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1. The Finnish Canine Stifle Index: responsiveness to change and intertester reliability

Author

Anna Boström, Anna Hielm-Björkman, Anu K. Lappalainen, Outi Laitinen-Vapaavuori, Jouni Junnila, Kirsti Lind, Heli K. Hyytiäinen, Mikael Morelius, Faculty of Veterinary Medicine, Equine and Small Animal Medicine, Departments of Faculty of Veterinary Medicine, Helsinki One Health (HOH), Outi Vapaavuori / Principal Investigator, Softis - pehmytkudossairaudet, Petbone – ortopedia, fysioterapia, kivunlievitys, FaunaFysio, and Research Centre for Animal Welfare

Subjects
Male, assessment, medicine.medical_treatment, 413 Veterinary science, 0403 veterinary science, 0302 clinical medicine, Dog Diseases, Longitudinal Studies, Prospective Studies, BATTERY, Finland, Reliability (statistics), Rehabilitation, LABRADOR RETRIEVERS, 04 agricultural and veterinary sciences, General Medicine, Musculoskeletal disease, Stifle, DOGS, medicine.anatomical_structure, INTERRATER RELIABILITY, Lameness, LIMB FUNCTION, Female, KNEE, Joint Diseases, Paper, REHABILITATION, medicine.medical_specialty, lameness, 040301 veterinary sciences, Cruciate ligament, 03 medical and health sciences, medicine, Animals, Physical Examination, physiotherapy, 030203 arthritis & rheumatology, HIP, General Veterinary, business.industry, Reproducibility of Results, SEVERITY, Case-Control Studies, Orthopedic surgery, cruciate ligament, Physical therapy, business, orthopaedics
Abstract

Background The responsiveness and the intertester reliability of the Finnish Canine Stifle Index (FCSI) were tested, and a cut-off between compromised and severely compromised performance level was set. Methods Three groups of dogs were used, 29 with any stifle dysfunction (STIF), 17 with other musculoskeletal disease except stifle (OTHER) and 11 controls (CTRL). All dogs were tested with the FCSI by the same physiotherapist at three occasions, at baseline, at six weeks and 10 weeks, and once also by another physiotherapist. Results Dogs in the STIF group demonstrated significantly higher (P

Published
2020

2. Abductor sign: a reliable new sign to detect unilateral non-organic paresis of the lower limb

Author

M, Sonoo

Subjects
Adult, Aged, 80 and over, Male, Paper, Leg, Hip, musculoskeletal, neural, and ocular physiology, Movement, food and beverages, Diagnostic Techniques, Neurological, Middle Aged, musculoskeletal system, Sensitivity and Specificity, Functional Laterality, body regions, Paresis, Task Performance and Analysis, Humans, Female, Muscle, Skeletal, Aged
Abstract

To test a new neurological sign, the "abductor sign," which can distinguish between organic and non-organic leg paresis using synergic movements of the bilateral hip abductors.The subjects were 33 patients presenting with paresis of one leg, 17 of organic origin and 16 of non-organic origin (hysteria). To test the abductor sign, the examiner told the patient to abduct each leg, and opposed this movement with his hands placed on the lateral surfaces of the patient's legs. The leg contralateral to the abducted one showed opposite actions for organic paresis and non-organic paresis: for example, when the paretic leg was abducted, the sound leg stayed fixed in organic paresis, but moved in the hyperadducting direction in non-organic paresis. Hoover's sign was used for comparison in the same patients.The abductor sign gave the correct classification for all 33 cases. Hoover's sign was reliable if the results were carefully interpreted, but it was non-diagnostic for 16 patients because of strong hip extensors and in two because of strong hip flexors. Two patients with non-organic paresis succeeded in tricking the examiner by pretending full effort to lift the paretic leg.The abductor sign is a useful test to detect non-organic paresis, because (1) it is difficult for a hysterical patient to deceive the examiner, (2) the hip abductor is one of the most commonly involved muscles in pyramidal weakness, and (3) the results are easily visible as movement or non-movement of the unabducted leg.

Published
2004