Transfemoral Gait Assessment

21 terms by abby_mcavoy 

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Lateral bending of the trunk (P)

ramus pressure
prosthesis too short
poor shape lateral wall
aligned in abduction, wide base gait

Lateral bending of the trunk (Amp)

poor balance
weakness of gluteus medius

Abducted Gait; medial pain (P)

too long
too much abduction
poor shape medial wall
poor support femur
pelvic band placement too far away from the body

Abducted Gait; medial pain (Amp)

abduction contracture
habit pattern

Circumducted Gait (P)

too long
too much alignment stability or friction of the knee, hard to bend

Circumducted Gait (Amp)

abduction contracture
lack of confidence; muscle weakness or fear
habit pattern

Vaulting (P)

too long
too much alignment stability
friction of knee too strong, hard to bend the knee

Vaulting (Amp)

lack confidence; muscle weakness or fear
habit pattern
rise up on contralateral toe

External rotation of the prosthetic foot heel strike (P)

too much resistance in plantarflexion; plantarflexion bumper or heel wedge too hard
too much toe out
fit too loose

External rotation of the prosthetic foot heel strike (Amp)

extend the limb to vigorously at heel strike
poor muscle control of the limb

Uneven timing (P)

improper fit, pain want to shorten stance phase on prx side
weak extension aid or not enough friction in knee
cause excessive heel rise
alignment stability; knee buckles too easily

Uneven timing (Amp)

muscle weakness
poor balance
fear and insecurity

Instability of the prx knee (P)

poor alignment
not enough flexion of socket
plantarflexion resistance too great, knee buckles at heel strike
failure to limit dorsiflexion

Instability of the prx knee (Amp)

hip extensor weakness
severe hip flexion contracture

Medial Whip (P)

excessive external rotation of the knee
socket may fit too tightly

Lateral Whip (P)

excessive internal rotation of the knee
socket may fit too tightly

Drop-off at the end of stance phase (P)/Foot Slap

limitation of dorsiflexion of foot
keel of foot too soft
socket placement too anterior

Long prosthetic step (P)

insufficient socket flexion

Long prosthetic step (Amp)

when irreducible flexion contracture present

Excessive lumbar lordosis (P)

improper shape posterior wall forward rotation of the pelvis to avoid full wt bearing of the ischium
insufficient socket flexion

Excessive lumbar lordosis (Amp)

hip flexor tightness
weak hip extensors
weak ab muscles
habit pattern

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