VN October 2020

Vetnuus |Oktober 2020 26 Swimmer puppy syndrome (SPS) - also known as swimmer syndrome, flat pup syndrome, twisted leg, or turtle-pup is an uncommon developmental deformity of new-born dogs (and cats). Signs begin to appear when the puppy learns to walk (2nd-3rd week), with splayed legs like a swimmer. Forward movement with this affliction is achieved by lateral pedallingmotions. In some cases the fore limbs are also affected. This creates additional complications because such puppies tend to lie on their bellies most of the time. The centre of gravity is shifted to the chest, while the soft ribs cannot maintain their correct shape; thus the chest, under the pressure of bodyweight, splays on both sides, and the thorax becomes flat (funnel chest or pectus excavatum ). SPS is generally considered untreatable. The aetiology and pathogenesis of swimming puppy syndrome are poorly understood. There may be a hereditary component to this condition. There have been cases that clinicians and physiotherapists have treated successfully. https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3743573/#:~:text=Swimmers%20syndrome%2C%20 also%20known%20as,an%20inability%20to%20stand%20or https://www.agriculturejournals.cz/publicFiles/140_2017-VETMED.pdf The sooner a diagnosis is made the earlier interventions can be applied, and the greater the chance of a successful outcome. Floors in whelping pens and puppy areas should be non-slip. Puppies should not become overweight as this may cause further weakness of the hind limbs. For the flattened chest apply massage therapy throughout the day and gently press the lateral sides of the thorax together and release. Repeat for a minute and a number of times a day. Create a surface which is not flat. Bunched up towels can be used to prop up the pup. Continue with gentle effleurage over the entire body and then the limbs. Gentle massage helps animals become accustomed to being touched while reducing tension and anxiety. Massage also reduces swelling and assists with the elimination of metabolic by-products and maintaining mobility of soft tissues. After the massage, perform passive range of motion (PROM) of each joint in each limb. PROM is done when a patient is incapable of moving the joint on its own. Swimmer Puppy Syndrome Tanya Grantham