The Role Of Physical Rehabilitation in Veterinary...
Transcript of The Role Of Physical Rehabilitation in Veterinary...
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Kathy Currlin, CCRP, BS, CVT
Atrium Animal Hospital
www.atriumanimalhospital.com
Allyson Massie, CCMT, Rehab Assistant Carolyn Laporte, Rehab Assistant
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Veterinary Physical Rehabilitation
Fairly Recent Trend (2000) University of Tennessee
Public Awareness of benefits in the human field
Canine Benefits
Arthritis, hip dysplasia, post surgery, orthopedic and neurological conditions, “age and stage deconditioning”, soft tissue injuries, overuse injuries, sporting dog injury
Wellness aspects include weight control, cardiovascular fitness, agility and sporting dogs conditioning
Feline and equine benefits also
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Modalities Underwater Treadmill Gait Analysis Class 4 K-Laser and Cold Laser Ultrasound (therapeutic and diagnostic) Tui-na and Massage Exercise Program Development Splinting, custom bracing, supports, hobbles, carts Home assessment Therapeutic Balls, Fitbones, Discs Home Programs for Walking and Exercises Passive Range of Motion, Stretching, Myofascial Release Spinal and Joint Mobilization Essential Oils
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Underwater Treadmill
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Underwater Treadmill Properties Temperature of water
Depth of water
Speed of treadmill
Duration of treadmill
Direction of gait
Buoyancy
Resistance
Refraction
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UWTM SESSION 1 FOR RILEY
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UWTM SESSION 6 FOR RILEY
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Gait Analysis Walk, Trot, Run and Gait Transitions
Stride Test
Stand/sit, Stand/down, Hop Tests
Single leg stand, Curb Stretches
Circles, Figure 8’s and Zig Zags
Stairs
Curb waves and Slope waves
Backward and Sideways Walking
Hills
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WALKING GAIT
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TROTTING GAIT
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SIT, DOWN, STAND, WALK
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SIT, DOWN, SIT, STAND
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DOG IN STANDING POSITION
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Canine sit with CCL deficiency-look at the spine especially on the left
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K-laser and Cold LaserK-Laser Multi-Radiance Cold Laser
* Anti-inflammatory*Tissue repair*Reduce pain*Reduce swelling*Blue light for infection, wounds
Class 4 Therapeutic Laser
Infrared light source
Targets chromofores on the mitochondria
Decreases inflammation, pain, and promotes healing
Excellent for joint problems, muscle problems, skin wounds and healing
Power measured in Joules
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K-LASER FOR SHOULDER
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SMILES ALL AROUND!
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Ultrasound/Electrical StimulationUSES LIGHT WAVES TO PROVIDE DEEP HEAT TO HELP REMODEL SCAR TISSUE, DECREASE PAIN AND INFLAMMATION, INCREASE MOTION
MEASURED IN W/CM2
IMPORTANT IN MEDICAL MANAGEMENT OF THE DEFICIENT CCL.
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DIAGNOSTIC ULTRASOUND SOFT TISSUE
MUSCLE
TENDON, LIGAMENT
JOINT CAPSULE AND SURROUNDING STRUCTURES
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Diagnostic Ultrasound/Surgery
Diagnostic Ultrasound: Soft tissue, muscle, tendon
Echogenicity: the way the ultrasound wave is reflected back to the transducer. Compares tissue in relation to other tissue or as compared to its “normal state”. Change in pattern can reflect a problem. Looks for fiber disruptions, mineralization, irregular attachments, loss of fiber alignment, thickening and fluid accumulation.
Shoulder arthroscopy (scope)
CCL – TTA , TPLO, Extracapsular, Tight Rope, TTO ( a “little of both” of the TTA and TPLO)
FHO – Femoral Head Osteotomy
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SPINAL AND JOINT MOBILIZATION
PASSIVE MOVEMENT OF THE ARTICULAR SURFACES TO DECREASE PAIN AND IMPROVE JOINT MOBILITY
REGAIN MOTION/GLIDE AT LOCAL LEVELS
IMPROVE GAIT MOTION
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Tui-na Chinese Medical Massage and Manipulation
Technique
Dates back to the Ming Dynasty
Focuses on the whole body, manipulates meridians and acupoints and encompasses over 200 techniques
Tui-na works by stimulating acupoints and channels leading to promoting blood circulation, removing stasis, restoring injured soft tissue and correcting abnormal location of bone and soft tissue
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PASSIVE RANGE OF MOTION
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MASSAGE: increase circulation, reduce inflammation and pain
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Range of Motion, Passive Stretch
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THE FAMILY THAT MASSAGES TOGETHER…..STAYS TOGETHER!
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CATS LOVE REHAB AND MASSAGE TOO!
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Exercise Programs
Home exercise programs will vary from case to case
Based on diagnosis, age of animal, companion or working animal, agility sport dog
May include therapy discs, fit bones, wobble boards, cavalettis, various terrain
Will focus on core and limb, static and dynamic movements for strengthening, proprioception, balance and endurance
THERE IS NO COOKBOOK TREATMENT!!!
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STABALIZATION EXERCISES
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INFLATTABLE EXERCISE EQUIPMENT
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Custom Bracing
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MEASURING FOR A CART TO ASSIST WALKING
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ESSENTIAL OILS AND FLOWER ESSENCES
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The Integrated Practice Integrating Conventional and Holistic Modalities
Keeps Your Pet Healthy the Natural Way
Combines traditional medicine with acupuncture, physical rehabilitation, herbals, essential oils, flower essences, and modalities
Consider the whole picture: lifestyle, history, health status, age, breed, home environment
Nutrition
Traditional Chinese Veterinary Medicine
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ATRIUM WHITE WATER CLUB!!!
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SWIMMING IS GREAT EXERCISE ESPECIALLY WHEN YOU ARE LOOKING GOOD!!!!!!!!!!!
THANK YOU FOR ATTENDING TONIGHT!!