Development of a functional scoring system in dogs with acute spinal cord injuries

Natasha J. Olby Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606.

Search for other papers by Natasha J. Olby in
Current site
Google Scholar
PubMed
Close
 Vet MB, PhD
,
Luisa De Risio Istituto diClinica Chirurgica Veterinaria, Universita degli studi di Parma,Italy.

Search for other papers by Luisa De Risio in
Current site
Google Scholar
PubMed
Close
 DVM
,
Karen R. Muñana Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606.

Search for other papers by Karen R. Muñana in
Current site
Google Scholar
PubMed
Close
 DVM, MS
,
Marc A. Wosar Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606.

Search for other papers by Marc A. Wosar in
Current site
Google Scholar
PubMed
Close
 DVM
,
Todd M. Skeen Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606.

Search for other papers by Todd M. Skeen in
Current site
Google Scholar
PubMed
Close
 DVM
,
Nick J.H. Sharp Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606.

Search for other papers by Nick J.H. Sharp in
Current site
Google Scholar
PubMed
Close
 BVM, PhD
, and
Bruce W. Keene Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606.

Search for other papers by Bruce W. Keene in
Current site
Google Scholar
PubMed
Close
 DVM, MS

Abstract

Objective—To develop and compare the reliability of 2 methods of scoring pelvic limb gait in dogs recovering from thoracolumbar spinal cord injuries and to use this scoring system to determine the rate and level of functional recovery of dogs with acute thoracolumbar intervertebral disk herniations.

Animals—46 dogs with spinal cord injuries resulting from intervertebral disk herniations.

Procedure—Dogs' gaits were videotaped at different time intervals after injury. In phase 1 of the study, the stages of recovery of pelvic limb function were identified, and a numeric scoring system was devised to reflect that recovery. In phase 2, pelvic limb gait was scored by different observers, using a numeric and a visual analog scale. Intra- and interobserver coefficients of variability of both methods were compared. In phase 3, pelvic limb function was scored, using the numeric scale at various intervals after acute thoracolumbar disk herniations.

Results—The numeric scale was significantly more reliable than the visual analog scale when both intraand interobserver coefficients of variability were evaluated. Dogs that were paraplegic with no deep pain sensation recovered at different rates during the first 3 months, whereas dogs that were paraplegic with deep pain sensation typically recovered within 1 month of injury.

Conclusion and Clinical Relevance—Pelvic limb gait of dogs recovering from thoracolumbar spinal cord injuries can be reliably quantified, using a numeric scale. This scale will facilitate the performance of clinical trials aimed at improving the outcome of acute spinal cord injuries. (Am J Vet Res 2001;62:1624–1628)

Abstract

Objective—To develop and compare the reliability of 2 methods of scoring pelvic limb gait in dogs recovering from thoracolumbar spinal cord injuries and to use this scoring system to determine the rate and level of functional recovery of dogs with acute thoracolumbar intervertebral disk herniations.

Animals—46 dogs with spinal cord injuries resulting from intervertebral disk herniations.

Procedure—Dogs' gaits were videotaped at different time intervals after injury. In phase 1 of the study, the stages of recovery of pelvic limb function were identified, and a numeric scoring system was devised to reflect that recovery. In phase 2, pelvic limb gait was scored by different observers, using a numeric and a visual analog scale. Intra- and interobserver coefficients of variability of both methods were compared. In phase 3, pelvic limb function was scored, using the numeric scale at various intervals after acute thoracolumbar disk herniations.

Results—The numeric scale was significantly more reliable than the visual analog scale when both intraand interobserver coefficients of variability were evaluated. Dogs that were paraplegic with no deep pain sensation recovered at different rates during the first 3 months, whereas dogs that were paraplegic with deep pain sensation typically recovered within 1 month of injury.

Conclusion and Clinical Relevance—Pelvic limb gait of dogs recovering from thoracolumbar spinal cord injuries can be reliably quantified, using a numeric scale. This scale will facilitate the performance of clinical trials aimed at improving the outcome of acute spinal cord injuries. (Am J Vet Res 2001;62:1624–1628)

All Time Past Year Past 30 Days
Abstract Views 197 0 0
Full Text Views 4400 3563 842
PDF Downloads 1234 487 42
Advertisement