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Re: Amputation rehab

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Here is video of Pugsley:

http://www.youtube.com/watch?v=OKNOIWcmF_8

Christie Carlo, DVM, CCRT

> Certified Canine Rehabilitation Therapist

> Secretary for American Association of Rehabilitation Veterinarians

> Avondale Veterinary Healthcare Complex

>

> (fax)

>

> I have 2 patients that have had recent amputations (one is front leg, other

> is rear leg) that I want to help. The front leg is a Pug that had a bad

> elbow fracture (full leg amputation) and the other is a Clumber Spaniel

> with osteosarcoma of rear leg now undergoing chemo.

>

> The Pug is overweight. His remaining front leg appears to be under such

> strain to support his body. Other than weight loss and core strengthening

> exercises are there any other suggestions.

>

> The Clumber Spaniel will be coming in this week so I don't have alot of

> information. However, the owner (phone consultation) was concerned because

> the dog could not go up a full flight of stairs any longer. I explained

> that the chemo may be weakening him, but that after evaluation I could

> design a strengthening program, but his recovery will take time.

>

> What kinds of exercises do you prescribe for amputation patients? What else

> am I missing?

> Thanks for your advise.

>

> --

> Christie Carlo, DVM, CCRT

> Certified Canine Rehabilitation Therapist

> Secretary for American Association of Rehabilitation Veterinarians

> Avondale Veterinary Healthcare Complex

>

> (fax)

>

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How about a cart for the pug, even if only temporarily?

Here is video of Pugsley:http://www.youtube.com/watch?v=OKNOIWcmF_8Christie Carlo, DVM, CCRT> Certified Canine Rehabilitation Therapist> Secretary for American Association of Rehabilitation Veterinarians> Avondale Veterinary Healthcare Complex> > (fax)>> I have 2 patients that have had recent amputations (one is front leg, other> is rear leg) that I want to help. The front leg is a Pug that had a bad> elbow fracture (full leg amputation) and the other is a Clumber Spaniel> with osteosarcoma of rear leg now undergoing chemo.> > The Pug is overweight. His remaining front leg appears to be under such> strain to support his body. Other than weight loss and core strengthening> exercises are there any other suggestions.> > The Clumber Spaniel will be coming in this week so I don't have alot of> information. However, the owner (phone consultation) was concerned because> the dog could not go up a full flight of stairs any longer. I explained> that the chemo may be weakening him, but that after evaluation I could> design a strengthening program, but his recovery will take time.> > What kinds of exercises do you prescribe for amputation patients? What else> am I missing?> Thanks for your advise.> > -- > Christie Carlo, DVM, CCRT> Certified Canine Rehabilitation Therapist> Secretary for American Association of Rehabilitation Veterinarians> Avondale Veterinary Healthcare Complex> > (fax)>

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I would do lots of sit to stands, dance position on ball,  and sit up and beg and stand on hind legs (which he seems already willing to do) with this pug to build up his hind end strength. Pugs are always front end loaded anyway but he seems to be breaking down his remaining carpus.

 

pam mueller PhD DVM

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You can use Alpha-Stim for phantom leg pain.  There are specific protocols.  Research done on people. Ava Frick, DVM From: VetRehab [mailto:VetRehab ] On Behalf Of Tgbartonpt@...Sent: Monday, February 13, 2012 4:55 PMTo: VetRehab Subject: Re: Re: Amputation rehab How about a cart for the pug, even if only temporarily? Here is video of Pugsley:http://www.youtube.com/watch?v=OKNOIWcmF_8Christie Carlo, DVM, CCRT> Certified Canine Rehabilitation Therapist> Secretary for American Association of Rehabilitation Veterinarians> Avondale Veterinary Healthcare Complex> > (fax)>> I have 2 patients that have had recent amputations (one is front leg, other> is rear leg) that I want to help. The front leg is a Pug that had a bad> elbow fracture (full leg amputation) and the other is a Clumber Spaniel> with osteosarcoma of rear leg now undergoing chemo.> > The Pug is overweight. His remaining front leg appears to be under such> strain to support his body. Other than weight loss and core strengthening> exercises are there any other suggestions.> > The Clumber Spaniel will be coming in this week so I don't have alot of> information. However, the owner (phone consultation) was concerned because> the dog could not go up a full flight of stairs any longer. I explained> that the chemo may be weakening him, but that after evaluation I could> design a strengthening program, but his recovery will take time.> > What kinds of exercises do you prescribe for amputation patients? What else> am I missing?> Thanks for your advise.> > -- > Christie Carlo, DVM, CCRT> Certified Canine Rehabilitation Therapist> Secretary for American Association of Rehabilitation Veterinarians> Avondale Veterinary Healthcare Complex> > (fax)>

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the Pug may benefit from exercises in water (water level up to his hip). Easy to do every day in a sink with this size dog. Weight shifting, assisted walking, sit-stand in the water

JanJanet Steiss, DVM, PhD, PT, Dipl. ACVSMR6794 Canyon Road Sanger TX 76266alternate email: steisje@...

To: VetRehab From: afc@...Date: Tue, 14 Feb 2012 10:17:09 -0600Subject: RE: Re: Amputation rehab

You can use Alpha-Stim for phantom leg pain. There are specific protocols. Research done on people.

Ava Frick, DVM

From: VetRehab [mailto:VetRehab ] On Behalf Of Tgbartonpt@...Sent: Monday, February 13, 2012 4:55 PMTo: VetRehab Subject: Re: Re: Amputation rehab

How about a cart for the pug, even if only temporarily?

Here is video of Pugsley:http://www.youtube.com/watch?v=OKNOIWcmF_8Christie Carlo, DVM, CCRT> Certified Canine Rehabilitation Therapist> Secretary for American Association of Rehabilitation Veterinarians> Avondale Veterinary Healthcare Complex> > (fax)>> I have 2 patients that have had recent amputations (one is front leg, other> is rear leg) that I want to help. The front leg is a Pug that had a bad> elbow fracture (full leg amputation) and the other is a Clumber Spaniel> with osteosarcoma of rear leg now undergoing chemo.> > The Pug is overweight. His remaining front leg appears to be under such> strain to support his body. Other than weight loss and core strengthening> exercises are there any other suggestions.> > The Clumber Spaniel will be coming in this week so I don't have alot of> information. However, the owner (phone consultation) was concerned because> the dog could not go up a full flight of stairs any longer. I explained> that the chemo may be weakening him, but that after evaluation I could> design a strengthening program, but his recovery will take time.> > What kinds of exercises do you prescribe for amputation patients? What else> am I missing?> Thanks for your advise.> > -- > Christie Carlo, DVM, CCRT> Certified Canine Rehabilitation Therapist> Secretary for American Association of Rehabilitation Veterinarians> Avondale Veterinary Healthcare Complex> > (fax)>

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The strain on the other carpus was my biggest concern!

Christie Carlo, DVM ,CCRT

>

> I would do lots of sit to stands, dance position on ball, and sit up and

> beg and stand on hind legs (which he seems already willing to do) with this

> pug to build up his hind end strength. Pugs are always front end loaded

> anyway but he seems to be breaking down his remaining carpus.

>

> pam mueller PhD DVM

>

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Hi Christie

Everyone has had some great suggestions for weight loss and core strengthening. Have you thought about bracing the remaining carpus to support it while you work on the weight loss? It will save the carpus and almost certain degenerative progression of the elbow due to the weight shifting to accomodate the loss of the other front limb

RE: Re: Amputation rehab

You can use Alpha-Stim for phantom leg pain. There are specific protocols. Research done on people.

Ava Frick, DVM

From: VetRehab [mailto:VetRehab ] On Behalf Of Tgbartonpt@...Sent: Monday, February 13, 2012 4:55 PMTo: VetRehab Subject: Re: Re: Amputation rehab

How about a cart for the pug, even if only temporarily?

Here is video of Pugsley:http://www.youtube.com/watch?v=OKNOIWcmF_8Christie Carlo, DVM, CCRT> Certified Canine Rehabilitation Therapist> Secretary for American Association of Rehabilitation Veterinarians> Avondale Veterinary Healthcare Complex> > (fax)>> I have 2 patients that have had recent amputations (one is front leg, other> is rear leg) that I want to help. The front leg is a Pug that had a bad> elbow fracture (full leg amputation) and the other is a Clumber Spaniel> with osteosarcoma of rear leg now undergoing chemo.> > The Pug is overweight. His remaining front leg appears to be under such> strain to support his body. Other than weight loss and core strengthening> exercises are there any other suggestions.> > The Clumber Spaniel will be coming in this week so I don't have alot of> information. However, the owner (phone consultation) was concerned because> the dog could not go up a full flight of stairs any longer. I explained> that the chemo may be weakening him, but that after evaluation I could> design a strengthening program, but his recovery will take time.> > What kinds of exercises do you prescribe for amputation patients? What else> am I missing?> Thanks for your advise.> > -- > Christie Carlo, DVM, CCRT> Certified Canine Rehabilitation Therapist> Secretary for American Association of Rehabilitation Veterinarians> Avondale Veterinary Healthcare Complex> > (fax)>

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Dr. Carlo,

I have a few exercises in these videos that may help for both your cases; the

Pug maybe more than the other though. I would think that the bridging exercise

like at time mark 2:50 in the 1st video may be good and if you have a land

treadmill, with an open front, you could try the exercise like at time mark 2:05

in the 2nd video (just much, much slower). Decreasing height of the hindlimbs

can unload the front of your patient and make it easier for them when first

starting the exercises.

1st video: http://youtu.be/IlV0UDwwHMo

2nd video: http://youtu.be/KbPtxFI-i20

Sorry for all the filler, but these were promo videos for my hospitals Facebook

page so they kind of tell a little story, but I'm sure you can extrapolate the

ideas for the exercises from them. I also recently wrote an article on lure

reward training here:

http://northeastseminars.wordpress.com/2012/01/28/therapeutic-exercise-through-l\

ure-reward-training/

This may help facilitate training for the exercises.

Functional exercises like Dr. Steiss suggested are also a must in my book,

especially in your rear limb amputation patient. Hope this helps and good luck,

Robby

J Porter III

Certified Canine Rehabilitation Practitioner

Louisiana Veterinary Referral Center

Animal Rehabilitation Center

Mandeville, LA

70448

Main Hospital: ext. 208

lavrc.com

twitter.com/LAVRC

facebook.com/LAVRC

youtube.com/user/LAVRC

facebook.com/louisianaCOP

> >

> > I have 2 patients that have had recent amputations (one is front leg,

other

> > is rear leg) that I want to help. The front leg is a Pug that had a bad

> > elbow fracture (full leg amputation) and the other is a Clumber Spaniel

> > with osteosarcoma of rear leg now undergoing chemo.

> >

> > The Pug is overweight. His remaining front leg appears to be under such

> > strain to support his body. Other than weight loss and core

strengthening

> > exercises are there any other suggestions.

> >

> > The Clumber Spaniel will be coming in this week so I don't have alot of

> > information. However, the owner (phone consultation) was concerned

because

> > the dog could not go up a full flight of stairs any longer. I explained

> > that the chemo may be weakening him, but that after evaluation I could

> > design a strengthening program, but his recovery will take time.

> >

> > What kinds of exercises do you prescribe for amputation patients? What

else

> > am I missing?

> > Thanks for your advise.

> >

> > --

> > Christie Carlo, DVM, CCRT

> > Certified Canine Rehabilitation Therapist

> > Secretary for American Association of Rehabilitation Veterinarians

> > Avondale Veterinary Healthcare Complex

> >

> > (fax)

> >

>

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