Anushka

Anushka – Exercise Prescription and Notes 2/10/24 Subjective: Anushka has made good progress since my last visit in terms of her palpation findings, her pelvis swing and drop is more level that the last session and her right hindlimb is also bearing more weight. Her canter transitions on the lunge are still stilted and showing the same mild right hindlimb lameness. Overweight BCS 6.5/9. Posture improved following session and hindlimbs less camped out. Gait: straight moving all limbs. Right forelimb toe in (mild) Undertracks slightly left hind. Right hind toe drag in trot, not seen in walk. On the lunge head and neck held outside bend consistently. Canter transition stilted, ears back and back tense and dropped with minimal movement. Looks in better balance than last visit and left forelimb lameness has cleared. Circling, neck bend looks good, stiff laterally, foot placement is clumsy, foot flight is good, timing is outside usual 4 beat rhythm. Back up is much improved. Main palpation findings: Increased tension shoulders and extensors in forelimbs from increased load bearing – hugely improved since last visit. Hypotrophic thoracic epaxials and reactive trigger points and spasming into lumbar region, left side showed mild tracking from gluteal tongue into gluteal muscle causing trigger points in the thoracic region. The right side showed a longer patterns of spasming and trigger points from lumbar region into thoracic epaxials. Range of motion: Neck good, Spinal range of motion attempted uncomfortable with thoracic lift, pelvic tilts and lumbar lift was very good following ultrasound treatment. Do the following Exercises each day : stretches, hip holds, back up Exercises below, aim for 3/4x a week 30 minute sessions. Heat pad and massage pad will be useful. Long reining will be much better than lunging, example plan is at the end. horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 Example Plan Monday Tuesday Wednesday Thursday Friday Saturday Sunday Support Stretches Back ups Heat and massage pad Stretches Back ups Heat and massage pad Stretches Back ups Stretches Back ups Heat and massage pad Exercises Long rein, letters exercise Long rein polework – 20-30 mins Turnout/Rest Long rein, letters exercise Long rein polework – 20-30 mins Pessoa Turnout/Rest Short bursts of trot can be used, no canter work yet. Keep sessions 30-40 minutes horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162