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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