Case 4: Hemi-laminectomy and disc fenestration
publication date: Aug 7, 2008
WILLOUGHBY, Dandie Dinmont, Male,(ent) 01/04/92
Thursley, Surrey, GU8 6QW
Start Weight = 13.8kg
Neck = 37cm
Chest =57.5cm
Waist = 48cm
Thigh = 25.5cm
Ant. Elbow-Ant.Elbow Shoulder = 42cm, 21cm around triceps.
Starting resting heart rate = 100 bpm prior to exercise, 126 bpm after 5 minutes exercise.
Known conditions; Had Hemi-laminectomy and disc fenestration L1-2 may 2004, and has a grade 1 mitral valve heart murmur.
Aim; To improve muscle mass in the lumbar region to give added support and to try and reduce curvature of spine resulting from previous spinal surgery and subsequent hydro-therapy.
Current Treatment; Fortekor 5mg once daily for heart murmur.
Feeding Regime; No changes required, ie no weight adjustment required.
Exercise Regime; 10 minutes flat walking three times weekly to start, reducing to twice weekly as maintenance.
3 Week assessment;
| |
START
14/06/05 |
END
05/07/05 |
CHANGE |
| WEIGHT |
13.8kg |
14.0kg |
0.2kg increase |
| CHEST |
57.5cm |
53.5cm |
4cm loss |
| WAIST |
48cm |
48.5cm |
0.5cm increase |
| THIGH |
25.5cm |
25.5cm |
No change |
| ELBOW - elbow shoulder |
42cm |
41.5cm |
0.5cm loss |
| TRICEP |
21cm |
19cm |
2cm loss |
| DATE |
SESSION
NUMBER |
SPEED |
DURATION
(MINUTES) |
NOTES |
| 14/06/05 |
1 |
1.2 k/h |
5 |
|
| 16/06/05 |
2 |
1.2 k/h |
5 |
| 18/06/05 |
3 |
1.2 k/h |
5 |
| 21/06/05 |
4 |
1.2 k/h |
3 |
Environ. temp. hot, reduced tolerance |
| 24/06/05 |
5 |
1.2 k/h |
4.5 |
Environ. temp. hot. |
| 05/07/05 |
6 |
1.6 k/h |
5 |
|
Overall, Willoughby has increased in exercise tolerance. His general movement has improved, and now appears to place his hind feet rather than swinging his pelvis and throwing his feet forward.
His proprioception has improved, especially on the right hind leg. His spine appears less arched.
Willoughby has also adjusted his muscle distribution, with reduction in bulk over the shoulders where until now he has been carrying his weight, and an increase in his pelvic limbs and abdominal muscles.
Willoughby's owners have also commented on his ability to move more freely, and less hesitantly, and his increase in wanting to do more himself , such as ‘playing' with the puppy, and using stairs with less hesitance. They have also commented that his spine appears straighter.
Aim; To continue to re-distribute and tone the muscles, increasing the abdominal , pelvic, and hind limb muscles, whilst maintaining the fore limb and shoulder muscles. Increase exercise tolerance without bulking up too much.
| DATE |
SESSION NUMBER |
SPEED |
DURATION (MINUTES) |
NOTES |
| 08/07/05 |
7 |
1.6 k/h
1.4 k/h
1.2 k/h |
1
3
2 |
Been off regime for one month, proprioception reduced right hind, and medial deviation of foot, but spine still flatter, and feels much stronger in himself. |
| 11/07/05 |
8 |
1.4 k/h |
4 |
Very hot |
| 17/08/05 |
9 |
1.6 k/h
1.4 k/h |
3
3 |
Been off regimes for over a month, and there is marked medial deviation of Willoughby's right hind leg, and his proprioception has deteriorated, although his spine appears to be slightly flatter. |
| 01/09/05 |
10 |
1.8 k/h
1.6 k/h
1.4 k/h |
2
4
2 |
Less foot deviation and more proprioception! Possibly over-exercising with puppy? |
| 07/09/05 |
11 |
1.4 k/h |
10! |
|
| 23/09/05 |
12 |
1.6 k/h
1.4 k/h |
5
5 |
| 25/11/05 |
13 |
1.6 k/h
1.4 k/h |
3
3 |
Advise jumper to keep back warm in cold weather. |
| 30/11/05 |
14 |
1.6 k/h
1.4k/h |
4
3 |
|
