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30 terms

Rehabilitation I - Gait deviations

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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