Gait

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  1. Gait - where is PF the most important
    Terminal stance
  2. Steppage gait - Excessive hip & knee flexion - result of what?
    Weak DF (e.g., diabetic neuropa­thy of fibular nerve)
  3. Stance Phase - Antalgic gait (painful gait) - describe - 2
    • Stance time - short on painful limb
    • Step length - shortened on uninvolved side
  4. Sitting activities promote what for gait?
    Hip ABD on therapy ball
  5. Pushing backward on rolling stool promotes what for gait?
    Knee extension
  6. Weakness of hip extensors - @ what phase? What compensation?
    • Heel strike
    • Backward lean of trunk
  7. Tibia advancement – midstance to heel-off
    Eccentric contraction of PF
  8. Backward trunk lean – weak what?
    Hip extensors
  9. Full DF can lead to what @ knee?
    Knee buckling
  10. What AFO can be used to control for a buckling knee? - 1
    DF
  11. What AFO component can be used to control for knee hyperextension or recurvatum?
    PF stop @ 5 deg
  12. DF or PF of ankle jt is associated w/knee flexion in order to maintain COG?
    DF
  13. DF or PF of ankle jt is associated w/knee extension in order to maintain COG?
    PF
  14. Orthotic causes for foot drop @ initial contact + toe drag @ swing - 2
    • Inadequate DF assist
    • Inadequate PF stop
  15. Toes first @ initial contact - 3 orthotic + 4 anatomical
    • Inadequate heel lift
    • Inadequate DF assist
    • Inadequate PF stop
    • Heel pain
    • Extensor spasticity
    • Pes equinus
    • Short leg
  16. Excessive knee flexion @ initial contact - 4 orthotic + 2 anatomical + 1 compensation
    • Inadequate knee lock or weak quads
    • Inadequate DF stop
    • PF stop
    • Short contralateral leg - Inadequate shoe lift
    • Knee &/or hip flexion contracture
    • Knee pain
    • Compensation - Forward trunk bending
  17. Hyperextended knee @ initial contact - 3 orthotic + 5 anatomical
    • Inadequate PF stop
    • Inadequate knee lock
    • Pes equinus uncompensated by contralateral shoe lift
    • Weak quads
    • Lax knee ligaments
    • Extensor synergy
    • Short contralateral leg
    • Contralateral knee/hip flexion contracture
  18. Forward trunk lean @ initial contact - 1 orthotic + 2 anatomical
    • Inadequate knee lock
    • Quad weakness
    • Hip/knee flexion contracture
  19. Backward trunk lean @ initial contact - 1 orthotic + 2 anatomical
    • Inadequate hip lock or knee lock
    • Knee ankylosis
    • Weak gluteus max on stance leg
  20. Wide walking base + Lateral trunk lean toward stance leg @ initial contact - 3 orthotic + 3 anatomical
    • KAFO height of medial upright too high
    • HKAFO hip jt aligned in excessive ABD
    • Insufficient shoe lift
    • ABD contracture
    • Poor balance
    • Sound limb (contralateral) is too short
  21. Delayed/absent transfer of weight over forefoot @ late stance - 2 orthotic + 2 anatomical
    • PF stop
    • Inadequate DF stop
    • Pes calcaneus
    • Forefoot pain
  22. Circumduction/vaulting/hip hiking @ swing - 3 orthotic + 3 anatomical
    • Knee lock
    • Inadequate DF - Weak DF; Inadequate DF assist
    • Excessive PF (inadequate PF stop, PF contracture)
    • Weak hip flexors
    • Pes equinus
    • Short contralateral leg
  23. BKA - Excessive knee flexion @ initial contact - 3
    • Insufficient PF
    • Stiff heel cushion
    • Socket too far anterior
  24. BKA - Insufficient knee flexion @ initial contact - 3
    • Excessive PF
    • Soft heel cushion
    • Socket too far posterior
  25. BKA - Lateral/Medial thrust at midstance - foot how?
    • Lateral - Foot is inset too much
    • Medial - Foot is outset too much
  26. BKA - early knee flexion @ late stance - 4
    • Insufficient PF
    • Socket too anterior
    • Socket excessively flexed
    • DF stop too soft
  27. BKA - delayed knee flexion @ late stance - 4
    • Excessive PF
    • Socket too posterior
    • Socket not flexed enough
    • DF stop too stiff
  28. BKA - pain on ant distal stump - gait deviation - 1
    Lack of knee flexion in early stance (locking relieves pressure)
  29. BKA - prosthetic foot set too far posteriorly - gait deviation - 1
    Rapid & excessive knee flexion in early stance
  30. BKA - weak quads - gait deviation - 1
    Lack of knee flexion in early stance
  31. AKA - ABD gait - 5
    • Long prosthesis
    • Med wall too high
    • Lat wall not ADD enough
    • ABD contracture (esp for shorter AKAs)
    • Anatomical - laterodistal pain
  32. AKA - Circumduction/Vaulting/Hip hiking - causes - 6
    • Long prosthesis
    • Locked knee
    • Inadequate suspension
    • Foot PF
    • ABD contracture
    • Poor knee control
  33. AKA - Lateral trunk bending during stance - causes - 6
    • Short prosthesis
    • Lat wall not ADD enough
    • High medial wall
    • Weak glut med
    • ABD contracture
    • Short amputation limb
  34. AKA - Forward flexion during stance - causes - 3
    • Unstable knee unit
    • Short ambulatory aids
    • Hip flexion contracture
  35. AKA - Lumbar lordosis during stance - causes - 5
    • Inadequate socket flexion
    • Painful ischial WB
    • Hip flexion contracture
    • Weak hip extensors or abdominals
    • Socket not tilted enough post
  36. Heel off - medial/lateral whip - ?????
  37. AKA - foot ER on heel strike - 3
    • Not compressing/WB on cushioned heel to get a controlled PF
    • Stiff heel cushion
    • Poor socket - prosth rotating on residual limb
  38. AKA - Terminal swing impact - causes - 3
    • Insufficient knee friction
    • Taut extension aid
    • Forceful hip flexion
  39. AKA - Uneven step length - causes - 4
    • Socket discomfort
    • Insufficient socket flexion
    • Hip flexion contracture
    • Hip instability
  40. Hip hiking (QL action) - result of?
    Extensor spasticity of swing leg
  41. Stance Phase - Pronation - causes - 4
    • Weak invertors
    • Spasticity
    • Pes valgus
    • Genu valgum
  42. Foot flat to mid stance - hip IR/ER - 3
    • Spasticity/weakness of IR/ER
    • IR - Excessive forward rotation of opposite pelvis
    • ER - Excessive backward rotation of opposite pelvis

Card Set Information

Author:
Anonymous
ID:
323988
Filename:
Gait
Updated:
2016-10-03 03:28:46
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Gait
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Description:
Gait
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