Carlo

Physiotherapist report – Carlo Barnes 17^(th) October 2020 Subjective: Carlo has been having Physiotherapy post cruciate operation 12 months previous. He has previous trouble with regular walking and exercise due to nervous temperament, there has been an ongoing issue with building hindlimb muscle mass. Recurrent palpable muscular issues and episodes of “twitching and tail curling” have been mentioned by owner and now wishing to explore acupuncture route. Gait: Carlo has reduced protraction bilaterally in the forelimbs and has increased weight bearing onto the forelimbs. The hind-limbs show slight external rotation and the right hind-limb is abducted during flight phase. Lateral pelvic swing to right evident and lordotic posture. Objective: Carpal crepitus on the right forelimb in flexion and rotation, also present in left elbow when nearing complete flexion. Visual muscle hypotrophy from T11/12 caudally. Improved since last visit (recent gastro-intestinal illness). Muscle spasming and active trigger points T8-12, reduced vertebral body mobilisation in this area. Crepitus right stifle in flexion, intermittently locks on extension (noted muscle wastage). Hypertonicity in semimenbranosus and semitendinosus bilaterally. Range of motion: Spinal posture is increasingly lordotic, spinal extension exacerbates recurrence of localised spasming and trigger points. Reduced lateral spinal mobility to the right. Reduced range of motion in carpal joint and stifle where crepitus was felt. Action: Looking to increase walking length, balance board loaned to increase stability and muscle mass, pole exercises and sit tot stands to increase concentric and eccentric loading of biceps femoris and quadriceps. Baited stretches to maintain and improve spinal mobility. Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) RCH MIRVAP