Grace

Physiotherapy Notes Re: Grace Layfield 25/1/24 Subjective: Grace was seen for her first appointment following owner enquiry. Grace has been lying down more frequently, and has been reluctant to go forward. She has previously had her tarsal joint/s medicated and has past history of stomach ulcers. Owner would like to have Grace seen for physio to aid comfort levels Grace has recently been transitioning (2 months) to barefoot from being shod. Objective: Conformation/static – Grace shows hyper extension bilaterally of her metatarsophalangeal joints. She is also “straight” through her tarsal joint with limited angulation. In walk, Grace laterally circumducts her right forelimb during flight phase. Theres is a reduced flight arc in all four limbs and Grace undertracks with both hindlimbs approximately 1 hoof length. Overall there is a lack of impulsion in trot. Turning is lacking range of motion in the neck and back on the turns, foot placement, height and timing could be improved slightly. Assessment Points:     Limited pelvic flexion and extension Vvisible spasming and muscle contractions along the longissimus group Reactive in serratus thoracis (girth area) and base of the neck at brachiocephalic insertion. Thoracic sling restrictive of forelimbs in protraction/abduction Exercises:    Alter feeding positions to encourage natural foraging and engagement of multifidus group Heat packs to alleviate muscle tension Stretching to aid flexibility of neck and back horsestohoundsphysio@gmail.com www.horsestohoundsphysio.co.uk 07729002162