The Role
of Physical Therapy in Pet Rehabilitation
Physical Therapy
(PT) is a health profession
that utilizes the application of scientific principles for the
identification, prevention, remediation, and rehabilitation of acute
or prolonged physical dysfunction thereby promoting optimal health
and function. (Massachusetts General Laws-Chapter 112, Section 23A)
PT has long
been proven beneficial and often necessary for complete recovery in
human conditions. The same benefits have recently been evidenced
when PT is applied to the animal population. This new and rapidly
growing field of animal rehabilitation offers pet owners and
veterinarians additional treatment options.
The physical
therapy process consists of the following elements when managing a
patient, whether human or animal:
·
Examination - history,
baseline tests and measures, systems review
·
Evaluation - clinical
judgments based on the examination findings
(assessment)
·
PT diagnosis - problem
list of neuromuscular deficiencies
·
Prognosis - expected
outcome and recovery time
·
Intervention - actual
treatments rendered and education provided
The types of
dogs that will benefit from physical therapy are vast. Any dog that
has suffered an injury, is slowing down due to age or deconditioning, is diagnosed with an orthopedic
or neurological disease, or has had surgical intervention to treat
these types of problems is an excellent candidate for physical
therapy intervention.
Candidates range from:
·
The puppy with a
congenital (genetic) disorder
·
The canine athlete that
needs to maintain that competitive edge
·
·
The working dog that
desires to get back in the field whether it’s police work, search
and rescue, or service for persons with disabilities
·
The senior dog just
trying to maintain functional independence such as negotiating
stairs within the home or going outside to the bathroom
Common
Diagnoses treated with physical
therapy include, but are not limited to, the following:
Neurological
·
Nerve
damage
·
Intervertebral disk disease (cervical,
thoracolumbar, lumbosacral)
·
Lumbosacral syndrome/cauda equine syndrome/lumbar stenosis/lumbar
instability
·
Degenerative myelopathy (DM)
·
Fibrocartilagenous emboli
(FCE)
·
"Wobbler" syndrome
·
Lower motor neuron
conditions
·
The physical symptoms
associated with inflammatory and other medical
conditions
Orthopedic
·
Osteoarthritis and other
arthritic conditions
·
Hip and elbow dysplasia
·
Ligament sprains or
tears e.g., cranial cruciate ligament
(CCL) of the knee
·
Tendonitis, tenosynovitis, tendon ruptures, and tendon
lacerations
·
Muscle injuries
including strains, tears, contractures, and fibrosis
·
Patellar luxations
·
Fractures
·
Hyperextension
injuries
·
Joint
dislocations
·
Disk
disease
·
Peripheral nerve damage
due to trauma
·
Post-amputation
·
Obesity
An animal that has had
surgery to treat any of
the above conditions is a candidate for physical rehabilitation.
Typically, the sooner rehabilitation begins post-operatively, the
better the outcome.