Clean Run - December 2015 - 54

VOSM

Pt#

Cool

10975 Guilford Rd

Owner:

Annapolis Junction Md 20701
Tel:

8053

Lisa Ross

4104188446

4/30/2013 2:21:05 PM

Tested on:

instability on palpation (cranial drawer
or thrust in flexion), or if the owners are
unable to fully restrict and control the
dog. It can be challenging to obtain a
perfect custom brace fit for some dogs
and bracing may not be possible even if
recommended or attempted.

12928

Doctor:

Sherman Canapp, DVM, MS, DACVS

Breed:

Border Collie

Age Gender

5

M

Left (H/F)

LEG Right (H/F)

Shoulder

Hip

Velocity: 222.8 *
Reach (L/R): -3.8 / -2.9
Stance time(sec)

Stance %GC (%)

Total Pres. Index

Left Front

.18(0.00)

41.55(1.13)

43.0(3.54)

Left Hind

.14(0.01)

32.03(2.36)

21.8(3.77)

Right Front

.20(0.02)

Right Hind

45.60(1.34)

.16(0.01)

Symmetry Ratio

35.85(0.80)

TPI %

45.2(6.50)

Stride Vel(cm/sec)

Step Length(cm)

Stride Length(cm)

Step/Stride Ratio

31.8 %

226.9

48.58(1.10)

96.4(2.40)

50.4%

16.1 %

223.1

47.95(2.10)

96.1(2.41)

49.9%

33.4 %

25.4(2.79)

18.8 %

Front/Hind

1.27

1.28

1.87

1.61

Left Front/Right Front

0.90

0.91

0.95

1.07

Left/Right

0.89

Left Hind/Right Hind

0.90

0.88

0.89

0.92

1.30

1.97

1.80

Left Front/Right Hind

1.13

1.16

1.69

1.55

Right Front/Left Hind

1.27

1.43

1.42

95.0(1.59)

47.50(1.37)

95.3(3.30)

49.7%
49.8%

Indicates a front load when comparing any front
to hind or indicates left loading when
comparing any left to a right

0.86

1.29
1.25

47.25(2.56)

223.2

0.98

0.86

Left Front/Left Hind

Right Front/Right Hind

223.7

1.78

Indicates a hind load when comparing any front
to hind or indicates right loading when
comparing any left to a right

1.45

2.07

1.68

Stance time (sec)

.26
.22
.18
.14
.10

Total Pressure Index

66.00
52.70
39.40
26.10
12.80

Initial Gait4Dog objective gait analysis revealed a decreased pressure on the left pelvic limb as compared
to the right pelvic limb.

VOSM

Pt#

10975 Guilford Rd

Owner:

Annapolis Junction Md 20701
Tel:

8897

Doctor:

Sherman Canapp, DVM, MS, DACVS

Breed:

Border Collie

Case Summary
Age Gender

5

Stance %GC (%)

Total Pres. Index

Left Front

.21(0.02)

45.75(2.25)

39.0(6.14)

Left Hind

.16(0.02)

34.42(2.97)

24.3(6.26)

Right Hind

Symmetry Ratio

M

.21(0.02)
.17(0.01)

47.13(2.84)
38.73(1.69)

42.0(5.63)
23.4(2.76)

TPI %

Stride Length(cm)

Step/Stride Ratio

200.1

44.36(1.34)

87.9(2.67)

50.5%

18.9 %

201.3

44.27(1.67)

88.3(1.62)

50.1%

32.6 %
18.2 %

1.70

1.48

Left Front/Right Front

1.00

0.97

0.93

1.01

0.97
0.94

0.93
0.89

0.97
1.04

1.00

1.31

1.33

1.60

1.50

Left Front/Right Hind

1.24

1.18

1.67

1.47

.28
.24
.19
.15
.10
57.60
45.60
33.60
21.60
9.60

1.24
1.31

1.22
1.37

1.79
1.73

194.7
199.1

43.08(2.45)
43.61(0.96)

87.5(3.15)
88.0(2.16)

49.2%
49.6%

Indicates a front load when comparing any front
to hind or indicates left loading when
comparing any left to a right

0.98

Left Front/Left Hind

Right Front/Left Hind

Hip

30.3 %

1.27

Right Front/Right Hind

Shoulder

Step Length(cm)

1.27

Left Hind/Right Hind

LEG Right (H/F)

Stride Vel(cm/sec)

Front/Hind
Left/Right

Left (H/F)

Velocity: 197.9 *
Reach (L/R): -3.3 / -3.2
Stance time(sec)

Right Front

Lisa Ross

4104188446

8/21/2013 9:17:37 AM

Tested on:

12928

Cool

1.46

Indicates a hind load when comparing any front
to hind or indicates right loading when
comparing any left to a right

1.49

Stance time (sec)

Total Pressure Index

At 90 days post stem cell therapy, Gait4Dog objective gait analysis revealed an even pressure, stride length,
and step length on the left hind limb as compared to the right.

54

Weekly rehabilitation therapy, beginning 2 weeks postoperatively, is recommended for 12 weeks. Rehabilitation
therapy helps to speed healing by decreasing post-operative inflammation
and swelling, building muscle mass, increasing range of motion, and improving overall comfort. Therapy sessions
included manual physical therapy, standard isometric exercises, gentle passive
range of motion (PROM), and class III-b
laser therapy. Class 4 lasers, ultrasound
therapy and shock wave therapy are
not recommended post stem cell injection as these modalities may harm the
cells or decrease the ability of healing.
NSAIDs are also not recommended as
they can block the positive inflammatory response needed for appropriate
healing. Rehabilitation therapy is performed weekly in conjunction with an
at-home exercise program. Cool did not
have access to an adequate rehabilitation therapy facility, so his owner diligently performed home exercises under
the guidance of VOSM.
On 90-day post-operative physical examination, Cool was fully weight bearing in the left hind limb at a trot. Stifle
palpation revealed no joint effusion
in either stifle. There was no instability
present in the left stifle joint. Gait4Dog
objective gait analysis revealed an even
pressure, stride length, and step length
on the left hind limb as compared to the
right. Arthroscopic exploration of the
left stifle revealed that the cranial cruciate ligament was intact and the region
that previously had showed disruption
has healed. An area of neovascularization (new blood supply to the injured
site of the CCL) was noted. The previously noted joint inflammation (synovitis)
had resolved. Cool was slowly returned
to activity over the course of 8 weeks
and has since returned to full function.
Cool returned to agility competition approximately 11 months after his injury
and won a national competition to earn
Clean Run | December 15
Clean Run - December 2015

Table of Contents for the Digital Edition of Clean Run - December 2015
