Kevin

Kevin- Physiotherapy Notes – 28/8/25 Kevin was seen for his initial appointment. He is active and bright in demeanour. His weight is good and diet controls are in place to adjust for lowered exercise tolerance. Area he is allowed access too is majority nonslip. No access to stairs or jumping up if possible to limit spinal extension and risk of falling/losing back foot contact. No pain relief currently taken – advised he may need some to aid with adjustment of posture and to cope with exercise until the muscles strength increases. Gait: Kevin has a good rhythmical gait with good foot placement – his ground clearance is limited in the hindlimbs and especially the left hindlimb which often is placed medially. Slight cranial loading patterns displayed. Some crossing and medial rotation of the left forelimb digits and claws. Posture: Cranially loading and more onto the right hindlimb too. Occassional knuckling is seen with the hindlimbs. Roached spinal posture and occasional stumbling. Able to stand unassisted and take a few steps forwards. Sit posture is very good. Spinal deviation to the right mild. Palpation: Spinal epaxials tender thoraco-= lumbar region showing trigger points more on the left. , resolved with manual therapy and Laser. Caudal boarder latissimus dorsi reactive, but resolved. Left forelimb reluctant to protract. No obvious issues with joint restrictions. Multifidus and spinal stabilisers are weak, lacking hindlimb tone and bulk. Neurological tests: Paw replacement – 1 second each hindlimb, cranial nerves all ok Aim: Improve overall balance, muscle strength and protect the opposing limbs. 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