Abnormal gait ankle and foot Flashcards
forefoot initial contact
severe weakness of dorsiflexors
Common peroneal nerve lesion
Tibialis anterior weakness
No active dorsiflexion possible during swing
Requires excessive hip and knee flexion during swing to avoid catching toes
foot flat contact
weakness of ankle dorsiflexors
Common peroneal nerve palsy
Distal, peripheral neuropathy
Stronger df than forefoot IC
Weaker than a foot slap
excessive dorsiflexion late heel off
weakness or flaccid paralysis of pfs
Possible fixed df ankle
CNS or PNS disorder
Excessive surgical lengthening of the Achilles
Excessive df resulting in prolonged heel contact, reduced pushoff, shorter step length
Limited dorsiflexion early heel rise
lack of ankle df
pf spasticity
Congenital or acquired pf tightness
Talocrural joint stiffness
Characteristic bouncing gait
excessive calcaneal valgus with pes planus
intrinsic muscle weakness
Posterior tibialis or peroneal weakness
congenital or acquired structural deformity
Excessive foot pronation and associated flattening of medial longitudinal arch
General IR of the LE during stance
insufficient pronation pes cavus
pes cavus deformity
Congenital or acquired structural deformity
midTarsal hypomobility
high medial longitudinal arch
Reduced midfoot mobility during swing and stance
Insufficient great toe extension
hypomobile first MTP
hypertonicity of FHL and FHB
Localized OA
Spasticity
Decreased stride length
Decreased windlass mechanism
Excessive toe extension
insufficient hip and knee flexion
Poor motor control
Hip or knee OA
Increased energy cost for forward progression
Toeing out
retroversion of the neck of the femur
Tight hip external rotators
Lack of closed chain df
Foot is an excessive toeing out because of excessive ER of LE
toeing in
excessive femoral anteversion
Spasticity of the hip adductors and or hip IRs
General internal rotation of the lower extremity
foot slap
mild weakness of df
Common peroneal nerve palsy
distal peripheral neuropathy
Sufficient strength to df during swinging, but poor eccentric control after heel contact
forefoot sustained throughout IC
Heel pain, pf contracture, or spasticity
calcaneal fracture, plantar fasciitis
Upper motor neuron lesion, CP, CVA
Purposeful strategy to avoid weight-bearing on heel
To maintain weight over forefoot knee and hip remain in flexion
foot drop
weakness of df or pes equinas deformity
Common peroneal nerve palsy
Hip hiking or circumduction
Excessive hip and knee flexion of swing phase
Vaulting of the stance limb
vaulting
any impairment of the contralateral lower extremity that reduces hip flexion, knee flexion or ankle df during
Strategy used to allow the foot of a functionally long contralateral lower extremity to clear the ground during swing
Posterior tibial displacement at mid stance
pf contracture
Spasticity of ankle pf
UMNL, CP, CVA
ankle fusion in plantar flexor position
Knee hyper extension in stance
Hip flexion and excessive forward trunk lean
