Rehabilitation I - Gait deviations

30 terms by tonyamwc

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Circumduction

what gait has: Weak hip flexors, Weak Hams/Knee flexors, Limited Knee flex ROM, Painful knee, Extensor spasticity (stuck in ext)

Hip Hiking

what gait has: Weak hip flexors, Weak Hams/Knee flexors, Limited knee flex ROM, Painful knee, Extensor spasticity (stuck in ext)

Steppage gait

what gait has: Weak DF's, Flexor spasticity, PF spasticity

Foot drop/Toe drag

what gait has: Weak DF's, PF spasticity

Trendelenburg gait (lateral trunk bending)

what gait has: Weak glut med, Painful hip

Backward trunk lean

what gait has: Weak hip extensors

Forward trunk lean

what gait has: Weak Quads, Hip flex contracture, Knee flex contracture

Antalgic gait

what gait has: Pain in LE

Knee wobbling or buckleing

what gait has: Painful knee, Weak quads

Genu recurvatum (knee hyperextension)

what gait has: Generalized ligamentous laxity, Weak quads, PF contracture, Extensor spasticity

Toes first @ heel strike or Foot flat

what gait has:Weak DF, PF contracture, Knee flex contracture, PF spasticity, Painful heel, LE too short

Equinus gait

what gait has: PF contracture, PF spasticity

Foot slap

what gait has: Weak DF

Inadequate push-off

what gait has:Weak PF, Pain forefoot, Limited ROM at hip, knee or ankle

Circumduction

what gait with prosthesis has: Prosthesis too long, Inadequate knee flex/knee locked, Inadequate suspension (pistoning), Socket too small/too many socks on, Foot postioned in too much PF

Vaulting

what gait with prosthesis has: Prosthesis too long, Inadequate knee flex/knee locked, Inadequate suspension (pistoning), Socket too small/too many socks on, Foot positioned in too much PF

Abducted gait

what gait with prosthesis has: Abduction contracture, Pain due to medial socket wall too high

Trendelenburg/ Lateral trunk bending

what gait with prosthesis has: Weak glut med, Hip pain, Prosthesis too short, Abduction contracture, Medial wall socket too high, Lateral wall socket too low

Forward trunk flexion

what gait with prosthsis has: Unstable knee, Prosthesis too short, Hip flex contracture

Excessive lumbar lordosis during stance

what gait with prosthesis has: Painful ischial tuberosity, Hip flex contracture, Weak abs, Weak hip ext (gluts)

Terminal swing impact (clunking into ext)

what gait with prosthesis has: Insufficient knee friction, Fear of knee buckeling, Excessive tension in ext aid

Swing phase whip (occurs at toe-off)

what gait with prosthesis has: Socket rotated, Malaligned prosthesis

Foot rotation at heel strike

what gait with prosthesis has: Malaligned prosthesis, Heel cushion is too hard

Foot slap

what gait with prosthesis has: Heel cushion too soft

Uneven step length

what gait with prosthesis has: Pain, Poor balance/instability, Hip flex contracture

Excessive knee flex during stance (knee buckeling)

what gait with prosthesis has: Weak quads, Knee flex contracture, Heel cushion too hard, Socket tilted anteriorly

Inadequate Knee flex during stance (locked knee)

what gait with prosthesis has: Socket tilted posteriorly, Heel cushion too soft, Weak quads, Anterodistal tib pain

Medial/Lateral thrust at midstance

what gait with prosthesis has: Socket adducted/abducted, Foot inset/outset too far

Drop-off or premature knee flex in late stance

what gait with prosthesis has:Prosthetic foot is too short (think of stepping off curb)

Delayed knee flex during late stance

what gait with prosthesis has: Prosthetic foot too long

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