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
What are 5 goals of HTO?
- Correct malalignment
- Re-distribute loads passing through knee
- Reduce joint pain
- Increase function
- Slow disease progression
What do patients with ACL tears often avoid?
flexing their knee (quads avoidance gait)
ACL rehab: start with low intensity ______ exercises.
isometric
ACL rehab: progress to ______ kinetic chain exercises
closed
ACL rehab: combine _____ and _____ chain exercises
open; close
ACL rehab: ensure ______ of movement
quality
ACL rehab: gradually integrate exercises with ______.
impact
An abnormal Q angle leads to increase load below the _______.
patella
What muscle are important to strengthen if the individual is presenting with PFPS
?
hip external rotators and abductors
What muscle lagged in the PFPS group prior to foot contact?
VMO
Running related PFP: _______ overall training loads.
reduce
Running related PFP: _____ running speed.
reduce
Running related PFP: avoid _____ running
downhill
Running related PFP: maybe ______ step rate
increase
Running related PFP: maybe switch to ________ strike pattern
forefoot
