Sunday, May 18, 2008

It looks like he is just standing there, but…


…this is an important part of Ali’s physical therapy: weight bearing. At least twice a day we come to the park and I have him "stay" for ten minutes in a standing position so that he can put weight on his back legs. This type of exercise is important to counteract the effects of atrophy, which are already quite pronounced (his right hind leg, the weaker, is more atrophied than his left). If and when his motor function returns, it is important that he be strong enough to hold his own weight – otherwise we will have a situation where he can move his legs but is not strong enough to do really anything with them (stand up, walk). I also do “sit-to-stand” exercises with him a few times a day, which are pretty much as they sound. I start with him in a standing position and ask him to “sit” back onto my knee. Lots of praise! Then, with me supporting his hind end, I encourage him to push off and stand up. We repeat this a few times...as many as a wiggly, restless German shepherd can tolerate! This is good for strength and reawakening muscle memory.

So, in terms of Ali’s ongoing physical therapy, it is important to have him bear weight on a regular basis. It can be challenging; ten minutes seems like nothing but it can feel like an eternity to both of us while we are just standing there. I try to distract him with sticks and cookies to make the time go by quickly. It’s hard of course because he is a dog and standing still is not exactly a natural posture at the park! He is such a good boy, though. I can only imagine how much more difficult this exercise that looks like “nothing” would be with some other dogs who are less inclined to want to please their guardians (my late great husky, Kobi, immediately comes to mind!).

It is also challenging because people just love to walk right up to us in the park, with their dogs no less, even when we are hiding behind a rosebush trying to be inconspicuous. Of course no dog – no matter how well-behaved – can stay still in these circumstances so I have to politely tell them we are doing physical therapy and cannot talk at the moment, and sorry, but no, he cannot meet your dog right now. Ali’s wheelchair is an oddity and I knew he would draw attention but I am patently shocked at how many people flat out stare at us, turn their vehicles around in the street, and just approach us constantly with questions and comments, some innocuous and polite, others just plain annoying and nosy. Some dogs have reacted badly to Ali’s wheelchair and so I am much more cautious about him meeting other dogs in the park. In fact, I pretty much avoid it now. But I can’t take any chances. My neighbor’s dog recently tried to start a fight with Ali after they came up to us in the park and she assured me her dog was friendly. As soon as they sniffed noses her dog went for Ali and I had to pull him away from her – trying to make sure his wheelchair did not tip over in the process! Immediately she apologized and said she realized too late that her dog might react badly to Ali's wheels as she barks at strange objects...including people in wheelchairs (!). Um, I wish you had thought of that beforehand! Anyway, Ali was alright but it has made me even more cautious than I already was, which is why it is a constant challenge dealing with people walking right up to us with their dogs, without even asking if it is okay first. Even when I turn around and walk in the other direction they sometimes follow us! And this is not an off-leash dog park I should add, lest I sound overly harsh. There are signs posted that your dog must be on a leash. It is a de facto dog park however and I really don’t care if people violate the leash law, as long as their dogs are under control, which unfortunately usually they are not! Nothing new – careless dog owners abound in general – but the stakes are higher for sure now that Ali is disabled.

No comments: