Evaluation of Ground Reaction Forces and Limb Symmetry Indices Using Ground Reaction Forces Collected with One or Two Plates in Dogs Exhibiting a Stifle Lameness.

OBJECTIVE: The aim of the study was to evaluate the efficiency and consistency in the collection of ground reaction forces using one or two force plates from dogs with stifle lameness. ANIMALS: Twenty-two client-owned dogs with unilateral stifle lameness were used. METHODS: In a prospective study design, data were collected at a single time point using both one- and two-plate collection methods. Ground reaction forces collected included peak vertical force, vertical impulse and associated symmetry indices. Additionally, time required to obtain valid trials and the total number of trials were also recorded for both one-plate and two-plate collections. Linear mixed models were used to analyse differences in peak vertical force, vertical impulse and symmetry indices between the collection methods. A paired-T test was used to compare trial number and time of trial collection. The significance threshold was p < 0.05. RESULTS: It took significantly longer to collect valid trials using one-plate both in time (16.1 ± 8.0 minutes vs, 8.0 ± 4.3 minutes with two plates) and number of trials (33.8 ± 14.8 trials vs. 16.4 ± 8.8 trials with two plates) (p < 0.0001). There was no difference in peak vertical force or vertical impulse data between collection methods. Neither the peak vertical force symmetry indices nor the vertical impulse symmetry indices were significantly different between one- and two-plate collection techniques. CONCLUSION: The total time and number of trials needed to collect valid trials in dogs with stifle lameness were minimized through the use of two force plates. However, there was no significant difference in the ground reaction force or symmetry index values collected between the two systems.

A pilot open-label feasibility trial examining an adjunctive mindfulness intervention for adolescents with obesity.

BACKGROUND: Obesity in adolescence is predictive of obesity in adulthood and risk for chronic disease. Traditional behavioral approaches to addressing obesity in adolescence rarely yield meaningful changes in body mass index (BMI), suggesting that adjunctive treatments are necessary. Herein, we describe a study examining whether it is feasible to integrate a brief mindfulness intervention with the usual recommended care for adolescent obesity in a pediatric weight management clinic. METHODS: We conducted a single arm open-label trial with 11 adolescent patients with obesity. Participants received the recommended standard of medical management of obesity (usual care) plus a six-week mindfulness intervention. To assess our primary aim of feasibility, we examined recruitment, retention, and satisfaction rates. Participants also completed measures of mindfulness, emotion regulation, disordered eating, quality of life, and executive functioning, and had their BMI and blood pressure measured. RESULTS: We recruited 11 adolescents to participate in the intervention, with 8 (73%) completing the entire program. Attendance rates (85%) and satisfaction rates (100%) were promising for a larger trial. While preliminary analyses of changes in health outcomes should be examined with caution, effect sizes ranged from small to large with some promising trends in eating behaviors. DISCUSSION: It might be feasible to augment existing behavioral interventions for adolescents with obesity with brief mindfulness; however, some adaptations are needed to enhance recruitment and retention. The lessons learned in this feasibility study can inform an adequately powered efficacy trial. TRIAL REGISTRATION: This research is registered on ClinicalTrials.gov (NCT03874377).