Walter

Re: Ms Tracy Owen (Walter) Subjective: Walter was seen for physiotherapy to address a base wide gait in his hindlimbs. Walter is continuing to see the behaviourist and has currently had 4 hydrotherapy sessions. No adverse affects have been noted. Walking well and no adverse reactions after longer walks. Weight and body condition is very good. Objective: Musculature in hindlimbs has become more symmetrical. Limited Hindlimb ROM in protraction due to muscle tension in semimembranosus and semitendinosus – improved since last session, lumbar tension prevents hip retraction fully but the ROM is good and abduction is used instead. Some straining on rising seen through hesitation and lack of engagement. Seen video of Walter in hydro and he still has wide gait especially on right hindlimb. Noted for hydro the try to encourage straight movement patterns. Aims to increase hip angle by raised paw exercise, improve impulsion by sit to stands (ensuring hand position is low and forwards at chest height to prevent cue for lie or sit) and weaving again to address abduction of legs to continue building adductors. Overall Assessment: Wide stance and limited hip mobility. Sit to stands, figure 8, forelimbs raised on sofa to open hips. Kindest Regards Becky Black BSc (Hons) AdvCertVPhys RCH ClinEd(AccMdx) MIRVAP www.horsestohoundsphysio.co.uk