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for the duration of their stay. No significant treatment effect was detected on the incidence of infectious upper respiratory disease (IURD), the need for antimicrobial treatment for IURD, or the interval from admission to onset of IURD. A subsequent pair of studies assessed the safety and efficacy of l-lysine incorporated into cat food. Perhaps not unexpectedly, food (and therefore lysine) intake decreased coincident with peak disease and viral presence. As a result, cats did not receive lysine at the very time they needed it most. Surprisingly though, clinical signs and viral shedding in cats fed the supplemented ration were worse than in cats fed the basal diet.
Taking all of this into account, I administer 500 mg lysine per os q 12 hours therapeutically at the time of recrudescent disease and encourage owners of cats that have frequent recurrences to administer this same dose over the long term as a prophylactic measure. More recently I have strongly recommended that client- owned animals receive lysine as a twice daily bolus; not sprinkled on food.
WSV18-0045
SVA REHABILITATION
INTRODUCTION TO THERAPEUTIC EXERCISE
J. Van Dyke1
1CRI, Faculty, Wellington, USA
INTRODUCTION TO THERAPEUTIC EXERCISE Janet B. Van Dyke, DVM,
Diplomate American College of Veterinary Sports Medicine and Rehabilitation
Wellington, Florida USA janetvandyke@me.com
The rehabilitation therapist assesses the patient by gathering subjective data from the client, medical history from the referring veterinarian, and objective data from an in-depth physical examination that includes assessment of posture, gait, strength, flexibility, AROM, PROM, and neurologic function. From this data, a problem list is created and an assessment narrative is written. The treatment plan addresses each of the items on the problem list and includes manual therapies, physical modalities, and therapeutic exercises.
Therapeutic exercise plans are based upon the weight- bearing status of the patient. Weight bearing is classified as: Non-Weight Bearing (NWB), Partial Weight Bearing (PWB), and Full Weight Bearing (FWB). Animals that are FWB are then classified by strength: Minimal (Less than 3 on a scale of 5, shown here as <3/5), Moderate (3
out of 5, shown here as 3/5), and Good (Greater than 3 out of 5, shown here as >3/5). Exercise plans for each
of these weight-bearing statuses will include work on Proprioception, Strength, Flexibility, and Endurance.
The therapist must then focus upon the structures
being treated: the muscles. There are two basic muscle types: Joint stabilizer muscles and Mobilizer muscles. Stabilizers tend to be short bellies with short excursion length. They tend is sit deep to the mobilizers and insert close to the joint. These muscles tend to have more Type 1 muscle fibers. Mobilizers have longer bellies
and tendons, sit more superficially in the limb, have more Type 2 muscle fibers, and are more frequently diagnosed with strain injuries.Patient evaluation requires a thorough examination to assess for areas of pain and/ or weakness. The patient’s emotional and intellectual abilities must be assessed as well, as this will determine the types and intensities of treatment plans that will
be optimal. With all information gathered, the therapist will create both short-term and long-term goals for the patient, based upon age, injury acuity, weight bearing status, and client’s goals.When designing a therapeutic
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