engleski

Rehabilitation of acute canine polyradiculoneuritis in two dogs – a case report

Acute canine polyradiculoneuritis (ACP) or idiopathic polyradiculoneuritis is an acquired peripheral neuropathy, which primarily affects the ventral nerve roots and peripheral nerves, resulting in flaccid tetraparesis/tetraplegia. There is no age, breed or sex predilection associated with the development of ACP. No proven specific treatment exists. Physical therapy and nursing are recommended as supportive treatment. Most affected dogs show signs of spontaneous improvement within 3 to 4 weeks, with complete recovery within 2 to 6 months. Two dogs, female, mixed-breed, aged 6 and 10 years, were admitted with signs of acute flaccid non-ambulatory tetraparesis and generalised lower motor neuron (LMN) signs. A tentative diagnosis of ACP was made based on the medical history, clinical presentation, examination findings, diagnostic imaging and routine laboratory tests. Both dogs were presented in the physical therapy unit in lateral recumbency and required complete assistance to move in a sternal position. The dogs were supported in a sitting or standing position with no weight bearing on all limbs. Muscle atrophy was present mostly on the hind limbs. The rehabilitation programme consisted of joint passive range of motion movements (PROM) and core muscle and limb massage during the 1st week. Electrostimulation was performed during the first 2 weeks as well as PROM and stretching techniques. After 2 weeks, the dogs were able to maintain a sternal position without support, and showed voluntary movement of the hind limbs. PROM, massage and balance exercises, such as reaching for treats while in a sternal position, were included in the home programme. Assistive standing and voluntary movements of all limbs were present by the end of the 3rd week in one patient, and the 5th week in the other. At that point, underwater treadmill sessions and active exercises were introduced. Physical therapy combined with a proper home rehabilitation programme can result in a positive functional outcome over a shorter period of time in dogs with ACP.

acute polyradiculoneuritis, rehabilitation, dog

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