Patient Pathway for Dogs/Cats

Example of a patient pathway:

• The owner completes a detailed questionnaire about the dog, including medical history (anamnesis), current activities/use, and any previous illnesses.
• A gait analysis is performed: the dog is observed in motion — straight-line on both sides of the handler at walk and trot, and on a circle.
• The owner receives a brief theoretical introduction to what is examined and treated from a neurological perspective.
• The dog is then assessed neurologically and biomechanically.
• The dog is treated according to the functional diagnosis.
• The owner is thoroughly informed about the neurological and biomechanical findings, and why neuro-rehabilitation can make a significant difference.
• The owner is instructed in exercises and how neuro-rehabilitation should be carried out until the next session.

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Intervals between treatments

• Between treatments 1 and 2: 8–10 days.
• After that: approximately 2–3 weeks.
• Then: 4–6 weeks, and from there it becomes highly individual.
  Some patients resolve quickly because they have not been compensating for long. Others are seen at 2–4-month intervals for about a year; some every six months, others once a year, etc. Everything depends on:
• How old was the dog when the issue arose?
• How long has it been compensating?
• How much pressure/stress has it been under due to the problem?
• What performance level is required?
• Are other factors optimal (diet, environment, other dogs, etc.)?
• Does the dog have other serious diagnoses to contend with?
• Finally, is the owner able to carry out the neuro-rehabilitation phase?

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From one treatment to the next, we determine what the dog may do and at what level, until it has returned to optimal form.

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