Interrater reliability of a customized submaximal cycle ergometer test.

PURPOSE: Graded exercise testing (GXTs) is used to determine maximum oxygen uptake ([Formula: see text]). Recently, customized submaximal exercise testing (CSET) completed on both treadmill and cycle ergometry were validated. METHODS: Interrater reliability of the CSET for cycle ergometry was examined. Thirteen participants (age 31 ± 10.2 y, weight 77.9 ± 10.5 kg, height 176.2 ± 9.9 cm, body mass index 25.1 ± 2.9) completed the 2-stage × 3-min CSET protocol performed by two separate testers. True [Formula: see text] was determined using the highest value derived by a GXT and verification bout. Skeletal muscle oxygen saturation ([Formula: see text]), measured using near-infrared spectrometry on the medial gastrocnemius muscle, and [Formula: see text] were monitored during each CSET; whereby, [Formula: see text] kinetics were modeled breath-by-breath data for each 3-min stage. Measurement agreement was quantified using intraclass coefficient (ICC), typical error (TE), and coefficient of variation (CV). RESULTS: "True" [Formula: see text] (ml·kg-1·min-1) between the GXT (41.3 ± 10.5) and verification (42.5 ± 11.5) was established (ICC = 0.98, TE: 0.98, CV 2.1%). Estimated [Formula: see text] by tester 1 (42.5 ± 9.8) and tester 2 (42.7 ± 8.9) did not differ from "true" [Formula: see text] (F2,36 = 0.02, p = 0.98, ηp2 = 0.00). The second stage evoked a [Formula: see text] slow component of 194 ± 124 ml·min-1 that corresponded with a time-dependent decline of [Formula: see text]. The mean [Formula: see text] from the two CSET testers were highly correlated (ICC = 0.91, TE: 4.1%, CV = 8.9%). CONCLUSIONS: The CSET is a reliable and valid procedure and [Formula: see text] is a useful tool for corroborating the second stage is in the heavy-intensity domain.

Prevalence of mineralisation of the tendon of the supraspinatus muscle in non-lame dogs.

OBJECTIVES: Mineralisation of the tendon of the supraspinatus muscle has been reported as a common finding in dogs with thoracic limb lameness. It is not clear if the mineralisation is a clinically significant cause, or a secondary effect, of lameness. The aim of this retrospective study was to determine the prevalence of mineralisation of the tendon of the supraspinatus muscle in dogs presented to the clinic for reasons other than lameness and where lameness was not evident at the time of presentation. MATERIALS AND METHODS: Dogs undergoing CT of the thorax were identified from the clinical records. The dogs selected were those presented for clinical issues other than lameness and with no history of lameness. The CT scans were screened to identify the presence or otherwise of supraspinatus mineralisation. Signalment was recorded on all the cases. RESULTS: Supraspinatus mineralisation was detected in four out of 99 dogs (4%) with all four cases found in male dogs. Medium to large breed dogs were most frequently affected, with a mean age of 9 years. Unilateral mineralisation of the left thoracic limb only was identified. CLINICAL SIGNIFICANCE: The prevalence of supraspinatus mineralisation was low in this population of non-lame dogs. This low level when compared to the higher prevalence level found in lame dogs, suggests that supraspinatus mineralisation could be associated with lameness in dogs either as an indirect result of lameness or as a primary cause.

Critical speed and finite distance capacity: norms for athletic and non-athletic groups.

PURPOSE: Two parameters in particular span both health and performance; critical speed (CS) and finite distance capacity (D'). The purpose of the present study was to: (1) classify performance norms, (2) distinguish athletic from non-athletic individuals using the 3-min all-out test (3MT) for running, and (3) introduce a deterministic model highlighting the relationship between variables of the 3MT. METHODS: Athletic (n = 43) and non-athletic (n = 25) individuals participated in the study. All participants completed a treadmill graded exercise test (GXT) with verification bout and a 3MT on an outdoor sprinting track. RESULTS: Meaningful differences between non-athletic and athletic individuals (denoted by mean difference scores, p value and Cohen's d with 95% confidence intervals) were evident for CS (- 0.74 m s-1, p < 0.001, d = - 1.41 [1.97, - 0.87]), exponential growth time constant ([Formula: see text]; 2.75 s, p < 0.001, d = - 1.29 [- 1.45, - 0.42]), time to maximal speed ([Formula: see text]; - 2.80 s, p < 0.001, d = - 0.98 [- 1.51, - 0.47]), maximal speed ([Formula: see text]; - 1.36 m s-1, p < 0.001, d = - 1.56 [- 2.13, - 1.01]), gas exchange threshold (GET; - 5.62 ml kg-1 min-1, p < 0.001, d = - 0.97 [- 1.50, - 0.45]), distance covered in the first minute (1st min; - 81.69 m, p < 0.001, d = - 1.91 [- 2.52, - 1.33]), distance covered in the second minute (2nd min; - 52.02 m, p < 0.001, d = - 1.71 [- 2.30, - 1.15]) and maximal distance (- 153.78 m, p < 0.001, d = - 1.27 [- 1.82, - 0.74]). The correlation coefficient between key physiological and performance variables are shown in the form of a deterministic model created from the data derived from the 3MT. CONCLUSIONS: Coaches and clinicians may benefit from the use of normative data to potentially identify exceptional or irregular occurrences in 3MT performances.

Ex vivo kinematic studies of a canine unlinked semi-constrained hybrid total elbow arthroplasty system.

OBJECTIVES: Introduction of the Sirius® canine total elbow arthroplasty system, and presentation of the results of a passive range-of-motion analysis based on ex vivo kinematic studies pre-and post-implantation. MATERIALS AND METHODS: Thoracic limbs (n = 4) of medium sized dogs were harvested by forequarter amputation. Plain orthogonal radiographs of each limb were obtained pre- and post-implantation. Limbs were prepared by placement of external fixator pins and Kirschner wires into the humerus and radius. Each limb was secured into a custom-made box frame and retro-reflective markers were placed on the exposed ends of the pins and wires. Each elbow was manually moved through five ranges-of-motion manoeuvres. Data collected included six trials of i) full extension to full flexion and ii) pronation and supination in 90° flexion; a three-dimensional motion capture system was used to collect and analyse the data. The Sirius elbow prosthesis was subsequently implanted and the same measurements were repeated. Data sets were tested for normality. Paired t-tests were used for comparison of pre- and post-implantation motion parameters. RESULTS: Kinematic analysis showed that the range-of-motion (mean and SD) for flexion and extension pre-implantation was 115° ± 6 (range: 25° to 140°). The range-of-motion in the sagittal plane post-implantation was 90° ± 4 (range: 36° to 130°) and this reduction was significant (p = 0.0001). The ranges-of-motion (mean and SD) for supination and pronation at 90° were 50° ± 5, whereas the corresponding mean ranges-of-motion post-implantation were 38° ± 6 (p = 0.0188). CONCLUSION: Compared to a normal elbow, the range-of-motion was reduced. Post-implantation, supination and pronation range-of-motion was significantly reduced at 90° over pre-implantation values. CLINICAL RELEVANCE: These results provide valuable information regarding the effect of the Sirius system on ex vivo kinematics of the normal canine elbow joint. Further, this particular ex vivo model allowed for satisfactory and repeatable kinematic analysis.

Radiographic and ultrasonographic changes of the patellar ligament following tibial tuberosity advancement in 25 dogs.

INTRODUCTION: Patellar ligament thickening is a recognized response following osteotomy of the proximal tibia as a treatment for cranial cruciate disease. In humans this is seen as a response to increased loading, but the reason for this thickening in dogs is unclear. A prospective study was undertaken to assess the degree and frequency of patellar ligament desmopathy in 25 consecutive cases undergoing tibial tuberosity advancement (TTA). OBJECTIVES: To determine the incidence of patellar ligament thickening following TTA. METHODS: Consecutive cases undergoing TTA had ultrasonographic and radiographic measurements performed of the patellar ligament, at multiple positions on the ligament. This was performed at the time of surgery, and at six weeks and six months (ultrasound only) following surgery. The radiographic measurements were performed by two reviewers who were blinded to the timeframe of each image. RESULTS: There was great variation in both the incidence and degree of thickening of the ligament. Fifty percent of the cases showed no changes in the thickness of the patellar ligament. A clinical pain response was not associated with patellar ligament thickening. No statistically significant variables which predicted the development of patellar ligament thickening were identified . CLINICAL SIGNIFICANCE: The presence of signs of patellar ligament thickening is of questionable clinical significance and is probably an incidental finding.

Cranial tibial plating in the management of failed tibial tuberosity advancement in four large breed dogs.

The management of failed surgical procedures involving osteotomy for tibial tuberosity advancement can be demanding due to the limited available bone stock, which must be large enough to counteract the powerful proximal and cranial distractive forces exerted by the quadriceps mechanism. Initial mode of failure may be related to implant failure, fracture of the tibial tuberosity, or a combination of both. The complications and management of the cases reported here were all associated with avulsion fracture of the tibial tuberosity following tibial tuberosity advancement. In all cases, a cranial tibial dynamic compression plate was applied to reduce the fractures and stabilize the osteotomy. No further major complications associated with the implants or fracture occurred. Radiographic evidence of progression of fracture healing was documented in all four cases at the six to eight-week postoperative follow-up. Long-term follow-up information was available for three out of four cases at nine to 23 months after surgery by telephone interview and validated owner questionnaires. Owners reported return to normal exercise with intermittent lameness occurring in two of the three cases. The authors concluded that this technique offers an alternative technique for the management of such fractures, in particular in large breed dogs where sufficient tibial tuberosity bone stock remains.

Analysis of square-wave bouts to verify VO2max.

Submaximal and supramaximal square-wave bouts have been reported to consistently verify 'true' VO2max. Although a direct comparison between both protocols exists, knowledge on the statistical consistency between the protocols using the same group of participants is lacking. The purpose of this study was to conduct an analysis of the submaximal and supramaximal verification bout performed shortly subsequent to a graded exercise test (GXT). On 2 separate occasions, 6 males and 7 females (age: 29±9 years) completed a GXT protocol and an exhaustive, square-wave bout at either end-GXT power minus 2-stages or 105% end-GXT power. No differences (p>0.05) in VO2max were observed between the GXT and square-wave bouts. The typical error (ml/kg/min) for submaximal (1.09) and supramaximal (1.04) trials was similar. Likewise, similar relative measures of consistency were observed for the submaximal (ICC α=0.97, CV=2.4%) and supramaximal trials (ICC α=0.95, CV=2.3%). For a GXT lasting ~10-12 min, the submaximal or supramaximal protocols appear to be equally effective.

3-min all-out exercise test for running.

A 3-min all-out exercise test (3 MT) estimates critical power and the curvature constant for cycle ergometry validly; however, the mode of running has not been studied. We examined the efficacy of a running 3 MT, using global positioning sensor data, to predict outdoor racing performance. Women distance runners (n=14) were tested at preseason within a month prior to competing officially in either short or middle distance races. Critical speed (CS) (4.46±0.41 m/s) estimated from the 3 MT did not differ (p>0.05) from the mean speed of gas exchange threshold and maximum oxygen uptake (50%Δ), as derived from a custom treadmill graded exercise test (4.55±0.24 m/s). Runners with higher curvature constants (D'), estimated from the 3 MT, raced at higher speeds above CS (R2 ranging 0.63-0.99). Race speeds for 800 m exceeded the speed for 150 s of all-out running, rendering 800 m estimates less accurate. Conversely, predicted times for the other distances yielded strong intraclass correlations (α) and low coefficients of variation (%) values (α=0.74/1.7% and α=0.87/2.1%, for 1 600 and 5 000 m, respectively). Use of the running 3 MT for performances ranging ~2.5-18 min is recommended.

Bilateral angular carpal deformity in a dog with craniomandibular osteopathy.

A four-month-old West Highland White Terrier was presented to the Small Animal Teaching Hospital at the University of Liverpool with the complaint of a bilateral angular carpal deformity. A 20° valgus deformity was present in both thoracic limbs, centred on the distal radial physes. Both distal ulnas were grossly thickened and there was concomitant thickening of the rostral mandible and calvarium. The dog exhibited signs of resentment on palpation of the mandible and signs of pain were elicited on flexion and extension of both elbow joints. No signs of pain were evident on palpation of the ulnas or calvarium. Radiographic images of both ulnas showed marked amorphous periosteal new bone formation. The distal ulnar physes were closed centrally and both elbow joints had humeroulnar subluxation. Radiographic changes to the calvarium and mandibular rami were consistent with a diagnosis of craniomandibular osteopathy. A bilateral ulna ostectomy was performed to correct the angular limb deformity and elbow subluxations. Histology of the ostectomised pieces showed changes consistent with craniomandibular osteopathy.

Pneumorrhachis in a rottweiler.

An 8·5-year-old, female, neutered, Rottweiler was presented for investigation of progressive ataxia of one week duration. Proprioception was absent in the left pelvic limb and reduced on the right, thoracolumbar hyperalgesia was evident and pelvic limb segmental spinal reflexes were normal. Magnetic resonance imaging (MRI) demonstrated a spherical region of signal void compressing the spinal cord between the fifth and sixth thoracic vertebrae and several non-compressive degenerate intervertebral discs. Computed tomography (CT) of the region confirmed the findings and identified the lesion as gas. A dorsolateral hemilaminectomy was performed to decompress the spinal cord and achieved complete resolution of the clinical signs on examination after 3 months. This is the first known reported case of spontaneous pneumorrhachis in a veterinary patient.

Validity of 3 protocols for verifying VO2 max.

The verification bout has emerged as a technique for confirming 'true' VO2 max; however, validity during a single visit is unknown. We evaluated 3 different GXT durations with severe intensity verification bouts. On 3 separate days, in counterbalanced order, 12 recreational-trained men completed short (9±1 min), middle (11±1 min), and long (13±2 min) duration GXTs followed by exhaustive, sine wave verification bouts during the same visit. Intensities for verification were set at speeds equivalent to 2-stages minus end-GXT speed. No differences (p<0.05) in VO2 max (mL/kg/min) were observed between short (49.1), middle (48.2), and long (48.8) protocols. In addition, no differences in verification bout duration occurred between protocols (3±1 min). Validity of VO2 max was strongest for the middle duration protocol (ICC α=0.97; typical error=1 mL/kg/min; CV=2%). A small, but significantly higher HR (max) (∼1-2 bpm) was observed for the long protocol. Maximum respiratory exchange ratios were inconsistent (ICC α ranged 0.58-0.68). Our findings indicate GXT-verification bout testing during a single visit is a valid means of measuring 'true' VO2 max. The 10 min target for GXT duration was the optimum.

The use of transarticular external skeletal fixation in the management of failed tibial tuberosity transposition in five dogs.

The management of tibial tuberosity fracture-avulsion after tibial tuberosity transposition can be challenging. Implants must be able to resist the strong distractive force of the quadriceps mechanism, yet implant size is limited by the amount of tuberosity bone stock available. Revision fixation is compromised further by fragmentation of the tubercle. Five stifle joints had temporary transarticular external skeletal fixators applied to manage complications of tibial tuberosity transposition. Fracture reduction was confirmed in four out of five tibial tuberosity fractures. Frames were in place for a mean of 44 days. Frame associated complications occurred in four out of five limbs, the most common being pin tract discharge and associated osteolucency. All frame-associated complications resolved. Long-term follow-up information was available for three of the five animals at 13 to 18 months after frame removal. All three owners reported occasional lameness, but this was attributed to concurrent orthopaedic disease. Transarticular external skeleton fixation protects internal fixation techniques, and good limb function was achieved in most cases. Transarticular external skeleton fixation can be successfully used to augment repair of tibial tuberosity fracture after tibial tuberosity transposition.

Effect of surgical technique on radiographic fusion of the anconeus in the treatment of ununited anconeal process.

OBJECTIVES: The aim of this study was to determine if internal fixation of the anconeus combined with a proximal ulnar osteotomy was more likely to result in fusion of the anconeus to the ulna compared with a proximal ulnar osteotomy alone. METHODS: A total of 12 orthopaedic referral clinics reviewed their clinical databases for cases of ununited anconeal process. Demographic and clinical parameters were collected along with radiographic follow-up at a minimum of four weeks. Cases treated with proximal ulnar osteotomy alone were compared with those treated with proximal ulnar osteotomy + internal fixation. Both groups were compared for background and disease variables. We tested for an association between treatment method and whether radiographic anconeal union had occurred. RESULTS: A total of 47 elbows (44 dogs) were identified. Of these, 28 cases (average age 7.6 months) were treated with proximal ulnar osteotomy (of which eight were stabilised with an intramedullary pin) alone. Nineteen cases (average age 7.1 months) were treated with proximal ulnar osteotomy + internal fixation. The two groups were not significantly different in age (P=0.638, Mann-Whitney U test). Fourteen of 28 cases with proximal ulnar osteotomy alone displayed anconeal union at follow-up compared with 16 of 19 cases of proximal ulnar osteotomy + internal fixation, and this difference was statistically significant (P=0.029, Fisher's exact test). CLINICAL SIGNIFICANCE: These data suggest that use of a lag screw to stabilise and compress the ununited anconeal process in addition to proximal ulnar osteotomy produces a better radiographic outcome. It is argued that radiographic union of the anconeus is likely to be associated with better long-term clinical outcome but further studies are required to confirm this.

Arthroscopic management of a lateral glenohumeral ligament rupture in two dogs.

Tears to the lateral glenohumeral ligament appear to be uncommon in dogs. Two Labrador Retrievers were arthroscopically diagnosed with lateral glenohumeral ligament tears of the shoulder. Both cases failed to respond to conservative management. Surgical stabilisation of the lateral aspect of the shoulder joint was achieved using an arthroscopically placed suture using a hanging limb technique. Lameness resolved in both cases.

Stabilisation of medial shoulder instability by imbrication of the subscapularis muscle tendon of insertion.

OBJECTIVES: To evaluate the efficacy of subscapularis muscle tendon of insertion imbrication as a treatment for medial shoulder instability. METHODS: Medial shoulder instability was diagnosed in five dogs. Initial management with medical or arthroscopic treatment failed to fully resolve lameness in four of the cases. Each case was treated by subscapularis muscle tendon of insertion imbrication. An anatomical model of medial shoulder instability was used to assess the effect of subscapularis muscle tendon of insertion imbrication on the angle of abduction of the shoulder. RESULTS: In clinical study, subscapularis muscle tendon of insertion imbrication was performed in five cases. Lameness resolved fully in three cases and partially in two cases. In cadaver study, transection of either the subscapularis muscle tendon of insertion or the subscapularis muscle tendon of insertion and medial glenohumeral ligament significantly increased the angle of abduction. Imbrication of the subscapularis muscle tendon of insertion significantly reduced the angle of abduction. No significant differences were noted between the angle of abduction of normal shoulder and the shoulder with medial shoulder instability treated by subscapularis muscle tendon of insertion imbrication. CLINICAL SIGNIFICANCE: Subscapularis muscle tendon of insertion imbrication is a moderately effective procedure for the management of medial shoulder instability unresponsive to medical and/or arthroscopic management. The angle of abduction of the shoulder was returned to normal in model of medial shoulder instability, following subscapularis muscle tendon of insertion. Subscapularis muscle tendon of insertion imbrication provides a relatively simple method of treating medial shoulder instability in dogs.

Traceability in the food animal industry and supermarket chains.

Since the 1950s, consumers in the United Kingdom (UK) have learned to expect cheap, but safe food. A number of incidents in the 1980s and 1990s caused public alarm and loss of confidence in the role of producers and the Government in the food supply. This review examines the impact of recent food scares in the UK, where scrutiny of the food industry has led to the introduction of new controls at all stages of production. Animal feed manufacture, livestock production, slaughter and the use or disposal of animal by-products are now controlled in ways unimagined prior to the identification of bovine spongiform encephalopathy (BSE) in the late 1980s. Traceability has become an important issue for consumers and, by proxy, for the multiple retailers that service consumer needs. Retailers have increasingly managed the food chain to ensure high standards that can be proven by audit. The retailers have also found that a commercial advantage can be gained from certain aspects of source verification. In order to maximise sales in a depressed market, producer groups have themselves developed a multiplicity of assurance schemes.

Corrective neuromuscular approach to the treatment of iliotibial band friction syndrome: a case report.

OBJECTIVE: To describe the evaluation and treatment process for inappropriate functional patterns of neuromuscular activity within the scope of an iliotibial band friction syndrome protocol. BACKGROUND: Runners with iliotibial band friction syndrome are frequently fitted with orthotic devices to restrict excessive midfoot or rearfoot, or both, motions during the stance phase. These devices may fail to yield favorable results when underlying neuromuscular factors are associated with functional iliotibial band tightening. DIFFERENTIAL DIAGNOSIS: Distal biceps femoris tendinitis, popliteal tendinitis, lateral meniscus lesion. TREATMENT: The athlete's physical examination revealed several patterns of inappropriate neuromuscular activity attributed partly to the prolonged daily wear of beach-type sandals. Modifications of casual footwear and a temporary reduction in training volume were recommended initially to prevent exacerbation of the athlete's condition. Stretching, massage, and soft tissue mobilization were administered in accordance with the athlete's specific needs. The protocol included progressions of nonweightbearing and weightbearing therapeutic exercises. Neuromuscular electric stimulation was incorporated into the protocol to re-educate the role of the first ray within the stance phase of the athlete's walking gait. UNIQUENESS: Upon stationary examination, this athlete presented with normal lumbar and lower extremity postures. Gait analysis, however, revealed inappropriate dorsiflexion of the great toe during ambulation. Further, the athlete's performances on a series of tests to assess neuromuscular function were substandard. This athlete's response to previous treatment and unique physical findings required a corrective neuromuscular approach that deviates from iliotibial band friction syndrome protocols advocating the use of orthotics. CONCLUSIONS: While the role of any single treatment in the athlete's recovery remains unknown, it seems that a corrective neuromuscular approach in the management of iliotibial band friction syndrome represents a viable alternative to orthotic intervention.

Influence of ivermectin and clorsulon treatment on productivity of a cow-calf herd on the southern Oregon coast.

The reproductive performance of beef cows and the weight gain of their calves was evaluated after oral administration of clorsulon or clorsulon in combination with the subcutaneous administration of ivermectin. One hundred and fifty pregnant cows harboring infections of Fasciola hepatica were assigned to one of three treatment groups: Group 1 comprising 50 unmedicated controls; Group 2, 50 cows treated with clorsulon orally at 7 mg kg-1; Group 3, 50 cows treated with clorsulon orally at 7 mg kg-1 and ivermectin subcutaneously at 200 micrograms kg-1. Weights and body condition scores of the cows were measured and fecal and blood samples were taken at trial initiation and days 158 and 270. Pregnancy status was also determined at day 270. Weights and body condition scores were measured for the calves at days 158 and 270. Adjusted 205 day weaning weight of the calves was calculated and analyzed for differences between treatment groups. Four sets of tracer calves were used periodically throughout the trial to monitor the helminth challenge to the herd. Both gastro-intestinal nematodes and liver flukes were transmitted to the tracer calves during the entire trial. Even in the face of continual helminth challenge, beef cows treated with combined clorsulon/ivermectin conceived approximately 2 weeks earlier than their untreated counterparts and their calves had better body condition scores and weights than untreated calves.