Willow

Willow Clayton Physiotherapy Notes – 21/8/24 Willow was seen on 21.8.24 for her initial consult. On no current pain medication, recently had pardale. Initial assessment showed Willow as alert and reactive to surroundings. Owners reported gradual decline in stamina and ability to locomote especially rising from lie/sit. Gait: Willow locomotes with a bilaterally reduced flight arc in the hindlimbs and reduced flexion. Turning is balanced overall and no ataxia, stumbling or loss of proprioception was observed. Functionally Willow was able to sit although slightly hesitant, initially her rising lacked impulsion and forelimbs would pull up into stand. This was improved by end of the session. Willow was able to stand unaided and balanced with limited postural decline or sway. Left hindlimb tendency to abduct in sit. Palpation: Head and neck show no asymmetry and range of motion is normal. Bilateral forelimb hypertonicity and spasming down latissimus dorsi and restricting forelimb protraction (mild). Range of motion in forelimbs is good. Approx 0.5 x0.5 cm mass left hindlimb insertion of semitendinosus, monitoring and advised to check next visit. Left hindlimb moderate muscle loss and hypotonicity, hypertonic sartorius and semitendinosus. Right hindlimb marginally improved in muscle bulk compared to left, still hypotrophic. Range of motion showed right hip abduction to display some crepitus, left hip abduction restricted but limited crepitus. Bilateral stifle crepitus in full extension into flexion, and full flexion Thoraco-lumbar region hypertonic and reactive with active trigger points. Last rib painful and spasming. Resolved and improved through session, Aims: - Improve hindlimb muscle mass - Improve stability of postural muscles - Reduce tension in thoracolumbar region [A screenshot of a computer Description automatically generated] [A screenshot of a computer Description automatically generated] [A screenshot of a computer Description automatically generated]