AK gait deviations Flashcards
Toe lever arm too short
knee buckling
Socket flexion for 5 degree flexion contracture
10 degrees
knee rotation
5-7 degrees of ER for patellar alignment during swing
Weight anterior to TKA line makes knee ___
stable
Medial whip
PC
ER of knee, socket too tight, ER of foot
Medial whip
AC
socket not on properly, ER of hip at toe off
Lateral trunk bend
PC
IR of knee, socket loose
lateral trunk bend
AC
habit, socket not on properly, IR of hip
Abducted gait
PC
too long, instability at femur
Abducted gait
AC
abduction contracture, poor gait habit, insecurity
Circumducted gait
PC
too long, knee too stiff
Circumducted gait
AC
lack of confidence in flexed knee, abd contracture, weak hip flexors
vaulting
PC
too long, excessive foot PF, knee too stable
vaulting
AC
gait, habit, fear of catching toe, weak hip flexors
Heel rise
PC
too tight knee extension, insufficient knee friction, wrong knee
Heel rise
AC
excessive use of hip flexors to initiate swing phase
Knee instability
PC
excessive DF, TKA too far forward, foot malalignment
Knee instability
AC
weak hip flexors, hip flexion contracture
Short prosthetic step
PC
socket pain, weak extension aide, unstable knee, excessive DF,
Short prosthetic step
AC
patient insecurity, weak hip, poor balance
Long prosthetic step
PC
excessive PF, insufficient socket flexion, toe lever too long
Long prosthetic step
AC
flexion contracture, patient insecurity, pain on sound side
Lateral shift
PC
prosthetic foot too far in, excessive socket adduction
Lateral shift
AC
weak hip abductors, narrow base of gait
Lateral trunk bend
PC
foot too far out, high medial wall, aligned in abduction
Lateral trunk bend
AC
inadequate balance, abduction contracture, short residual limb
Toe drag
PC
long prosthesis, excessive PF, excessive knee friction
Toe drag
AC
weak hip flexors, weak hip abductors on sound side, poor posture
“walking up a hill”
too long
rise and drop of effected side shoulder
too long
reduced arm swing ____ side if too long
effected
exaggerated arm swing on ____ side if too long
sound
4 factors of gait
patient
prosthetic alignment
socket fit
rehab teamwork
