Chapter 14 Flashcards
What do limitations in gait result in?
restricted participation in the mobility domain
What does mobility disability cause?
reduced performance on functional activities
overall ADLs
Effect of motor system impairments:
paresis
spasticity
cocontraction
non-neural component
What can paresis/weakness result in?
inability to generate adequate FORCES to move the body forward
What does weakness affect the ability to walk independently depend on?
which muscles are affected.
how weak are the affected muscles.
What’s the capacity of other muscles to compensate
Plantor flexion gait abnormalities:
Strong hyperextension in stance; lack of knee flexion in swing;
Low plantar flexor power/work
Plantor flexion gait abnormalities compensation:
Partially compensated by hip flexors during pull-off
Quad gait abnormalities:
trouble in stabilizing the knee during MSt
Quad gait abnormalities compensation:
Hyperextension in MSt
Hip flexor gait abnormalities:
Inadequate hip flexion during swing phase;
Additionally, inadequate hip flexion causes a lack of knee flexion in swing phase; as a result, the toe clearance is reduced or lost
Hip flexor gait abnormalities compensation:
abdominals in conjunction with posterior tip of pelvis
circumduction
contralateral vaulting
leaning trunk laterally toward opposite limb
Hip extensor gait abnormalities:
Inadequate control of HAT segment;
Forward trunk lean that threatens stability
Hip extensor gait abnormalities compensations:
Backward lean in stance used to compensate by controlling CoM
Hip abductor gait abnormalities:
Drop of the pelvis on the less impaired side, i.e., Trendelenburg gait
Hip abductor gait abnormalities compensation:
A lateral shift of CoM over the stance leg along with lateral lean of the trunk toward the stance leg
