134 Canine Sports Medicine and Rehabilitation
Conclusion
Our hands are our most important rehabilita
tion tools. Using manual techniques to resolve
soft tissue and joint issues will expedite the
rehabilitation process and allow the therapist to
progress to the next stage of the rehabilitation
program.
References
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short‐term benefits for people with common muscu
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Brantingham, J. W., Globe, G., Pollard, H., Hicks, M.,
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Chamberlain, G. J. 1982. Cyriax’s friction massage:
A review. J Orthop Sport Phys, 4(1), 16–22.
Costello, M., Puentedura, E., Cleland, J., & Ciccone,
C. D. 2016. The immediate efects of soft tissue
mobilization versus therapeutic ultrasound for
patients with neck and arm pain with evidence of
neural mechanosensitivity: a randomized clinical
trial. J Man Manip Ther, 24, 128–140.
Crawford, C., Biyd, C., Paat, C. F., Price, A., Xenakis, L.,
Yang, E., Zhang, W., & the Evidence for Massage
Therapy Working Group. 2016. The impact of mas
sage therapy on function in pain popuulations – A
systematic review and meta‐analysis of randomized
controlled trials: Part 1, Patients exeriencing pain in
the general population. Pain Med, 17, 1353–1375.
D’Ambrogio, K. J. & Roth, G. B. 1997. Positional
Release Therapy. St Louis, MO: Mosby.Assessment: 2 months post‐op R TPLO; behind schedule
regarding ROM and weight bearing; nonpainful.Problem list:● Swelling
● Decreased weight bearing
● Asymmetrical sitting position
● Limited R stifle extension and flexion
● Limited R tarsal flexion
● Tight R hamstrings, quadriceps,
sartorius
● R pelvic limb weakness – moderate
● Asymmetrical gaitGoals:
In 4 weeks:
● Normal sitting posture
● Normal ROM
● Normal flexibility
● FWBIn 8 weeks:● Symmetrical walking gait
● Gradual return to off‐leash activities
● Client independent in HEPModalities: Laser at ventromedial and ventrolateral
stifle joint in loose‐packed position.Manual therapy:
Joint compressions: grade I–II at stifle in standing
position.
Joint mobilization: grade III stifle joint traction followed
by PROM into stifle flexion and extension.
Joint mobilization: grade IV, caudal tarsal glide followed
PROM into tarsal flexion.
Passive stretch: hamstrings, quadriceps, sartorius
with simultaneous soft tissue mobilization of the
belly of affected muscle.Therapeutic exercise:
Weight‐bearing exercises such as clockwise circles,
cavalettis.
R pelvic limb strengthening such as slow uphill walking;
horizontal hill walking, backward walking, side
stepping, exercise band resisted walking.
HEP
Instruct client in HEP to be performed 2×/day: joint
compressions and PROM per above, petrissage of
tight muscles per above; clockwise circles 5 reps;
gradual progression of slow walking on flat sur-
faces with progression to inclines, backward walk-
ing and side stepping (3–6 feet × 5 reps).