{"id":1642,"date":"2021-04-19T12:00:41","date_gmt":"2021-04-19T16:00:41","guid":{"rendered":"https:\/\/blogarchive.utc.edu\/magazine\/?p=1642"},"modified":"2021-04-27T14:18:48","modified_gmt":"2021-04-27T18:18:48","slug":"animal-physical-therapy","status":"publish","type":"post","link":"https:\/\/blogarchive.utc.edu\/magazine\/animal-physical-therapy\/","title":{"rendered":"Animal Physical Therapy"},"content":{"rendered":"\n

UTC Chair of Excellence Physical Therapist David Levine is a pioneer in the field of animal physical therapy.<\/em> <\/h4>\n\n\n\n
\"\"
David Levine and Ashley Wheeler work with dogs at Veterinary Care and Specialty Group on Broad Street. Toby, above, uses a wheelchair.<\/figcaption><\/figure>\n\n\n\n

by Chuck Wasserstrom<\/em><\/p>\n\n\n\n

TToby looks up, big brown eyes beaming, a huge smile on his face. He is four years old and without a care in the world. Most importantly, he\u2019s mobile and moving fast. <\/p>\n\n\n\n

Toby is a mixed breed dog who lost function in one back leg last fall. He wears a diaper for incontinence. Yet he races around in pure joy now that he is attached to a wheelchair. His physical therapist looks on, making sure the dog and the apparatus are working together, shall we say, paw-in-paw. \u201cWe\u2019re looking for things like is this fitting correctly behind the elbow?\u201d explains David Levine, the dog\u2019s physical therapist. \u201cThis cart has to have these little stirrups because he\u2019s paralyzed. His feet will hang here versus a dog that might be able to put them down and use them a little bit. <\/p>\n\n\n\n

\u201cSo, his back is pretty straight. One question we have is this pretty close to his hip? It looks pretty good. We want his back to be as straight as possible. We don\u2019t want the wheelchair to be an up or down.\u201d <\/p>\n\n\n\n

Levine\u2019s day job is in the practice of human physical therapy. His passion, though, is in helping animals. He is a professor and the Walter M. Cline Chair of Excellence in Physical Therapy at the University of Tennessee at Chattanooga. He also is an adjunct professor at the University of Tennessee College of Veterinary Medicine and the North Carolina State University College of Veterinary Medicine. Levine is certified as a specialist in orthopedics by the American Board of Physical Therapy Specialties. <\/p>\n\n\n\n

\n\t\n\t\tSerendipitous meeting<\/strong> <\/strong> <\/span>\n\t<\/span>\n<\/h2>\n\n\n\n

Animal physical therapists are a relatively new specialty. They provide rehabilitative care to pets who have had surgery or have been injured or suffer from chronic pain. Physical therapy can speed an animal\u2019s recovery, improve quality of life and serve as a low-cost alternative to surgery. Levine was at the forefront in the field. \u201cI think a lot of us are animal lovers. We\u2019re always thinking about what we can do for our pets,\u201d Levine says. \u201cAfter becoming a PT, I wondered a bit about why aren\u2019t we actually doing more for pets.\u201d <\/p>\n\n\n\n

In 1993, several years after joining the UTC faculty, Levine was at the UT Knoxville campus for a meeting. On a lark, he decided to visit the UT College of Veterinary Medicine to see if anyone would be interested in collaborating on animal rehabilitation research. The administrator Levine talked to, Al Legendre, offered a tip about a \u201cnew guy coming here.\u201d Three months later, Darryl Millis\u2014now a professor of orthopedic surgery at the UT Vet School\u2014met Levine, and a partnership was born. <\/p>\n\n\n\n

\u201cWe spent probably about a year just brainstorming and learning each other\u2019s fields a little bit better,\u201d Millis recalls, \u201cand then we decided this was a valid area for veterinarians to become involved with\u2014as well as physical therapists. We put together a weekend continuing education program, and now it\u2019s blossomed into a program that\u2019s taught in six continents around the world. <\/p>\n\n\n\n

\u201cI think the big thing that we\u2019ve always promoted is collaboration. Whether it\u2019s education, whether it\u2019s research or teaching, we\u2019ve always approached it from a collaborative point of view because we have different skill sets and different things to contribute.\u201d <\/p>\n\n\n\n

\"\"<\/figure>
\n

Levine and Millis talk at least once a week. They are co-editors of multiple books, including Canine Rehabilitation and Physical Therapy <\/em>and Essential Facts of Physiotherapy in Dogs and Cats,<\/em> and they have taught courses together in Europe, Japan and Australia. \u201cIn the beginning, a lot of people thought we were a bit crazy,\u201d Levine says. \u201cWe probably had ten years of laying the groundwork, speaking at local meetings and traveling out of pocket, just trying to build some momentum within the field. It started to become a bit more mainstream about 15 years ago, and now it\u2019s a specialty college within the veterinary field. <\/p>\n<\/div><\/div>\n\n\n\n

\u201cAt the time we started, there were probably two or three clinics in the country that did rehabilitation for small animals, and there\u2019s probably well over 300 now. We like to think we played a small part in helping create or at least build momentum in this field within veterinary practice.\u201d <\/p>\n\n\n\n

Each week, Levine does free work at Chattanooga\u2019s Veterinary Care and Specialty Group, helping as many dogs and cats as he can. The reward for his volunteer time: \u201cI do use a lot of cases for research. I\u2019m always looking at that research angle,\u201d he says. At the facility, he works closely with veterinary nurse Ashley Wheeler as they perform physical rehabilitation on animals with various ailments. <\/p>\n\n\n\n

\n\t\n\t\tPet repairs<\/strong> <\/span>\n\t<\/span>\n<\/h2>\n\n\n\n

On a recent day, Levine and Wheeler worked with Macia, 10-year-old labradoodle who underwent torn cruciate ligament surgery on her left back leg two weeks before. They attended to Davey Jones, a cat born with a fracture in his back. For six years, Davey had no use of his back legs. Period. Now, thanks to underwater treadmill rehab, he\u2019s starting to take some steps. <\/p>\n\n\n\n

In another room, Levine and Wheeler worked with Magic, a 13-year-old English setter with a ruptured disc in his back. His human parents don\u2019t want to put him through the trauma of surgery due to his age; they just want to make him comfortable. So Magic is on a big, purple exercise ball designed to minimize back pain. Levine then worked with Duke, a mountain cur hunting dog, who is rehabbing after having been hit by a car. Duke is proactively being fitted for a vest that will hold his left front leg in place for about eight weeks. <\/p>\n\n\n\n

\u201cThis is Duke\u2019s first hour with the vest on, and he isn\u2019t happy. He has to learn to walk on three legs for now,\u201d Levine says. \u201cYou can see the shoulder blade is kind of hanging off and pulled away from the chest wall. Luckily, he didn\u2019t have any nerve damage, which we thought was unusual. We have a lot of interest in this case and want to write it up for one of the surgery journals. It\u2019s an involved case in terms of management. That\u2019s why we want to write it up.\u201d <\/p>\n\n\n\n

Toby, another Levine patient, is a dog with a herniated disc which has caused damage to his spinal cord. The window for him to undergo surgery was within 24 hours of the injury, and his humans couldn\u2019t afford the cost\u2014which would have been in the $7,000 range. Instead, Toby has been going to physical therapy. He now has mobility, thanks to a Walkin\u2019 Wheels dog wheelchair. Later during Toby\u2019s visit, he calmly sits in Levine\u2019s arms\u2014both wearing safety goggles\u2014as Wheeler uses a laser over the area of the injury to try to help with tissue healing. Seeing Toby running around and happy is why Levine does what he does. <\/p>\n\n\n\n

\u201cThe reality is, when you are getting to interact with dogs and cats, they are always grateful,\u201d he says. \u201cThey don\u2019t complain; they\u2019re never faking an injury, there\u2019s no workman\u2019s compensation, they\u2019re just trying to do the best for you that they can. And that is the fun part of it. <\/p>\n\n\n\n

\u201cThere was plenty of eye-rolling and snickering in the beginning. I can remember a lecture that Dr. Millis and I gave in the mid-to-late \u201990s. We showed exercises with dogs, and I can clearly remember some people just kind of chuckling. \u201cHaving it go from a somewhat strange area to an accepted part of veterinary practice has been gratifying to play a part in the emergence and spread of this field. We still have a lot to learn, but I think we\u2019ve made a lot of progress in improving what we know about rehabilitation in animals.\u201d <\/p>\n","protected":false},"excerpt":{"rendered":"UTC Chair of Excellence Physical Therapist David Levine is a pioneer in the field of animal physical therapy.  by…\n","protected":false},"author":1493,"featured_media":2275,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[115750],"tags":[101023],"coauthors":[100990],"class_list":{"0":"post-1642","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-spring-2021-edition","8":"tag-right-column","9":"cs-entry","10":"cs-video-wrap"},"yoast_head":"\nAnimal Physical Therapy - 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