Darwin

Physiotherapist report – Darwin Daley Date: 15/04/2019 Physiotherapy Report following Initial Assessment Age: 5.5 Years Old History: 03/03/2019 Wedge Repair carried out left hindlimb cruciate. Gait: Hind-limbs still show lateral movement in flight particularly the left hind-limb. Increased weight bearing on the right hind-limb, improved since previous visit. Sit showed bilateral external rotation of the hind limbs more so with the left stifle, this was improved with kinsio-tape applied parallel to the stifle. Palpation: Latissimus dorsi hypertonic, left side improved dramatically, right side was reactive. Long head of triceps bilaterally hypertonic . Hypertonicity in the hind-limbs had resolved somewhat since last visit. Under observation. Range of motion: Reduced left hind-limb, PROM was good but resisted heavily. Treatment: Massage Pulsating magnetic field therapy (Pain setting), Phototherapy 3 mins to alleviate tension where massage was not tolerated. Short Term: Maintain straightness and muscle bulk, through sitting exercises and controlled walking. Build upon gait improvement seen following session (achieved – Darwin was much straighter than the previous session). Long Term: Improve range of motion and weight bearing of left hind-limb. Exercises: Closed chain sitting to standing 10 reps per day, focussing on foot placement (with tape or with a guided hand). Walking to be 12 minutes slow lead walking, twice per day. To be revisited after veterinary check-up. Approximately 2 weeks time if exercises are still suitable. From: Ellen Daley 8 Furness Ave OL15 8HU To: Becky Black Horses To Hounds Physiotherapy Badger Close OL16 4QR Date: 15.04.2019 ------------------------------------------------------------------------- Description Quantity Amount Due Paid In Full -------------------------- ---------- ----------------- ----------------- Canine Initial Session 1 £35.00 Pending Electrotherapy 1 £0.00 - Equipment Rent 0 £0.00 - Total £35.00 ------------------------------------------------------------------------- Darwin has received an initial treatment at the cost of £35.00 this can be transferred to the following account via BACS and this receipt withheld for insurance claim purposes. Account : 17783087 Sort Code: 07-02-46 Further sessions will be £35.00 if required. Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) MIRVAP