Cara

Physiotherapy Consult – Cara Cara was seen due to an issue of lameness that was intermittent on Caras front right limb. She had been for a veterinary consult. Cara has been intermittently lame for a few months and it is exacerbated on long walks or when playing. Gait Analysis:       Able to locomote freely around the space Often will rest right forelimb when stood or sat Straight and good Proprioception/reflexes Mild lameness left hindlimb and right forelimb Weight bearing Good foot flight of all feet – no scuffing observed Postural Evaluation: Nail wear is good, Coat changes over latissimus dorsi suggestive of over exertion of the forelimbs to locomote. Off loads right forelimb Muscular Evaluation: Neck tone was normal, mildly increased reactivity over serratus ventralis and latissimus dorsi, Spasming and reactive T7-T12. Reduced muscle tone in hindlimbs especially quadriceps, gracilis and biceps frmoris on the left hindlimb. Range of motion was good in all joints. Muscle loss over right shoulder. Points of note: Right elbow showing difficulty and external rotation on a tight circle to the right, left elbow and shoulder restricted in flexion. Main points:     Overloading forelimbs Weaker hindlimb (left) Restricted left shoulder and elbow Weaker right shoulder and elbow with associated muscle loss 5 sits daily