Evidence map›Paper›PMID 42163344›Full record

ArticleBMC veterinary research2026

REAC-based bioelectrical neuromodulation as a conservative strategy in canine cranial cruciate ligament rupture: a translational pilot study.

Eraldo Sanna Passino, Sabrina Caggiu, Ghulam Fatima, Alessandro Castagna, Vania Fontani, Alberto Maria Crovace, Salvatore Rinaldi

Abstract read
In one paragraph

Article in BMC veterinary research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Eraldo Sanna PassinoDepartment of Veterinary Medicine, University of Sassari, Sassari, Italy. esp@uniss.it.
Sabrina CaggiuDepartment of Veterinary Medicine, University of Sassari, Sassari, Italy.
Ghulam FatimaDepartment of Veterinary Medicine, University of Sassari, Sassari, Italy.
Alessandro CastagnaDepartment of Regenerative Medicine, Rinaldi Fontani Institute, Florence, Italy.
Vania FontaniDepartment of Regenerative Medicine, Rinaldi Fontani Institute, Florence, Italy.
Alberto Maria CrovaceDepartment of Veterinary Medicine, University of Sassari, Sassari, Italy.
Salvatore RinaldiDepartment of Regenerative Medicine, Rinaldi Fontani Institute, Florence, Italy. srinaldi@irf.it.

Funding

Fondazione di Sardegna CUP J83C2200017000
6 · The paper itself

Abstract

Cranial cruciate ligament (CCL) rupture is one of the most common orthopedic disorders in dogs and is associated with pain, joint instability, lameness, and progressive osteoarthritis. Although surgical stabilization is widely used, conservative management remains relevant in selected cases, particularly in smaller dogs or when surgery is declined or contraindicated. Radio Electric Asymmetric Conveyer (REAC) technology is a non-invasive therapeutic platform designed to modulate endogenous bioelectrical activity, with a proposed role in neuromotor regulation and tissue repair. This study was designed as a translational, hypothesis-generating pilot investigation to assess whether a standardized REAC-based treatment protocol could produce a coherent and durable clinical signal in dogs with naturally occurring CCL rupture. Sixteen client-owned dogs with mono- or bilateral CCL rupture were enrolled and stratified by body weight into two groups: ≤15 kg and > 15 kg. All dogs received a standardized protocol including Veterinary Neuro Postural Optimization (VNPO), Veterinary Neuro Psycho Physical Optimization (VNPPO), and Reparative Tissue Optimization (TO-RPR). Clinical outcomes were assessed by standardized orthopedic examination at baseline, within 15 days after treatment completion, and at 2- and 12-month follow-up. All dogs completed treatment and follow-up. In dogs weighing ≤ 15 kg, complete functional recovery was observed in all cases. In dogs weighing > 15 kg, most showed either complete recovery or clinically meaningful improvement, while one dog was classified as a non-responder and referred for surgical evaluation. Clinical improvements observed in responder dogs remained stable at 12 months. These findings do not constitute definitive evidence of efficacy, but suggest the presence of a coherent and durable clinical signal supporting further investigation of REAC-based treatment as a conservative or adjunctive strategy in canine CCL disease. Future controlled studies incorporating objective biomechanical, imaging, and biological outcome measures are warranted.

Indexed as

Anterior Cruciate Ligament InjuriesDog DiseasesElectric Stimulation TherapyAnimalsAnterior Cruciate LigamentDogsFemaleMalePilot ProjectsRuptureConservative treatmentCranial cruciate ligamentDogNeuromodulationREACReparative medicine

Identifiers

PMID42163344
PMCPMC13366927

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.