Do passive range of motion exercises lead to quicker postsurgical recovery of canine IVDD?

Abstract

PICO Question In canine patients recovering from surgery for intervertebral disc disease, do passive range of motion exercises, compared to no intervention, lead to a shorter or faster rate of recovery? Clinical bottom line Category of research Treatment. Number and type of study designs reviewed Five studies (two randomised controlled trials, two retrospective cohort studies and one retrospective case series) were critically appraised. Strength of evidence Weak. Outcomes reported There is no evidence that passive range of motion (PROM) exercises are associated with a quicker postsurgical recovery in the canine intervertebral disc disease (IVDD) patient. Conclusion There is a lack of evidence about specific rehabilitation techniques for the postoperative canine IVDD patient. Based on the current data, a multimodal approach, including basic and intense rehabilitation techniques is suggested. How to apply this evidence in practice The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources. Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.

Keywords

• canine
• dogs
• intervertebral disc disease
• ivdd
• intervertebral disc extrusion
• ivde
• intervertebral disc herniation
• ivdh
• passive range of motion
• prom
• recovery time
• rehabilitation