What are assisted devices?
Assisted devices in veterinary medicine is any device that is used in a manner that helps an animal return to its normal functions. There are a number of different types of devices ranging in levels of support. The most commonly thought of is a hind limb wheel chair for dogs with neurologic or orthopedic conditions that render them unable to use their hind legs normally. Other commonly used devices include harnesses to assist with walking, braces for different limbs, and prosthetics.
Common problems
There are a variety of problems that can arise from the use of an assisted device. Skin problems are the most common as devices rub against the skin and exert abnormal pressures on areas of the body, very similar to wearing shoes without socks that do not quite fit right. This can lead to mild irritation or hair loss to full blown skin infections requiring veterinary intervention.
Other problems can include anxiety or behavioral problems. Depending on the dog, slow introduction can help mitigate this but there are some dogs that assisted devices may not be an option due to their personality. Your rehabilitation provider can provide more insight on which personalities may not tolerate these options.
Troubleshooting tips
Fit: Ensuring the best fit is paramount for the success of a device. Carts/wheelchairs come in all shapes and sizes as do all other devices. Your rehabilitation provider can assist with appropriate fit.
Skin care: Even when the fit is appropriate there is still skin/device contact. It is important to make sure the skin stays clean and dry. Checking points of contact daily is the best way to catch a problem. Skin barrier protectants can be helpful with mild irritation, however it is important to ensure it is an appropriate product, check with your rehabilitation provider before applying anything to your pet’s skin.
Time out: While their device may allow them to walk/run/play/stand again making sure they have time out of the device is extremely important. We do not wear shoes without socks ALL the time as our skin needs time to breath and not be under pressure. Dogs are no different. Your rehabilitation provider can help determine the necessary time out required based on the device and the level of assistance it provides
When to worry or call your provider
Skin: If you see any of the following please contact your veterinarian or rehabilitation provider to discuss what do to next
- If your pet’s skin is red/hot/painful
- If there is a foul odor or discharge
- If there is any break in the skin barrier
- If your pet will not stop licking/chewing/scratching
*Feet: Since many of the devices we employ for our pets are used to assist with walking, dragging their feet/toes can be common. Similar to points of contact with regards to skin it is important to check their toes for the signs above
Urination/Defication: Some assisted devices are in close proximity to your pet’s genitals. It is common for skin issues and licking to lead to urinary tract or perianal infections. If you notice foul smelling urine, blood in their urine or any pain with urination/defecation please contact your veterinarian.
Bottom line
Assisted devices can reopen the world for our pets with impaired mobility. And while not all dogs are candidates for every device it is important to have an idea of what committing to a device entails. Your rehabilitation provider is the best resource for most questions and we are happy to help improve your pet’s life!