{"id":764,"date":"2020-08-10T18:18:47","date_gmt":"2020-08-10T22:18:47","guid":{"rendered":"https:\/\/www.pawsitivestepsrehab.com\/blog\/?p=764"},"modified":"2020-08-10T18:18:47","modified_gmt":"2020-08-10T22:18:47","slug":"initial-evaluations-neurologic","status":"publish","type":"post","link":"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/","title":{"rendered":"Initial Evaluations -Neurologic"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">by Angelia Oliverei LVT, CVMRT and Cathryn Adolph, LVT, CCRP<\/h4>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-1024x1024.jpg\" alt=\"\" class=\"wp-image-767\" width=\"319\" height=\"319\" srcset=\"https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-1024x1024.jpg 1024w, https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-800x800.jpg 800w, https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-150x150.jpg 150w, https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-768x768.jpg 768w, https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-1536x1536.jpg 1536w, https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-2048x2048.jpg 2048w\" sizes=\"auto, (max-width: 319px) 100vw, 319px\" \/><figcaption>Testing the patellar reflex <\/figcaption><\/figure><\/div>\n\n\n\n<p>In the second installment in our Initial Examination Blog series, we look at the neurologic portion of our evaluation. \u00a0Much like our orthopedic exam, we start by looking at your pet\u2019s posture, gait, and muscles, but from a completely different perspective.\u00a0 We also evaluate your pet\u2019s reflexes, nerve reactions and check for appropriate responses to different stimuli.\u00a0<\/p>\n\n\n\n<!--more-->\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Neurology<\/strong><\/h3>\n\n\n\n<p>Neurology is the branch of medicine involving disorders of the nervous system and includes the diagnosis and treatment of such conditions.&nbsp; The nervous system is responsible for controlling every function in the body from voluntary movement, breathing, digestion, hormone release, pain recognition, and more.&nbsp; In fact, everything is neurology!!<\/p>\n\n\n\n<p>There are two major branches of the nervous system that work to send signals throughout the body. The first is the&nbsp;central nervous system, which&nbsp;includes the brain and spinal cord. The second is the peripheral nervous system, which includes all of the nerves that branch out from the brain and spinal cord and extend to other parts of the body including muscles and organs.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Posture &amp; Gait<\/strong><\/h3>\n\n\n\n<p>Similar to our orthopedic exam, our neurologic exam starts with a look at posture and gait.&nbsp; Some neurologic conditions can weaken the signal from the brain to the muscles, which can be reflected in our pet\u2019s movements.&nbsp;&nbsp;&nbsp; Abnormalities in our pet\u2019s gaits can be seen as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ataxia \u2013 Uncoordinated gait that is often described as \u201cwalking like they are drunk\u201d<\/li><li>Cadence \u2013 Animals have a rhythm when they walk, it is abnormal when the beat in the front does not match the beat in the rear<\/li><li>Scuffing \u2013 The pet drags their nails, or even the top of their feet, on the ground as they advance their limbs, which can often be heard also<\/li><li>Knuckling \u2013 This is when the pet places their foot upside down as they stand or walk, rather than positioning the paw pads down on the ground<\/li><li>Other symptoms include: staggering, tripping, dragging, wobbly gait, crossing their feet beneath them, falling down, difficulty remaining standing, etc.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2016\/05\/Cheyenne.jpg\" alt=\"\" class=\"wp-image-197\" width=\"300\" height=\"225\"\/><figcaption>Cheyenne is showing poor posture in a stand<\/figcaption><\/figure><\/div>\n\n\n\n<p>When standing, we can evaluate your pet\u2019s posture.\u00a0 Sometimes we may see a pet sink down in the affected limbs as they tire from standing, shifting weight off a weak limb, or even knuckling.\u00a0<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Palpating &amp; Testing Reflexes<\/strong><\/h3>\n\n\n\n<p>During the physical examination, our veterinarian will palpate all the muscles of the back and limbs, looking for tense muscles and also loss of muscle tone.&nbsp; Muscles that are not receiving strong signals from the nervous system can become flaccid, described as a loss of muscle tone.&nbsp;<\/p>\n\n\n\n<p>Reflexes are tested to ensure the nervous system is working correctly.&nbsp; These reflexes are involuntary and automatic, designed to protect the body from injury without having to think about it.&nbsp; In fact, the brain isn\u2019t involved as the reflex arc goes from the peripheral nerves to the spinal cord and back.&nbsp; We test the reflexes on the front limbs, hind limbs, along the trunk, and the also the cranial nerves.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Diagnostic Tool<\/strong><\/h3>\n\n\n\n<p>The neurologic exam is a wonderful diagnostic tool and can help us isolate, or narrow down, a cause for the patient\u2019s symptoms. Advanced imaging, such as an MRI or CT scan, is sometimes needed for a definitive diagnosis. Getting a definitive diagnosis does not always change the treatment plan, but it can help guide the prognosis of certain patients.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>by Angelia Oliverei LVT, CVMRT and Cathryn Adolph, LVT, CCRP In the second installment in our Initial Examination Blog series, we look at the neurologic portion of our evaluation. \u00a0Much like our orthopedic exam, we start by looking at your pet\u2019s posture, gait, and muscles, but from a completely different perspective.\u00a0 We also evaluate your [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-764","post","type-post","status-publish","format-standard","hentry","category-pawsitive-steps-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Initial Evaluations -Neurologic<\/title>\n<meta name=\"description\" content=\"In the second installment in our Initial Examination Blog series, we look at the neurologic portion of our evaluation. Much like our orthopedic exam, we start by looking at your pet\u2019s posture, gait, and muscles, but from a completely different perspetive.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Initial Evaluations -Neurologic\" \/>\n<meta property=\"og:description\" content=\"In the second installment in our Initial Examination Blog series, we look at the neurologic portion of our evaluation. Much like our orthopedic exam, we start by looking at your pet\u2019s posture, gait, and muscles, but from a completely different perspetive.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/\" \/>\n<meta property=\"og:site_name\" content=\"Pawsitive Steps Rehabilitation &amp; Therapy for Pets, Troy MI\" \/>\n<meta property=\"article:published_time\" content=\"2020-08-10T22:18:47+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-1024x1024.jpg\" \/>\n<meta name=\"author\" content=\"Pawsitive Steps Staff\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Pawsitive Steps Staff\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/\"},\"author\":{\"name\":\"Pawsitive Steps Staff\",\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/#\/schema\/person\/54fbc2c28e8c68df42cacecc9dbf0af0\"},\"headline\":\"Initial Evaluations -Neurologic\",\"datePublished\":\"2020-08-10T22:18:47+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/\"},\"wordCount\":593,\"publisher\":{\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-1024x1024.jpg\",\"articleSection\":[\"Pawsitive Steps News\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/\",\"url\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/\",\"name\":\"Initial Evaluations -Neurologic\",\"isPartOf\":{\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/initial-evaluations-neurologic\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.pawsitivestepsrehab.com\/blog\/wp-content\/uploads\/2020\/08\/Reflexes-1024x1024.jpg\",\"datePublished\":\"2020-08-10T22:18:47+00:00\",\"description\":\"In the second installment in our Initial Examination Blog series, we look at the neurologic portion of our evaluation. 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