428 Canine Sports Medicine and Rehabilitation
The head initiates all purposeful movement,
not only by determining the proposed activity
through mentation, but also by determining
the position that the body occupies in space
through the vestibular apparatus within the
skull. “Where the head goes, the body must fol
low” is a common phrase among rehabilitation
therapists. It is understood that head position
and movement initiates the next body move
ment and allows for appropriate body mechan
ics. Visual and olfactory input as well as reflex
modification are important but are not critical
for the vestibular system to perform its duties
although they may be critical for developing
training routines. A better understanding of
how the neural feedback loops initiate, main
tain, and protect propulsion and in this case,
related spinal structures, is critical to attain
peak performance.
The thoracic limbs
The thoracic limbs play a major role in main
taining the head’s normal positions in space.
The most cranial thoracic vertebrae with their
large dorsal spines form the anchor that allows
the head to be suspended at some distance from
the body (Figure 17.4). These cranial thoracic
vertebrae are supported directly by the thoracic
limbs. The weight of this entire unit is supported
by the thoracic limbs and it is often noted that
this represents 60% of the body‐weight of the
animal. Considering the tremendous variation
in conformation that exists from breed to breed
and from individual to individual this would
have to be a very rough estimate.
The thoracic limb has no bony or ligamen
tous attachment to the spine. The extrinsic tho
racic limb muscular apparatus attaches the
thoracic limb to the thoracic body wall allow
ing for freedom of movement that permits
extreme changes in direction while protecting
the spinal column’s rigidity throughout the
area of the rib cage.
The pelvic limbs
The pelvic limbs are responsible for carrying the
weight of the caudal portion of the body. The
pelvic limbs interact with the body in a com
pletely different manner from the thoracic limbs
(Figure 17.5). The coxofemoral joint transmits
forces to the caudal spine through the sacroiliac
joint. Although the box‐like structure formed by
the pelvis has less flexibility than the muscular
attachment of the thoracic limb to the body wall,
there is significant rotational advantage afforded
by the range of motion of the ball and socket
joints. This also allows the pelvic limbs to move
far forward under the body, producing signifi
cant forward propulsion. When turning, a great
deal of the actual body movement has been
committed by the trajectory of the head, and the
actions of the forelimbs and thoracic cavity. The
Figure 17.4 Lateral view of the cervical and rostral thoracic vertebrae demonstrating the functional anatomy described
in the text.