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Diagnosis and management of dogs with degenerative myelopathy: A survey of neurologists and rehabilitation professionals
BACKGROUND: Antemortem diagnosis of degenerative myelopathy (DM) in dogs is presumptive and there are no accepted guidelines for the management of this condition. HYPOTHESIS/OBJECTIVES: Describe current practices of neurology clinicians and physical rehabilitation professionals in the diagnosis and...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472985/ https://www.ncbi.nlm.nih.gov/pubmed/37606360 http://dx.doi.org/10.1111/jvim.16829 |
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author | Bouché, Teryn V. Coates, Joan R. Moore, Sarah A. Faissler, Dominik Rishniw, Mark Olby, Natasha J. |
author_facet | Bouché, Teryn V. Coates, Joan R. Moore, Sarah A. Faissler, Dominik Rishniw, Mark Olby, Natasha J. |
author_sort | Bouché, Teryn V. |
collection | PubMed |
description | BACKGROUND: Antemortem diagnosis of degenerative myelopathy (DM) in dogs is presumptive and there are no accepted guidelines for the management of this condition. HYPOTHESIS/OBJECTIVES: Describe current practices of neurology clinicians and physical rehabilitation professionals in the diagnosis and management of DM. ANIMALS: None. METHODS: Online surveys examining diagnosis and management of DM were constructed and distributed via neurology and rehabilitation listservs. RESULTS: One hundred ninety neurology and 79 rehabilitation professionals from 20 countries participated. Most neurology (142/189) and rehabilitation (23/39) respondents required genetic testing for the superoxide dismutase 1 (SOD1) mutation and 82/189 neurologists also required spinal magnetic resonance imaging (MRI) for presumptive DM diagnosis. Most neurology respondents recommended exercise (187/190) and physical rehabilitation (184/190). Over 50% (102/190) of neurology respondents perform rechecks on dogs diagnosed with DM. Rehabilitation respondents reported preservation or improvement of strength (78/79) and coordination (77/79) as therapeutic goals. At‐home exercises (75/79), underwater treadmill (64/79), gait training (55/79), and strength building exercises (65/79) were used to maintain strength (58/79), coordination (56/79), muscle mass (56/79), and improve overall wellbeing (54/79). Neurology respondents reported that owners elect euthanasia when dogs become nonambulatory paraparetic whereas rehabilitation respondents report euthanasia when paraplegia and incontinence develop. CONCLUSION AND CLINICAL IMPORTANCE: The majority of dogs diagnosed with DM have not undergone advanced imaging, the combination of history, neurological findings, and genetic testing is heavily relied upon. Whereas the diagnosis of DM is frequently made by veterinary neurologists, continued care is often performed by rehabilitation professionals or primary veterinarians. |
format | Online Article Text |
id | pubmed-10472985 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104729852023-09-02 Diagnosis and management of dogs with degenerative myelopathy: A survey of neurologists and rehabilitation professionals Bouché, Teryn V. Coates, Joan R. Moore, Sarah A. Faissler, Dominik Rishniw, Mark Olby, Natasha J. J Vet Intern Med SMALL ANIMAL BACKGROUND: Antemortem diagnosis of degenerative myelopathy (DM) in dogs is presumptive and there are no accepted guidelines for the management of this condition. HYPOTHESIS/OBJECTIVES: Describe current practices of neurology clinicians and physical rehabilitation professionals in the diagnosis and management of DM. ANIMALS: None. METHODS: Online surveys examining diagnosis and management of DM were constructed and distributed via neurology and rehabilitation listservs. RESULTS: One hundred ninety neurology and 79 rehabilitation professionals from 20 countries participated. Most neurology (142/189) and rehabilitation (23/39) respondents required genetic testing for the superoxide dismutase 1 (SOD1) mutation and 82/189 neurologists also required spinal magnetic resonance imaging (MRI) for presumptive DM diagnosis. Most neurology respondents recommended exercise (187/190) and physical rehabilitation (184/190). Over 50% (102/190) of neurology respondents perform rechecks on dogs diagnosed with DM. Rehabilitation respondents reported preservation or improvement of strength (78/79) and coordination (77/79) as therapeutic goals. At‐home exercises (75/79), underwater treadmill (64/79), gait training (55/79), and strength building exercises (65/79) were used to maintain strength (58/79), coordination (56/79), muscle mass (56/79), and improve overall wellbeing (54/79). Neurology respondents reported that owners elect euthanasia when dogs become nonambulatory paraparetic whereas rehabilitation respondents report euthanasia when paraplegia and incontinence develop. CONCLUSION AND CLINICAL IMPORTANCE: The majority of dogs diagnosed with DM have not undergone advanced imaging, the combination of history, neurological findings, and genetic testing is heavily relied upon. Whereas the diagnosis of DM is frequently made by veterinary neurologists, continued care is often performed by rehabilitation professionals or primary veterinarians. John Wiley & Sons, Inc. 2023-08-22 /pmc/articles/PMC10472985/ /pubmed/37606360 http://dx.doi.org/10.1111/jvim.16829 Text en © 2023 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | SMALL ANIMAL Bouché, Teryn V. Coates, Joan R. Moore, Sarah A. Faissler, Dominik Rishniw, Mark Olby, Natasha J. Diagnosis and management of dogs with degenerative myelopathy: A survey of neurologists and rehabilitation professionals |
title | Diagnosis and management of dogs with degenerative myelopathy: A survey of neurologists and rehabilitation professionals |
title_full | Diagnosis and management of dogs with degenerative myelopathy: A survey of neurologists and rehabilitation professionals |
title_fullStr | Diagnosis and management of dogs with degenerative myelopathy: A survey of neurologists and rehabilitation professionals |
title_full_unstemmed | Diagnosis and management of dogs with degenerative myelopathy: A survey of neurologists and rehabilitation professionals |
title_short | Diagnosis and management of dogs with degenerative myelopathy: A survey of neurologists and rehabilitation professionals |
title_sort | diagnosis and management of dogs with degenerative myelopathy: a survey of neurologists and rehabilitation professionals |
topic | SMALL ANIMAL |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472985/ https://www.ncbi.nlm.nih.gov/pubmed/37606360 http://dx.doi.org/10.1111/jvim.16829 |
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