Contributors
FELIX DUERR, Dr. med. vet., MS (Source: Veterinary Clinics of North America: Small Animal Practice)
Source: Veterinary Clinics of North America: Small Animal Practice - June 15, 2022 Category: Veterinary Research Source Type: research

Contents
Felix Duerr and Lindsay Elam (Source: Veterinary Clinics of North America: Small Animal Practice)
Source: Veterinary Clinics of North America: Small Animal Practice - June 15, 2022 Category: Veterinary Research Source Type: research

Forthcoming Issues
Telemedicine (Source: Veterinary Clinics of North America: Small Animal Practice)
Source: Veterinary Clinics of North America: Small Animal Practice - June 15, 2022 Category: Veterinary Research Source Type: research

Evidence-Based Complementary and Alternative Canine Orthopedic Medicine
The use of complementary and alternative veterinary medicine (CAVM) continues to become more widespread, especially for the management of chronic pain conditions such as canine osteoarthritis. Many patients have comorbidities that preclude traditional medical options, have not adequately responded to conventional therapies, or have owners interested in pursuing a complementary approach. Evidence-based CAVM can serve as a safe and effective adjunct to manage chronic pain conditions. There is growing evidence in the veterinary literature for the use of acupuncture and some herbal supplements in the multimodal management of c...
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Erin Miscioscia, Jennifer Repac Source Type: research

Canine Comprehensive Mobility Assessment
A comprehensive mobility assessment goes beyond the orthopedic or neurologic examination for the localization of pathology. This assessment involves attention to the dog ’s posture and stance, a hands-on examination with special attention to soft tissue structures, and the performance of functional assessments. A comprehensive mobility assessment can guide advanced diagnostic testing as well as providing a foundation in the formulation of a successful treatment pl an. (Source: Veterinary Clinics of North America: Small Animal Practice)
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Christina Montalbano Source Type: research

Evidence-Based Complementary and Alternative Orthopedic Veterinary Medicine
The use of complementary and alternative veterinary medicine (CAVM) continues to become more widespread, especially for the management of chronic pain conditions such as canine osteoarthritis. Many patients have comorbidities that preclude traditional medical options, have not adequately responded to conventional therapies, or have owners interested in pursuing a complementary approach. Evidence-based CAVM can serve as a safe and effective adjunct to manage chronic pain conditions. There is growing evidence in the veterinary literature for the use of acupuncture and some herbal supplements in the multimodal management of c...
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Erin Miscioscia, Jennifer Repac Source Type: research

Joint Injection Techniques and Indications
Indications for injecting synovial joints may include diagnostic, therapeutic, or combination. Diagnostic injectates aim to reduce or eliminate the contribution of pain to lameness and may be assessed both subjectively or objectively by the clinician. Diagnostic joint injections are not specific for a disease and their limitations must be remembered when interpreting a response —including false-negative results. Patient selection and sterile technique throughout the procedure minimize adverse effects. Risks of intra-articular (IA) injections may include transient soreness, cartilage damage, and, rarely, septic arthritis....
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Chris W. Frye, Allison Miller Source Type: research

Platelet-Rich Plasma as an Orthobiologic
Platelet-rich plasma (PRP) is an autologous blood-derived product processed to concentrate platelets and the associated growth factors. PRP has been shown to be relatively well-tolerated and safe to use for a number of conditions in humans, equines, and canines. There are multiple commercial systems that have been validated for canine use. These systems use a variety of methodologies to produce a PRP product. However, PRP products have been shown to differ greatly between systems. Further study is needed to fully elucidate optimal component concentrations for various indications. (Source: Veterinary Clinics of North Americ...
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Brittany Jean Carr Source Type: research

Canine Mobility Maintenance and Promotion of a Healthy Lifestyle
This article highlights the recommendations and considerations for maintaining a healthy canine lifestyle. A key component of a healthy lifestyle is the enhancement and optimization of mobility. Mobility is essential in maintaining a high quality of life and involves the interplay of a dog's structure, posture, body condition score, physical exercise, and a healthy human-animal bond throughout a dog's lifetime. (Source: Veterinary Clinics of North America: Small Animal Practice)
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Meghan T. Ramos, Cynthia M. Otto Source Type: research

Clinical Guide to Obesity and Nonherbal Nutraceuticals in Canine Orthopedic Conditions
The typical canine rehabilitation patient with orthopedic disease may differ in its nutritional needs, with the assumption that most patients will be on a complete and balanced commercial dog food that is not enriched with agents for ameliorating their condition. For a significant number of rehabilitation patients, obesity is a major issue where hypocaloric diet plans are often implemented and are covered extensively elsewhere (VCNA Small Animal Practice May 2021). The focus of this article will be implementation of physical activity or structured physical exercise protocols and how they might be used in combination with a...
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Barbara Esteve Ratsch, David Levine, Joseph Wakshlag Source Type: research

Intra-articular Injectates
Intra-articular injections are a nonsurgical treatment modality that can be used to manage osteoarthritis, naturally occurring or surgically induced acute synovitis, and intra-articular ligamentous or tendon injury. This option may be assistive for patients in which other conservative modalities are ineffective, or in conjunction with other forms of treatment. It may also be used as the primary treatment. Injectates labeled for use in companion animal joints include corticosteroids and viscosupplements. Additional injectates, that are not specifically approved for use in companion animals are but are reported in the litera...
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Peter J. Lotsikas Source Type: research

Physical Rehabilitation for Small Animals
Physical rehabilitation incorporates several elements, including but not limited to therapeutic exercises, manual therapy, and physical modalities. Understanding of the effects, indications, contraindications, and precautions is essential for proper use, while understanding of the diagnosis, assessment of the stage of tissue healing and repair, and accurate clinical assessment of the functional limitations are essential when establishing a physical rehabilitation plan. (Source: Veterinary Clinics of North America: Small Animal Practice)
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Lauri-Jo Gamble Source Type: research

Guidelines to Home Exercises and Lifestyle Modifications for Common Small Animal Orthopedic Conditions
Patients with osteoarthritis and other orthopedic conditions may benefit from a home exercise program, as well as lifestyle modifications based on their condition. Home exercises can be performed to improve a pet ’s range of motion, weight-bearing, strength, and overall mobility. A home exercise program should be designed to improve the patient’s impairments, and progression of exercises should occur depending on the patient’s response and ability to master each exercise. Modifications to the pet’s h ome environment should be considered so the pet can maneuver around the house and perform its daily tasks. (Source: ...
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Carolina Medina Source Type: research

Conditioning Dogs for an Active Lifestyle
The aim of conditioning is to remodel body tissues in preparation for the physical demands of activity. Body tissues need strength to produce and withstand the forces generated during movement. Body tissues remodel in response to load, for example, training can remodel and increase the size of tendons, but this takes time. Training does more than just strengthening tissues; it also improves tissue response to exercise and recovery time. The National Sports Medicine Institute in the United Kingdom states “regular exercise increases muscle tone, facilitates good circulation, improves strength, agility and flexibility and i...
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Julia Tomlinson, Megan Nelson Source Type: research

Objective Gait Analysis: Review and Clinical Applications
Objective kinetic and kinematic data can be used as an objective measure of treatment intervention over time but can also be used to evaluate progress of clinical patients. Force plate and pressure sensitive walkway systems both offer the clinician the ability to obtain useful kinetic data, whereas additional equipment is required to obtain kinematic data. Which system is preferred depends on what specific data the researcher or clinician hopes to acquire; both are accurate and consistent, and each offers pros and cons compared with the other that must be considered. (Source: Veterinary Clinics of North America: Small Animal Practice)
Source: Veterinary Clinics of North America: Small Animal Practice - May 10, 2022 Category: Veterinary Research Authors: Nina R. Kieves Source Type: research