VN October 2020

Vetnews | October 2020 27 Benefits include maintenance of muscle flexibility and length, improvement of articular nutrition by increasing synovial fluid production and diffusion; and maintaining mobility between different tissues. Adhesions in articular capsules and joints are prevented which helps to maintain joint range. Furthermore, PROM produces or maintains normal patterns of movement, stimulates mechanoreceptors in joints, muscles, skin, and other soft tissues help to improve proprioceptive awareness and increase circulatory and lymphatic return. After completion of PROMplace the puppy in a normal standing position (with support) ensuring that all four paws touch the ground. A sling may be useful. Applying hobbles to the legs or taping to prevent splaying can be an important aspect of the therapy. Be careful not to cause swelling by applying tape too tightly around the limbs. Regular removal and changes are required to prevent complications but also to allow for proper physiotherapy. Physiotherapy is beneficial in increasing muscle tone and strength, activating limb coordination, and stimulating circulation of the tissues. Swim sessions are recommended as the puppy grows. The swim reflex may not develop until pups are 6 weeks or older. Owner education for treatment is important, with emphasis on the importance of maintaining regular physiotherapy. v Photo credits: 1. Animalso.com 2. Huffingtonpost .co.uk 3. Horseandman.com 4. Themiafoundation.com 5. Themiafoundation.com