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Data Week 5 - Interview Techniques/Gait
Terms in this set (33)
Active listening cue
Ex: "I see", "go on", "uh-huh"
Used to remove confusion about a patient's words/phrases.
"Tell me what you mean by ______"
Repeating a word/phrase to encourage patient to elaborate.
"I get a weird feeling in my shoulder when I sleep".... "Weird feeling?"
Telling the patient's story or part of story in your own words. Helps with mutual understanding
Giving the patient a compressed version of their story/portion of story. Usually done at the end of interview. Important to include the "dollar statements"
Distance between R initial contact and L heel contact
Distance between R initial contact and R initial contact again
Average stride length of an adult is 56 inches
Includes all components of limb advancement from one event to the same event of the same foot Ex. Initial contact of R heel through to initial contact of R heel again
The number of steps an individual will walk over a period of time
Average for an adult is 110-120 steps / min
Gait speed - "The 6th vital sign".
Can be measured in meters per second or meters per minute
Average gait speed of an adult is 72-84 m/min (1.2-1.4 m/second)
Individuals must walk at least 24 m/min to be "limited community ambulator", while 48 m/min is required for "community ambulator"
Base of Support:
Distance between L and R foot (BOS will decrease as cadence increases)
Average BOS for an adult is 2-4 inches (7-8cm)
Begins when one foot makes contact with ground and ends when same foot lifts off of floor
Accounts for 60% of gait
Double Support Phase:
The part of the gait cycle where both feet are on the ground
Occurs twice in gait cycle (three phases when using RLA terminology) and accounts for 20-24% of the gait cycle
Begins when one foot lifts off of ground and ends when that foot makes contact with ground
Accounts for roughly 40% of gait cycle
Single Support Phase:
The part of the gait cycle where only one foot is on the ground
depending on the phase of gait
The body's COM will shift
the COM will be at its highest in mid-stance, and lowest with double support phase
The COM will be between the feet with double support phase, and shift laterally toward the stance limb in single support phase
The pelvis will rotate along with the leading limb, and the trunk and opposite arm will counter rotate
Cause: Unable to control eccentric phase of IC
Weak knee extensors - unable to tolerate loading response force
Hip drop of contralateral side
Cause: Weak glute med in stance phase
A compensated Trendelenburg gait will have a lateral trunk flexion (lurch) to weak side while in stance phase
Backward trunk lean:
Shift of trunk posteriorly
Cause: Weak hip flexors
Forward trunk lean:
Shift of trunk anteriorly (Video at 0:26)
Limited hip extension or knee extension ROM
Gait alterations due to pain.
Shortened stance phase of painful side
- Excessive plantarflexion of stance leg to elevate the entire body.
This is to compensate for the swing legs inability to clear the floor during swing.
Foot drop / toe drag -
inability to move ankle into dorsiflexion in swing phase
Cause: Weak or absent dorsiflexors (What orthotic will help with this?)
Steppage gait -
Excessive hip and knee flexion
Hip hiking -
Superior translation of pelvis in stance
Causes: (any impairment that limits ability to shorten LE in swing phase)
Weak hip flexors or knee flexors
Decreased knee flexion ROM
Swinging of leg to the side
Causes: (impairments that limits the ability to shorten LE in swing phase
Weak hip or knee flexors
Decreased knee flexion ROM
Unsteady and uncoordinated gait
Cause: Inability to stabilize the trunk - result of a CNS disorder
excessive adduction, foot often crosses midline
Weak hip abductors
Adduction and IR of hip
Parkinsonian / Shuffling
- Seen commonly in PD. Characterized by small shuffling steps, slow movement (Video before and after medication - L-dopa)
Sets with similar terms
Musculoskeletal sys: GAIT
NPTE - Gait (from IER and Scorebuilders)
Kinesiology Chapter 22: Gait
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