Resistance Training and the Older Adult

Resistance Training and the Older Adult

From the American College of Sports Medicine, Comments and Position Statements

This article has some plain English and some sciencey stuff. Give it a try if you don’t usually like the longer, data-filled articles. The bits in quotes are directly from the article, written for the American College of Sports Medicine by Darryn S. Willoughby, Ph.D., CSCS, FACSM. I have included a few of my own comments in parentheses. Italics and bold type are also my additions. And, yes, I have used most of the ideas outlined here and adapted them for old pet rehabilitation–RehabDeb.

Great Dane, Miss Moneypenny, Taking a Break From Old Pet Rehabilitation
Great Dane, Miss Moneypenny, Taking a Break After Exercise Program

Benefits of Resistance Training in Older Adults –

“The health benefits of appropriately prescribed long-term (more than 12 weeks) resistance training in older adults–ages 65 and older–are well known. They include improvements in muscle strength and endurance; other possible health benefits include increase in muscle mass, which translates into improvements in functional capacity. In addition, increased weight bearing with resistance training is considered beneficial in improving bone density and combating the effects of osteoporosis.”

(Rehabdeb note: the above is basically true for other mammals as well.)

Appropriate Programs for Function –

“Achieving appropriate levels of function is very important for older adults so they are able to carry out most of the daily living skills necessary to lead independent lives. Due to the fact that muscle wasting (sarcopenia) and weakness, exacerbated by physical inactivity, is prevalent in the aging population, more emphasis has been placed on developing resistance-training programs for older adults. When developing resistance-training programs for this group, important components to consider are the various training-related variables: frequency, duration, exercises, sets, intensity, repetitions, and progression.”

Orthopedic Issues and Resistance Training –

“Older adults often have orthopedic issues that contraindicate resistance training of the affected joint(s). Older adults are also at a higher risk of cardiovascular disease, and in many cases have even been diagnosed with it. Therefore, it is critical that the older adult receive prior approval from their physician before participating in resistance training.

It should be noted that proper supervision of the individual’s resistance-training program, including any testing procedures, by an appropriately trained exercise professional, is highly recommended. It should also be noted that performing maximum strength testing in many older adults is not recommended. Therefore, when strength testing is appropriate, sub-maximum testing protocols for estimating maximum strength are recommended.”

Frequency –  

“Exercise may be categorized as either multi-joint, meaning more than one joint is dynamically involved to perform the exercise (e.g., bench press, shoulder press, leg press), or uni-joint, meaning only one joint is dynamically involved (e.g., bicep curls, triceps extensions, leg extensions). In the older adult, the resistance-training program should focus primarily on multi-joint exercises. Uni-joint exercises are not discouraged entirely but should not make up the majority of exercises within the training program.

If a person is performing both multi-joint and uni-joint exercises for a particular muscle group, it is recommended that the multi-joint exercise(s) be performed before the uni-joint exercise. Additionally, within each resistance-training workout, larger muscle groups (i.e., legs, back, and chest) should be worked before smaller muscle groups (i.e., arms and shoulders).”

Equipment for Humans –

Additionally, machines are recommended over free weights (i.e., barbells and dumbbells) due to skill-related and safety factors. As the individual progresses, they can use free-weight exercises appropriate for their level of skill, training status and functional capacity.

(Rehabdeb note: I design some programs using weights for pets. Otherwise, we don’t have weight machines, per se, in veterinary rehabilitation. There are some standard tools and equipment recommended in veterinary rehabilitation programs. Most practitioners use those tools before building a good foundation. They are also often troublesome for a client to use successfully at home. Veterinary rehab clinicians often use a water treadmill when other work would be more effective. It really helps a practitioner to know functional recovery at the professional human sports level.)

Muscle Groups –

“Traditionally, muscle groups are classified as the following: 1) chest, 2) shoulders, 3) arms, 4) back, 5) abdomen, and 6) legs. Specifically, the chest group contains the pectoral muscles, the shoulder group contains the deltoid, rotator cuff, scapular stabilizers and trapezius muscles, the arm group contains the biceps, triceps, and forearm muscles, the back group contains the latissimus dorsi of the upper back and the erector muscles of the lower back, the abdomen group contains the rectus abdominis, oblique, and intercostals muscles, and the leg group contains the hip (gluteals), thigh (quadriceps), and hamstring muscles.

In the older adult, it is important to attempt to incorporate all six of these muscle groups into the comprehensive resistance-training program.”

(Rehabdeb note: same for other animals ^^. A practitioner with enough experience in program design and implementation can design programs for you. You may use my programs at home with your pet to meet the goals in this statement paper.)

How Much Exercise for Benefits?

“It has been recommended that one to two exercises per muscle group is normally adequate. Noteworthy here is to understand that by employing primarily multi-joint exercises in the resistance training program one may actually exercise more than one muscle group or specific muscle per exercise.

For example, in performing the leg press exercise the quadriceps, hamstrings, and gluteal muscles are all involved and, in many cases, this could eliminate the need to perform any uni-joint exercises for those particular muscles.

Studies have shown improvements in muscle strength employing ranges of one to three sets of each exercise during the training program.”

Some Human-Based Guidelines –

“Based on current guidelines, it would be recommended that the individual start with one set of each exercise and, depending on individual need, possibly progress up to no more than three sets when the fitness professional deems it appropriate. It should be noted, however, that an average of two sets of each exercise would be beneficial for most individuals. To avoid excess fatigue, a two-to-three minute rest period between sets and exercises is recommended.”

(Rehabdeb note: I have based my basic programs and my advanced pet rehab work on principles of sport science recovery. I also incorporate advanced human surgical recovery plans and exercise science program design.  Often I need to merge elements of neuroscience and neurology. Veterinary medicine plays the part of diagnosis, prescribing medication, and oversight of cases in collaboration with a professional rehabilitation specialist. I design programs taking into account the busy status of most people’s lives. I plan for practical application of physical recovery principles, and timing of work for best recovery.)

Intensity of Work –

“Intensity refers to the amount of weight being lifted, and is a critical component of the resistance-training program, considered by many fitness professionals to be the most important training-related variable for inducing improvements in muscle strength and function.

In other words, the more weight lifted, the more strength gained. Even though this may not always be the case, the importance of intensity in facilitating strength improvements is well documented.

Intensity is often expressed as a percentage of the maximum amount of weight that can be lifted for a given exercise (1RM). For example, if someone who has a maximum effort of 100 pounds on the bench press exercise performs a set with 80 pounds, they would be training at 1RM of 80%. Studies have suggested that older individuals are able to tolerate higher intensities of exercise, up to 85%.

However, research has also shown intensities ranging from 65%-75% of maximum to significantly increase muscle strength. Therefore, in order to increase strength while simultaneously decreasing the risk of musculoskeletal injury that often accompanies higher intensities of resistance training, a low-intensity to moderate-intensity range of 65%-75% is recommended.”

(Rehabdeb note: So, for example, this is why I don’t recommend hill repeats for your knee or hip injury pet only 2 weeks into a foundation program. I have seen this recommendation on discharge instructions. If a person doesn’t have experience with program design and lots of implementation, they often push too much too fast.)

Repetitions –

“Repetitions (reps) refer to the number of times an individual performs a complete movement of a given exercise. There is an inverse relationship between intensity and repetitions, indicating that as the intensity increases the repetitions should decrease.

Based on previous research, a rep continuum has been established that demonstrates the number of repetitions possible at a given relative intensity. For example, an intensity of 60% relates to 16-20 reps, 65% = 14-15 reps, 70% = 12-13 reps, 75% = 10-11 reps, 80% = 8-9 reps, 85% = 6-7 reps, 90% = 4-5 reps, 95% = 2-3 reps, and 100% = 1 rep.”

(Rehabdeb note: it might be obvious that this recommendation is specifically for humans. This information is based in large part on specific observation of and verbal feedback from human subjects. The research is based on many other measurements, though, as well. I’d love to do the work on determining rep protocol for pets, specific for breeds and species. Nonetheless, the information should be helpful to you if you are an exercise scientist.)

“In view of the previously mentioned recommendations for an intensity of 65%-75% of maximum, this would suggest that for each training exercise the individual perform an adequate amount of weight that would allow for 10-15 reps. In the event that no initial strength testing was performed, simply through trial-and-error an individual could determine appropriate training loads that would allow them to perform only 10-15 reps. They could then be sure of training at 65%-75% of maximum effort.”

(Rehabdeb note: I have designed my broad foundation-building program, as well as my specific programs, to allow for info like that above.)

Continued Improvement Needs Work –

“In order to continually enjoy improvements in strength and functional capacity, it is important to consistently incorporate progression and variation into the resistance-training program.

Progressing and varying one’s program commonly involves incorporating the overload principle.

The overload principle involves making adjustments to the training variables of the resistance-training program such as frequency, duration, exercises for each muscle group, number of exercise for each muscle group, sets and repetitions.

In terms of adjustment, normally the overload principle involves making increases to these variables. For example, making progressive increases in intensity has been shown to be important in increasing muscle strength. In terms of the rate of progression, one should consider attempting to progress their resistance-training program on a monthly basis. However, it should be noted that increasing the intensity in some older adults may be contraindicated due to orthopedic and/or other medical limitations. As a result, making adjustments in other training variables would be recommended.”

(Rehabdeb note: I work to change the nature of veterinary rehabilitation to better instruct practitioners. It is important to incorporate principles specifically noted in the last section, above, into a veterinary physical rehabilitation program.)

Thanks for reading and for looking for solid help for your pet-

Deborah

Paper published August, 2009 and originally posted on my website around that time. My comments updated May 16, 2018

 

Feedback, Reviews, and Testimonials –

Welcome!

Since you got to this page, you are probably hoping to find out more about other’s experiences with these rehabilitation programs. I have three different areas of feedback for you to discover. Click on the bold purple headers below and that will take you to that page of feedback.

Q&A Category –

You probably have this category figured out!

cat with inquisitive look about feedback reviews animal rehabilitation

It’s a collection of posts made from questions people have asked of me and my answers to them at the time. I have taken time to edit a few answers if my perspective has changed over time or if I think I need to make the information more clear.

I’ve got hundreds more questions on file that I have answered that I might get to make into posts, so stay tuned! Probably easier if you subscribe to this website. If you do, then you’ll receive email notice when I make new posts.

Reviews –

This page directs you to both veterinarian reviews and client reviews of my booklets and programs. I have copied most of the reviews from other business places on the web, such as Amazon. I really need and want to edit my booklets to add more info and photos and such, so, stay tuned, again.

In some cases, veterinarians wrote emails to me when they read my booklet(s) for the first time, and I copied some of the mail into posts for you to read as reviews.

Testimonials –

This  section has posts I made out of people’s feedback about the programs after they worked on rehab as I directed. In these posts clients tell how this rehab worked for their pet(s).

Social Media –

I completely deleted all of my Facebook pages and profiles in November, 2016, but I did save my files. I also deleted Twitter at the same time, but I have since begun a new Twit account. Once in a while I make a post based on feedback I received on Facebook or my old Twitter. The Twit changed in the time I was off of it, and I don’t have the same engagement type as I used to have, so there’s not a lot on there as of May, 2018. Feel free to engage me on the Twit.

Anyway, you get the idea. My other sm accounts are represented by words or badges in the sidebar or footer of this site. I aim for reciprocal connections.

I am my own social media person, and that takes a backseat to seeing patients, communicating with clients, and improving this website. There is already plenty of feedback for you to read on here, though, so I hope I’ve hit your topic of concern in these web pages.

Want to Comment?

I turned off comments on this site for a long time because I couldn’t keep up with answering people’s questions in what I thought was a timely manner. One of my former WordPress themes even stopped telling me I had comments when people posted them on the site.  I have been on the road a lot and was not able to check the site very often. Sometimes people’s questions went unanswered. Not good, imho.

I have comments after most posts turned on now. If you have feedback about this program or a post, you may write that as a comment or contact me with questions using the form on this page.

I have also been working hard on upgrading this site for you. I turned comments on again because I have easily covered info about the most frequent pet rehab questions searched on the web and on this site. I’m hoping people will read and search the site for the basics before asking me in a comment or contact form 🙂

I’m Desperate!

Please be aware that if you have a pet emergency, you really need to contact your veterinarian, a veterinary emergency clinic, or a 2nd opinion veterinarian if need be. 

Also, sometimes people do not think they are getting answers they need or want from their veterinarian. I do a lot of patient advocacy and navigation in human medicine and veterinary medicine, and I am a big fan of getting a 2nd (or 3rd or +) opinion on some issues.

People ask very many questions of me in comments and via contact forms about topics I have already covered on this site. Please search and read a lot of the info on this site so that you hopefully have your questions answered more quickly than you will waiting for me.

AND, if you read my basic post-injury or post-surgery information, you will know more details that will save you time if we later get together about your pet!

I am open to working with clients in paid consults from all around the world. I work in person and via phone for consults at this time.  You may find out more about my practice by looking at the info on the pages in the first drop-down menu under my main site banner.

Happy Reading, and Happy May Day –

Deborah

First Published March 9, 2017. Updated May 1, 2018

Torn Knee (and Other) Ligaments – Overview of Injury and Recovery

Ligament Structure, Injury, and Recovery –

Former title: Stifle (Knee) Ligament Ruptures (Torn ACL, CCL) Information Overview and Ligament Injury Recovery.

Prologue –

This is a piece I wrote as an overview of torn knee ligament originally in 2007 for a client of Dr. Dennis Sundbeck, DVM, owner and practitioner at Round Rock Animal Hospital for 35 years.

Dr. Sundbeck retired in 2014 and passed away April 15, 2018. Our community remembers him fondly as we celebrate his life and contributions to many aspects of Central Texas.

I remember Dr. Sundbeck specifically and warmly because he was possibly the first established, old school, veterinarian in my area to refer a case to me for non-surgical recovery of a torn knee ligament in a dog. I do not think he and I had been able to talk prior to the referral, however he must have read the materials I dropped off at RRAH when I began my business in January, 2007. Evidently my methodologies made common and scientific sense to him.

I have always held that situation deep in my heart as a beacon to support my work to switch veterinary medicine off of the all-too-quick referrals to surgeons for injuries like torn ligament, torn meniscus, and “bad hips”. RRAH continued to support my rehabilitation practice over the years and often supplied my recovery booklets for their clients.

Overview –

This post has information about ligaments, ligament injury, surgery, and some guidelines for rehabilitation. The homework protocol I have written for use after surgery or instead of surgery and which has been used successfully for years is now available in book form, and here are the links: rehab books on Amazon.

What Are Ligaments?

A torn ligament is not a life or death situation in and of itself.

Ligaments are dense connective tissue structures consisting of fibroblasts, water, collagen, proteoglycans, fibronectin, and elastin that connect two or more bones (1, 2).

What Happens When My Dog or Cat Tears a Ligament?

Within hours of injury, the defect (injury) is filled with an organized hematoma and the surrounding tissue becomes edematous (swollen with fluid) from perivascular leakage of fluid.  Monocytes and macrophages are found in the wound by 24 hours and respond by cleaning up the site and transitioning to the next phase.

How Long Does The Injury Last?

The acute injury phase lasts about 48-72 hours (2). The knee will swell, sometimes only a little, inside the joint. This makes the bony parts thicker or expanded due to fluid accumulation inside the joint. This is called effusion, and it is part of the healing process. Sometimes the knee (stifle) swells a lot inside the joint. Other times there is swelling in the soft tissue as well.

Does My Dog’s Torn Ligament Heal?

At this writing, a great deal of information remains unanswered regarding timing of ligamentous healing in canines, especially with respect to postoperative mobilization techniques (graft, suture, TPLO, TTA, CBLO, etc…).  This is because ligaments heal differently depending on the location.

For example, the healing potential of the medial collateral ligament of the stifle is very good, but the cranial cruciate ligament, which has received the most investigation, demonstrates virtually no healing response following injury (2).

What Will My Pet’s Veterinarian Do?

Your veterinarian will most likely watch your pet walk, manipulate the injured limb and joint, and take an x-ray, radiograph (rads), of the knee or other injured area. Please do not protest the x-ray.

You are correct if you already know that we cannot see a torn ligament, per se, via rads. What we can see, however, is cloudiness where the swelling I mentioned above is happening.

We may also see whether there is what I call a 1% issue in the knee or surrounding area. Sometimes there are hairline fractures at the tibia or growths that are irritating the leg or joint that we are able to see on rads.

I have seen a lot of what I call 1% cases in my practice, and I won’t take time to cover that here. Get the x-ray to see if your vet sees what they think they’ll see if they recommend an x-ray. Clients ask me to explain the need for the x-ray *all* the time.

My Vet Said My Dog Had to Have Surgery –

A ligament rupture is not a matter of life and death.

Many people come to me saying that they have felt forced toward surgery for this condition in their dog. In contrast, I’ve had client “body specialists”, some of whom are human medical doctors, with a different opinion. One in particular said, “I wish we could get people off of the surgery idea! We don’t even rush every human athlete into surgery, much less every person in general.”

Slatter’s Textbook of Small Animal Surgery  Slatter's Textbook of Small Animal Surgery click to purchase on Amazon
states that small dogs often do well without surgical intervention, and that based on particular studies, “it is prudent to wait for at least 6 to 8 weeks before recommending surgery for small dogs.  These dogs are older at diagnosis and are often obese with concurrent medical problems.  Small dogs that are lame for 6 weeks after diagnosis and show no improvement often have meniscal tears and are operated on for meniscectomy and joint stabilization.” (pg.1832)

Believe it or not, I have had clients who were told they’d need to euthanize their pet for this injury. Recovery without surgery works. If you cannot afford or do not want surgery for your pet, you definitely do not need to euthanize them because of this injury.

Drugs and Surgery Referral –

It is at this point that most veterinarians will recommend an anti-inflammatory drug for your pet and a consult to a veterinary surgeon.

If you are referred to a surgeon, there is a possibility that the surgeon will want to take their own rads. They usually do that if the originals did not come out as well as the surgeon would like to see and if they think there is something else worth seeing. I have been with surgeons in the room at the time of consult, and sometimes they say that “there’s no need for x-rays because you cannot see a torn ligament on x-rays”, and sometimes they want an x-ray.

Some veterinarians will know of my programs and will refer people to them. If you want to see a few of the testimonials for my programs, from vets and clients, click here.

Booklet for sale with rehab program for right after injury

Some veterinarians will have clients keep their pet restricted, with or without medications and without referring to surgery. There are many, many ways medical practitioners deal with injuries, and there is not one set method. Above are the top three situations I meet. Here are the first three steps I recommend after injury.

In newer news, many studies have linked non-steroidal anti-inflammatories (nsaids) to delayed healing of injuries. I have followed the research and I promote healing methods without nsaid use for both my human and veterinary clients.

Should I Use Ice on the Injury?

Practitioners often recommend ice during the acute phase of injury. The standard recommendation is 1-6 times per day, for 20 minutes each application, on average. The duration of application depends on fur density on the pet and type of ice used.

In the meantime, I have also been recovering a variety of human and pet injuries without the use of ice. Ice, too, delays recovery. The physician who developed the sports medicine standard, RICE (rest, ice, compression, elevation) has reversed his stance. Many of us in recovery work have followed suit.

I have a separate paper with icing recommendations on this site if you really feel that you need to use it. The method of delivery most recommended by others yet one of the least effective is frozen veggies, so check out the other options noted in my post. 

More research in recent years shows that stopping the inflammatory process is not a good idea much of the time for this type of injury. The body may heal faster If we allow it to go through the natural inflammatory process. It also helps if there are pain medications like Tramadol or Gabapentin available. Ice and nsaids work against inflammation, and therefore also work against healing.

Should I Use Heat on the Injury?

This question is often in debate. Here is a link to a recent paper on the subject. I recommend that you NOT use heat on your or your pet’s injury unless you have read the recent science. In my experience, people want to use heat when they should be using ice. They usually don’t know how and when to use heat to help with healing. Check out the above link for more info.

Laser Therapy and Acupuncture –

Throughout the healing process using low-level laser therapy is a good idea if it is available to you. I use a class IIIb laser in my practice, and I have attended two national and world conferences on laser therapy. See these sites for more info: WALT and  NAALT .

I haven’t yet posted much on acupuncture, so here is a random PubMed search link to papers on acupuncture for healing. I use laser therapy over acupuncture if only one option is possible. This is because of the added benefits laser therapy provides over acupuncture. USA law says if anyone is going to acupuncture your pets, it has to be a licensed veterinarian.

Acupuncture and laser therapy both work in manners that most people don’t necessarily understand. Acupuncture can be very effective for short-term pain relief. I rarely come across a human account of pain relief from acupuncture lasting more than a day. Acupuncture is also a great treatment for other conditions.

Laser therapy (LLLT) is effective for short and long-term pain relief. LLLT also stimulates cellular growth and production and it also breaks down scar tissue. Short story. Check out the websites I linked above for more information.

The main idea after injury is to lower the level of pain and to encourage healing, so use the best tools and information you have available. To that end, I believe forced specific range of motion exercises are unnecessary in a companion animal that is functional, one that is able to move their limbs on their own.

Supplements & Vitamins –

Follow my guidelines here, and consider using these supplements for healing after injury or surgery.

I do not recommend throwing the kitchen sink of vitamins and supplements at any injury, illness, or chronic condition. I recommend using specific, limited ingredient, supplements for specific conditions and expected results.

Ligament Support, Arthritis, and Instability –

In many cases, loss of ligamentous support invariably leads to progressive osteoarthritis, such as in cranial cruciate ligament (ACL) ruptures. Osteoarthritis will continue, even if you choose to have surgery. Another interesting paper from the “human side”, because the research on athletes and other humans is better than what we have available for advanced recovery protocol in veterinary medicine.

Most veterinarians learn in school or conferences that the pet is not using their injured limb for psychological reasons. I believe the greatest reason that humans and pets are not using a body part is due to pain. I discuss this more in this post. Instability also plays a small part in leg disuse.

Surgery Does Not Stop Arthritis –

Please understand that the arthritic process began when the first injuries occurred in the joint, when damage first occurred and then when tearing began.  It is most likely that you know nothing about when the arthritis actually began to develop. A ligament usually will tear for some amount of time before total rupture. Sometimes people use my programs at first notice of injury, prior to a full ligament rupture. Most of those pets do not go on to fully rupture their injured ligament.

So What Does Surgery Do?

Clients tell me that veterinarians and others tell them that surgery will stop the arthritis. This statement is similar to the truth but it is not altogether true. Surgery immediately stabilizes the joint. Surgical stabilization can help keep the knee from moving incorrectly. In turn, that helps keep the joint from further damage.

The right exercise protocol after injury ALSO helps keep the knee (or other damaged joint ) from moving incorrectly. Moreover, the right exercise protocol strengthens the muscles of the leg with the damaged joint and keeps the other limbs from overloading and becoming injured, too.

By the same token, braces are not a more permanent fix for torn knee ligaments. They are no substitute for good recovery drills and exercise to gain long-term quality of life. Veterinarians and clients ask me about braces *all* the time. Here is my braces post.

Active Recovery –

Your pet needs an active recovery program correct for their status and situation, whether or not they have surgery. If your pet does not do an active recovery program, their muscles will not develop as well as they could to help stabilize the joint. Use my or a program designed by someone who has experience with exercise physiology, professional physical recovery techniques, and veterinary rehabilitation.

Moreover, your pet is likely to tear the ligament in the opposite leg if they’ve already torn one. My strong belief is that the opinion about the high likelihood of a dog tearing the knee ligament in the other leg after tearing the first ligament is based on poor recovery techniques. One day, I hope to run a study proving this.

Excessive exercise during periods of acute joint inflammation may be harmful to articular cartilage. (4)  Greater stresses that are placed on the joint in the presence of ligament damage will cause joint damage. NO running, jumping, playing, etc…

 

Meniscal Tear, Too?

Your veterinarian may help you check whether or not your dog has a meniscal tear. If I am working with you and your pet, I  can point out sounds and other signs that may indicate a torn meniscus. If we find s&s, you should follow up on that with your veterinarian.

It is also not necessary to have surgery for a meniscal tear. My programs for dogs with torn knee ligaments work for meniscal tears, too. I had an MRI of one of my knees several years ago to find out what was going on in it. It turns out I had already non-surgically worked through a very old meniscal tear of my own!

Keep in mind that the recommendations I cited from Dr. Slatter’s textbook do not include a return to function plan. Slatter’s instructions are most likely based on the fact that many dogs have improved over time without any specific intervention. If a thoughtful and proven program is performed, the dog or other pet should recover all the better!

No Surgery –

If you decide to not pursue surgery on your pet, then you will find great introductory recovery instructions here.  Even if you opt for surgery, the recovery time and exercise protocol are virtually the same.

You may do all recovery for torn knee ligament or meniscus injury or surgery in your home environment.  If you need to, enlist the help of technicians and vets at your pet’s clinic while using my programs.

What About Giant Dogs?

Additionally, I have used the same basic and advanced functional rehab protocol for large dogs. That is because successful programs are based on principles of athletic training and recovery. These will best address joint instability and muscle atrophy that occur along with knee damage in giant breed dogs.

My Great Dane, Grace, was the most orthopedically-challenged pet I have known. Without my rehab, she probably would have passed on at half her life of 11.5 amazing years.

My own soulmate pet, RIP Grace, xox. She had two TPLO’s, which I would never do again, and both were extremely problematic. She ended up with all three ligaments torn in her right knee and 2 torn in the left. Her story is long. She received both drugs and supplements most of her life.

 

Some positive feedback from veterinarians and owners is cited on this website, Amazon, Goodreads, and in separate blog posts regarding this exercise protocol.

Muscle Atrophy After (Known) Injury –

After loss of support and inflammation of ligament and joint, muscle atrophy is the next complication I address.

Muscle atrophy almost always occurs with or without surgery because the injury hurts and may feel unstable to the pet. This discomfort usually leads to their not using the injured leg as much. Rehab interventions are proven to aid in gaining strength and muscle tone in the affected limb

Muscle Atrophy Before Known Injury –

Muscle atrophy usually occurs during the whole time the pet has been injured, prior to intervention. This is because the injury will have usually produced pain and instability, even if mild at first. Pain and instability encourage disuse and, therefore, muscle atrophy.

The degree of quadriceps muscle atrophy present before surgery for cranial cruciate ligament (CCL) rupture seems to correlate significantly with the degree of cartilage fibrillation, indicating a relationship with the severity of the condition.  I refer you back to my info on pain and instability.

In studies, muscle mass improved 7 and 13 months after surgery, but significant residual muscle atrophy remained in many dogs even after 1 year. Muscle atrophy usually reverses in much less time when owners have followed my recommended protocol. I have also worked with many patients that have not previously regained muscle mass after injury or surgery. I have been able to correct the imbalance in most instances.

dog rear end with good muscle tone after rehab for ligament injury recovery

How Will Rehabilitation Help Ligament Injury Recovery?

Outside the scope of this writing is the argument as to whether a natural course of events follows evolution or deterioration without intervention; either way it is the primary purpose of rehabilitation interventions to improve upon what natural abilities would theoretically otherwise be realized.

A specific exercise program with frequent changes in protocol will indeed build muscle. It will also usually cause hypertrophy better than surgical repair alone or pain medication alone. I realized this first based on my observations in practice. There is also a lot of substantiating research on the topic(s). Try the National Strength and Conditioning Association for foundations in strength training if you have further interest in this specialty.

Whether or not an animal will do well on its own without intervention is inconsequential when the overwhelming benefits of rehabilitation intervention are considered. In light of this, rehabilitation treatment is indicated whether or not ligament repair surgery is performed.

So Now What Do I Do?

For non-surgical and surgical patients, rehab treatment may consist of conservative exercise that increases in difficulty as healing progresses. Both should receive therapies such as I have mentioned plus weight control plans.

For non-surgical patients, building muscle and supporting tissue will be important toward stabilizing the nearby joint(s).  We also want to keep up protective interventions for affected joints. Use the therapies mentioned above and keep up dosing supplements and pharmaceuticals proven to aid with function and recovery.  Nutrition supplement support includes glucosamine/chondroitin/MSM, Arnica Montana 30, and fish oil, among others.

Rehabilitation Practitioners –

A qualified rehabilitation practitioner should be able to design a basic appropriate plan of action. They and your pet’s vet can collaborate to meet your pet’s needs for recovery in the home environment.  It is within the scope of this paper to briefly give information regarding ligament damage. I also inform more specifically on basics of rehabilitation recovery.

There were no written protocol that I could find that addressed specific exercise protocol and return to function for small animal veterinary medicine when I began professionally practicing in veterinary rehabilitation in 2004.  This was especially true for ligament injury recovery. I subsequently began writing protocol based on how similar human injuries are managed and treated for athletes. This method has been very successful and very helpful to large numbers of people and pets.

References –

1.  Fowler D:  Principles of wound healing.  In Harari J, editor:   Surgical complications and wound healing in the small animal practice, Philadelphia, 1993, WB Saunders.

2.  Frank C et al:  Normal ligament:  structure, function, and composition.  In Woo S, Buckwalter J, editors: Injury and repair of the musculoskeletal soft tissues, Park Ridge, Illinois, 1991, American Academy of Orthopedic Surgeons Symposium.

3.  Moore KW, Read RA:  Rupture of the cranial cruciate ligament in dogs.  II. Diagnosis and management, Compendium of Continuing Education Pract Vet 18:381391, 405, 1996

4. Agudelo CA, Schumacher HR, Phelps P:  Effect of exercise on urate crystal-induced inflammation in canine joints, Arthritis Rheum 15:609-616, 1972

Final Notes –

By the way, that case? From my prologue? Was a 2 yo in-tact male Chocolate Labrador hunting dog with extreme crate anxiety and parent-clients who both worked long hours in science-based jobs. I remain forever grateful for that referral.

And I continue to receive support from RRAH and Dr. Sharon Waters, most specifically, as they work to provide the best care for their patients.

(Copyright 2007, Deborah Carroll, Updated April 18, 2018)

What is Rehabilitation and Conditioning for Animals? (Rehabdeb, RehabRevolution)

Animal Rehabilitation, Pet Rehab, & Canine Sport Conditioning

Rehabilitation and Conditioning for Animals provides science-based functional rehabilitation, wellness conditioning, nutrition counseling, and athletic training for all ages and stages of companion animals in collaboration with veterinarians while also engaging community and worldwide participation in programs that benefit the human-pet experience.

What You ‘ll Find on This Site –

  • programs for pets for after surgery and conservative treatment programs to use instead of surgery
  • programs that you may do at home, in a standard clinic, or elsewhere
  • a lot of work for you to do with your pet
  • first-hand details about programs I have developed and used as well as information about results
  • pros and cons of rehabilitation I have discovered in my years of practice in veterinary rehab (see clients I’ve helped)
  •  programs designed by a professional certified in several disciplines related to conditioning, recovery, and strength (this is important because there is a lot of bad information on the web about how to rehab a pet, even though most of it is well-intended)
  •  pet rehab = principles of exercise science + neuroscience + clinical medicine

How Are These Programs Different?

My programs are based on over four decades of my having participated in, worked in, and created programs in human sport science, nutrition, and medical recovery. They are also based on my experiences working hands-on with veterinary specialists, and sitting in on medical, neurological, and surgical specialty evaluations of patients.

I design these programs so that almost anyone may use them at home or in a standard veterinary clinic. You may do all rehabilitation on pets in the home environment in most cases.

Why Did You Create Different Programs?

I professionally began small animal veterinary pet rehab in 2004. At that time there were no standard, concise, systematic, and progressively oriented rehabilitation programs available on the web or that I could find in publications.

I had hoped to find programs based on exercise physiology and recovery principles like those I already had experience using for athletes. I wanted them to exist already so that I could follow-up on specifics that also interest me. I’d like to investigate breed recovery differences and give more complementary rehab care for veterinary cancer patients.

Over the years, I have ended up developing and using the types of programs I thought would already exist for small animal medicine and recovery. I figured they already existed, in part because I was used to systematic programs from human exercise physiology science and in equine science.  

May Anyone Use These Programs?

These programs mean a lot of work for you. Your work should be successful if you follow the recommendations I give. 

I have shared my rehabilitation protocol with many pet healing groups, veterinary clinics, trainers, boarding facilities, and specialty hospitals. I have shared rehab programs in person, on the phone, and on many internet platforms over the years (remember MySpace?).

You Don’t Need to Have a Certification to do Successful Rehabilitation on Your Own Pet!

There are a couple of standard courses of pet rehabilitation in use in veterinary medicine. None of these teaches practitioners foundations in exercise science and exercise physiology-based recovery.

My programs use a combination of a small amount of clinic-type rehab and a large dose of recovery science. I’ve pulled over athlete recovery methods from the “human” side and successfully applied them to the veterinary side of rehab.

My rehab work is designed to teach you how to work with your pet and gain success in recovery

In addition, I have certifications in pet massage, canine rehabilitation, human strength and conditioning, and wilderness medicine, to name a few. I use information from a wide variety of experiences to help pets recover or to improve sporting conditioningMore here…

 

Nside Texas MD Rehabilitation and Conditioning for Animals Article by Heather Daniels

Other “Official” Information –

Check out my semi-updated profile on  LinkedIn

We discuss lots of issues on this site, so I recommend you look through the Q&A. Please use the search box to find specific topics. More info about how to get the most out of this site is on this page, How Do I Find Help For My Pet on This Site?.

Rehabilitation and Conditioning for Animals is subject to guidelines overseen by the Texas Board of Veterinary Medical Examiners (TBVME).  Therefore, I do require that your pet has recently gone to their veterinarian for acute issues. Additionally I require that your pet’s veterinarian has evaluated your pet within the past year for any chronic issues. I also need to be able to communicate with your pet’s regular veterinarian about the issues I will be addressing.

I do not need a referral from a veterinarian to begin rehabilitation work with you and your pet. The TBVME does not require a referral for me to work with your pet on sport training and conditioning.

After my consults, I direct clients to be in communication with their regular vet to discuss medications, signs & symptoms, and collaborative treatments. Your pet does need to go to their veterinarian if they have a new medical issue the vet hasn’t seen.

Thank you for visiting and I believe you will find useful information for you and your pet!

Rehabdeb

Originally Published February, 2015 and Updated April 14, 2018

Rehab for Pet Surgery – 3 Steps

Spaniel dog with plastic Elizabethan collar on her
Jicky the Spaniel in the E-Collar after FHO

A quick bit of info for you after your pet has had surgery.

I do work on lots of cats and a variety of other animals. If you want to know more about cat specifics now (because I haven’t finished developing the cat pages), please search for cat in the search box 🙂

For more specific info on a particular surgery or diagnosis, please refer to the menu (and drop-downs) at the top of the page. If you do not see what you are looking for, please use the search box on each page.

If the injury is a torn knee ligament in your dog, and you have been told surgery is necessary but you have not yet taken your dog to surgery, then please click here to read more info about that condition. After that, please go to the instructions on this page!

 

“My pet just had surgery…
…and now that I’ve gotten them home, I realize I’m not really sure what to do!!”

First and foremost:  pay attention to the discharge instructions your veterinarian has given you if your pet just had surgery or you have received instruction about an injury.  Please pay special attention to the part about no running, jumping, or playing. If you follow my booklet instructions, you and your pet will be doing work proper for recovery and should not be causing any harm.

If your veterinarian did not say so, please note there should not be any flying over couches, no galloping on stairs, no jumping into or out of cars and trucks,  no jumping onto couches or your bed, no jumping off of couches or beds, no twisting very fast in tight circles, no sliding on ice or slippery floors, and no freedom in and out of doggie doors.  No owner jumping out from behind things to scare the dog into running crazy funny around the house like you sometimes like to do.

No running really means no running…

…to the door when the doorbell rings, no running away from Halloween costumes, no running from one end of the house to the kitchen every time the fridge or a plastic bag is opened, no running to you when you yell to ask the dog if it wants to go outside, no kitty running from anything right after surgery, and no running inside after the ball, which is very similar to no running outside after the ball. No, no swimming until at least 8 weeks after surgery and then only if no lameness is present at a slow walk.

DO work on the protocol below and the info contained in the instruction booklet.

1) Here are guidelines to follow for the first four weeks after surgery:

Right now I only have one book published with information about helping your pet through four progressive weeks of functional therapy and recovery after any surgery. Guidelines for Home Rehabilitation of Your Dog: After Surgery for Torn Knee Ligament: The First Four Weeks, Basic Edition

This book is specifically addressing surgery after a torn knee ligament, yet until I am able to publish the books I am working on that deal with hip issues, other knee issues, elbows, spinal issues and more, this book will be very helpful to you for the first four weeks of recovery if your dog has had one of these other surgeries.

This book has the information, restrictions and advice I would give after almost any orthopedic surgery, so if you follow the restrictions and the practical applications in the booklet, your pet should do well and recover progressively if there are no additional issues.  These restrictions will match a lot of what your vet surgeon gave you to follow after surgery.

Additionally, these instructions incorporate information for functional recovery, my specialty, so there is a LOT more structured and guided info in the book. The links to the book I made for this page will take you to Amazon U.S. and if you would like the links to Amazon in other countries, read below the picture of the book.

I also have info elsewhere on this site about cats and surgery. Cats aren’t small dogs. Unless your cat will walk on a leash, which some do very well, I recommend looking at this page for now.

So, the following book will help you calmly and methodically approach the recovery of your pet’s surgery, and the book will guide you about establishing a functional base of activity. After the base is built, then there are more strengthening programs and other drills to be done to return your pet to a rambunctious lifestyle.

A good recovery plan helps guard against future or further injury, especially in the opposite limb! I am very happy to report that people and dogs that follow both this and the non-surgical program for 12 weeks do not end up with the other knee ligament tearing. It’s all a matter of balancing the work, my experience with exercise physiology recovery principles, and people being connected to their pets!


Amazon for USA, CA, DE, ES, FR, IT, & UKMy booklet with instructions to follow after dog knee or any orthopedic surgery
Amazon in other countries 

Books are also available on Barnes and Noble and you should be able to order them from any bookseller, especially if you use the ISBN.

Instructions for first four weeks for dogs after FHO (hip surgery where the ball of the femur is cut off):

Instructions for first four weeks after surgery for luxating patellas (flopping kneecaps):

and there are a few more homework pages to be found by following the links in the menu at the top of the page or by using the search feature.

2) In addition to thoroughly reading any of that info (some of which now includes exercises available in book form), please watch > this video < twice, and begin to do this massage daily for a month:

Please watch the video to see my recommendations on method of use for massager unit AND so you will hopefully have success introducing the massager.

There are written instructions under the video on the linked page.
Here is what the massager looks like, and if you click on the picture, you may buy it on Amazon if you choose:

Homedics brand hand-held massage unit with four feet

3) If your pet is still limping 5-7 days or more after surgery, please read this > pain post < all the way through!

There is more on the topic of pain within the books-

Check out other resources under the “Rehab Resources & Tools” link in the menu under the website title at the top or by clicking here

 

Blessings-
Rehabdeb

(Original Post March 17, 2015. Updated March 3, 2018)