Ruby

Patient Name: Ruby Date12/3/25 Ruby was seen following her initial consultation. She is a good weight and is moving around, eating drinking normally. Her walking has improved alot and she is able to go for 40 minutes. This may need to change if on that walk there are large hills or difficult terrain. Continue to monitor via the walking planner. Ruby is still showing weakness over her left hindlimb and this is the limbe showing less stability. Back posture and shoulders markedly improved. Subjective    During routine walking, no scuffing, dragging – nail wear is normal In sit, Ruby has improved and 8/10 sits are square Still finding turning difficult and avoidance behaviour is seen. Objective: Gait assessment shows Ruby moves straight and has a good rhythm when walking. Her hindlimbs are restricted in their protraction and mobility, her left hindlimb is the weaker of the two and the right has improved substantially.  Physical Examination Findings: o Left hind-limb Sartorius and quadriceps tenderness o Right hind-limb has increased muscle mass and tone o Left hind-limb shows hesitation to bear weight but on occasion and when lifting limbs the left does hold more weight than previous  Range of Motion (ROM): o Forelimbs: resented forelimb protraction left forelimb o Hindlimbs: Left patella markedly moves when the limb is in retraction or extension. o P: Plan o o Strengthening exercises Stability of the joint – left hindlimb