Alfie

Alfie 02/4/24 Alfie was seen for physiotherapy following an injury resulting in shortened stride with his hindlimbs and decreased impulsion. Injury cause was unknown, possibly happened while in the field or hacking to arena. Subjective For the last 6 months since previous session, Alfie has been competing and having regular weekly lessons. He has developed much more topline and muscle mass and his balance and core strength has also improved. Objective Mild rotation of left hindlimb in stance phase of walk, hoof is toe in on the left hindlimb. Moves narrow with hindlimbs in walk. Mild pelvic drop right side in walk and trot, very mild and not consistent. Lameness is not apparent when limbs flexed at fetlock or hock/stifle. Wider stance than previously seen suggesting good muscle mass. Mild crepitus in complete hock flexion bilaterally. Small swelling cranial hock LH. Both lumbar regions restricted on lower back. Serratus mildly restrictive. Plan and Exercises - Rest for 2 weeks – complete stretches and 20 min polework session 3x week in hand - Re-assess for any improvement and if no improvement – vet assistance may be required - - Continue to develop gluteals through hip movement. Back ups and transitions. - Engage core and lift forehand - Improve hindlimb flexion [][] [] When happy to continue work ... [] [][]