40 – Rehabilitation II

Question 1

Range of motion

Answer 1

• *Achieving normal joint motion is important in rehab plans
• Abnormal range of motion can result in abnormal locomotion

Question 2

How can you measure joint range of motion?

Answer 2

• Goniometer

Question 3

What are the 3 types of range of motion exercises?

Answer 3

• Passive range of motion
• Active-assisted range of motion
• Active range of motion

Question 4

Passive range of motion

Answer 4

• Therapist puts the joint through its pain free ROM
• Does NOT prevent muscle atrophy or help build strength or muscle mass

Question 5

Active assisted range of motion

Answer 5

• Usually done by pinching toes to elicit withdrawal reflex
• Helps prevent muscle atrophy

Question 6

Active range of motion

Answer 6

• Patient moves their own joint through range of motion unassisted
• Helps prevent muscle atrophy and builds muscle mass

Question 7

Stretching

Answer 7

• Tissues taken just beyond normal ROM
• Typically held for 15-30s and repeated up to 20 times during a session
• *stretching too fast or with excessive force can damage tissues

Question 8

What are the goals of massage?

Answer 8

• Reduce muscle spasms
• Reduce swelling
• Pain relief
• Relaxation
• Release trigger points

Question 9

What are the general strategies for therapeutic exercises? (ex. with a dog with stifle OA with decreased stifle flexion)

Answer 9

• Think about your goal (ex. improve stifle flexion)
• Determine motion you need your patient to perform to accomplish that goal (ex. stifle flexion)
• Pick an exercise that will result in that motion (ex. walking up stairs)

Question 10

Example of therapeutic exercises with a dog with ruptured cranial cruciate ligament and atrophy of quads

Answer 10

• Goal: improve quads strength and muscle mass
• Motion needed: stifle extension
• Exercise: sitting to standing

Question 11

What are the exercises for quad/gluteal strengthening?

Answer 11

• Stairs
• Sit to stands

Question 12

What are the forelimb strengthening exercises?

Answer 12

• Down to sits
• Wheelbarrow

Question 13

What are some proprioception exercises?

Answer 13

• Assisted standing/weight shifting
• Cavelettis

Question 14

What are some hip extension, core strength exercises?

Answer 14

• Dancing

Question 15

What are some hamstring and gluteal strengthening exercise?

Answer 15

• Backwards walking
• Step backs

Question 16

Weaves are used for

Answer 16

• Lateral bending of spine
• proprioception

Question 17

What are some items used in therapeutic exercises?

Answer 17

• Therabands
• Wobble boards (ex. good for lots of animals)
• Physio ball: peanut shaped (ex. back stretch)

Question 18

What can wobble boards be used for?

Answer 18

• Core strength
• Proprioception

Question 19

Post-operative orthopedics and rehab

Answer 19

• Can reduce pain and edema
• Minimize muscle atrophy
• Improve range of motion, strength and endurance
• Allows controlled return to exercise

Question 20

Neurologic cases and rehab

Answer 20

• help stimulate return of motor function
• improve proprioception and strength
• minimize muscle atrophy
• assist with gait retraining
• improve attitude

Question 21

Degenerative myelopathy and rehab

Answer 21

• does NOT stop progression of disease, but can help maintain mobility for a longer time
• help with lifestyle adaptations to slings, carts, etc.

Question 22

Soft-tissue injuries and rehab

Answer 22

• reduce pain
• speed healing
• improve range of motion
• improve strength
• Ex. iliopsoas strain, bicipital tenosynovitis, medial shoulder instability

Question 23

Osteoarthritis and rehab

Answer 23

• Improve mobility, endurance and range of motion
• Decrease pain
• Reduce need for pain medication
• Help weight-loss

Question 24

ICU patients and rehab

Answer 24

• Benefit from stretching, range of motion exercise and E-stim to help prevent muscle atrophy
• TENS can be used for analgesia
• Assisted standing and walking can help improve overall attitude

Question 25

Cats

Answer 25

• just need to get creative, but it does work