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Table 1.

Study group characteristics at baseline.

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Table 2.

Administration and likely impact of rescue medication.

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Fig 1.

Effect of PPS treatment on dog pain following owner-completed Helsinki Chronic Pain Index (HCPI) assessment.

Spaghetti plots for Helsinki Chronic Pain Index (HCPI) scores for individual animals in (A) PPS-treated group at baseline, week 8 and week 26 and (B) placebo group at baseline, week 8 and week 26. The mean HCPI value is represented as a dotted line; (C) Histogram with percentage change from baseline (%CfB) at week 6 versus 8 (p = 0.42) and week 8 versus 26 (*p = 0.006); (D) HCPI (least squares [LS] mean %CfB). Data are displayed as mean ± 95% CI and analyzed by a two-way ANOVA. with Sidak’s multiple comparisons test. LS Mean %CfB data are displayed as mean ± 95% CI. The n for each group and timepoint corresponds to available HCPI questionnaire responses.

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Fig 2.

Effect of PPS treatment on index stifle osteoarthritic gait and symmetry.

Total pressure index (TPI%) and symmetry index (SI) analysis. PPS is represented by filled circles and placebo by open triangles. (A) Index hindlimb TPI% for PPS and placebo groups. (B) Percentage change from baseline (%CfB) analysis of TPI%. A 5% or greater increase in the %CfB value was considered to be a clinically meaningful improvement. (C) Ipsilateral SI values from week 1 to week 26. (D) Contralateral SI values from week 1 to 26. Data are represented as mean ± 95% CI. The n for each group and timepoint corresponds to valid gait assessments.

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Fig 3.

Quantitative MRI analysis of cartilage volume (mm3) in the canine stifle joint.

Percentage change from baseline (%CfB) in cartilage volume at week 8 and week 26 for: (A) Total cartilage volume; (B) Patella; (C) Tibial plateau; (D) Femoral condyle. Data is displayed as mean ± 95% CI and analyzed by two-way ANOVA with Sidak’s multiple comparisons. The n for each group and timepoint corresponds to valid MRI measurements.

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Fig 3 Expand

Fig 4.

Serum biomarker ELISA analysis.

Analysis of serum biomarkers of cartilage and bone degradation, as well as inflammation by enzyme-linked immunosorbent assay (ELISA). Data are shown as mean percentage change from baseline (%CfB) at week 8 and week 26 and are represented as mean ± 95% CI (A) C-terminal telopeptide I [CTX-I]; (B) hyaluronic acid [HA]; (C) tissue inhibitor matrix metalloproteinase 1 [TIMP-1]; (D) fragment of type III collagen released by MMP [C3M]; (E) type II collagen cleavage product [C2C]; (F) released N-terminal pro-peptide of type II collagen [Pro-C2]. Outlier analysis was performed on all %CfB data. Data analyzed by a two-way ANOVA with Sidak’s post-test and multiple comparisons comparing PPS and placebo at all timepoints. The n for each group and timepoint corresponds to valid biomarker measurements.

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Fig 4 Expand