AK Gait Deviations & Causes Flashcards
Lateral Trunk Bending: Prosthetic Causes
- Px is too short
- Improperly shaped lateral wall
- High medial wall
- Px aligned in abduction
Lateral Trunk Bending : Amputee Causes
- Inadequate balance
- Abduction contracture
- Painful RL
- Short RL
- Gait Habit
Abducted Gait : Prosthetic Causes
- Px is too long
- Excessive abduction in the px
- High medial wall
- Improperly shaped lateral wall
- Pelvic band positioned too far away from the body
Abducted Gait : Amputee Cause
- Abduction contracture
2. Gait habit
Circumduction: Prosthetic Cause
- Px is too long
- Excessive alignment stability
- Excessive knee friction
Circumducton: Amputee Cause
- Abduction Contracture
- Lack of confidence
- Gait Habit
Vaulting: Prosthetic Cause
- Px is too long
- Inadequate Suspension
- Excessive Knee Stability
- Excessive resistance to knee flexion
- Excessive knee extension assist
Vaulting: Amputee Cause
- Fear of stubbing toe
- RL pain
- Fear of allowing knee to bend
- Gait Habit
External Rotation of foot at Initial Contact: Prosthetic Cause
- Hard PF bumper or heel cushion
- Excessive Toe Out
- Loose Fitting Socket
- Gluetus Maximus too tight in socket
External Rotation of foot at Initial Contact: Amputee Cause
- Pt may have too strong of a extension moment at IC
2. Poor muscle control of the Px
Excessive Heel Rise: Prosthetic Cause
- Insufficient Knee flexion
2. Insufficient extension assist
Excessive Heel Rise: Amputee Cause
- Excessive Hip Flexion
Terminal Impact: Prosthetic Cause
- Insufficient Knee Friction
2. Excessive Extension Resist
Terminal Impact: Amputee Cause
- Excessive and forceable knee extension by pt
Instability of Prosthetic Knee: Prosthetic Cause
- Knee to Anterior of TKA
- Insufficient Intial Socket Flexion
- Hard PF bumper
- Soft DF bumper/ excessive DF
Instability of Prosthetic Knee: Amputee Cause
- Hip extenser weakness
2. Hip flexion contracture