Geriatric Onset Laryngeal Paralysis Polyneuropathy or GOLPP is a common problem in older large and giant breed dogs. It is a disease of the nervous system, characterized by the slow but progressive degeneration of some of the longer nerves in the body. It results in partial paralysis of the larynx (voice box), esophagus, and hind limbs.
The most common signs of paralysis of the larynx include labored breathing, frequent panting, hoarseness, coughing, and exercise intolerance. In addition to paralysis of the larynx, GOLPP typically also causes decreased awareness of the hindlimbs, hindlimb weakness, and incoordination.
GOLPP is a diagnosis of exclusion, which means that there is no way to definitively diagnose it. Other causes of hindlimb weakness and incoordination, such as injuries to the spine, must be ruled out first. Our diagnosis is frequently made based on our physical examination findings in conjunction with the patient’s history.
Treatment for paralysis of the larynx may include surgery to tie back part of the larynx to keep the airways open. If the esophagus is affected, symptoms may include regurgitation and increased risk for aspiration pneumonia. If the hindlimbs are affected, the pet may exhibit scuffing of the nails, incoordination, and weakness. While there is no cure for GOLPP, rehabilitation can help improve the pet’s strength, balance, endurance, and overall mobility.
In rehab, we first address any compensatory pain or tightness. Then we focus on improving sensation and proprioception. Proprioception is the ability to sense where the limbs are in space. Once proprioception is improved, we work on stability, positional balance exercises, and dynamic movements. We then focus on increasing strength.
Exercise intolerance is always considered in dogs with GOLPP and we tailor treatments to each patient. We recommend avoiding pulling on collars as this puts more pressure on the airways. We also recommend avoiding strenuous exercise and hot environments.
