ventral pad of the right forelimb paw to induce a reversible lameness, and recordings were repeated for both gaits. Additionally, footfall patterns were assessed to test for changes in temporal gait variables. Results--During walking and trotting, peak and mean vertical force as well as vertical impulse were decreased in the ipsilateral forelimb, increased in the contralateral hind limb, and remained unchanged in the ipsilateral hind limb after lameness was induced. All 3 variables were increased in the contralateral forelimb during trotting, whereas only mean vertical force and vertical impulse were increased during walking. Stance phase duration increased in the contralateral forelimb and hind limb during walking but not during trotting. Conclusions and Clinical Relevance--Analysis of the results suggested that compensatory load redistribution mechanisms in dogs depend on the gait. All 4 limbs should be evaluated in basic research and clinical studies to determine the effects of lameness on the entire body. Further studies are necessary to elucidate specific mechanisms for unloading of the affected limb and to determine the long-term effects of load changes in animals with chronic lameness. [ABSTRACT FROM AUTHOR]

Objective--To evaluate the accuracy of artificial neural networks (ANNs) for use in predicting subjective diagnostic scores of lameness with variables determined from ground reaction force (GRF) data. Animals--21 adult mixed-breed dogs. Procedures--The left cranial cruciate ligament of each dog was transected to induce osteoarthritis of the stifle joint as part of another study. Lameness scores were assigned and GRF data were collected 2 times before and 5 times after ligament transection. Inputs and the output for each ANN were GRF variables and a lameness score, respectively. The ANNs were developed by use of data from 14 dogs and evaluated by use of data for the remaining 7 dogs (ie, dogs not used in model development). Results--ANN models developed with 2 preferred input variables had an overall accuracy ranging from 96% to 99% for 2 data configurations (data configuration 1 contained patterns or observations for 7 dogs, whereas data configuration 2 contained patterns or observations for 7 other dogs). When additional variables were added to the models, the highest overall accuracy ranged from 97% to 100%. Conclusions and Clinical Relevance--ANNs provided a method for processing GRF data of dogs to accurately predict subjective diagnostic scores of lameness. Processing of GRF data via ANNs could result in a more precise evaluation of surgical and pharmacological intervention by detecting subtle lameness that could have been missed by visual analysis of GRF curves. [ABSTRACT FROM AUTHOR]

Objective--To evaluate the applicability of Fourier analysis for assessment of ground reaction forces (GRFs) and differentiation between dogs with unilateral hind limb lameness caused by degenerative joint disease of the hip (DJD-H) and dogs without lameness. Animals--37 dogs with or without unilateral DJD-H. Procedures--Data were obtained from other studies and analyzed retrospectively. Among the 37 dogs, 20 had unilateral DJD-H and 9 (non-Belgian Malinois breeds) had no lameness; another 8 were nonlame Belgian Malinois (radiographically confirmed Fédération Cinologique International classification A [ie, no hip dysplasia or DJD-H]). Gait data acquisition was performed as dogs walked on a treadmill with integrated force platforms. The peak vertical force, mean vertical force, and vertical impulse were compared among the 3 groups. Fourier analysis was performed on the force-time curves for the vertical GRF, and calculated Fourier coefficients were compared within and between groups. Results--Lameness in the hind limbs with DJD-H was detectable via conventional analysis of the GRF as well as via Fourier analysis. However, subtle gait aberrations in the forelimbs of the dogs with DJD-H were detected solely via Fourier analysis of GRFs and remained undetected via conventional analysis. Conclusions and Clinical Relevance--Results support the applicability of Fourier analysis for evaluation of force-time curves of GRFs. Fourier analysis can reveal subtle alterations of gait that might otherwise remain inapparent; however, further investigation is necessary before this method can be routinely applied for lameness detection in dogs. [ABSTRACT FROM AUTHOR]

Objective--To determine the accuracy of asymmetry indices of ground reaction forces (GRF) for diagnosis of hind limb lameness in dogs. Animals--36 healthy dogs and 13 dogs with naturally acquired cranial cruciate ligament rupture or hip dysplasia. Procedures--Lameness for affected dogs ranged from not detectable to minor and constant. While dogs trotted on an instrumented treadmill, GRF variables were recorded and analyzed with asymmetry indices. Each index was tested for its ability to discriminate between healthy and affected dogs. Combinations of several indices were also assessed. Results--Vertical force variables had better accuracy than craniocaudal force variables. Peak vertical force was the most accurate variable. Partial asymmetry during trotting was detected in healthy dogs. A multivariate approach that used peak vertical force and maximal rising slope yielded the optimum combination to distinguish between healthy and affected dogs. In addition, sensitivity of 92% or specificity of 95% may be achieved with 2 cutoff values while simultaneously maintaining specificity or sensitivity, respectively, at > 85%. Conclusions and Clinical Relevance--Asymmetry indices of GRFs were accurate for detection of hind limb lameness in dogs. This is particularly relevant for study designs in which only a single gait evaluation is possible. [ABSTRACT FROM AUTHOR]

Objectives--To investigate the effects of polysulfated glycosaminoglycan (PSGAG) treatment on serum cartilage oligomeric matrix protein (COMP) concentration, matrix metal-loproteinase-2 (MMP-2) and -9 (MMP-9) activities, C-reactive protein (CRP) concentration, and lameness scores in dogs with osteoarthritis. Animals--16 dogs with osteoarthritis and 5 clinically normal dogs. Procedures--Dogs with osteoarthritis had a history of chronic lameness, and osteophytes were observed on radiographic evaluation of the affected joint Polysulfated glycosammoglycan was administered IM twice a week for a total of 8 treatments to all dogs with osteoarthritis and to clinically normal control dogs. Results--Lameness scores after PSGAG treatment in osteoarthritic dogs improved in 12 of the 16 dogs. Serum COMP concentrations in osteoarthritic dogs were significantly higher than in control dogs before treatment Lameness scores in osteoarthritic dogs decreased significantly after treatment, compared with before treatment. Lameness scores of 9 dogs with hind limb lameness improved significantly after treatment; these dogs had corresponding decreases in serum COMP concentrations. After treatment, serum COMP concentrations and lameness scores of 7 dogs with forelimb lameness remained high and were significantly higher than those of dogs with hind limb lameness. Serum MMP-9 activities of dogs with forelimb lameness were significantly higher than in dogs with hind limb lameness after treatment Conclusions and Clinical Relevance--IM administration of PSGAG inhibited COMP degradation in dogs with osteoarthritis. Results indicate that decreases in serum COMP concentrations might be related to improvement in lameness after PSGAG treatment. [ABSTRACT FROM AUTHOR]

Objective--To quantify the effects of trotting velocity on joint angular excursions, net joint moments, and powers across the hind limb joints in Greyhounds. Animals--5 healthy Greyhounds with no history of lameness of the hind limbs. Procedures--Small reflective markers were applied to the skin over the joints of the hind limbs, and a 4-camera kinematic system was used to record positional data at 200 Hz in tandem with force platform data while the dogs trotted on a runway at slow, medium, and fast velocities. Breed-specific morphometric data were combined with kinematic and force data in an inverse-dynamics solution for net joint moments and powers at the hip, stifle, tarsal, and metatarsophalangeal joints. Results--Angle, moment, and power patterns at the various joints were conserved among the 3 velocities. With increasing velocity, moments and powers at the tarsal, stifle, and hip joints during the stance phase were increased in amplitude, whereas amplitudes during the swing phase were not. The main contributors to increased velocity were the hip extensors and stifle flexors during the early part of the stance phase and the tarsal extensors during the late part of the stance phase. Conclusions and Clinical Relevance--Increases in trotting velocity in Greyhounds do not alter the basic patterns of work and power for various joints of the hind limbs, but local burst amplitudes during the stance phase increase incrementally. [ABSTRACT FROM AUTHOR]

Objective--To compare ground reaction forces (GRFs) measured by use of a pressure-sensitive walkway (PSW) and a force plate (FP) and evaluate weekly variation in the GRFs and static vertical forces in dogs. Animals--34 clinically normal dogs and 5 research dogs with lameness. Procedure--GRF data were collected from 5 lame and 14 clinically normal dogs by use of an FP and a PSW. Peak vertical force (PVF), vertical impulse (VI), and velocity measurements (determined by use of photocells and PSW data) were compared between groups. Peak vertical force, VI, stride length, ground phase time (ie, contact time), and static body weight distribution data were collected on 2 occasions, 1 week apart, in 20 different clinically normal dogs by use of a PSW; week-to-week variation in values was evaluated. Results--Measurements of velocity derived by use of the photocells were not different from those derived by use of the PSW. For any 1 limb, values derived by use of the PSW were significantly lower than values derived with the FP. For values obtained by use of either technique, there were no differences between left and right limbs except for values of PVF measured via PSW in forelimbs. Values of PVF, VI, contact time, stride length, and static weight distribution generated by the PSW did not vary from week to week. Conclusions and Clinical Relevance--Values for GRFs varied between the FP and PSW. However, data derived by use of PSW were consistent and could be used to evaluate kinetic variables over time in the same dog. [ABSTRACT FROM AUTHOR]

Objective--To develop a visual analogue scale (VAS) questionnaire that is repeatable and valid for use in assessing pain and lameness in dogs. Sample Population--48 client-owned dogs with mild to moderate lameness. Procedure--The dogs were from 3 studies conducted during a 3-year period. Of the 48 dogs, 19 were used in repeatability assessment, 48 were used in principal component analysis, and 44 were used in model selection procedures and validity testing. A test-retest measure of repeatability was conducted on dogs with a change of < 10% in vertical peak force. A force platform was used as the criterion-referenced standard for detecting lameness. Principal component analysis was used to describe dimensionality of the data. Repeatable questions were used as explanatory variables in multiple regression models to predict force plate measurements. Peak vertical, craniocaudal, and associated impulses were the forces used to quantify lameness. The regression models were used to test the criterion validity of the questionnaire. Results--19 of 39 questions were found to be repeatable on the basis of a Spearman rank-correlation cut point of > 0.6. Model selection procedures resulted in 3 overlapping subsets of questions that were considered valid representations of the forces measured (vertical peak, vertical impulse, and propulsion peak). Each reduced model fit the data as well as the full model. Conclusions and Clinical Relevance--The VAS questionnaire was repeatable and valid for use in assessing the degree of mild to moderate lameness in dogs. (Am J Vet Res 2004;65:1634-1643). [ABSTRACT FROM AUTHOR]

Objective--To ascertain the effectiveness of evaluating ground reaction forces (GRFs) at velocities during walking and trotting in dogs with naturally occurring lameness and determine whether walking would provide sufficient motion to adequately characterize GRFs with respect to trotting. Animals--29 dogs with a naturally occurring tear of the cranial cruciate ligament. Procedure--Dogs were walked and trotted over a force platform, and GRFs were recorded during the stance phase. Correlation was used to assess the agreement between walking and trotting for GRF. The coefficient of variation was calculated to assess the relative variation of outcome variables among the gaits. Group means for walking GRF were compared between dogs that trotted and that failed to trot. Results--GRFs during walking and trotting were highly correlated. The coefficient of variation was smaller for GRFs during walking than during trotting. Dogs that failed to trot had significantly smaller mean values of peak vertical force and vertical impulse during walking, compared with values for dogs that were able to trot. Conclusions and Clinical Relevance--Either velocity is acceptable for GRF evaluation in dogs. Mean GRF during walking was significantly different between dogs that could and could not trot, principally because dogs with the most severe lameness failed to trot. These dogs would be eliminated from a clinical study, and thus, that study would become biased toward dogs that were less lame. In that situation, differences between interventions may be less pronounced, because they would be evaluated on dogs with less lameness. [ABSTRACT FROM AUTHOR]