Site icon Anything Pawsable

Brace and Mobility Support Dogs: Everything You Need To Know

Advertisements

Brace and Mobility Support Dogs are a type of Service Dog trained to provide their disabled handler with assistance moving from place to place. This invaluable service is matched only by these dogs’ ability to also help with other chores and tasks, like opening doors or retrieving dropped items.  Due to the unique nature of their work, though, Brace and Mobility Support Dogs have special needs. Read on to learn more!

Brace and Mobility Support Dogs, also known as Mobility Support Dogs or Mobility Assistance Dogs, are a special type of Medical Assistance Dog primarily trained to assist their disabled handler with locomotion (defined as moving from one place to another by any means, including on foot or in a wheelchair). Mobility Dogs help people with impaired balance, gait, or coordination to safely walk or regain their footing after a fall, and they help individuals who utilize prosthetics or other assistive devices, including wheelchairs, gain unprecedented levels of independence, freedom and mobility.  They are also frequently trained to help their handler with everyday duties that their human partner can’t readily perform because of their disability, or can only perform with difficulty, like picking up dropped items, retrieving out-of-reach objects, and opening/closing doors, drawers and cabinets. Brace and Mobility Support Dogs (BMSDs), also known as Mobility Assistance Dogs, are highly trained Service Dogs partnered with individuals who have a physical impairment, disability or disorder that affects their mobility, ambulation or maneuverability.

People partnered with a Brace and Mobility Support Dog (BMSD) may or may not be able to walk unassisted, and they may or may not be in a wheelchair. Some handlers utilize assistance devices in addition to their Service Dog, such as crutches, walkers, braces, canes, lifts, wheelchairs or scooters, whereas other Brace and Mobility Support Dog users are able to rely solely on the assistance of their dog. No scenario is more or less “valid” or “legitimate” – the function of the brace dog depends on the needs of the handler and the handler’s disability.

The handlers, whether ambulatory or not, often need extra help balancing, remaining stable, getting around, summoning help, monitoring medical equipment/alarms, interacting with the environment, reaching items, maintaining independence and communicating during emergencies. Mobility Support Dogs can be trained to help in all of those areas, as well as many others.

 

Brace and Mobility Support Dogs Are Specialized Service Animals

All dogs that are partnered with a person with a disability, and that also possess specialized training that directly reduces or mitigates the effect of that person’s disability on their quality of life or ability to function like someone without a disability, are legally defined as “Service Animals.” That definition includes Brace and Mobility Support Dogs, and many of the common tasks brace or mobility dogs perform (like assisting a handler to walk or pulling a wheelchair) are directly mentioned in the Americans With Disabilities Act briefing that details the legal rights of Service Dog teams, as well as in the “Frequently Asked Questions About Service Animals and the ADA” document provided by the Department of Justice.

Under U.S. federal law, Service Animals and their handler (who must, without exception, have a physical, developmental, psychiatric or other disability as defined under United States law), possess certain rights, one of which is the right to access goods and services, including transportation and lodging, without discrimination. Many states and counties also have laws protecting the access rights of Service Dog teams, with some states and/or counties specifically mentioning Brace and Mobility Dogs.

 

Regular Service Dog Standards Still Apply

Before digging too deeply into everything that makes Mobility Dogs so extraordinary, it’s important to note that all of the service dog training standards and expectations surrounding the manners, conduct, appearance and deportment of all Service Dogs also apply to Brace and Mobility Support Dogs. Assistance Dogs International is a great place to learn about the suggested level of training and skills for all Service Dogs. However, while all BMSDs are Service Dogs, all Service Dogs are most definitely not BMSDs. Due to the rigorous, intensive and extremely precise nature of the work Mobility Assistance Dogs perform for their disabled handlers, there are a few additional recommendations and some very important details to consider that go above and beyond the usual Service Dog requirements and expectations when it comes to Brace and Mobility Support Dog selection, training and upkeep.

In many cases, a Brace and Mobility Support Dog’s handler’s life, physical safety and autonomy depend directly on the task work and training of their Service Dog. While it is always important that all Service Dogs possess the proper behavior, temperament and training to succeed in their specific field, it’s doubly important for brace/mobility dogs (and many other Medical Assistance/Alert/Response Dogs), as their handler’s health and well being rests, solely or in part, on their Service Dog’s ability to perform their job and perform it well, even in distracting or difficult environments and circumstances.

 

 

The United States Service Dog Registry has been helping Service Dog handlers — including Psychiatric Service Dog handlers — for over 10 years. Learn more >

.

 

Brace and Mobility Support Dogs Require Highly Specialized Training

Lots of the task work these working dogs perform is extremely physical in nature and a Brace and Mobility Support Dog’s tasks can routinely require meticulous attention to detail, complex behavior chains on the part of the dog, and an extremely high level of precision and exactness. Beyond that, succeeding as a Medical Assistance Dog of any kind, including Mobility Assistance Dogs, usually requires the ability to perform, think and problem solve independently, sometimes without direct handler or trainer guidance. The dog must be able to not only learn the proper protocols, procedures and tasks for mitigating and responding to their handler’s disability, but they must also be able to implement them at home, in regularly visited places, and, periodically, in unfamiliar environments.

A Brace and Mobility Support Dog who is partnered with a person who is medically fragile might have to work during the chaos of an emergency. The dog may have set tasks that must be performed during a medical emergency, and if the Service Dog does not, the handler might become sicker, might enter a deeply altered state of consciousness, might be unable to summon help, or might even die. Some examples of  emergency task work regularly performed by BMSDs include:

The Service Dog might even have specific work to do that involves the EMTs or medical personnel, such as opening the front door and leading EMS to their handler’s location. Other common interactive tasks include delivering a medical emergency or ICE (in case of emergency) card to the closest person in uniform, guiding one of the first responders to the location where medications, supplements, or a pre-packed hospital bag are stored, or retrieving a folder full of medical documentation/history, medically-mandated response or treatment protocols and contact info so their handler can receive rapid and appropriate treatment.

They may have to do their job while surrounded by strangers who may or may not be familiar with working dogs, disabilities or proper medical response. They may have to perform several complicated, multi-step tasks in a row. The Mobility Support Dog might have to make decisions over which task takes priority, and the dog may have to triage and respond to rapidly changing conditions, potentially all without guidance from the handler. The brace dog may be required to discriminate between subtle environmental cues and prompts, such as various types of uniforms (police vs. fire department vs. nurse), and perform specific tasks in response to those subtle cues. The consequences of missteps or failure on the part of the Service Dog, especially due to hurried selection, improper temperament or incomplete training, can be truly dreadful. Depending on the disability, the ramifications could even include loss of life.

It cannot be stressed enough — all canine candidates selected and trained for brace and mobility support task work and any associated task work pertaining to their handler’s safety must possess the proper structure, genetics, health, temperament, aptitude, reliability, capability and training to succeed and flourish. It’s also vital that fully trained and working Brace and Mobility Support Dogs receive the proper support, maintenance, upkeep and care necessary to maximize the dog’s safety and comfort while working. Furthermore, working brace dog teams need to be properly equipped and able to perform their job with the least amount of impact on the dog’s health and longevity, while also creating an overall positive effect on the handler. All of the above is a lot to ask of a dog, any dog, and the dogs that are capable of thriving in this line of work are few and far between. Those who excel are truly special creatures. That’s what this article is truly about – finding, selecting and training those exceptional ones, as well as the specific considerations involved in the care, keeping and maintenance of the fully trained Brace and Mobility Support Dog.

 

Who Do These Dogs Work With?

A few examples where a person may benefit from partnership with a Brace and Mobility Support Dog include:

There are an unquantifiable number of disabilities that aren’t mentioned above that result in impairments or reductions in ambulatory ability and/or mobility. It’s important to remember that not everyone is suitable for partnership with a Service Dog, even if they have a disability for which a Service Dog appears to be a perfect solution. Anyone who is considering applying for, obtaining or training a Service Dog of any kind should always ask these very important questions about their readiness, and consider whether or not Service Dog partnership is appropriate for them, their family, their disability and their situation.

 

All Training is Specific To the Dog and Handler

Every Service Dog team is unique, and Brace and Mobility Support Dog teams are no different. Depending on the handler’s exact symptoms, the person might need help in static positions (like standing in line or sitting in a chair) and while in motion (such as walking, standing up, or wheeling up a ramp). They may need assistance with daily tasks, like turning on lights, recovering dropped items or items that are out of reach, moving laundry from the washer to the dryer or paying for items at the store, or they may only require help during emergencies or rare events, such as when they’re unconscious, when they’ve fallen, when they can’t turn over and it’s medically necessary for them to do so, or when a medical alarm goes off. Brace dogs are usually trained specifically for their handler and their handler’s exact needs.

 

BMSDs Wear Specialized Gear

Many Brace and Mobility Support Dogs wear a special harness with a rigid, upright handle that allows the disabled handler to more easily reach their dog and move with their dog while standing. A brace dog’s harness is specifically made to be ergonomic and to fit both the dog and the handler for safety. The harness is made to fit the dog perfectly and allow the pressure of bracing to be safely borne by the dog’s entire body. Mobility Assistance Dogs who pull wheelchairs, wagons or small carts, or who carry heavy medical equipment like oxygen tanks, also wear specialized harnesses so they can safely perform their tasks. Some Mobility Assistance Dogs have a pull strap on their harness so that their handler can counter balance safely by lightly pulling against the dog or by using the dog’s forward momentum to help power their own movement. Counter balancing uses pressure or tension to help stabilize or assist an unsteady handler. You can get an overview of vests, harnesses and common Service Dog gear here.

Like any other type of Service Dog, the training of a Brace and Mobility Support Dog can begin very early, even as early as a few weeks of age. However, brace work, wheelchair pulling and other physically taxing tasks shouldn’t be trained or used until the dog has finished growing and their growth plates have fully closed. Joint health, soundness and growth should be X-ray verified by a reputable and knowledgeable veterinarian. If too much weight or pressure is placed on a growing dog, their joints could easily be damaged or the dog could be injured. Most Mobility Dogs don’t begin fully working until they’re at least 2 years of age, for safety reasonBrace and Mobility Support Dog Qualifications

Due to the oftentimes very physical nature of their work, Brace and Mobility Support Dogs are usually large, sturdy dogs with great structure and joint health. Regardless of breed or exact size, they must be in excellent physical shape. Any extra weight or lack of muscle tone in a brace dog increases the strain on the dog’s joints, which can significantly reduce the Service Dog’s working life, safety and comfort.

Like all Service Dogs, BMSDs need to be free from fear, timidity, aggression and reactivity, and their temperament should be extremely balanced, calm and relaxed. It’s vitally important that Mobility Support Dogs, and especially Brace Dogs, not be easily startled, as if they jerk or misstep, their handler could fall or be injured.

BMSD candidates should be free from all joint and skeletal disorders, and they should be screened for genetic illnesses common in their breed. They should not have any characteristics that would automatically disqualify a dog from Service Dog consideration.

 

Breed, Size and Structure

Breed is not an important consideration when it comes to selecting and training a Brace Dog. Far more important are the dog’s temperament, structure and size. That being said, some breeds tend not to make good Service Dogs, such as breeds bred to follow their nose or eyes at all costs, breeds bred to be super intense, aloof or independent, and/or breeds known for aggression towards other dogs, small animals or people. Always evaluate each candidate as an individual, but don’t totally disregard breed tendencies.

 

Brace and Mobility Support Dog Size

Brace Dogs should be, at an absolute minimum, at least 23” tall and weigh at least 55 pounds. Keep in mind, that’s a minimum. If you aren’t a child or extremely slightly built/short person, then your dog will need to be proportionately larger. A large man could require a dog that’s 28 – 30+ inches tall and that weighs over a hundred pounds. A BMSD’s size should directly relate to their human’s size, and/or the task work the dog will be doing. Dogs who will be pulling wheelchairs, carts or wagons need to be at least 65-70 pounds, and athletically built. A rule of thumb is that your hand should be within 6 to 8 inches, and definitely no more than 10”, of your dog’s withers if your partner will be performing brace work while you’re standing. If you utilize your dog for other mobility tasks or a different type of physical support, such as wheelchair transfers or assistance changing positions, then your dog’s size should offer adequate weight, mass and strength to perform the job safely without undue strain.

 

Brace and Mobility Support Dog Structure

Structure is one of the most important considerations for a BMSD. Ricardo E. Carbajal, chairman of the USA Breed Advisory Committee, states that “proper structure is the anatomical design that offers the least resistance to movement.” He goes on to note that “a dog with good working drives but improper structure cannot take advantage of its hardware to perform to its fullest potential.” Breeds vary widely in their build and structure, but experts in the field agree that a dog optimally built for work and athleticism will showcase a smooth stride and appear to be well-balanced over all. Their back isn’t too long or short, their legs aren’t different lengths, they’re not excessively light boned or heavily boned, they aren’t overly muscular, and nothing about them is extreme.

They’re squarely built, with a more or less level and strong top line, and front legs that, according to Dr. Cameron Battaglia, an expert on working and performance dogs, should “appear as two columns of support from the shoulder to the ground.” The dog’s back legs shouldn’t appear to rotate in or out when the dog is standing and relaxed. Everything about the dog’s build needs to appear sturdy, strong and balanced, but not be limited by anything about the dog’s skeleton, musculature, or joints. Anything that’s “off” in a Mobility Support Dog’s structure could result in a less than optimal working life, or even in injury to the dog.

 

Brace and Mobility Support Dog Breed

There are many breeds that are known for their athletic build and for structures that have been carefully honed over the years for performance, working, endurance and soundness. Some of the breeds commonly utilized as Brace and Mobility Support Dogs include:

Mixed breeds can excel as Brace and Mobility Support Dogs. As long as a dog has the size necessary to safely perform the work, good structure, health and genetics, and a great temperament with an aptitude for the work, then nothing else really matters.

 

Temperament and Traits

As stated earlier, Service Dogs should be free from timidity, anxiety, fear, reactivity and aggression in all situations. There shouldn’t be any issues with fear. They shouldn’t have excessive drive in any form — chase, prey, fight, toy, food. A good Service Dog, including a Brace and Mobility Support Dog, should be balanced, responsive, and quiet. They should be more interested in interacting with people than with other dogs, distractions or the environment. They should be motivated by food or toys, but not the point that they can’t think, or that they can be distracted by the presence of either. They should be laid back, relaxed and chill, but not lazy. They should be social and friendly, but not overly interested in interacting with people or dogs who aren’t their handler/trainer. They should be happy to be with people all day, but should be fine when left alone, and be free from anxiety, including separation anxiety. They shouldn’t be “velcro” dogs, but they also shouldn’t be aloof or extremely independent. If a dog would rather go off on its own than interact or be with a person, then that dog probably isn’t an ideal candidate.

They should be happy to learn or work, but not so drivey that they always appear “keyed up,” “wound” or tense. They should be able to walk and go and work all day, but shouldn’t require hours and hours of exercise. They should be able to relax in all situations, regardless of the amount of distraction or chaos around them, but they should also be able to quickly and accurately respond to their handler’s requests, cues and commands. They should be responsive and biddable, but not always on edge or coiled like a spring, waiting for the handler’s next word. They should be trainable, which doesn’t necessarily mean highly intelligent. Lots of highly intelligent breeds do not excel at Service Dog work, because they get bored doing the same thing day in and day out, which means they get creative. Intelligence also tends to lend itself to the “why” characteristic — “WHY should I do this? Why not that? Why right now? Why should I listen?”. Beyond that, though, in dogs, intelligence is also usually harness with excess drive, energy or both.

In a nutshell, everything about an ideal Service Dog candidate rests somewhere in the middle of two extremes. They’re not aloof, and they’re not overly attached. They’re not lazy, but they’re not always wired. They’re not antisocial, and they’re not overly social. They’re not disinterested in food or toys, but they’re not so excited by them they can’t function. They aren’t utterly disconnected from the environment, and they’re not so overly engaged as to be easily distracted or uninterested in their handler. They’re focused but not hyper focused.

For BMSDs, it’s especially vital that the dog be relaxed, steady, stable and utterly bombproof. Nothing should be able to distract the dog from its work. A large part of that is training, but the ability to train a dog to that degree starts with its temperament and core traits. Keep in mind, when selecting a Service Dog candidate, that what you see is usually what you get. If you have to “fix” something, then a dog probably isn’t the perfect candidate. There are enough things that disqualify a dog from serving in an assistance capacity that you shouldn’t set yourself up for an uphill battle from the very start.

 

Genetics and Health

A Service Dog, but especially a Brace and Mobility Support Dog, should be free from all genetic illness and structural flaws. Selecting a candidate from a breeder who performs health testing is a great way to ensure your BMSD won’t suffer from a debilitating or disqualifying health issue down the road. A Service Dog, but especially a Brace and Mobility Support Dog, should be free from all genetic illness and structural flaws. If you’re looking for a candidate from a shelter or rescue, it’s vital that you be prepared to perform health testing and X-rays (hip, elbow and spine, at the very least) yourself. Yes, it’s expensive, but it’s more expensive to lose or be forced to retire a dog you’ve put thousands of hours into training due to an easily screened illness or structural flaw, and have to start over from scratch.

 

Important Training Considerations

A Brace and Mobility Support Dog’s training can vary widely. There are dozens of organizations across the United States that train, or even specialize in, BMSDs, although it’s also quite common for people to owner-train with the assistance of a reputable and skilled local trainer. No matter what work or tasks a Brace and Mobility Support Dog is trained to perform, there are some considerations that need to be kept in mind at all times, especially if the handler requires emergency assistance or response from their dog.

 

Training Should Be Reliable

First and foremost, the dog’s training needs be extremely reliable. No matter the situation, scenario or set up, a well-trained BMSD will still be able to do their job. This can mean introducing all kinds of variables into the training process, including position changes, heavy distraction or off-the-wall scenarios to help a dog “generalize” their task work. As an example, most obedience trained dogs will “sit” when asked, when their handler is standing and the dog is in front of them, facing the handler. But what if the handler kneels, sits or lies on the floor? What if the handler is face down? What if the handler turns their back? What if the handler is at the bottom of the stairs, and the dog at the top? What if the handler FaceTimes the dog? What if the dog is in a “down” and the handler asks for a sit? What if the handler whispers? What if the handler doesn’t move their body/hands or offer any kind of physical cue?

Brace Dogs may commonly have to perform task work while their handler is on the ground or in a position that isn’t commonly encountered during routine training, and they need to be able to do so without issue. Their training needs to be proofed against a variety of distractions, including the types of distractions commonly encountered during emergency situations – swarms of people, radios, sirens, flashing lights, loud, unfamiliar voices, strange places, etc. The only way to do so is to gradually build the dog’s understanding of the task work and commands, and to build duration, distance and distraction proofing into the behaviors.

 

The Dog Should Be Able To Perform Independently

A Mobility Support Dog’s training needs to be predictable and well practiced. When given a cue, whether it’s a verbal, physical or environmental cue, a BMSD should immediately respond in a predictable and quantifiable way. When it comes to complex behaviors (like retrieving a beverage from the fridge or opening the front door and leading first responders back to their unconscious handler, their training needs to be solid to the point the dog can perform it without assistance or guidance. Their handler may not always be able to help them, so they should be able to perform independently when required, and they should be able to uphold their training even if their handler isn’t able to enforce it.

As an example, if EMS transports the unconscious or injured handler, one of the paramedics should be able to put a leash on the Service Dog, walk them out to the ambulance, load them up, and the dog calmly relax or perform necessary task work without EMS intervention or direction. Their manners, behavior and skills should be above reproach, because it may be necessary for strangers to direct the dog until the handler is able to take management back over. The dog’s training should make that easy for anyone to do, without specialized knowledge. The dog’s public access training and skills need to go above and beyond the basic standards, and they shouldn’t exhibit any behaviors Service Dogs shouldn’t showcase while working in public.

 

Training Should Be Specific To the Handler

Finally, their training needs to mitigate their handler’s disability. There are hundreds of tasks Service Dogs can perform. Federal Service Dog law dictates, though, that the dog must perform trained task work that directly assists their handler. Merely having a disability and having a dog doesn’t make a dog a Service Dog. Merely having a disability and having a dog doesn’t make a dog a Service Dog. As an example, if a dog is trained to open doors, but the handler doesn’t actually *need* the task, then that doesn’t qualify as trained task work that mitigates the handler’s disability. That’s not to say that your dog can’t perform work you don’t actually *need*, as you and your dog should continue training and learning for a lifetime, but rather, that your dog MUST, in some form or fashion, directly increase your ability to function in day to day life through their training.

 

Keeping a Brace Dog Healthy and Happy

There are a few final special considerations to keep in mind about Brace and Mobility Support Dogs. Chief among these are keeping your BMSD happy, healthy and able to work for as long as possible.

 

Nutrition and Supplementation

You should feed your partner the best food you can afford. Dog Food Advisor is a great resource when selecting a food. The better the food you can feed, the better your partner’s nutrition, and the better they’ll be overall. Health starts on the inside and is reflected by your dog’s skin, coat, ear/eye health, weight, body composition and many other factors. Most canine nutritionists recommend feeding a grain free food that has meat and quality protein as the first several ingredients.

Don’t feed your BMSD too much or too little — both create unhealthy conditions. A Brace Dog that carries too much weight, even if it’s just a pound or two, has extra strain on their joints, which decreases their working life and ability to work safely. A Mobility Support Dog that is underweight doesn’t have the musculature to support the extremely physical nature of their task work, and may be nutritionally deficient in a way that leaches nutrients from their bones, further increasing the risk of injury. A working dog should be kept lean, with good muscle tone. When your dog is in optimal body condition, you should be able to see a clearly defined waist, but not be able to see hip bones, spine or ribs. When you run your hands along your dog’s ribs, it should feel like the back of your hand — bone structure readily able to be felt. If you see ribs, up your dog’s food for a bit. If you have to push to feel ribs, decrease your dog’s food for a bit.

Brace and Mobility Support Dogs should be kept on a joint supplement, as their task work can be very physically taxing, and anything you can do to help keep their joints healthy is a plus. An excellent and economical choice is . A little bit of this stuff goes a long way, and it’s much less expensive than many commercially available products or products available directly through your vet.

 

Routine Health Care

Preventative health care is strongly recommended — if possible, your partner should be on monthly parasite prevention. If you don’t like the options available from your vet, there are many holistic alternatives available. Keeping your partner free of fleas and ticks is necessary for public access, and your partner shouldn’t work if they have internal parasites, as it can weaken them. Heartworm preventative is strongly recommended for most areas of the country, and regular worming as well to handle other internal parasites, such as tapeworms.

Vaccinating is a highly personal choice, but at the very least, your Service Dog should have the federally required rabies vaccination, and you should be able to produce proof of this at any time. If you don’t vaccinate for the other common canine diseases, including parvo and distemper, consider doing a titre test so you can be certain your dog has immunity. Keep in mind that while you can do your utmost to keep your partner healthy, other people may not do the same for their dogs, and working Service Dogs can come into contact with other dogs at any time, and/or be in areas where sick dogs have been previously, without knowledge of their handler.

 

Rest and Relaxation

Make sure your BMSD has time to relax, play, recoup from work and just be a dog. You guys can enjoy a game of fetch or tug, snuggle while watching a movie, take up trick training for fun, or basically anything that gives your partner’s mind and body a chance to rest.

Essentially, do all you can to keep your partner happy and healthy. Don’t do anything to jeopardize their ability to work, or do anything that might injure them, even inadvertently. Brace and Mobility Support Dogs are incredible, hardworking critters, and they deserve all the best you can give them and more.

 

 

Often, people who suffer from invisible disabilities have trouble advocating for themselves and their canine partners. Service Dog Standards is here to help. Learn more >

 

 

 

 

 

Exit mobile version