Protocolo de exame físico para a coluna toracolombar de equinos

Thoracolumbar injuries represent a challenge to the veterinarian that seeks to eliminate the pain, reinstitute the athletic use of the horse and minimize economic losses. The percentage of lost training days due to orthopedic conditions in race horses is of 72.1% and within those conditions is back pain, whicht represents from 4.35% to 20% of the lameness cases. The present study searched to establish a protocol based on score points for the thoracolumbar physical exam, by which it is able to determine the possible affected areas and the seriousness of the injuries. Along with the physical exam, it was performed an ultrasonographic exam of the thoracolumbar region to characterize and classify the injuries found, as to accompany its evolution after treatment. It was observed a clear reduction in the physical exam score sum in all animals between the exam days being that the exam of most of the animals presented a zero score at 60 days after the treatment. Relating the evolution of the clinical exam with the ultrasonography image tests, there was a positive association between the reduction score in the severity scale and the evolution of the ultrasonographic image of the evaluated structures. Thus, it can be concluded that gradation of the physical exam showed to be efficient and allowed the monitoring of the clinical evolution, as the answer of the injuries to the suggested treatment. Besides that, the results showed that 60 days is the ideal time for the first reevaluation of the animal after the treatment.As enfermidades toracolombares representam um desafio ao veterinário, que busca eliminar a dor, restituir o uso atlético do cavalo e minimizar perdas econômicas. A porcentagem de dias de treino perdidos devido a afecções ortopédicas em cavalos de corrida é de 72,1% e dentro destas afecções estão as lombalgias, que representam de 4,35% a 20% dos casos de claudicação. O presente estudo procurou estabelecer um protocolo baseado em pontuação por escores para o exame físico da região toracolombar, por meio do qual se consiga determinar as possíveis regiões afetadas e a gravidade das lesões. Juntamente com o exame físico, foi realizada a ultrassonografia da região toracolombar, para caracterizar e classificar as lesões encontradas, assim como acompanhar sua evolução após o tratamento. Foi observada uma evidente redução na soma dos escores do exame físico em todos os animais entre os dias de exame, sendo que o exame da maioria dos animais apresentou escore zero aos 60 dias após o tratamento. Relacionando a evolução do exame clínico com os escores ultrassonográficos houve associação positiva entre a redução do escore na escala de severidade e a evolução da aparência ultrassonográfica das estruturas avaliadas. Sendo assim, pôde-se concluir que a gradação do exame físico se mostrou eficiente e permitiu o acompanhamento da evolução clínica, assim como da resposta das enfermidades ao tratamento proposto. Além disso, os resultados mostraram que 60 dias é o tempo ideal para a primeira reavaliação do animal após a realização do tratamento

Lombalgia em eqüinos

Back pain, whether they have a primary or secondary origin, is a important cause to the drop of the equine performance , but the size and the complex biomechanics make it difficult to diagnosis and treat the injury. As it is, the knowledge of this anatomic site is of great importance to the thoracolumbar examination. The diagnosis of back pain is done through physical examination and complementary exams, represented by the image methods of diagnosis, such as radiography, ultrasonography and thermography. The most important lesions that cause the back pain in an equine are impingement of the dorsal spinous processes, desmopathy of the supraespinous ligament, osteoarthritis of the articular processes and lesions of the vertebral discs and body. The most common treatments to back pain are the non-steroidal anti-inflammatory drugs, local injections, acupuncture, physiotherapy, training management and surgery.As lombalgias, sejam elas de origem primária ou secundária, são uma causa importante para a queda de desempenho atlético em eqüinos, mas o tamanho e a biomecânica complexa dificultam o diagnóstico e tratamento desta enfermidade. Sendo assim, o conhecimento da anatomia desta região é de grande importância para a semiologia toracolombar. O diagnóstico das lombalgias se faz por meio do exame físico e dos exames complementares, representados pelos métodos de diagnóstico por imagem, tais como a radiografia, a ultra-sonografia e a termografia. As principais afecções causadoras das lombalgias nos eqüinos são o contato entre processos espinhosos, a desmite supraespinhosa, a osteoartrite dos processos articulares e lesões dos corpos e discos vertebrais. Os principais tratamentos utilizados para estas lesões são os antiinflamatórios não esteroidais, infiltrações locais, acupuntura, fisioterapia, manejo do treinamento e cirurgia

Clinical exam protocol for the equine thoracolumbar spine

DOI: não consta, por isso foi disponibilizado o link de acesso.Thoracolumbar injuries represent a challenge to the veterinarian that seeks to eliminate the pain, reinstitute the athletic use of the horse and minimize economic losses. The percentage of lost training days due to orthopedic conditions in race horses is of 72.1% and within those conditions is back pain, whicht represents from 4.35% to 20% of the lameness cases. The present study searched to establish a protocol based on score points for the thoracolumbar physical exam, by which it is able to determine the possible affected areas and the seriousness of the injuries. Along with the physical exam, it was performed an ultrasonographic exam of the thoracolumbar region to characterize and classify the injuries found, as to accompany its evolution after treatment. It was observed a clear reduction in the physical exam score sum in all animals between the exam days being that the exam of most of the animals presented a zero score at 60 days after the treatment. Relating the evolution of the clinical exam with the ultrasonography image tests, there was a positive association between the reduction score in the severity scale and the evolution of the ultrasonographic image of the evaluated structures. Thus, it can be concluded that gradation of the physical exam showed to be efficient and allowed the monitoring of the clinical evolution, as the answer of the injuries to the suggested treatment. Besides that, the results showed that 60 days is the ideal time for the first reevaluation of the animal after the treatment.As enfermidades toracolombares representam um desafio ao veterinário, que busca eliminar a dor, restituir o uso atlético do cavalo e minimizar perdas econômicas. A porcentagem de dias de treino perdidos devido a afecções ortopédicas em cavalos de corrida é de 72,1% e dentro destas afecções estão as lombalgias, que representam de 4,35% a 20% dos casos de claudicação. O presente estudo procurou estabelecer um protocolo baseado em pontuação por escores para o exame físico da região toracolombar, por meio do qual se consiga determinar as possíveis regiões afetadas e a gravidade das lesões. Juntamente com o exame físico, foi realizada a ultrassonografia da região toracolombar, para caracterizar e classificar as lesões encontradas, assim como acompanhar sua evolução após o tratamento. Foi observada uma evidente redução na soma dos escores do exame físico em todos os animais entre os dias de exame, sendo que o exame da maioria dos animais apresentou escore zero aos 60 dias após o tratamento. Relacionando a evolução do exame clínico com os escores ultrassonográficos houve associação positiva entre a redução do escore na escala de severidade e a evolução da aparência ultrassonográfica das estruturas avaliadas. Sendo assim, pôde-se concluir que a gradação do exame físico se mostrou eficiente e permitiu o acompanhamento da evolução clínica, assim como da resposta das enfermidades ao tratamento proposto. Além disso, os resultados mostraram que 60 dias é o tempo ideal para a primeira reavaliação do animal após a realização do tratamento

Protocolo de exame físico para a coluna toracolombar de equinos

Thoracolumbar injuries represent a challenge to the veterinarian that seeks to eliminate the pain, reinstitute the athletic use of the horse and minimize economic losses. The percentage of lost training days due to orthopedic conditions in race horses is of 72.1% and within those conditions is back pain, whicht represents from 4.35% to 20% of the lameness cases. The present study searched to establish a protocol based on score points for the thoracolumbar physical exam, by which it is able to determine the possible affected areas and the seriousness of the injuries. Along with the physical exam, it was performed an ultrasonographic exam of the thoracolumbar region to characterize and classify the injuries found, as to accompany its evolution after treatment. It was observed a clear reduction in the physical exam score sum in all animals between the exam days being that the exam of most of the animals presented a zero score at 60 days after the treatment. Relating the evolution of the clinical exam with the ultrasonography image tests, there was a positive association between the reduction score in the severity scale and the evolution of the ultrasonographic image of the evaluated structures. Thus, it can be concluded that gradation of the physical exam showed to be efficient and allowed the monitoring of the clinical evolution, as the answer of the injuries to the suggested treatment. Besides that, the results showed that 60 days is the ideal time for the first reevaluation of the animal after the treatment

Clinical exam protocol for the equine thoracolumbar spine

Thoracolumbar injuries represent a challenge to the veterinarian that seeks to eliminate the pain, reinstitute the athletic use of the horse and minimize economic losses. The percentage of lost training days due to orthopedic conditions in race horses is of 72.1% and within those conditions is back pain, whicht represents from 4.35% to 20% of the lameness cases. The present study searched to establish a protocol based on score points for the thoracolumbar physical exam, by which it is able to determine the possible affected areas and the seriousness of the injuries. Along with the physical exam, it was performed an ultrasonographic exam of the thoracolumbar region to characterize and classify the injuries found, as to accompany its evolution after treatment. It was observed a clear reduction in the physical exam score sum in all animals between the exam days being that the exam of most of the animals presented a zero score at 60 days after the treatment. Relating the evolution of the clinical exam with the ultrasonography image tests, there was a positive association between the reduction score in the severity scale and the evolution of the ultrasonographic image of the evaluated structures. Thus, it can be concluded that gradation of the physical exam showed to be efficient and allowed the monitoring of the clinical evolution, as the answer of the injuries to the suggested treatment. Besides that, the results showed that 60 days is the ideal time for the first reevaluation of the animal after the treatment

Back pain in horses

Back pain, whether they have a primary or secondary origin, is a important cause to the drop of the equine performance, but the size and the complex biomechanics make it difficult to diagnosis and treat the injury. As it is, the knowledge of this anatomic site is of great importance to the thoracolumbar examination. The diagnosis of back pain is done through physical examination and complementary exams, represented by the image methods of diagnosis, such as radiography, ultrasonography and thermography. The most important lesions that cause the back pain in an equine are impingement of the dorsal spinous processes, desmopathy of the supraespinous ligament, osteoarthritis of the articular processes and lesions of the vertebral discs and body. The most common treatments to back pain are the non-steroidal anti-inflammatory drugs, local injections, acupuncture, physiotherapy, training management and surgery