Kevin

Kevin- Physiotherapy Notes – 25/9/25 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. No pain relief currently taken – coping well with exercises and walks without pain relief. Still some posture changes which are the focus of the session. 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 and will show some ataxic steps. Slight cranial loading patterns displayed. Posture: Cranially loading and more onto the right hindlimb too. Roached spinal posture at thoraco-lumbar junction. Able to locomote unassisted. Sit posture is very good. Palpation: Spinal epaxials tender on the left but trigger points have resolved. . Forelimbs reluctant to protract. No obvious issues with joint restrictions. Multifidus and spinal stabilisers are weak, lacking hindlimb 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 horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162