Physical therapy treatment in the functional recovery of dogs submitted to head and femoral neck ostectomy: 20 cases

2020 
EnglishPatients who undergo excisional surgical procedures such as femoral head and neck ostectomy (FHO) require a postoperative rehabilitation plan which includes different physical therapy modalities. Therefore, this retrospective study was done to demonstrate the different physical therapy modalities utilized in 20 dogs who were subjected to FHO, and to provide data on the frequency of physical therapy modalities, the protocol duration and time interval from the commencement of physiotherapy and surgery and the patient’s functional recovery. All the protocols included the modalities of thermotherapy (heat), massage, passive stretching and passive joint movement. In the initial phase, electrotherapy and therapeutic ultrasound were most often used, while the water treadmill was continued until the treatment was completed. Physiotherapy sessions varied from 3 to 50 in number, and physiotherapy was commenced from day 5 until day 214 post the surgical procedure. The functional recovery of the limb was in the following range: 65% (13/20) satisfactory, 25% (5/20) partially satisfactory and 10% (2/20) unsatisfactory. Physical therapy treatment was thus concluded to be most influential in the functional recovery of the limb, even if was started late portuguesUm plano de reabilitacao no pos-operatorio incluindo diferentes modalidades fisioterapeuticas e de suma importância em pacientes submetidos a procedimentos cirurgicos excisionais como a ostectomia da cabeca e colo femoral (OCCF). Sendo assim, o objetivo desse estudo retrospectivo foi demonstrar as diferentes modalidades fisioterapeuticas empregadas nos 20 caes apos OCCF e fornecer dados referentes a frequencia das modalidades fisioterapeuticas, a duracao dos protocolos e o tempo entre o inicio da fisioterapia e a cirurgia e a recuperacao funcional do paciente. A termoterapia (calor), a massagem, o alongamento passivo e a movimentacao passiva articular foram as modalidades empregadas em todos os protocolos. A eletroterapia e o ultrassom terapeutico foram as mais utilizadas na fase inicial e, a esteira aquatica foi mantida ate o final do tratamento. O numero de sessoes de fisioterapia variou de 3 a 50 e o inicio da fisioterapia de 5 a 214 dias apos o procedimento cirurgico. Quanto a recuperacao funcional do membro, em 65% (13/20) foram satisfatorias, em 25% (5/20) parcialmente satisfatorias e em 10% (2/20) insatisfatorias. Pode-se concluir que o tratamento fisioterapeutico influenciou na recuperacao funcional do membro, mesmo que iniciado tardiamente
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