Abnormal gait Flashcards
What are 3 risk factors for achilles tendon rupture?
- Age (increases with older age)
- Sex (increases if male)
- Corticosteroid injections
To what degree of PF is the foot placed in after achilles tendon surgical repair?
~20 degrees
How long is someone casted for post achilles tendon rupture surgical repair?
~6-12 weeks
What are 3 approaches taken in non-surgical achilles tendon treatment?
- Initial walking cast with a heel lift (20 degrees PF)
- Early physio to reduce pain and swelling
- Small movements and ROM exercises
Risk for re-rupture is greater of less after surgery?
less
What are 3 expected clinical findings post achilles tendon rupture?
- Reduced ankle DF ROM
- Reduced PF strength
- Pain
What is a possible compensation that we would see due to reduced DF from a torn achilles?
increased hip flexion
What is the period of the gait cycle that we will the most amount of impairment because of achilles tendon rupture?
50-70%
What are the 3 main reasons for amputation?
- Cancer
- Diabetes
- Trauma
Kinematics/kinetics in an BKA is dependant upon what 2 things?
- Type of prosthesis
2. Reason for amputation
What are the 4 general patters in BKA kinematics?
- Increased knee flexion in swing
- Increased hip flexion in swing
- Increased DF in midstance/terminal stance
- Decreased ankle PF at toe-off
What is typically the max amount of years one can get out of a total knee replacement before needing another?
12 years
What is the region of impairment post TKA?
quads! (Tendon is cut)
What is the main area of improvement that needs to occur post TKA?
extending knee
Higher knee adduction moments are linked to progression of knee ______ and ____.
OA; TKA
