Charlie

Charlie Hill 14-5-25 Charlie was seen for physiotherapy following referral and investigations with the Vets for suspected PSSM. A secondary test for type 2 PSSM was positive. In terms of subjective history, Charlie is now barefoot and has displayed some sensitivity over rutted ground, wearing scoot boots which has helped. Did have issues with hindlimb comfort when shod. His feet are in balance and look good. Been continuing groundwork sessions in hand which are going well. Posture –Huge improvements seen, there is more continuity over the back with more toned back muscles. The shoulders and withers are lifted and could do with some more development but are looking better. The gluteals are tight and restrictive over pelvic mobility. Gait assessment –Even balance with hindlimbs. Looks comfortable and fluid in walk and trot. Stilted in proximal joints (shoulder and hip). Tracks up well and walks with good rhythm, foot flight and placement. Palpation –Spinal range of motion is improved and pelvic tilts show very good pelvic motion too. Reduced back spasming in total today but more on the right hand side. Still some tension over TFL left thigh but also teamed with lack of quadriceps –no more locking stifle Exercises    Aim to engage the back muscles – Transitions between walk and trot (20 per session) Tone muscles – Polework in walk and trot will increase joint mobility and tone the forelimbs and stifle Engage hindlimbs more – Work on mobilising the shoulders out of the way horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162