馬の手足の腫れの痛みを和らげる圧縮治療法(Compression Treatment Could Relieve Horses’ Painful Swollen Limbs)

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2023-02-27 ノースカロライナ州立大学(NCState)

ノースカロライナ州立大学の研究チームは、人間のリンパ浮腫を軽減するために開発された技術を、同じ症状に苦しむ馬を助ける医療機器に応用しました。彼らは馬のための圧迫治療デバイス「EQ Press」を開発し、ピロットスタディに成功し、慢性的な状態や、怪我や不活動による一時的な腫れに苦しむ馬にとって緩和策になる可能性があることが示されました。圧迫治療は、従来の包帯やアイシングに比べてより効果的である可能性があります。研究者らは、今後、リンパ浮腫などの疾患を持つ馬に対するEQ Pressの有効性を研究する予定です。

<関連情報>

EQプレスを用いた空気圧圧縮療法は、健康な馬の前肢のリンパの流れを促進することが、リンパシンチグラフィーによって明らかになった。 Pneumatic compression therapy using the EQ Press accelerates lymphatic flow in healthy equine forelimbs as determined by lymphoscintigraphy

Drew W. Koch,Lauren V. Schnabel,Justin Reynolds and Clifford R. Berry
American Journal of Veterinary Research  Published:21 Feb 2023
DOI:https://doi.org/10.2460/ajvr.22.12.0214

Figure 1

Abstract

OBJECTIVE
Limb lymphedema in horses can be debilitating and painful. Pneumatic compression therapy has shown significant benefits for people suffering from lymphedema. The objective of this study was to determine the effect of a novel, equine-specific pneumatic compression device on the lymphatic flow of healthy horse forelimbs as determined by Tc-99m sulfur colloid lymphoscintigraphy.

ANIMALS
6 healthy Thoroughbreds.

PROCEDURES
In a randomized crossover design, horses underwent bilateral forelimb lymphoscintigraphy following subcutaneous injection of Tc-99m sulfur colloid at the coronary band as untreated control or with pneumatic compression therapy using the EQ Press. Lateral, static images were obtained of the distal limb (time 0 to 60 minutes) and proximal limb (time 30 to 60 minutes) using a standard gamma camera. Lymphatic flow was determined by assigning a score to the time point at which Tc-99m sulfur colloid was first visualized at the level of the accessory carpal bone (1 to 7) in the distal limb and the cubital lymph node (1 to 4) in the proximal limb.

RESULTS
EQ Press treatment led to a significantly faster lymphatic flow of Tc-99m sulfur colloid to the predetermined anatomic locations of the accessory carpal bone (P = .002) in the distal limb and the cubital lymph node (P = .001) in the proximal limb.

CLINICAL RELEVANCE
Pneumatic compression therapy as provided by an equine-specific device encouraged lymphatic flow in healthy, nonedematous equine forelimbs. These data support further study of the EQ Press for pneumatic compression therapy in horses clinically affected by lymphedema and lymphatic drainage disorders.

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