{"id":4738,"date":"2020-12-30T16:05:50","date_gmt":"2020-12-30T16:05:50","guid":{"rendered":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/?page_id=4738"},"modified":"2021-01-04T21:11:04","modified_gmt":"2021-01-04T21:11:04","slug":"postural-exam","status":"publish","type":"page","link":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/postural-exam\/","title":{"rendered":"Overall Evaluation and Postural Exam"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p>Postural reflexes are complex reponses that maintain an animal&#8217;s normal upright postion. Abnormal postural reflexes may indicate neurologic disease. <strong>Proprioception<\/strong> loss is one of the earliest abnormal postural reflexes indicating neurologic disease.<\/p>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:30px;--awb-content-font-size:16px;--awb-icon-alignment:left;--awb-hover-color:#f9f9fb;--awb-border-color:#e2e2e2;--awb-background-color:#ffffff;--awb-divider-color:#e2e2e2;--awb-divider-hover-color:#e2e2e2;--awb-icon-color:#ffffff;--awb-title-color:#ff552e;--awb-content-color:#4a4e57;--awb-icon-box-color:#13294b;--awb-toggle-hover-accent-color:#e84a27;--awb-title-font-family:&quot;Montserrat&quot;;--awb-title-font-weight:400;--awb-title-font-style:normal;--awb-title-font-size:21px;--awb-title-line-height:1.36;--awb-content-font-family:&quot;Montserrat&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-4738-1\"><div class=\"fusion-panel panel-default panel-790c8308a73d1d939 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_790c8308a73d1d939\"><a aria-expanded=\"false\" aria-controls=\"790c8308a73d1d939\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4738-1\" data-target=\"#790c8308a73d1d939\" href=\"#790c8308a73d1d939\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">General Exam and Proprioceptive<\/span><\/a><\/h4><\/div><div id=\"790c8308a73d1d939\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_790c8308a73d1d939\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><p>The purpose of a <strong>systematic neurologic examination<\/strong> is to establish the presence of neurological disease and to localize the lesion.<\/p>\n<p>First, visualize the animal overall visualization \u2013 does the dog exhibit ataxia, paresis, or paralysis, and are the forelimb and\/or rear limbs involved. Then evaluate postural reflexes, followed by spinal reflexes and finally, pain perception.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"400\" height=\"471\" alt=\"Neurological exam on small dog\" title=\"Neurological exam on small dog\" src=\"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/12\/toe-test-400x471.jpg\" class=\"img-responsive wp-image-4714\" srcset=\"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/12\/toe-test-200x236.jpg 200w, https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/12\/toe-test-400x471.jpg 400w, https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/12\/toe-test-600x707.jpg 600w, https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/12\/toe-test-800x943.jpg 800w, https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/12\/toe-test-1200x1414.jpg 1200w, https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/12\/toe-test.jpg 1802w\" sizes=\"(max-width: 800px) 100vw, 600px\" \/><\/span><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><p>You should observe the mental status, the posture of the animal, its gait, including forward, backward and in tight circles. Palpation of the spine is important.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img decoding=\"async\" width=\"400\" height=\"263\" alt=\"Palpate the scapula\" title=\"Palpate the scapula\" src=\"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/08\/scapula-1-400x263.jpg\" class=\"img-responsive wp-image-3728\" srcset=\"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/08\/scapula-1-200x131.jpg 200w, https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/08\/scapula-1-400x263.jpg 400w, https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/08\/scapula-1-600x394.jpg 600w, https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-content\/uploads\/sites\/117\/2020\/08\/scapula-1.jpg 712w\" sizes=\"(max-width: 800px) 100vw, 600px\" \/><\/span><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-4\"><p><strong>Proprioception loss<\/strong> is the earliest indicator of spinal disease and should be performed in every physical and orthopedic examination. Proprioceptive positioning is performed by flexing the paw so the dorsal surface is on the floor. The animal should immediately return the paw to a normal position.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/proprio-front.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/proprio-rear.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div>\n<div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div>\n<div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-6 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-5\"><p><strong>Proprioception loss<\/strong> as exhibited by delayed or absent correction of the knuckled paw indicates neurologic disease. Worn dorsal toenails, skin abrasions, or calluses on the dorsum of the foot may signify long-standing proprioceptive deficits.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-7 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/slowcp_front.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/slow_cp_rear.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-0c5561481e9233b6f fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_0c5561481e9233b6f\"><a aria-expanded=\"false\" aria-controls=\"0c5561481e9233b6f\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4738-1\" data-target=\"#0c5561481e9233b6f\" href=\"#0c5561481e9233b6f\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Wheelbarrow<\/span><\/a><\/h4><\/div><div id=\"0c5561481e9233b6f\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_0c5561481e9233b6f\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-8 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-6\"><p><strong>Wheelbarrowing<\/strong> is performed by having the animal bear weight on the thoracic limbs while it is being supported under the abdomen.<\/p>\n<p>Normal animals walk forward with coordinated movements of both thoracic limbs.<\/p>\n<p>Slow initiation of movement during wheelbarrowing may be due to a cervical spinal cord, brainstem, or cerebral lesion. Exaggerated movements (dysmetria) may indicate cervical spinal cord, lower brainstem, or cerebellar abnormalities.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-9 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/wheelbarrow.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-94ba9c9a78be9471f fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_94ba9c9a78be9471f\"><a aria-expanded=\"false\" aria-controls=\"94ba9c9a78be9471f\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4738-1\" data-target=\"#94ba9c9a78be9471f\" href=\"#94ba9c9a78be9471f\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Hopping<\/span><\/a><\/h4><\/div><div id=\"94ba9c9a78be9471f\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_94ba9c9a78be9471f\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-10 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-7\"><p><strong>Hopping<\/strong> is tested with the animal positioned as for wheelbarrowing, except one thoracic or pelvic limb is lifted from the ground. The entire weight of the animal is supported on one limb as the patient is moved medially and laterally.<\/p>\n<p>Video shows forelimb hopping.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-11 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/hopping_front.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div>\n<div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div>\n<div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-12 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-8\"><p>Poor initiation of hopping suggests proprioceptive deficits. Poor movement suggests motor deficits. Asymmetry may help to lateralize a lesion. Generally, testing thoracic limbs yields more reliable information than testing pelvic limbs.<\/p>\n<p>Video shows rearlimb hopping.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-13 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/hopping_rear.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-c351a0440bc4653a3 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_c351a0440bc4653a3\"><a aria-expanded=\"false\" aria-controls=\"c351a0440bc4653a3\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4738-1\" data-target=\"#c351a0440bc4653a3\" href=\"#c351a0440bc4653a3\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Extensor Postural Thrust<\/span><\/a><\/h4><\/div><div id=\"c351a0440bc4653a3\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_c351a0440bc4653a3\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-14 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-9\"><p><b>Extensor Postural Thrust<\/b> is performed by supporting the animal under the thorax while lowering it to the floor. When the pelvic limbs touch the floor, they should move caudally in symmetric walking movements to achieve a position of support. The patient assessment is the same as for wheelbarrowing.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-15 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/post_thrust.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-0d2a6f0b33acb923a fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_0d2a6f0b33acb923a\"><a aria-expanded=\"false\" aria-controls=\"0d2a6f0b33acb923a\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4738-1\" data-target=\"#0d2a6f0b33acb923a\" href=\"#0d2a6f0b33acb923a\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Hemistanding\/Hemiwalking<\/span><\/a><\/h4><\/div><div id=\"0d2a6f0b33acb923a\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_0d2a6f0b33acb923a\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-16 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-10\"><p><b>Hemistanding<\/b> and <b>hemiwalking<\/b> are performed by elevating the front and rear limbs of one side so that all of the animal\u2019s weight is supported by the opposite limbs. Lateral walking movements are then evaluated. The patient assessment is the same as for wheelbarrowing.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-17 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/hemiwalking.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-3961241e3d5ecdb58 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_3961241e3d5ecdb58\"><a aria-expanded=\"false\" aria-controls=\"3961241e3d5ecdb58\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4738-1\" data-target=\"#3961241e3d5ecdb58\" href=\"#3961241e3d5ecdb58\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Visual Placing<\/span><\/a><\/h4><\/div><div id=\"3961241e3d5ecdb58\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_3961241e3d5ecdb58\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-18 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-11\"><p><b>Visual placing<\/b> is tested by allowing the animal to see the table surface. Normal animals reach for the surface before the carpus touches the table. Visual placing requires normal visual pathways to the cerebral cortex, communication from the visual cortex to the motor cortex, and motor pathways to the forelimb peripheral nerves. A lesion of any portion of the pathway may cause a deficit in the placing reaction.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-19 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/visual_placing.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-531ac6a35410e0700 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_531ac6a35410e0700\"><a aria-expanded=\"false\" aria-controls=\"531ac6a35410e0700\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4738-1\" data-target=\"#531ac6a35410e0700\" href=\"#531ac6a35410e0700\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Tactile Placing<\/span><\/a><\/h4><\/div><div id=\"531ac6a35410e0700\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_531ac6a35410e0700\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-20 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-12\"><p><b>Tactile placing<\/b> is performed by supporting the animal under the thorax and obscuring its vision. The distal thoracic limbs (at or below the carpi) are brought in contact with the edge of a table. The normal response is immediate placement of the feet on the table surface in a position that will support weight. Normal tactile placing with absent visual placing indicates a lesion in the visual system.<\/p>\n<p>Normal visual placing with abnormal tactile placing suggests a sensory pathway lesion. Cerebral and diencephalic lesions produce a deficit in the contralateral limb. Lesions below the midbrain usually produce an ipsilateral deficit.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-21 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/tactile_placing.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-4738","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages\/4738","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/comments?post=4738"}],"version-history":[{"count":13,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages\/4738\/revisions"}],"predecessor-version":[{"id":4880,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages\/4738\/revisions\/4880"}],"wp:attachment":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/media?parent=4738"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}