Boo

Physiotherapist report – Boo Priestly 26^(th) August 2020 Subjective: Boo has been referred for idiopathic and intermittent lameness of the right hind. Patella luxation has been investigated and is negative. Boo is of good demeanour and is able to weight-bare. Marginal lameness, no hopping seen today. Gait: Boo locomotes well overall and the forelimbs are moving well in the sagittal plane no concerns, the right hind-limb is slightly abducted and externally rotated especially in stand. The left hind-limb is placed medially and is primarily used for locomotion. Offloads right hind-limb in sit consistently. Objective: Bilateral spasms and trigger points down epaxials musculature (longissimus, lattisimus dorsi, worsening in the lumbar region where some kyphosis is seen). Triceps hypertrophic and hypertonic. Left sartorius hypertonic, left biceps femoris and quadriceps hypertrophic and hypertonic. Right equivalent hypotrophic and hypotonic. Bilaterally semitendinosus and semimembranosis hypertrophic and hypertonic more so than usually seen. Range of motion: Restricted range of motion in the thoracic and lumbar spine, difficulty with lateral stretching and dorso-ventral motion. Forelimbs range of motion is good no crepitus, reluctant to allow checks on hindlimbs but initially crepitus right tarsal joint on extension and protraction, this resolved. Restrictions felt stifle/hip on right hind, difficult to distinguish due to muscle tension. Action: Alleviated back pain, improved hindlimb range of motion through LASER, massage and PMFT. Exercise prescription advised and to monitor weight. - Monitor weight - “yoga stretches” - Sit to stands (square sits) - Gentle tugs to increase use of RH - Short 5 min walks – monitor and gradually increase to 10 mins - Heat use on epaxials 3x week Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP