Superficial digital flexor tendinitis treatment using high-intensity laser therapy and therapeutic ultrasound in polo ponies https://doi.org/10.12982/VIS.2022.020

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Angkana Kidtiwong
Pemika Issariyodom
Ubon Pirunsan
Kannika Na Lampang
Porrakote Rungsri

Abstract

High-intensity laser therapy (HILT) is an alternative technique that should provide better results than therapeutic ultrasound in the treatment of tendinitis. However, there has not yet been a study to support this hypothesis in horses, especially in polo ponies. This study aims to follow up the outcomes of high-intensity laser therapy and therapeutic ultrasound in tendinitis polo ponies in Thailand. Twelve limbs with tendinitis from 10 ponies were included in the study after lameness examination; the limbs were confirmed to have tendinitis via ultrasonography. The ponies were randomized to high-intensity laser therapy and therapeutic ultrasound group. Recordings of the severity of the cross-sectional area (CSA), echogenicity score, fiber alignment score (FAS), lameness examination and pain responsive were performed on day 0, day 8, day 30 and day 60. The samples were randomized to six limbs in each treatment group. The results show that there was no significantly change in the CSA within treatment groups (HILT: p = 0.2; therapeutic ultrasound p > 0.9) and between the treatment group (p > 0.9), echogenicity score or FAS within and between the treatment group in 60 days of study. None of the ponies in this study experienced skin reactions from the treatment. In conclusion, both high-intensity laser therapy and therapeutic ultrasound are safe to use in the tendinitis of polo ponies and have the ability to decrease inflammation. However, a rehabilitation program is still the most important part that should be controlled along with the treatment. 

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How to Cite
Kidtiwong, A. ., Issariyodom, P. ., Pirunsan, U. ., Na Lampang, K. ., & Rungsri, P. . (2022). Superficial digital flexor tendinitis treatment using high-intensity laser therapy and therapeutic ultrasound in polo ponies: https://doi.org/10.12982/VIS.2022.020. Veterinary Integrative Sciences, 20(2), 253–266. Retrieved from https://he02.tci-thaijo.org/index.php/vis/article/view/256129
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Research Articles

References

Baker, K.G., Robertson, V.L. and Duck, F.A., 2001. A Review of Therapeutic Ultrasound: Biophysical Effects. Phys Ther. 81, 1351-8.

Baxter, G.M. and Stashak, T.S., 2011. Examination for Lameness: HISTORY, VISUAL EXAM, AND CONFORMATION. In: Baxter, G.M. (Ed.), Adams and Stashak's Lameness in Horses, 6th edn., Blackwell Publishing, Oxford, pp. 109-150.

Hodgson, D.R., McGowan, C.M. and McKeever, K., 2013. The athletic horse: principles and practice of equine sports medicine, 2nd edn., Elsevier Health Sciences, Missouri.

Birch, H.L., Wilson, A.M. and Goodship, A.E., 2008. Physical activity: does long-term, high-intensity exercise in horses result in tendon degeneration?. J. Appl. Physiol. 105, 1927-1933.

Costa-Paz, M., Aponte-Tinao, L. and Muscolo, D.L., 1999. Injuries to polo riders: a prospective evaluation. Br. J. Sports Med. 33, 329-31.

Demir, H., Menku, P., Kirnap, M., Calis, M. and Ikizceli, I., 2004. Comparison of the effects of laser, ultrasound, and combined laser + ultrasound treatments in experimental tendon healing. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery. 35, 84-89.

Denoix, J.M., Pailloux, J.P. and Lewis, J., 2001. Physical therapy and massage for the horse, 2nd edn., Taylor&Francis group, Florida.

Farcic, T.S., Baldan, C.S., Cattapan, C.G., Parizotto, N.A., João, S. and Casarotto, R.A., 2013. Treatment time of ultrasound therapy interferes with the organization of collagen fibers in rat tendons. Braz. J. Phys. Ther. 17, 263-71.

Farcic, T.S., Baldan, C.S., Machado, A.F., Caffaro, L.A., Masson, I.F. and Casarotto, R.A., 2018. Collagen fibers in the healing process of rat Achilles tendon rupture using different times of ultrasound therapy. Adv. Wound Caref. 7, 114-20.

Geburek, F., Lietzau, M., Beineke, A., Rohn, K. and Stadler, P.M., 2015. Effect of a single injection of autologous conditioned serum (ACS) on tendon healing in equine naturally occurring tendinopathies. STEM CELL RES THER. 6, 1-4.

Geburek, F., Gaus, M., Van Schie, H.T., Rohn, K. and Stadler, P.M., 2016. Effect of intralesional platelet-rich plasma (PRP) treatment on clinical and ultrasonographic parameters in equine naturally occurring superficial digital flexor tendinopathies–a randomized prospective controlled clinical trial. BMC Vet Res. 12, 1-6.

Goodrich, L.R., 2011. Tendon and ligament injuries and disease. In: Baxter, G.M. (Ed.), Adams and Stashak's Lameness in Horses, 6th edn., Blackwell Publishing, Oxford, pp. 927-929.

Ho, J.O., Sawadkar, P. and Mudera, V., 2014. A review on the use of cell therapy in the treatment of tendon disease and injuries. J. Tissue Eng. 5, 2041731414549678.

Inness, C.M. and Morgan, K.L., 2015. Falls and injuries to Polo players: risk perception, mitigation and risk factors. Sports Med.-Open. 1, 1-6.

Inness, C.M. and Morgan, K.L., 2015. Polo pony injuries: player‐owner reported risk, perception, mitigation and risk factors. Equine Vet J. 47, 422-7.

Kaneps, A.J., 2016. Practical rehabilitation and physical therapy for the general equine practitioner. Veterinary Clinics: Equine Practice. 32, 167-180.

Kasashima, Y., Takahashi, T., Smith, R.K., Goodship, A.E., Kuwano, A., Ueno, T. and Hirano, S., 2004. Prevalence of superficial digital flexor tendonitis and suspensory desmitis in Japanese Thoroughbred flat racehorses in 1999. Equine Vet J. 36, 346-50.

Larkin, K.A., Martin, J.S., Zeanah, EH., True, J.M., Braith, R.W. and Borsa, P.A., 2012. Limb blood flow after class 4 laser therapy. J. Athl. Train. 47, 178-83.

Lehmann, J.F., 1990. Cryotherapy. In: Lehmann, J.F. (Ed.), Therapeutic Heat and Cold, 4th edn., Williams & Wilkins, Baltimore.

Lipman, K., Wang, C., Ting, K., Soo, C. and Zheng, Z., 2018. Tendinopathy: injury, repair, and current exploration. Drug Des. Devel. Ther.12, 591-603.

McGowan, C. and Goff, L., 2016. Animal physiotherapy, 2nd edn., John Wiley & Sons, Oxford.

Murray, R.C., Dyson, S.J., Tranquille, C. and Adams, V., 2006. Association of type of sport and performance level with anatomical site of orthopaedic injury diagnosis. Equine Vet J. 38, 411-6.

Tamura, N., Kodaira, K., Yoshihara, E., Mae, N., Yamazaki, Y., Mita, H., Kuroda, T., Fukuda, K., Tomita, A. and Kasashima, Y., 2018. A retrospective cohort study investigating risk factors for the failure of Thoroughbred racehorses to return to racing after superficial digital flexor tendon injury. Vet. J. 235, 42-46.

Pluim, M., Martens, A., Vanderperren, K., Sarrazin, S., Koene, M., Luciani, A., Van Weeren, P.R. and Delesalle, C., 2018. Short-and long term follow-up of 150 sports horses diagnosed with tendinopathy or desmopathy by ultrasonographic examination and treated with high-power laser therapy. Vet. Sci. Res. J. 119, 232-8.

Thorpe, C. T., McDermott, B. T., Goodship, A. E., Clegg, P. D. and Birch, H. L., 2016. Ageing does not result in a decline in cell synthetic activity in an injury prone tendon. Scand J Med Sci Sports. 26, 684-693.

Ribitsch, I., Gueltekin, S., Keith, M. F., Minichmair, K., Peham, C., Jenner, F. and Egerbacher, M., 2020. Age‐related changes of tendon fibril micro‐morphology and gene expression. J. Anat. 236, 688-700.

Reed, S.K., Kramer, J., Thombs, L., Pitts, J.B., Wilson, D.A. and Keegan, K.G., 2020. Comparison of results for body-mounted inertial sensor assessment with final lameness determination in 1,224 equids. JAVMA-J AM VET MED A. 256, 590-9.

Roberts, D.B., Kruse, R.J. and Stoll, S.F., 2013. The effec tiveness of therapeutic class IV (10 W) laser treatment for epicondylitis. Lasers. Surg. Med. 45, 311-7.

Santamato, A., Solfrizzi, V., Panza, F., Tondi, G., Frisardi, V., Leggin, B.G., Ranieri, M. and Fiore, P., 2009. Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of people with subacromial impingement syndrome: a randomized clinical trial. Phys. Ther. 89, 643-52.

Smith, R.K. and Cauvin, E.R., 2014. Ultrasonography of the metacarpus and metatarsus. In: Kidd, J.A, Lu, G.K, Frazer, M.L (Eds.), Atlas of equine ultrasonography, John Wiley & Sons, Oxford, pp. 73-105.

Snively, B.C., Bowser, J.E., Nabors, B. and Linford, R.L., 2015. 25 The thermal effects of protective sports boots on the forelimb of Thoroughbred and Argentinian polo ponies. Equine Vet. Sci. 5, 393-394.

Thomopoulos, S., Parks, W.C., Rifkin, D.B. and Derwin, K.A., 2015. Mechanisms of tendon injury and repair. J. Orthop. Res. 33, 832-9.

United States Department of Agriculture, Animal and Plant Health Inspection Service., 2001. National Economic Cost of Equine Lameness, Colic and Equine Protozoal Myeloencephalitis (EPM) in the United States.

Williams, R.B., Harkins, L.S., Hammond, C.J. and Wood, J.L., 2001. Racehorse injuries, clinical problems and fatalities recorded on British racecourses from flat racing and National Hunt racing during 1996, 1997 and 1998. Equine Vet J. 33, 478-86.

Witte, S., Dedman, C., Harriss, F., Kelly, G., Chang, Y.M. and Witte, T.H., 2016. Comparison of treatment outcomes for superficial digital flexor tendonitis in National Hunt racehorses. Vet. J. 216, 157-63.

Zielińska, P., Nicpoń, J., Kiełbowicz, Z., Soroko, M., Dudek, K. and Zaborski, D., 2020. Effects of high intensity laser therapy in the treatment of tendon and ligament injuries in performance horses. Animals. 10, 1327.

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