Shelby

Initial Consult – Shelby Shelby has had a recent digit amputation from her hindlimb and subsequent complications to her ipsilateral hindlimb resulting in a loss of Proprioception and weakness. Goals are to improve function and increase stamina. Gait Analysis: Able to locomote around with no assistance. Forelimbs are placed well but have a bilaterally shortened stride length and flight arc. The hindlimbs are wide and stilted with reduced flexion and intermittent toe dragging and knuckiling of the left hindlimb. Kyphosis of the spine seen in the lumbar area. Muscular Evaluation: Hypertonic shoulder musculature was seen (mild). Latissimus dorsi restricting forelimb protraction (mild). Trigger points seen in lumbar region on right side of the back and mid thoracic region on the right. Lack of biceps femoris and hamstrings. Over use of right Sartorius. Functional Evaluation: Sit quality is good and square. Rising shows good utilisation of both hindlimbs with some fatigue and muscle tremors present. Neurological reflexes present in both limbs. Reduced in the left hindlimb. Plan: Work to strengthen global musculature and reduced back spasming and trigger points.