Physical Therapy Report for: “Patrick” 1 yr old Pit Bull

To: Dr. Katharine Palmer, DVM Garden State V. S.

Date: 4-13-11

1. Posture: rounded top line, some spinal roaching, elbows flexed, hips/stifles flexed and externally rotated.

2. Functional Status: sit to/from stand is normal, limited static standing duration due to fatigue, decreased endurance. Staff reports Patrick tends to hold one hind limb elevated, partial weight bearing in the mornings. (It wasn’t clear from the staff which limb but I suspect it is the left).

3. Appearance: skin lesions and ulcerations at multiple bony prominences, generalized loss of muscle mass and atrophy, cachetic

4. Palpation: low motor tone throughout. No tenderness elicited at joints or tendons.

5. Range of Motion: all joints are within functional limits except slight tightness into right carpus extension. Generalized tightness is present biceps, hamstrings, and Achilles tendons, hip flexors, left worse than right.

6. Strength is grossly Fair plus (3+/5) throughout, with muscle fatigue.

7. Ambulation: walks without leash in building and on leash outdoors, full weight bearing, moderate distances, displaying stiffness in hips and stifles, with elbows and stifles lacking full active extension, decreased stride lengths, no antalgia. Patrick is able to climb stairs and curbs using a leash, with some scissoring.

8. Misc: Patrick is alert, affectionate and cooperative

Assessment and Prognosis: Debilitation s/p neglect and starvation; joint stiffness and soft tissue contractures secondary to confinement. Prognosis is good for 85% or greater achievement of normal range of motion, muscle strength, endurance, improved posture and reduction of gait deviations.

Intervention: PT visits 1-2 times per week for gentle massage, Reiki, range of motion, stretching, strengthening with theraband, use of Physiorolls, Rocker Board, Step box, Functional activities, leash walking, inclines, stairs, play, Posture exercises and general conditioning. I will be happy to instruct the staff on supplemental exercises as feasible.

Please contact me for any questions or input. Thank you,

Susan E. Davis, PT

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