Abnormal Gait & interventions Flashcards
the way a oerson walks (cadence, step length, stride length, speed, & rythm)
gait
How a person moves from one place to another (ambulation ,wheelchair)
locomotion
The distance from the point of hill strike of one extremity to the point of hill strike of the opposite extremity
step length
The distance from one point of hill strike of one extremity to the next point of hill strike of the same extremity
strie length
ankle deviations x4
foot slap
excess PF
early heel rise
toe clawing
knee deviations x3
excess knee flexion
limited knee flexion
knee hyperextensin
hip deviations x4
excess flexion
limited flexion
circumduction
internal/external rotation
pelvis & trunk deviations x5
backward trunk lean
forwards trunk lean
ipsilateral trunk lean
contralateral trunk lean
pelvic hike
overguard indoor
indoor
- practice gait pattern w AD
step in all directions
walk in obstacle course
stair climb
fall strategies
overguard community
curbs & ramps
walking in different terrains
walk at cross walks, elevators
longer distance walking
walking in open enviornment
principles for gait training x5
task specific
high reps
max challenge
gx is meaningful
impairment base
locomotor intervention - (when hip is flexed >90 degrees, extension reflex on stance limb is increased)
high stepping
timing & sequencing locomotor intervention
forward/backward walking
locomotor intervention - (standing in front of behind patient, provides resistance and hands on patient pelvis (can also use theraband)
resisted progression
locomotor intervention - stance stability (w or w/o resistance)
side stepping
locomotor intervention - braiding
cross stepping
Which of the following gait deviations is most likely caused by weak dorsiflexors?
foot slap
- Ace wrap can be applied to address flaccis ankle (foot drop) , removed after session is over
AFO for foot drop x3
solid (custom)
saebostep
walk-on
A patient presents with a backward trunk lean during the stance phase of gait. What is the most likely cause?
weak glute max
A patient demonstrates knee hyperextension during the stance phase of gait. What could be a potential cause?
weak quads
Which of the following gait deviations is characterized by excessive hip flexion during initial contact and loading response?
pelvic hiking
