Abnormal Gait Patterns/Deviations Flashcards

1
Q

Describe an antalgic gait pattern.

A

A protective gait pattern where the involved step is decreased in order to avoid weight bearing on the involved side usually secondary to pain.

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2
Q

Describe an ataxic gait pattern.

A

A gait patter characterized by staggering and unsteadiness. There is usually a wide BOS and movements are exaggerated.

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3
Q

What is circumduction? What may it be a compensation for?

A

A gait pattern characterized by a circular motion to advance the leg during the swing phase.

May be used to compensate for insufficient hip/knee flexion and dorsiflexion.

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4
Q

What is a double step?

A

A gait pattern in which alternate steps are of a different length or a different rate.

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5
Q

What is equine gait? What muscle is typically overactive with this gait pattern?

A

A gait pattern characterized by high steps

Usually involves excessive activity of the gastrocnemius

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6
Q

Describe a festinating gait pattern.

A

A gait pattern where a patient walks on toes as though pushed. It starts slowly, increases and may continue until the patient grasps an object in order to stop.

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7
Q

Describe a hemiplegic gait pattern.

A

A gait pattern in which patients abduct the paralyzed limb, swing it around and bring it forward so the foot comes to the ground in front of them.

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8
Q

Describe a Parkinsonian gait pattern.

A

A gait pattern marked by increased forward flexion of the trunk and knees; gait is shuffling with quick and small steps; festinating may occur.

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9
Q

Describe a scissor gait pattern.

A

A gait pattern in which the legs cross midline upon advancement.

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10
Q

Describe a spastic gait pattern. What population is this commonly seen in?

A

A gait pattern with stiff movement, toes seeming to catch and drag, legs held together, and hip and knee joints slightly flexed.

Seen in patients with spastic paraplegia

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11
Q

Describe a steppage gait pattern. What is the likely cause of this gait pattern?

A

A gait pattern in which the feet and toes are lifted through hip and knee flexion to excessive heights. The foot will slap at intial contact secondary to decreased control.

Usually due to dorsiflexor weakness

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12
Q

What is a tabetic gait pattern?

A

A high stepping ataxic gait pattern in which the feet slap the ground.

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13
Q

Describe a Trendelenburg gait pattern. What muscle is likely weak in patients who exhibit this pattern?

A

A gait pattern that denotes gluteus medius weakness; excessive lateral trunk flexion and weight shifting over the stance leg.

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14
Q

Describe vaulting.

A

A gait pattern where the swing leg advances by compensating through the combination of elevation of the pelvis and plantarflexion of the stance leg.

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15
Q

What may cause a foot slap? (2)

A

Dorsiflexor weakness

Dorsiflexor paralysis

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16
Q

What may cause toe down instead of heel strike? (6)

A
Plantar flexor spasticity
Plantar flexor contracture 
Dorsiflexor weakness
Dorsiflexor paralysis
Leg length discrepancy
Hindfoot pain
17
Q

What may cause clawing of toes? (2)

A

Toe flexor spasticity

Positive support reflex

18
Q

What may cause a heel lift during midstance? (2)

A

Insufficient dorsiflexion ROM

Plantar flexor spasticity

19
Q

What may cause no toe off to be present? (4)

A

Forefoot/toe pain
Weak plantar flexors
Weak toe flexors
Insufficient plantarflexion ROM

20
Q

What may cause exaggerated knee flexion at contact? (4)

A

Weak quadriceps
Quadriceps paralysis
Hamstring spasticity
Insufficient extension ROM

21
Q

What may cause hyperextension in stance? (2)

A

Compensation for weak quadriceps

Plantarflexion contracture

22
Q

What may cause exaggerated knee flexion at terminal stance? (2)

A

Knee flexion contracture

Hip flexion contracture

23
Q

What may cause insufficient knee flexion with swing? (4)

A

Knee effusion
Quadriceps spasticity
Plantar flexor spasticity
Insufficient flexion ROM

24
Q

What may cause excessive flexion with swing? (2)

A

Flexor withdrawal reflex

LE flexor synergy

25
Q

What may cause insufficient hip flexion at intial contact? (4)

A

Weak hip flexors
Hip flexor paralysis
Hip extensor spasticity
Insufficient hip flexion ROM

26
Q

What may cause insufficient hip extension at stance? (3)

A

Insufficient hip extension ROM
Hip flexion contracture
LE flexor synergy

27
Q

What may cause circumduction during swing? (3)

A

Compensation for weak hip flexors
Compensation for weak dorsiflexors
Compensation for weak hamstrings

28
Q

What may cause hip hiking during swing? (3)

A

Compensation for weak dorsiflexors
Compensation for weak knee flexors
Compensation for extensors synergy pattern

29
Q

What may cause exaggerated hip flexion during swing? (2)

A

Compensation for insufficient ankle dorsiflexion

LE flexor synergy

30
Q

What may cause a lateral trunk lean? (2)

A

Hip pain

Compensation for weak gluteus medius (Trendelenburg gait)

31
Q

What may cause a backward trunk lean? (1)

A

Compensation for weak gluteus maximus

32
Q

What may cause a forward trunk lean? (2)

A

Compensation for weak quadriceps

Hip and knee flexion contractures

33
Q

What may cause equinovarus (club foot)? (2)

A

Developmental abnormality

Spasticity of the posterior tibialis and or gastric/soleus