Bill

Bill - Physiotherapy Notes 05/08/24 Bill was seen for his initial assessment today His posture showed tension pattern and mild tremors to the limbs – query anxiety or stress due to novel situation . Global under utilisation of muscle mass. Shoulders show increased strain over lattissimus dorsi from increased cranial loading. Long nails and some slippy floor may increase risk of injury – advised runners in high traffic areas. Head and neck – no abnormalities Shoulders show brace lines and tension with associated trigger points and spasming in latissimus dorsi muscle corresponding to forelimb loading. Mildly extended throughout longissimus muscle in the back. Lacking in gluteal which indicated hip extensors are not functioning – Bill has not run for a while and so is under utilising hip extension movement. Hip extension range of motion improved mildly following therapy but was still limited. Some mild crepitus heard on occasion from hindlimbs on rising. Functional tests: Sit posture -able to sit square. Rising from the sit required patience and treats, able to push into stand and engage hindlimbs but unsteady with full engagement. Back range of motion in dorsi-flexion is good. Proprioception is good. Aim: Improve muscle tone, balance and support the joints. Take weight from the shoulders and slowly increase onto hindlimbs horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162