ANNPE & FCE - NEW 2026 Version

$19.00

Designed for rehabilitation professionals, this workbook provides an evidence-informed framework for rehabilitation of dogs diagnosed with acute non-compressive nucleus pulposus extrusion (ANNPE) or fibrocartilaginous embolic myelopathy (FCE). Although the mechanisms of injury differ, both conditions produce acute, non-compressive spinal cord injury with similar neurologic and functional consequences. Rehabilitation is therefore organized around the patient’s neurologic presentation, functional abilities, movement quality, and response to treatment.

The protocol begins at the rehabilitation evaluation, following veterinary diagnosis and appropriate referral or medical clearance, and provides criterion-based guidance from early neurologic recovery through long-term functional management.

Includes:

  • Rehabilitation considerations specific to ANNPE and FCE

  • Dos, Don’ts, and Red Flags for clinical decision-making

  • Acute, subacute, and chronic rehabilitation treatment plans

  • Criterion-based progression based on neurologic and functional performance

  • Long-term pathways for patients who continue functional recovery and those who reach a functional plateau

  • Long-term mobility, assistive-device, maintenance exercise, and caregiver-management considerations

  • Dedicated Notes sections for individualized treatment planning and patient progress

  • Appendix A: Neurodevelopmental Sequencing (NDS)

  • Appendix B: Underwater Treadmill Clinical Use Standard

Treating a patient whose neurologic function is changing quickly? This protocol uses criterion-based progression so treatment can be adapted to voluntary motor control, postural control, movement quality, assistance requirements, fatigue, and functional recovery rather than a predetermined timeline.

Standard Protocol - $19

A focused, evidence-informed rehabilitation protocol for a specific diagnosis. Includes clinical considerations and treatment guidance for each phase of recovery, including goals, precautions, treatment interventions, progression criteria, and return-to-function planning.

Designed for rehabilitation professionals, this workbook provides an evidence-informed framework for rehabilitation of dogs diagnosed with acute non-compressive nucleus pulposus extrusion (ANNPE) or fibrocartilaginous embolic myelopathy (FCE). Although the mechanisms of injury differ, both conditions produce acute, non-compressive spinal cord injury with similar neurologic and functional consequences. Rehabilitation is therefore organized around the patient’s neurologic presentation, functional abilities, movement quality, and response to treatment.

The protocol begins at the rehabilitation evaluation, following veterinary diagnosis and appropriate referral or medical clearance, and provides criterion-based guidance from early neurologic recovery through long-term functional management.

Includes:

  • Rehabilitation considerations specific to ANNPE and FCE

  • Dos, Don’ts, and Red Flags for clinical decision-making

  • Acute, subacute, and chronic rehabilitation treatment plans

  • Criterion-based progression based on neurologic and functional performance

  • Long-term pathways for patients who continue functional recovery and those who reach a functional plateau

  • Long-term mobility, assistive-device, maintenance exercise, and caregiver-management considerations

  • Dedicated Notes sections for individualized treatment planning and patient progress

  • Appendix A: Neurodevelopmental Sequencing (NDS)

  • Appendix B: Underwater Treadmill Clinical Use Standard

Treating a patient whose neurologic function is changing quickly? This protocol uses criterion-based progression so treatment can be adapted to voluntary motor control, postural control, movement quality, assistance requirements, fatigue, and functional recovery rather than a predetermined timeline.

Standard Protocol - $19

A focused, evidence-informed rehabilitation protocol for a specific diagnosis. Includes clinical considerations and treatment guidance for each phase of recovery, including goals, precautions, treatment interventions, progression criteria, and return-to-function planning.