Betty

Physiotherapist report – Betty Livermore Date: 25^(th) October 2019 Physiotherapy Report Subjective: History with vets: Betty has recently had mild spondylosis T12 and 13 narrowed joint space L7/S1 with new bone formation and slight left femoral neck thickening with poor hip ROM. Objective: Hypertonic right pectoral. Biceps femoris, quadriceps, sartorius. Hypotrophic biceps femoris bilaterally and left limb has significantly lower tone overall. Gait: Increased weight bearing on the right hind-limb oin stance, sit and walking. Able to locomote but with compensations: right hind-limb placed medially and left hind-limb placed laterally on entering stance phase. Lowered flight arc and spinal curve to the left. Palpation: Reactive caudal latissimus dorsi, thoracic region was reactive on palpation more so left intercostals spaces over right. Lumbar fascia spasming and hypotonicity of gluteal musculature. Reactive sartorius bilaterally and iliopsoas on the right hand side. Quadriceps and biceps femoris were high tone on the right and low tone on the left. Range of motion: Range of motion was achieved at the end of the session, better range left hind-limb due to decreased tone. Right was resisted and slight crepitus felt in right stifle. Action: Massage (responded well), Pulsating magnetic field therapy (50htz 17.5 base), LASER 3 minutes along longissimus dosri and latissimus caudal boarder. Kinesiotape applied to left epaxials to continue proprioceptive feedback and maintain massage. Plan: Short Term: Maintain muscle mass and range of motion, reduce spasming in the epaxials. Long Term: Increase muscle mass of the left hindlimb and prevent injury to the right stifle. Exercises - ~6 sit to stands (from rug to rug) to encourage concentric use of hind-limbs - Continue acupuncture as required (roughly 1 week after physio) - Continue 5-10 min lead walking (Owner encouraged to note if doing exercises makes this harder or easier) - Use of heat pack on the lumbar area to reduce spasming and pain - Stretches using treats to each side (3x) and under front paws (3x) daily. Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP