Use of clipnosis for the immobilization of cats in the clinical setting

Authors

DOI:

https://doi.org/10.31533/pubvet.v20n1e1895

Keywords:

Felines, hair clipping, immobility, stress

Abstract

The management of stress in cats during veterinary clinical consultations represents a frequent challenge due to their alert nature and the fear generated by an unfamiliar environment. This condition can interfere with diagnostic accuracy and the performance of clinical procedures, in addition to provoking defensive behaviors that may endanger both the veterinarian and the owner. clipnosis, defined as a behavioral inhibition induced by pressure on the skin of the neck, is proposed as a non-pharmacological alternative to induce temporary immobility and facilitate clinical handling.  The objective of this study was to evaluate the efficacy of clipnosis in domestic cats of different age groups, relating the duration of immobility, stress levels, and compliance during routine clinical procedures. The research was conducted at the Veterinary Clinic of the Catholic University of Cuenca, with a sample of 30 cats evenly distributed into three groups: kittens, adults, and geriatrics. The technique was applied under controlled conditions, recording immobility duration, stress levels using the Cat Stress Score and tolerance to nail trimming, oral drug administration, and trichotomy for blood sampling. The results showed a statistically significant relationship between age and duration of immobility (P = 0.025), with adult and geriatric cats exhibiting a higher proportion of times exceeding three minutes. Regarding stress, significant differences were observed among groups during clipnosis application (P = 0.018), with higher levels in kittens. Cooperation improved notably during the trichotomy procedure, particularly in geriatric cats (P = 0.001), whereas no statistically significant differences were found in nail trimming and oral drug administration (P = 0.329 and P = 0.128, respectively). In conclusion, clipnosis represents an effective tool to facilitate certain invasive procedures in cats, although its application should be selective, considering both the age and the welfare of the feline patient.

References

Amat, M., Camps, T., & Manteca, X. (2016). Stress in owned cats: behavioural changes and welfare implications. Journal of Feline Medicine and Surgery, 18(8), 577–586.

Andrews, C. J., Cosner, Z., & Thomas, D. G. (2022). The efficacy of pinch-induced behavioral inhibition (clip restraint) in domestic cats (Felis catus) declines with age. Journal of Veterinary Behavior, 49, 15–19. https://doi.org/10.1016/j.jveb.2021.11.003.

Castillo, C., Pino, P. X., Couto, E. P., & Thomas, D. G. (2022). Como evitar el estrés del gato en la consulta.

Couture, M., Stellato, A. C., Moody, C. M., & Niel, L. (2024). Owner Perspectives of Cat Handling Techniques Used in the Veterinary Clinic. Journal of Applied Animal Welfare Science, 27(1). https://doi.org/10.1080/10888705.2022.2039144.

Domínguez-Oliva, A., Hernández, I., Miranda, A., Mota-Rojas, D., & Ruiz-Garcia, A. (2021). Clinical recognition of stress in dogs and cats. Revista AMMVEPE, 32(1), 24-35.

Freitas, G. C., Passos, A. C. B. T., Sousa, B. B., Diniz, R. R. F., Bringel, K. E. M., Souza, P. M., & Souza, S. N. (2020). Avaliação de parâmetros clínicos de gatos durante atendimento na Clínica Veterinária Universitária – UFT, Araguaína. PUBVET, 14(7), 1–7. https://doi.org/10.31533/pubvet.v14n7a605.1-7.

Gonçalves, L. S., Machado, D. S., Travnik, I. C., & Sant’ Anna, A. C. (2025). Types of Environmental Enrichments Offered for Cats and their Association with Housing Features and Cat Personality. Journal of Applied Animal Welfare Science. https://doi.org/10.1080/10888705.2024.2448339.

Griffin, B., & Hume, K. R. (2006). Recognition and management of stress in housed cats. Consultations in Feline Internal Medicine, 5, 717–734. https://doi.org/10.1016/B0-72-160423-4/50079-2.

Hirsch, E. N., Andersson, M., Loberg, J., & Lidfors, L. M. (2021). Development of existing scoring systems to assess behavioural coping in shelter cats. Applied Animal Behaviour Science, 234, 105208. https://doi.org/10.1016/j.applanim.2020.105208.

Kessler, M. R., & Turner, D. C. (1997). Stress and adaptation of cats (Felis silvestris catus) housed singly, in pairs and in groups in boarding catteries. Animal Welfare, 6(3), 243–254. https://doi.org/10.1017/s0962728600019837.

Lourenço, M. G. L. (2015). Cuidados com neonatos e filhotes. In M. M. Jericó, J. P. A. Neto, & M. M. Kogika (Eds.), Tratado de medicina interna de cães e gatos (pp. 1153–1481). Editora Roca.

Lowell, K. J., Delgado, M. M., Mederos, S. L., & Bain, M. J. (2020). The effect of premature maternal separation on distress vocalizations and activity in kittens (Felis catus) during a brief nest separation. Applied Animal Behaviour Science, 232. https://doi.org/10.1016/j.applanim.2020.105130.

Mariti, C., Bowen, J., Campa, S., Grebe, G., Guidi, G., & Sighieri, C. (2013). Effect of visit preparation on the behaviour and welfare of domestic cats during transportation and veterinary visit. Journal of Feline Medicine and Surgery, 15(9), 730–737.

Moody, C. M., Mason, G. J., Dewey, C. E., & Niel, L. (2020). Getting a grip: Cats respond negatively to scruffing and clips. Veterinary Record, 186(12), 385–392. https://doi.org/10.1136/vr.105261.

Nascimento, A. T. D. B., Pedrosa, P. L., Nascimento, D. A., Vale, I. S., Ventura, B. P., Moreira, L. P., Vieira, J. A. B., Oliveira, L. L., Barioni, G., & Aptekmann, K. P. (2022). Estresse em gatos: Revisão. PUBVET, 16(12), 1–10. https://doi.org/10.31533/pubvet.v16n12a1285.1-10.

Nuti, V., Cantile, C., Gazzano, A., Sighieri, C., & Mariti, C. (2023). Pinch-induced behavioural inhibition (clipthesia) as a restraint method for cats during veterinary examinations: Preliminary results on cat susceptibility and welfare. Animal Welfare, 25(1). https://doi.org/10.7120/09627286.25.1.115.

Paz, J. E. G. (2020). Avaliação da musicoterapia espécie-específica para a redução de fatores indicativos de estresse em gatos hospitalizados. Universidade Federal do Rio Grande do Sul.

Pedrassani, D., & Karvat, D. C. (2017). Conhecimento sobre bem-estar e guarda responsável de cães e gatos domiciliados e semi-domiciliados. Revista Ciência em Extensão, 13(4), 55–63.

Pereira, J. S., Fragoso, S., Beck, A., Lavigne, S., Varejão, A. S., & Pereira, G. G. (2016). Improving the feline veterinary consultation: The usefulness of feliway spray in reducing cats’ stress. Journal of Feline Medicine and Surgery, 18(12), 959–964. https://doi.org/10.1177/1098612X15599420.

Pozza, M. E., Stella, J. L., Chappuis-Gagnon, A. C., Wagner, S. O., & Buffington, C. A. T. (2008). Pinch-induced behavioral inhibition ('clipnosis’) in domestic cats. Journal of Feline Medicine and Surgery, 10(1), 82–87. https://doi.org/10.1016/j.jfms.2007.10.008.

Pozzatto, D. S., Vieira, J. A. B., Moreira, L. P., Ventura, B. P., Vale, I. S., Pedrosa, P. L., & Aptekmann, K. P. (2022). Técnicas para redução de estresse no atendimento clínico de cães e gatos durante consulta veterinária. PUBVET, 16(12), 1–9. https://doi.org/10.31533/pubvet.v16n12a1286.1-9.

Quillupangui, R. (2023). Más de 2 millones de niños en el Ecuador viven con mascotas.

Rădulescu, A. M. (2022). Hipertensión sistémica felina. Royal Canin Veterinary Focus Online. https://vetfocus.royalcanin.com/es/cientifico/hipertension-sistemica-felina.

Ranavaya, J., & Awadh, H. (2023). A case of cat bite associated Pasteurella multocida prosthetic joint infection. IDCases, 32. https://doi.org/10.1016/j.idcr.2023.e01755.

Rodan, I., Dowgray, N., Carney, H. C., Carozza, E., Ellis, S. L. H., Heath, S., Niel, L., St Denis, K., & Taylor, S. (2022). AAFP/ISFM Cat Friendly Veterinary Interaction Guidelines: Approach and Handling Techniques. Journal of Feline Medicine and Surgery, 24(11), 1093. https://doi.org/10.1177/1098612X221128760.

Rodan, I., Sundahl, E., Carney, H., Gagnon, A. C., Heath, S., Landsberg, G., Seksel, K., & Yin, S. (2011). Feline focus: AAFP and ISFM feline-friendly handling guidelines. Journal of Feline Medicine and Surgery, 13(5), 364–375.

Silva, R. P., & Suyenaga, E. S. (2019). Estresse e ansiedade em gatos domésticos: Tratamento farmacológico e etnoveterinário - Uma revisão. Science and Animal Health, 7(1), 12–33. https://doi.org/10.15210/sah.v7i1.14789.

Snitcofskya, M., & Tomassini, V. (2023). Manejo etológico del gato en la consulta veterinaria. Vanguardia Veterinaria.

Stella, J., Croney, C., & Buffington, T. (2014). Environmental factors that affect the behavior and welfare of domestic cats (Felis silvestris catus) housed in cages. Applied Animal Behaviour Science, 160(1), 94–105. https://doi.org/10.1016/j.applanim.2014.08.006.

Stella, J. L., & Croney, C. C. (2016). Environmental aspects of domestic cat care and management: Implications for cat welfare. The Scientific World Journal, 2016, 1–7. https://doi.org/10.1155/2016/6296315.

Tamashiro, P. L. S. (2021). Características epidemiológicas de accidentes por mordeduras caninas y felinas en Lima Metropolitana. Revista Cubana de Salud Pública, 47(3).

Taylor, S., Saint Denis, K., Collins, S., Dowgray, N., Ellis, S. L. H., Heath, S., Rodan, I., & Ryan, L. (2022). ISFM/AAFP Cat friendly veterinary environment guidelines. Journal of Feline Medicine and Surgery, 24(11), 1133–1163. https://doi.org/10.1177/1098612X221128763.

Van Der Leij, W. J. R., Selman, L., Vernooij, J. C. M., & Vinke, C. M. (2019). The effect of a hiding box on stress levels and body weight in Dutch shelter cats; a randomized controlled trial. PLoS One, 14(10), e0223492. https://doi.org/10.1371/journal.pone.0223492.

Wojtaś, J., Czyżowski, P., Kaszycka, K., Kaliszyk, K., & Karpiński, M. (2024). The Impact of Environmental Enrichment on the Cortisol Level of Shelter Cats. Animals, 14(9), 1392. https://doi.org/10.3390/ani14091392.

Published

2026-01-11

Issue

Section

Etologia

How to Cite

1.
Román Sánchez DA, Aguilar Caivinagua AS, Maldonado Cornejo ME, Castillo Hidalgo EP. Use of clipnosis for the immobilization of cats in the clinical setting. Pubvet [Internet]. 2026 Jan. 11 [cited 2026 Oct. 24];20(01):e1895. Available from: https://ojs.pubvet.com.br/index.php/revista/article/view/4518