Rehabilitation in an 8-year old non-ambulatory tetraparetic Labrador retriever
An 8-year-old male castrated Labrador Retriever presented with a history of non-ambulatory tetraparesis which progressed over approximately one and a half days. On presentation, the patient was bright, alert and responsive, with an unremarkable general physical examination. Neurological evaluation was consistent with an acute, non-painful, non-progressive, right-lateralizing Cl-CS myelopathy. Magnetic Resonance Imaging (MRI) revealed a focal, intramedullary hyperintense lesion on T2-weighted sequencing at the level of C6-C7. Based on the clinical history and MRI, the most likely diagnosis was a fibrocartilaginous embolism. The patient was hospitalized for 41 days to undergo intensive rehabilitation, which included passive range of motion, assisted standing and walking, use of a physioroll ball, gait training in a cart, and neuromuscular electrostimulation. On discharge, the patient was able to rise from a down unaided, stand on his own, and ambulate voluntarily. Physical therapy has benefits both in the area of neuroplasticity and preservation of the musculoskeletal system.