title: Use of physical therapy in a dog with bilateral severe plantigrade stance.
abstract: A 3.5 yr old spayed female Staffordshire terrier weighing 25.5 kg was presented with a 7 wk history of bilateral plantigrade stance in the pelvic limbs directly following an ovariohysterectomy procedure. Upon presentation, the dog had bilateral atrophy of the distal pelvic limb muscles, enlarged popliteal lymph nodes, and ulcerative wounds on the dorsa of her rear paws. Orthopedic examination revealed intact calcaneal tendons bilaterally and neurologic examination localized the lesion to the distal sciatic nerve. A diagnosis of compressive and stretch neuropathy was made affecting the distal sciatic nerve branches. Physical therapy modalities included neuromuscular electrical stimulation, ultrasound, and low-level laser therapy. Other therapeutic modalities included the use of orthotics and progressive wound care. The dog had increased muscle mass, return of segmental reflexes, return of nociception, and the ability to walk on pelvic limbs with higher carriage of the hock 15 mo following presentation. The use of custom orthotics greatly increased the quality of life and other physical therapy modalities may have improved the prognosis in this dog with severe bilateral plantigrade stance due to neuropathy.
authors.affiliation: From the Oregon State University, Corvallis, OR (J.R.); Cornell University College of Veterinary Medicine Hospital for Animals, Ithaca, NY (K.H.); Private consultant in small, large and exotic animal physical therapy, Truckee, CA (J.W.); and William R Pritchard Veterinary Medical Teaching Hospital at University of California, Davis, Davis, CA (S.Y.K.).
authors.forename: Jennifer
authors.initials: J
authors.lastname: Ree
authors.forename: Kei
authors.initials: K
authors.lastname: Hayashi
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Woelz
authors.forename: Sun Young
authors.initials: SY
authors.lastname: Kim
mesh_terms: D000818:Animals; D004283:Dog Diseases / Q000473:pathology / Q000628:therapy*; D004285:Dogs; D004558:Electric Stimulation / Q000379:methods; D005260:Female; D061826:Foot Orthoses / Q000662:veterinary; D028022:Low-Level Light Therapy / Q000662:veterinary; D059348:Peripheral Nerve Injuries / Q000473:pathology / Q000628:therapy / Q000662:veterinary*; D026741:Physical Therapy Modalities / Q000662:veterinary*; D020426:Sciatic Neuropathy / Q000473:pathology / Q000628:therapy / Q000662:veterinary*; D014464:Ultrasonic Therapy / Q000662:veterinary