Tyson

Physiotherapist report – Tyson Ollerenshaw Date: 24^(th) June 2020 Physiotherapy Report Subjective: Tyson has been weight-bearing on his left hindlimb less frequently and this has worsened with the lockdown due to Covid-19. Owner arranged a telephone consultation to aid with exercise adaption and advice on what the possible options were. It was reported for a couple of days Tyson had increased spasming and contracture of the digits on the left hind-limb. This was resolved through owner massage and has not been observed before. There is additional stress placed on the right hindlimb and muscle hypertonicity and hypertrophy are evident, this limb is placed slightly medially and used for locomotion. Tyson regularly gets additional spasming/trigger points in the lumbar region of his paraspinal muscles and up through his long head of triceps and the boarders along latissimus dorsi due to over exertion of the forelimbs. Post-castration Tyson was reported to use the affected limb for a short period of time when on pain relief, it has been advised to ask for additional support from the Veterinary Surgeon to assess his pain score and whether it would benefit Tyson returning to some additional exercise to increase strength in his limb. Gait: From the videos Tyson is completely non-weight bearing on the affected limb and it is subsequently held in flexion. There is additional muscle atrophy of the limb. In standing and slow walk some attempts to place the limb have been noted, weight is transferred minimally through the leg. Reviews have been done on the current exercises and the ability of the owners to carry out additional exercises and apply some additional measures. To Do - Seek Veterinary advice regarding pain relief - Posture – encourage correct posture when laid down, sitting or standing by placing legs in correct position. Can ask for stand, sit lie in succession (3x a day) - Use kinesiology tape supplied – See attached pictures and instructions. - Slow controlled walking – 5-10 mins a day – slower gait used to encourage limb use - Rocking exercise – front to back and side to side – 10-20x a day – wide stance (can use step to help - Massage or apply heat along the back over Tysons lower back – pay attention to any spasms by holding thumb or finger into spasm and hold for 20 seconds and slowly release. - Massage along “arm pits” and up towards spine, this is the area Tyson uses to push forward. - Bicycling limbs – if laid down, cycle legs (fold up first, extend forwards, move back as if running, fold back up – 5x day - Use of hind-limb sling where required to help support and encourage weight shifting – can use when slow walking, rocking, or when sit/standing. Kindest Regards Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP [Staffordshire Bull Terrier Dog Breed » Everything About Staffies] - Cut tape into strips rounding the ends - Strip one – tear 2-3 cm off and place this end on Tysons back without adding any stretch. Peel down the paper and apply a slight stretch over his leg. Just before you pull the paper off, apply the end without stretch. Strip two – apply in same way down the leg, strip three- apply the same stopping just before toes (can cut strips for toes if able), apply this strip with some medium-high stretch to pull toes. - Green strip- apply to left hind – Start on the ouside of Tysons kneeand fix the end with no stretch, apply high stretch to the green arrow on the inside of his knee to pull it inwards, apply the last 2cm with no stretch.