Choosing Gait Patterns

Question 1

choosing a gait pattern is dependent on

Answer 1

medical condition

strength

ROM

balance

WB status

pain

Question 2

patterns for gait

Answer 2

4 point

modified 4 point

3 point

modified 3 point

2 point

modified 2

step to

step through

swing to

swing through

Question 3

4 point gait pattern

Answer 3

reciprocal pattern w/ 2 crutches/canes

each AD and LE are considered separate points

AD1&raquo_space; LE1&raquo_space; AD2&raquo_space; LE 2

3 points of support while one point is moving

used for pt w/ severe weakness, pain or balance problems

Question 4

2 point gait pattern

Answer 4

AD and contralateral LE advance simultaneously followed by other AD and LE

requires more balance and stability than 4 point

resembles natural gait

Question 5

3 point gait pattern

Answer 5

2 crutches or walker

used w/ PWB and NWB

3 points (2 crutches or walker) and one foot in contact w/ ground

when NWB on one LE –> both crutches or walker moves forward w/ NWB LW as unit, followed by uninvolved LE

Question 6

step to gait pattern

Answer 6

crutches PWB and FWB

walker PWB and PWB

Question 7

step through

Answer 7

crutches PWB and FWB

Question 8

swing to gait pattern

Answer 8

crutches NWB and Walker NWB

used for impairments of LE (muscle weakness and paresis)

walker or 2 crutches (move together simultaneously)

Question 9

swing through gait pattern

Answer 9

crutches NWB

only crutches

more experienced pt

faster gait

least stable

highest energy expenditure

Question 10

walker precautions

Answer 10

pick up and place down all 4 legs together

comfortable arm length ahead, shift weight to UE and advance LE

caution pt not to step too close to crossbar

encourage upright position

turn in small circles and avoid pivoting