Walter

Physiotherapy Report Re: Walter Owen Subjective: Walter has been doing well on his walks and with his hydrotherapy. Ms Owen noticed the effects after facilitated hind-limb movement on the treadmill aided Walters’ gait patterns for several days compared to locomotion without the input on his latest visit. Discussed using walks in long grass and physiotherapist exercise prescription to build on the work done here. Recently lost family dog and Walter can be an emotional dog – eating and drinking well. Weight has increased slightly – no concerns. Objective: Sit posture is still mildly splayed with kyphotic lumbar spine. Right hind-limb is weaker on biceps femoris ~20%. There is some improvement in the tonicity of Walters hamstrings and quadriceps which have been a factor in limiting his hind-limb range of motion. Limited hip extension and hind-limb retraction bilaterally. Left lumbar spine showed mild restrictions and trigger points. No crepitus or joint restrictions palpated. Assessment: Overall Walter is improving well, his hind-limb strength and stamina is improving. We now would like to address the splayed limb positions by encouraging a narrow base stance with the hindlimbs and increasing the muscle on his medial thigh and lateral thigh. His back pain is settled nicely, care to be taken in spinal extension. Work to be done on facilitating hind-limb retraction and maintaining range of motion in the hindlimbs. Kindest Regards Becky Black BSc (Hons) AdvCertVPhys RCH ClinEd(AccMdx) FHEA PGCHE MIRVAP(VP) www.horsestohoundsphysio.co.uk