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21 terms

Transfemoral Gait Assessment

STUDY
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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