Treatment of chronic or recurrent proximal suspensory desmitis using radial pressure wave therapy in the horse.
Abstract: Proximal suspensory desmitis (PSD) is diagnosed with increasing frequency in horses and radial pressure wave therapy (RPWT) is a widely used therapy for painful orthopaedic conditions in man and dogs. There are, however, few published data as to the outcome of its use in PSD. Objective: To evaluate the use of RPWT in the treatment of chronic or recurrent PSD in the horse, an injury which carries a poor prognosis for return to athletic function with conservative management alone. Objective: RPWT and controlled exercise improves the prognosis of chronic or recurrent PSD in the horse when compared to previously published results of controlled exercise alone. Methods: The use of RPWT in the management of chronic or recurrent proximal suspensory desmitis (PSD) was evaluated in 65 horses. Diagnosis was based on response to local analgesia, ultrasonography and radiography. Horses were classified according to severity of ultrasonographic lesions, whether fore- or hindlimbs were affected, and duration of lameness prior to diagnosis. Horses were treated 3 times at 2-week intervals and followed a controlled exercise programme; they were reassessed clinically and ultrasonographically 10-12 weeks after diagnosis, when further exercise recommendations were made dependent upon the animal's progress. Results: Forty-one percent of horses with hindlimb lameness and 53% with forelimb lameness were nonlame and returned to full work 6 months after diagnosis. The prognosis was significantly affected by the ultrasonographic grade at the time of diagnosis and by ultrasonographic evidence of resolution of the lesion in hindlimb cases. Conclusions: These findings, when compared to previously published results of treatment using controlled exercise alone, suggest that RPWT improves the prognosis for PSD in the hindlimb. Conclusions: RPWT is a useful treatment modality for chronic or recurrent PSD when combined with controlled exercise. Further studies are required on the effect of RPWT employing histology and biomechanics in order to fully evaluate its use on equine tissues.
Publication Date: 2004-05-28 PubMed ID: 15163037DOI: 10.2746/0425164044890562Google Scholar: Lookup
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- Journal Article
Summary
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The research article investigates the effectiveness of radial pressure wave therapy (RPWT) in the treatment of chronic or recurrent proximal suspensory desmitis (PSD) in horses, an injury which carries a poor prognosis for return to athletic function with conservative management alone.
Objective and Methodology
- The researchers aimed to assess the use of RPWT in the treatment of PSD. They hypothesized that combining RPWT and controlled exercise could enhance the prognosis of chronic or recurrent PSD amongst horses, compared to previously published results of controlled exercise alone.
- To test this hypothesis, they employed RPWT in the treatment of chronic or recurrent PSD in 65 horses, with the diagnosis of condition being based on the horse’s response to local analgesia, along with ultrasonography and radiography.
- The team further classified the horses according to the severity of the ultrasonographic lesions, whether fore- or hindlimbs were affected, and the duration of lameness prior to diagnosis.
- The selected horses were treated with RPWT three times at 2-week intervals.
- Along with RPWT, all horses were put on a controlled exercise program. They were reassessed clinically and ultrasonographically 10-12 weeks after diagnosis, and further exercise recommendations were provided based on the animal’s progress.
Results
- The results revealed that 41 percent of horses with hindlimb lameness and 53 percent with forelimb lameness were non-lame and returned to full work 6 months after diagnosis.
- Also, the prognosis was significantly influenced by the ultrasonographic grade at the time of diagnosis and by ultrasonographic evidence of resolution of the lesion in hindlimb cases.
Conclusion
- The findings portrayed an improvement in the prognosis for PSD in the hindlimb when treated with RPWT, as compared to previous results obtained using only controlled exercise routines.
- This suggests that RPWT could act as a beneficial treatment procedure for chronic or recurrent PSD when coupled with controlled exercise.
- However, the authors recommend further research on the effect of RPWT, using histology and biomechanics to completely evaluate its impact on equine tissues.
Cite This Article
APA
Crowe OM, Dyson SJ, Wright IM, Schramme MC, Smith RK.
(2004).
Treatment of chronic or recurrent proximal suspensory desmitis using radial pressure wave therapy in the horse.
Equine Vet J, 36(4), 313-316.
https://doi.org/10.2746/0425164044890562 Publication
Researcher Affiliations
- Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire AL9 7TA, UK.
MeSH Terms
- Age Distribution
- Animals
- Chronic Disease
- Female
- Forelimb / diagnostic imaging
- Forelimb / pathology
- High-Energy Shock Waves
- Hindlimb / diagnostic imaging
- Hindlimb / pathology
- Horse Diseases / diagnosis
- Horse Diseases / therapy
- Horses
- Inflammation / therapy
- Inflammation / veterinary
- Lameness, Animal / diagnosis
- Lameness, Animal / therapy
- Ligaments / diagnostic imaging
- Ligaments / pathology
- Male
- Physical Conditioning, Animal / physiology
- Prognosis
- Radiography
- Recurrence
- Severity of Illness Index
- Treatment Outcome
- Ultrasonography
Citations
This article has been cited 12 times.- Sederevičius A, Oberauskas V, Želvytė R, Žymantienė J, Musayeva K, Žemaitis J, Jūrėnas V, Bubulis A, Vėžys J. Effect of low frequency oscillations during milking on udder temperature and welfare of dairy cows.. J Anim Sci Technol 2023 Jan;65(1):244-257.
- Boström A, Bergh A, Hyytiäinen H, Asplund K. Systematic Review of Complementary and Alternative Veterinary Medicine in Sport and Companion Animals: Extracorporeal Shockwave Therapy.. Animals (Basel) 2022 Nov 12;12(22).
- Jaafar SE, Al-Bayti AAH, Abdullah SI. Using Short Term of High Power Laser Therapy in Horse's Tendon Injuries.. Arch Razi Inst 2021 Nov;76(5):1437-1444.
- Maleas G, Mageed M. Effectiveness of Platelet-Rich Plasma and Bone Marrow Aspirate Concentrate as Treatments for Chronic Hindlimb Proximal Suspensory Desmopathy.. Front Vet Sci 2021;8:678453.
- Atalaia T, Prazeres J, Abrantes J, Clayton HM. Equine Rehabilitation: A Scoping Review of the Literature.. Animals (Basel) 2021 May 22;11(6).
- Pluim M, Martens A, Vanderperren K, van Weeren R, Oosterlinck M, Dewulf J, Kichouh M, Van Thielen B, Koene MHW, Luciani A, Plancke L, Delesalle C. High-Power Laser Therapy Improves Healing of the Equine Suspensory Branch in a Standardized Lesion Model.. Front Vet Sci 2020;7:600.
- MacKay AV, McOnie RC, Riddell LP, Robinson KA. Characterization of the use of shock wave therapy among equine veterinarians.. Can Vet J 2020 Sep;61(9):990-993.
- Kamineni S, Ruggles A, Ashfaq H. Ultrasonic debridement with stem cell therapy of suspensory branch desmitis in an equine patient.. Open Vet J 2019 Apr;9(1):54-57.
- Vandenberghe A, Broeckx SY, Beerts C, Seys B, Zimmerman M, Verweire I, Suls M, Spaas JH. Tenogenically Induced Allogeneic Mesenchymal Stem Cells for the Treatment of Proximal Suspensory Ligament Desmitis in a Horse.. Front Vet Sci 2015;2:49.
- Raabe O, Shell K, Goessl A, Crispens C, Delhasse Y, Eva A, Scheiner-Bobis G, Wenisch S, Arnhold S. Effect of extracorporeal shock wave on proliferation and differentiation of equine adipose tissue-derived mesenchymal stem cells in vitro.. Am J Stem Cells 2013;2(1):62-73.
- Spaas JH, Guest DJ, Van de Walle GR. Tendon regeneration in human and equine athletes: Ubi Sumus-Quo Vadimus (where are we and where are we going to)?. Sports Med 2012 Oct 1;42(10):871-90.
- Kristoffersen M, Ohberg L, Johnston C, Alfredson H. Neovascularisation in chronic tendon injuries detected with colour Doppler ultrasound in horse and man: implications for research and treatment.. Knee Surg Sports Traumatol Arthrosc 2005 Sep;13(6):505-8.
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