Fern

Fern- Physiotherapy Notes 12/09/24 Fern was seen on the 12/9/24 for an assessment following an incident where she was knocked down by a larger dog. Initially seen and improvement seen on NSAIDs. Veterinary assessment showed mild shoulder restriction on left forelimb and ataxic gait. Advised to have physio assessment. Gait  Lateral circumduction of the Left fore  Left forelimb knuckling intermittently at walk  Lameness present left forelimb exacerbated on left turn and showing decreased weight bearing Palpation  Left fore nail wear is excessive in P3 and 4  Right latissimus constricting and restricting forelimb protraction – possibly due to increased weight bearing  All joints have good range of motion bilaterally. Restriction seen left elbow extension when in retraction – biceps brachii and supraspinatus tendons feel restrictive.  No loss of muscle tone or bulk associated with neurological deficit Function  Able to place foot correctly on an object  No neurological deficit seen in testing  Fatigues quickly on forelimbs Aim: Improve balance and forelimb placement Advice points  Weigh out food ration to prevent excessive weight. You may also wish to look at lower calorie or “light” food to be cautious  Increase brain engagement by using toys or games to increase mental capacity, kongs, likit mats or games with towels or bottles can be helpful. Use of toys or bones will encourage paw movement and strength  Walk on varied surfaces, note any increased tiredness and be home by this time on the next walk horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162