Mac

Physiotherapist report – Mac Jones 12.8.21 Subjective: Mac is able to locomote freely around the house, hard flooring but covered in rugs for non-slip. Slight kyphotic posture in stance with base wide HL stance and slight tarsal valgus. LF carpal valgus observed on occasion. Cranial shifting frequently observed. Nail wear normal. Settled into session well. Gait: Good stride length even steps taken L-R. Slight hypermetria and reduced flexion observed in FLs, elevated head carriage and low flight arc with HLs. Straight moving and sitting posture very good, RH better flexion and posture then left, but both flex and face cranial. Objective: Bilateral cleidocephalicus and sternocephalicus hypertonicity and hypertrophy. Biceps brachii spasms and fasciculations RF when in retraction. Fascial restrictions, myofascial tension, fasciculations and spasming in latissimus dorsi boarder. Trapezius hypertonic and restrictive to scapula gliding motion. Bilaterally pectorals showed hypertonicity and were restrictive. Longissimus lumborum hypotonic and hypotrophic. Trigger points present T10-12 extending into rib heads and intercostals space. Left shoulder and HL muscular bulk > Right side. Bilaterally biceps femoris hypotrophic, quadriceps and sartorius hypertonic, gracilis hypertronic. Range of motion: Good head and neck ROM dorsal and ventral, lateral L>R. Right-fore carpal joint crepitus and restricted accessory carpal. Flexion and extension were good. HL retraction reduced due to muscular tension. Forelimb retraction restricted due to bicep brachii spasming on RF. Action: Massage, passive ROM, and controlled exercises. Sit to stands were utilised, RH visible shaking and increased tarsal valgus towards end, advised may be sore tomorrow. Monitor and reassess in 1 week. - Sit to stands 20 a day, square and slow - Keep walks frequent but short Becky Black BSc (Hons) AdvCertVPhys ClinEd(AccMdx) MIRVAP(VP)