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Vet Rec. 2019 Aug 24;185(8):231. doi: 10.1136/vr.105313. Epub 2019 Jul 27.

Investigation into clients' perception of postoperative physiotherapy for dogs undergoing cranial cruciate ligament disease surgery.

Author information

Royal Veterinary College, Hatfield, UK.
Animal Medicine and Surgery, Universidad CEU Cardenal Herrera, Valencia, Spain.
Guarda Nacional Republicana (Portuguese Gendarmerie), Lisbon, Portugal.
Instituto de Ciências Agrárias e Ambientais Mediterrâneas (ICAAM), Universidade de Évora, Évora, Portugal.



To evaluate clients' understanding, perception and experience of postoperative physiotherapy after undergoing an osteotomy technique for cranial cruciate ligament disease (CCLD).


A retrospective questionnaire was sent to 202 owners of dogs that underwent CCLD surgery at the Queen Mother Hospital for Animals between 1 January 2015 and 31 December 2017, with 63 responses obtained.


Significant differences were found in choice of physiotherapy between clients recommended or not by their vets (p<0.01), and between those offered additional information and those who were not (p<0.01). Of those who chose physiotherapy, 85% had a satisfactory experience. No difference was found in choice of physiotherapy between clients aware of its availability and those who were not (p=0.069). No association was found between cost of the service and clients' perception of cost-worthiness (p=0.169) or between cost-worthiness and recovery outcome (p=0.420). A correlation was found between clients' perception of cost-worthiness and satisfaction level (p=0.03). Clients' knowledge was related to the choice of physiotherapy (p=0.01), but not to other investigated factors. A significant relationship was found between clients' age and choice of physiotherapy (p=0.01), with younger clients choosing physiotherapy more often.


Veterinarians recommending physiotherapy and providing accurate information affect clients' decision to choose, and perception of, physiotherapy, in addition to clients' own knowledge.


client’s perception; cranial closing wedge osteotomy; cranial cruciate ligament disease; dog; physiotherapy; questionnaire; tibial plateau level osteotomy


Conflict of interest statement

Competing interests: None declared.

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