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shmvii
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ataxic gait is a sign of what
cerebellum problems
ataxia = loss of ability to control muscle movement
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spending lits of time in double support is a sign of
cerebellum problems
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LE's are ER is sign of
cerebellum problem
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wide base of support, tremors, signs of
cerebellum problems
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hypertonicity in both LE is sign of
cerebral palsy, aka spastic displegia
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walking on toes (no heel strike) because of too much time in plantar flexion is sign of
cerebral palsy
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legs scissoring (crossing in front) bc of lack of abd tone is sign of
cerbral palsy
if onesided - hemiplegia
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quick step time, short step length, over dependancey on UE when using a device or railing ... signs of?
antalgic gait (painful gait) -- mayby post-op
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lack of heel strike, going to foot flat bc of poor control of TA, toe drag - signs of?
stroke
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2 stroke symptoms in the knees
- recurvatum at midstance
- knees flexed at midstance
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4 signs of hemiplegia
- scissoring gait in the affected leg
- use of hip hiking and circumduction to move leg
- excessive pelvic and trunk movement to advance leg
- using adductors to move leg
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use of hip hiking and circumduction to move leg - sign of
hemiplegia
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use of excessive pelvic and trunk movement to advance leg
and/or
use of adductors to move leg - signs of
hemiplegia
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when is kid a "walker?"
when it can take 10 successive steps w/o support
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at what age is kid usually a walker
12.6-16.6 months
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3 things missing in a kid's initial gait, and when to they appear?
- no heel strike (straight to foot flat)
- no recip arm swing
- no trunk and pelvic rot
- 4-6 months after walking starts
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toddlers (1-3 yo) - their center of gravity compared to ours? its effect on their gait?
it's higher due to their big heads and chests, and it makes the walk w wider base of support
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how much time do we spend in single leg stance? how much time do toddlers spend?
- us - 39% per leg
- them - 30% per leg-- so they spend more time in double leg stance
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stride length: leg length
ratio for us
ratio for toddlers
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at what age do kids start walking like adults?
- 8 yo -
- they start going 3mph,
- 80-120 steps/min,
- 1.57 stride length:leg length
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at what ages do kids have mature arm movements while walking? hip movements?
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how much reduction in velocity, how often, after what age?
2.5-4.5% reduction every 10 yrs after 20 yo
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gait changes after age 62?
- decrese in unilat stance time
- decrease in PF and DF, but esp DF
- decrease force in PF
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climbing stairs, % of time foot's in contact w stair and % of time it's in the air
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stair climbing - describe the weight acceptance phase
foot is on step and yr starting to put wt on it
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stair climbing - describe the pull up phase
contralat leg starts to rise
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stair climbing - describe the forward continuance phase
contralat leg is up, moving forward
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three stance phases and two swing phases of stairs
- stance:
- wt acceptance, pull up, forward continuance
- swing:
- foot clearance, foot placement
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foot clearance phase in stair climbing
foot gets off step
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foot placement stage in stair climbing
foot's about to hit next step
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