{"id":3300,"date":"2021-12-07T21:19:19","date_gmt":"2021-12-07T20:19:19","guid":{"rendered":"https:\/\/crarbcn.com\/osteoartrosis-felina\/"},"modified":"2021-12-08T18:53:51","modified_gmt":"2021-12-08T17:53:51","slug":"osteoartrosis-felina","status":"publish","type":"post","link":"https:\/\/crarbcn.com\/es\/osteoartrosis-felina\/","title":{"rendered":"Osteoartrosis felina"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Caso realizado por Eva Vidal, veterinaria rehabilitadora de CRAR<\/h2>\n\n<p class=\"wp-block-paragraph\">Este mes en el blog de CRAR \u2013 Centro de Rehabilitaci\u00f3n Animal de Referencia, especialistas en fisioterapia veterinaria en Barcelona queremos compartir el caso de un gato de 16 a\u00f1os con osteoartrosis felina que le produjo dolor cr\u00f3nico durante 4 a\u00f1os.<\/p>\n\n<p class=\"wp-block-paragraph\">Nice es un gato europeo s\u00e9nior, con un historial muy parecido a la de muchos de tus pacientes felinos:<\/p>\n\n<ul class=\"wp-block-list\"><li>Problemas de movilidad con cojera y dolor generalizado desde hace 4 a\u00f1os.<\/li><li>Cistitis idiop\u00e1tica.<\/li><li>Exodoncies por gingivoestomatitis cr\u00f3nica.<\/li><li>Soprepeso.<\/li><\/ul>\n<p class=\"wp-block-paragraph\">El <a href=\"https:\/\/granvia.mivetclinicas.com\/\">Centro Veterinario Mivet Gran V\u00eda<\/a> diagnosticaron a Nice de osteoartrosis en las extremidades anteriores, codos y carpos. Se hicieron tratamientos con AINEs hasta que se alteraron los valores de SDMA, desde entonces estaba tomando buprenorfina pero lo dejaba muy adormilado y no controlaba del todo el dolor, por el que decidieron referirnos el caso para hacer tratamiento multimodal.<\/p>\n\n<figure class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-1.png\" alt=\"\" data-id=\"3279\" data-full-url=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-1.png\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3279\" class=\"wp-image-3281\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-1.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-1-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-3.png\" alt=\"\" data-id=\"3285\" data-full-url=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-3.png\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3285\" class=\"wp-image-3287\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-3.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-3-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-2.png\" alt=\"\" data-id=\"3282\" data-full-url=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-2.png\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3282\" class=\"wp-image-3284\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-2.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/Osteoartrosis-felina-Rx-2-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><\/ul><\/figure>\n<blockquote class=\"wp-block-quote is-style-default is-layout-flow wp-block-quote-is-layout-flow\"><p><em>La incidencia de <strong>OA felina<\/strong> es del <strong>40%<\/strong>, pero tan solo se diagnostican la mitad de los casos, y solo se llegan a tratar un 13%.<\/em><\/p><\/blockquote>\n\n<blockquote class=\"wp-block-quote is-style-default is-layout-flow wp-block-quote-is-layout-flow\"><p><em>El dolor articular en la especie felina no suele producir cojeras, el m\u00e1s com\u00fan son cambios en su comportamiento: duermen m\u00e1s, interaccionan menos, suben y bajan de zonas altas con dificultad, aumentan las conductas agresivas\u2026<\/em><\/p><\/blockquote>\n\n<blockquote class=\"wp-block-quote is-style-default is-layout-flow wp-block-quote-is-layout-flow\"><p><em><em>Sus cuidadores atribuyen estos cambios a la misma edad y no a la presencia de dolor. Adem\u00e1s, se tiene que tener en cuenta que los gatos son especialistas en camuflar el dolor o los signos de enfermedad para no ser presa de los depredadores. Es preciso pues, reconocer las manifestaciones de dolor cr\u00f3nico para poder diagnosticar e iniciar una terapia multifactorial individualizada a las necesidades del paciente.<\/em><\/em><\/p><\/blockquote>\n\n<h2 class=\"wp-block-heading\"><span style=\"color:#4ab69f\" class=\"has-inline-color\">Primera valoraci\u00f3n funcional<\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li><strong>Examen neurol\u00f3gico<\/strong>: Estado mental alerta, reflejos espinales y sensibilidad en extremidades posteriores buenos, no hay ataxia, respuestas posturales en extremidades posteriores correctas.<\/li><li><strong>BCS:<\/strong> 8\/9<\/li><li><strong>Din\u00e1mica:<\/strong> Cojera 1\/6 extremidad anterior derecha, acortamiento leve del paso de la extremidad posterior derecha y rigidez de la columna al paso.<\/li><li><strong>Est\u00e1tica:<\/strong> En estaci\u00f3n desplaza extremidad posterior derecha un poco hacia caudal, leve atrofia muscular extremidad anterior derecha. Movilizaciones cervicales correctas, posici\u00f3n cola y cabeza buena. Molestia a la movilizaci\u00f3n dorsal de la cola, dolor a la zona lumbar y cadera derecha. Buen ROM general EEPP y EEAA.<\/li><\/ul>\n<h2 class=\"wp-block-heading\"><span style=\"color:#4ab69f\" class=\"has-inline-color\">Objetivos<\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li><strong>Mantener el ROM de las articulaciones<\/strong>.<\/li><li>Control <strong>dolor e inflamaci\u00f3n<\/strong>.<\/li><li>Aumentar <strong>trofismo muscular<\/strong>.<\/li><li><strong>Control de peso<\/strong>.<\/li><\/ul>\n<h2 class=\"wp-block-heading\"><span style=\"color:#4ab69f\" class=\"has-inline-color\">Plan de rehabilitaci\u00f3n<\/span><\/h2>\n\n<p class=\"wp-block-paragraph\"><strong>En este caso propusimos 1 sesi\u00f3n semanal con radiofrecuencia o l\u00e1ser, adapt\u00e1ndonos al paciente. <\/strong><strong><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\"><strong>A Nice no le gust\u00f3 al principio tanta manipulaci\u00f3n, por lo tanto adaptamos el plan de rehabilitaci\u00f3n y pasamos a hacer l\u00e1ser conjuntamente a TENS. De esta forma redujimos el estr\u00e9s de tal forma que incluso se quedaba dormido durante la terapia.<\/strong><strong><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\"><strong>La p\u00e9rdida de peso fue un objetivo prioritario, por el que pautamos ejercicios activos y otras pautas para realizar en casa.<\/strong><strong><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Las <strong>terapias de rehabilitaci\u00f3n veterinaria<\/strong> <strong>que usamos fueron:<\/strong><\/p>\n\n<ul class=\"wp-block-list\"><li><strong><a href=\"https:\/\/crarbcn.com\/es\/terapia-laser-el-paso-a-paso-de-su-uso-en-veterinaria\/\">Laser<\/a>\/<a href=\"https:\/\/crarbcn.com\/es\/indiba-la-radiofrecuencia-en-rehabilitacion-veterinaria\/\">Radiofrecuencia<\/a>:<\/strong>aumenta el metabolismo dentro de la c\u00e9lula, mejorando el transporte de nutrientes a trav\u00e9s de la membrana celular. Adem\u00e1s, se incrementa la producci\u00f3n de energ\u00eda celular (ATP), generando una cascada de efectos beneficiosos, cono aumento de la funci\u00f3n y salud celulares.<\/li><li><strong>TENS-Electroestimulaci\u00f3n: <\/strong>electrodos colocados en la piel con efectos analg\u00e9sicos.<\/li><\/ul>\n<figure class=\"wp-block-gallery columns-1 is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Electroestimulacion_TENS_Osteoatrosis_felina.png\" alt=\"\" data-id=\"3276\" data-full-url=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Electroestimulacion_TENS_Osteoatrosis_felina.png\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3276\" class=\"wp-image-3278\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Electroestimulacion_TENS_Osteoatrosis_felina.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/Electroestimulacion_TENS_Osteoatrosis_felina-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><\/ul><\/figure>\n<p class=\"wp-block-paragraph\">En las <strong>rutinas de rehabilitaci\u00f3n<\/strong>que instauramos en casa es imprescindible la implicaci\u00f3n de los tutores, sobre todo en felinos, para conseguir una buena evoluci\u00f3n de los pacientes.<\/p>\n\n<h2 class=\"wp-block-heading\"><span style=\"color:#4ab69f\" class=\"has-inline-color\">Evoluci\u00f3n<\/span><\/h2>\n\n<p class=\"wp-block-paragraph\">En los siguientes video puedes ver la situaci\u00f3n de Nice antes de empezar la rehabilitaci\u00f3n y despu\u00e9s.<\/p>\n\n<figure class=\"wp-block-video\"><video height=\"480\" style=\"aspect-ratio: 640 \/ 480;\" width=\"640\" controls=\"\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/NICE-ABANS.mp4\"><\/video><figcaption>Nice antes de la rehabilitaci\u00f3n<\/figcaption><\/figure>\n<figure class=\"wp-block-video\"><video height=\"480\" style=\"aspect-ratio: 640 \/ 480;\" width=\"640\" controls=\"\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/NICE-DSPRES.mp4\"><\/video><figcaption>Nice despu\u00e9s de la rehabilitaci\u00f3n<\/figcaption><\/figure>\n<p class=\"wp-block-paragraph\">C\u00f3mo has podido ver, mejor\u00f3 mucho el grado de dolor, se mostraba m\u00e1s activo y ten\u00eda m\u00e1s ganas de comida. A m\u00e9s, mostrava m\u00e9s ganes de moure\u2019s, despla\u00e7ant-se per tota la casa quan abans estava sempre tombat.<\/p>\n\n<blockquote class=\"wp-block-quote is-style-default is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Los tutores de gatos , y a veces tambi\u00e9n algunos compa\u00f1eros veterinarios, piensan que la rehabilitaci\u00f3n en pacientes felinos no es una opci\u00f3n. Pero la realidad es que s\u00ed podemos hacer fisioterapia y, adem\u00e1s, es nuestra obligaci\u00f3n buscar los tratamientos que ayuden a conseguir el bienestar de nuestros pacientes.<\/em><\/p><\/blockquote>\n\n<blockquote class=\"wp-block-quote is-style-default is-layout-flow wp-block-quote-is-layout-flow\"><p><em>La fisioterapia en la especie felina se tendr\u00e1 que adaptar a cada caso, igual que en perros, teniendo especial cuidado en aquellas terapias donde el gato es m\u00e1s sensible, como por ejemplo algunas corrientes el\u00e9ctricas y la hidroterapia.<\/em><\/p><\/blockquote>\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link\" href=\"https:\/\/crarbcn.com\/#referidors\"><span style=\"color:#4ab69f\" class=\"has-inline-color\">\u00bfQuieres referirnos un caso?<\/span><\/a><\/div>\n<\/div>\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Caso realizado por Eva Vidal, veterinaria rehabilitadora de CRAR Este mes en el blog de CRAR \u2013 Centro de Rehabilitaci\u00f3n Animal de Referencia, especialistas en fisioterapia veterinaria en Barcelona queremos compartir el caso de un gato de 16 a\u00f1os con osteoartrosis felina que le produjo dolor cr\u00f3nico durante 4 a\u00f1os. Nice es un gato europeo [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":3299,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","_joinchat":[],"footnotes":""},"categories":[44],"tags":[],"class_list":["post-3300","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-es"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Osteoartrosis felina - CRAR BCN<\/title>\n<meta name=\"description\" content=\"Este mes en el blog de CRAR queremos compartir el caso de un gato de 16 a\u00f1os con osteoartrosis felina que le produjo dolor cr\u00f3nico durante 4 a\u00f1os.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/crarbcn.com\/es\/osteoartrosis-felina\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Osteoartrosis felina - 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