Luna

Physiotherapist report – Luna Austin May 2021 Subjective: Luna has been progressing well, building muscle and only an occasional hop witnessed after massage/manipulation but not prolonged for more than 2-3 strides. Very straight sit posture. Good weight and body condition. Gait: Very good stride length and propulsion. Marginally weight shifting to the LH. Hopping hind-limbs is good to the left, markedly slower when hopping to the right. Spinal flexion is good left to right when weaving round obstacles and turning. Slight increased forelimb loading. Objective: Marginal reluctance to flex the right stifle today, no crepitus or restrictions to range of motion in any joints. Good full range and flexion and extension are normal. Bilateral quadriceps/sartorius hypertonicity (mild), some lumbar trigger points more so on the left side. Hip extension resented slightly, improved with easing of muscle tone. Range of motion: Forelimb protraction and retraction was good, Hind-limb range of motion is good. Active hip extension saw visible spasming in sacral region, less than previous visit. Focus is ab/adduction of the hind-limbs to improve hopping ability and medial thigh recruitment. Action: Massage, LASER, passive ROM, and controlled exercises . - Sit to stands 20 a day, square and slow - Stretches under forelimbs to flex spine and increase range of motion - Forelimb raises to gently shift balance to hindlimbs - Polework (over and weave sideways) Becky Black BSc(Hons) AdvCertVPhys ClinEd(AccMdx) MIRVAP