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2010-10-18 23:47:41
gait training abnormal gait

Gait terminology
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  1. Antalgic Gait
    Step length of the involved leg is shortened d/t pain
  2. Ataxic Gait
    Widened base of support, unsteady exaggerated movement
  3. Circumducted Gait
    Circular motion to advance the leg, insufficient hip, knee, or ankle flexion
  4. Festinating Gait
    Walks on toes as if pushed, starts slowly then increases
  5. Parkinsonian Gait
    Increased forward flexion of the trunk and knees, shuffling gait
  6. Steppage Gait
    • Foot is lifted excessively using hip/knee flexion d/t dorsiflexor weakness
    • Foot slap on initial contact
  7. Vaulting
    Swing leg advances through elevation of the pelvis and plantar flexion of the stance leg
  8. Lateral Bending Causes
    • Prosthetic: too short, lateral wall shape, medial wall too high, aligned in abduction
    • Patient: poor balance, abduction contracture, short or painful limb, weak abductors on the prosthetic side
  9. Abducted Gait Causes
    • Prosthetic: too long, lateral wall shape, medial wall too high, inadequate suspension, excessive knee friction
    • Patient: Abduction contracture, weak hip flexors/adductors, adductor roll, pain on lateral side of limb
  10. Circumducted Gait Causes
    • Prosthetic: too long, excessive knee friction, socket too small, set in too much plantar flexion
    • Patient: weak hip flexors, abduction contracture, painful anterior limb, unable to initiate prosthetic knee flexion
  11. Excessive Knee Flexion in Stance
    • Prosthetic: too long, socket set too far forward, excessive dorsiflexion
    • Patient: weak quads, knee or hip flexion contracture, poor balance, anterior limb pain