Thomas

Thomas– Exercise Prescription and Notes 18/12/24 Subjective: Thomas was seem on his Christmas break. He has lost weight since the last session and is looking lean with a more upright posture. Seems sensitive around his face and head. A little anxious and reactive to surroundings, just moved back so may still be adjusting. Gait: Travelled on two tracks in walk. Pelvis drops down onto left hindlimb, has more tuber coxae excursion on the right and has a wide gait with the hindlimbs with reduced hindlimb flexion. Toe out left hindlimb and scuffs medially in stance phase, medial wall of foot worn on this foot. Lateral wall of the right hind is scuffed. Close moving in front and narrow with a toe out and lateral landing pattern on the left forelimb. Quick moving with low flight arc on the left hindlimb and reduced weight bearing on the right hindlimb. Main palpation findings: TMJ reactive and sensitive with restricted jaw movement left. Right facial crest sensitive. Parotid glands lacking space and restricted as poll is restricted. Tension across nuchal ligament and neck lacking in splenius development. Base of neck reactive and hypertonic. Reactive on left rib heads T14-18 and into lumbar region. Left subclavian slip of deep pectoral restricted and left caudal boarder of thoracic trapezius reactive. Weak biceps femoris and quadriceps bilaterally. Lateral flare left fore foot. Range of motion: Neck restricted c3-5 bilaterally, poll lateral movement good but over used. Forelimb range of motion is good, hindlimb retraction limited left hindlimb. horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162