VN June 2020

Vetnuus | Junie 2020 24 Less Common Neurological Conditions and Physical Rehabilitation Tanya Grantham Having discussed intervertebral disc disease, fibrocartilaginous embolism, degenerative myelopathy, cervical vertebral instability as well as the concept of, and response to, neurological rehabilitation this article looks at some other neurological conditions that may benefit from physiotherapy. Atlantoaxial Instability – Whether this condition is managed conservatively or surgically, the rehabilitation therapist can assist with balance and proprioceptive exercises, maintaining muscle strength and returning the dog to functions of daily living. Extreme care is taken to retain stability and to assist the owner with the management at home. Vestibular Syndrome - In the initial days following diagnosis the therapist can provide supportive management of postures and transferring from one position to another. There should also be a focus on increasing sensation and awareness of body position. Therapists use their skills to maintain soft tissue flexibility. Following on from this and depending on the dog’s progress, the goals might change to improving core stability, creating more awareness of body position and posture and progress to functional transfers of weight. The therapist is also trained to facilitate with gait training if required. This program can continue until the dog has returned to an acceptable level of function. Cerebellar Hypoplasia is characterised by poor motor skills. These individuals struggle with mobility, to maintain balance and to coordinate movements. As the puppy grows the physical rehabilitation practitioner can advise on support (in the form of slings and carts) as well as devise exercise programs that enhance the motor functions to their fullest capacity within the spectrum of disease of the individual. Polyradiculoneuritis is usually managed at home once the diagnosis is confirmed and the patient is able to eat and drink. Proprioceptive pathway Mobility cart