Made available in DSpace on 2014-06-11T19:23:43Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-03-01Bitstream added on 2014-06-13T20:30:37Z : No. of bitstreams: 1 meirelles_vm_me_jabo.pdf: 771952 bytes, checksum: 1cbb6276883773e472d237ed567b3fd3 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Objetivou-se neste trabalho avaliar a importância de intervenção cirúrgica precoce, em cães com discopatia tóraco-lombar (DTL), relacionando o tempo de recuperação (total ou parcial) da função locomotora, com o tempo de paralisia (TP) decorrido até o dia da cirurgia de fenestração tóraco-lombar (FTL), nos cães atendidos no HV-FCAV-UNESP de fevereiro de 2002 a novembro de 2006 . Foram incluídos 81 cães no estudo e classificados nos graus de lesão (GL) medular 1 a 5 e divididos em três grupos: GP (precoce), GI (intermediário) e GT (tardio) conforme o tempo decorrido do dia da paralisa até o dia da FTL. Destes, 74 obtiveram recuperação da função locomotora (RFL). Os cães foram avaliados quanto à correlação do TP com o tempo de recuperação dos movimentos voluntários (RMV) e RFL nos grupos GP, GI e GT, e também separadamente em cada GL. A análise estatística de todos os parâmetros foi realizada através do Teste de Fischer com nível de significância 5%. A raça mais prevalente foi a Teckel, com 78,3 % dos casos. O tempo de RMV em dias foi em média 8,84 l 11 para o GP, 9,18 l 8,6 para o GI e 27,71 l 21,6 para o GT. O tempo de RFL em dias foi em média 21,52 l 23,51 para o GP, 21,23 l 18,09 para o GI e 41,43 l 30,92 para o GT. À análise estatística verificou-se que existe relação entre RMV e TP com alto nível de significância (p = 0,002), mas não entre RFL e TP, pois o valor de p = 0,12. Concluiu-se que o tempo de RMV foi maior para os cães do GT, e o tempo de RFL foi maior, mas não estatisticamente significante, no GT comparado ao GP e GI. / The aim of this study was to evaluate the relevance of early surgical intervention in dogs with thoracolumbar disc disease (TLDD) by relating the recovery period (total or partial) of locomotive function with the duration of the paralysis (DP) till the day of the thoracolumbar fenestration surgery (TLF) for dogs admitted at the Veterinary Teaching Hospital of the FCAVUNESP (HV FCAV-UNESP) from February 2002 to November 2006. It has been included in the study 81 dogs, all classified according to the degree of spinal cord lesion (DL) from 1 to 5 and then divided into early (EG), intermediary (IG) and late (LG) groups, in regard to the time elapsed from the day of the lesion until the day of the TLF. Among these animals, 74 had their locomotive function reestablished (LFR). The dogs had been evaluated for the correlation of DP with the time of recovery of voluntary movements (RVM) and LFR in the EG, IG and LG groups, besides a separate evaluation for each DL. Statistical analysis for all parameters was done by use of the Fischer Test, with 5% significance. Most prevalent breed was the Teckel with 78.3% of cases. Time for RVM had an average of 8.84l11 days for EG, 9.18 l 8.6 for the IG and 27.71l21.6 for the LG. Time for LFR had an average of 21.52 l 23.51 for the PG, 21.23 l 18.09 for the IG and 41.43 l 30.92 for the LG. Statistically was verified a correlation between RVM and DP with high level of significance (p=0.002) but none between LFR and DP, hence p=0.12. It has been concluded that time of RVM was longer for dogs in the LG and that the time of LFR was longer, although not statistically significant, in the LG when compared to the EG and IG.

Submitted by (edna.saturno@ufrpe.br) on 2016-08-11T16:21:32Z No. of bitstreams: 1 Bruno Martins Araujo.pdf: 2084941 bytes, checksum: 63b9d4471e02acbbd35a879b95c57ae3 (MD5) / Made available in DSpace on 2016-08-11T16:21:32Z (GMT). No. of bitstreams: 1 Bruno Martins Araujo.pdf: 2084941 bytes, checksum: 63b9d4471e02acbbd35a879b95c57ae3 (MD5) Previous issue date: 2013-02-02 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / Vertebral fractures and luxations (VFL) are one of the most common and severe neurological issues found in clinical practice, with an elevated risk of permanent damage to the spinal cord. Our objective was to study the characteristics and implications associated with thoracolumbar VFL in 37 dogs examined at the Veterinary Hospital of the Universidade Federal Rural de Pernambuco. Each patient had detailed history obtained, followed by clinical, neurologic and radiographic exams. The dogs were submitted to conservative or surgical treatment according to each case. The VFL were more common in intact males with access to the street. Regarding etiology, 32 dogs were involved in car accidents. Of the dogs included in this research, 14 had non-neurological issues in other systems. Radiographic exams were 100% effective in diagnosing VFL, but 42.8% of the dogs treated surgically had vertebral lesions that weren't detected radiographically. Mean time until initial neurologic exam was 35 days, and most dogs were reffered without external coaptation. There was a significant difference in recovery of the dogs when comparing a degree of dislocation of 0 – 25% and 76 – 100%. Presence of two or three severe neurological signs was associated with a poor prognosis, while lack or just one of these indicated a favorable prognosis. Deep pain perception (DPP) was present in 37.7% of the dogs. Twenty dogs received conservative treatment, 14 underwent surgery and three dogs died before treatment for the acute spinal trauma. Of the dogs with intact DPP, 100% recovered, while none of the dogs that lost DPP recovered voluntary motion (five developed spinal walk). Presence or absence of DPP is a reliable prognostic indicator. However, there was no significant difference in time for recovery of voluntary motion in dogs with intact DPP when comparing surgical versus conservative treatment. The percentage of euthanasia was less than in other reports, probably due to the greater awareness and protectiveness of owners nowadays. Of the dogs without DPP treated either surgically or conservatively, 31.25% recovered the ambulation without recovery of DPP. / Fraturas e luxações vertebrais (FLV) são uma das afecções neurológicas mais graves e comumente encontradas na prática clínica, com elevado risco de danos permanentes à medula espinal. Objetivou-se estudar as características e implicações associadas às FLV toracolombares em 37 cães atendidos no Hospital Veterinário da Universidade Federal Rural de Pernambuco. Cada paciente passou por anamnese, seguida por exames clínicos, neurológico e radiográfico. Os cães foram submetidos ao tratamento conservativo ou cirúrgico de acordo com cada caso. As FLV foram mais comuns em machos não castrados com acesso a rua. Dentre a etiologia, 32 cães foram acometidos por acidente automobilístico. Dos animais da pesquisa, 14 apresentaram lesões não neurológicas em outros sistemas. Por meio do exame radiológico se diagnosticou FLV em 100% dos casos, mas nos cães submetidos ao tratamento cirúrgico, observou-se uma grande quantidade destes apresentavam lesões vertebrais não detectadas nas radiografias convencionais (42,8%). O tempo médio ate o atendimento neurológico inicial foi de 35 dias, no qual a maioria foi encaminhada sem imobilização externa. Houve diferença estatisticamente significante ao se comparar os graus de deslocamento de 0 a 25% e de 76 a 100%. A presença de dois ou três sinais neurológicos graves esteve relacionada a prognóstico desfavorável, enquanto que a ausência ou presença de apenas um destes indicou um prognóstico favorável. A percepção de dor profunda (PDP) estava presente em 37,7% dos animais. Vinte animais foram submetidos ao tratamento conservativo, 14 ao tratamento cirúrgico e três animais faleceram antes de ser realizado o tratamento do traumatismo medular agudo propriamente dito. Dos animais que mantiveram a PDP intacta, a taxa de recuperação foi de 100%, enquanto que dos animais que perderam a PDP nenhum recuperou a deambulação voluntária (cinco adquiriram caminhar espinal). O parâmetro de ausência ou presença de PDP é um confiante indicativo do prognóstico desta afecção. Apesar de que nos animais que mantiverem a PDP intacta, independente do tratamento instituído e do grau de comprometimento neurológico, não houve diferença significante nas taxas nem no tempo de recuperação da deambulação voluntária. A taxa de eutanásia foi menor que em outros trabalhos descritos na literatura, provavelmente devido a conscientização e protecionismo dos tutores nos dias atuais. Dos animais sem PDP submetidos ao tratamento conservativo ou cirúrgico, 31,25% readquiriram a capacidade de caminhar sem recuperar a PDP.

6 Abstract Title: Effect of deep stabilization system on the musculoskeletal system Objectives: The aim of the study is to demonstrate the influence of therapeutic interventions on the deep stabilization system using investigative techniques and principles used used in practice in physiotherapy. Methods: This thesis has been characterized as a case study. It is based on an experimental basis in the form of qualitative research. For the research five clients were chosen with problems in the cervical, thoracic and lumbar spine. Applying exercise procedures was to show a positive effect on the deep stabilizing system. Following investigative methods were used: anamnesis, examination of static orientation, trigonometric spine examination, assessment of posture, postural stability testing, palpation, flexion of the neck stereotype by Lewit and "S" reflex. Testing was performed twice, at intervals of 3-4 months. Results: The results showed significant improvement in four out of five clients. Pain, stiffness or paraesthesia cervical, thoracic or lumbar spine alleviated or even disappeared. Postural muscle activation possession and corset improved. Exercises also positively influenced the stereotype of breathing and it was confirmed that an active cooperation of clients is necessary for the most efficient effect of...