PHYSICAL THERAPY FOR CRITICALLY ILL VETERINARY PATIENTS .2. THE MUSCULOSKELETAL SYSTEM

Physical therapy is often overlooked early in the management of critic ally ill small animals; yet it can play an important role in preventin g complications, improving patient comfort, and reducing the length an d cost of hospitalization. Part I of this two-part presentation, which was published in the June issue of Compendium, discussed the importan ce of physical therapy for critically ill small animals and described chest physical therapy in detail. This part discusses Physical therapy techniques for the musculoskeletal system. Massage reduces excess flu id in. interstitial: and joint spaces, increases circulation to paraly zed musculature, and mobilizes tissues that are abnormally adherent to adjacent structures. It can also provide some pain relief and general relaxation. Bandaging can help prevent or reduce edema in the extremi ties; it is particularly helpful for patients with hypoproteinemia or vasculitis. Range-of-motion exercises main-tain existing mobility and muscle elasticity, improve circulation, and decrease edema. Any patien t that can stand and walk should he encouraged to do so. To save staff time, clients can be encouraged to perform some of these procedures f or hospitalized animals.