Poppy

Patient Name: Poppy Date: 4/11/24 Poppy was seen for her initial physiotherapy consult today following a silicone implant for left hind patella surgery. She was seen post-op and the wound is healing well, no stitches present and no signs of discharge or swelling. Poppy is bright and alert and very active. Currently increasing walking by 5 minutes per week, on 20 minutes at present. Good body weight Subjective      Owner has seen Poppy using her hind-limb during routine walking, no scuffing, dragging or issues immediately seen In sit, Poppy hold the left hind-limb laterally Crate used, access to stairways is blocked and main areas are carpet No issues toileting or access to bed or routine care items Can be stiff when rising in the morning Objective   Physical Examination Findings: o Left hind-limb Sartorius and quadriceps tenderness and slight contraction. o Right hind-limb has increased muscle mass and tone and a medial position when standing o Reactive right semitendinosus o Left hind-limb shows hesitation to bear weight; poppy appears to favour the right limb during movement as shown by foot flattening o Bilateral latissimus dorsi reactivity due to compensation o Mild kyphosis of the lumbar spine Range of Motion (ROM): o Forelimbs: No issues, mildly resented right forelimb protraction o Hindlimbs: Limited retraction on the left hindlimb, with crepitus in mid range, not usual bone-bone feel, feels to be implant moving through range of motion. A: Assessment   Poppy shows reluctance to hold the left hind-limb in the sagittal plane to evenly distribute her body weight The hesitation to bear weight on the left hind-limb, combined with the altered sit posture, over time will cause altered back biomechanics and increased strain on the right hind-limb . P: Plan o o o Strengthening exercises Stability of the new joint Reduce compensations Can also be done as a figure 8