Chapter 11 - ADL

Question 1

Phases of the Gait Cycle (Rancho Los Amigos terminology)

Answer 1

• Heel strike (Initial contact)
• Foot flat (Loading response)
• Midstance (Midstance)
• Heel-off (Terminal stance)
• Toe-off (Pre-swing)
• Acceleration (Initial swing)
• Midswing (Midswing)
• Deceleration (Terminal swing)

Question 2

What is the mean cadence?

Answer 2

113 steps/minute

Question 3

What is the average oxygen rate for comfortable walking?

Answer 3

12 mL/kg x min

Question 4

Backward trunk lean gait deviations result from:

Answer 4

weak gluteals

Question 5

Forward trunk flexion gait deviations result from:

Answer 5

weak quadriceps; hip/knee flexion contractures

Question 6

Excessive knee flexion gait deviation results from:

Answer 6

weak quadriceps or knee flexion contracture; forward trunk bending can compensate for weak quadriceps

Question 7

Knee hyperextension gait deviation results from:

Answer 7

weak quadriceps, plantar flexion contracture, or extensor spasticity (quadriceps and/or plantar flexors)