Am. Manning et al., PHYSICAL THERAPY FOR CRITICALLY ILL VETERINARY PATIENTS .2. THE MUSCULOSKELETAL SYSTEM, The Compendium on continuing education for the practicing veterinarian, 19(7), 1997, pp. 803
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.