class three: abnormal gait Flashcards

1
Q

1 gait cycle is equal to what

A

1 stride length - 2 steps

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2
Q

gait deviations - tightness

A

early movement then expecteed

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3
Q

gait deviation - weakness

A

later movements then expected

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4
Q

early toe off in midstance what could be the issue

A

PF tightness (calf tight)

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5
Q

early toe off in midstance what could be the issue

A

hip flexion contracture

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6
Q

is knee valgus caused by weak abd or weak vastus medialis

A

weak hip abd

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7
Q

what is the role of the glute max in gait

A

used in initial stance phase

eccentric contraction - deccforward momentum

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8
Q

what is the role of the erector spinae in gait

A

heel strike through toe off

maintain trunk posture

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9
Q

what can cause a backward lean in stance phase of gait

A

weak hip extensor (lean over the weak muscle)

rigid hip flexion contracture - accommodation of this, this causes an anteior pelvic tilt and subsequent lordosis

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10
Q

swing phase - backward lean

A

weak hip flexors

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11
Q

stance phase - lateral trunk lean

A

weak hip abd

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12
Q

stance phase - forward trunk lean

A

weak hip flexors

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13
Q

stance phase - backward trunk lean

A

weak hip extensors

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14
Q

what is the function of the peronals during stance phase

A

maintain medial and lateral movement of the foot

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15
Q

foot instrics role during stance phase

A

concentric contraction support the plantar fascia

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16
Q

during giat what are the two main causes of knee hyperextension

A

Quad weakness
and
Excessive ankle PF

17
Q

what is coxa vara

A

the angle of the femur - smaller <125

knock knees

18
Q

forefoot valgus

A

collasped middle arch

towards the big toes

19
Q

forefoot varus

A

collasped lateral arch

toward the little toe

20
Q

what is genu valgum

A

knocked knees

knees touching each other

21
Q

supination

A

IPAD

invers

PF

ADD

22
Q

when does premature heel off occur

A

in stance

due to:
- terminal stance: hip flexion contracture

  • midstance: tight PF
23
Q

when does delayed heel contact occur

A

in stance

due to:
- weakness of DF

24
Q

what is toe drag 2/2

A

weak DF

PF contracture

25
Q

what is foot slap 2/2

A

weak DF - not controlling eccentrically

26
Q

what happens when someone has excessive PF in gait

A

shortened stride length and reduced velocity

the higher the heels the slower you walk

27
Q

what are the subs we can make for when we have excessive PF

A

premature heel off

knee hyper ext

forward trunk lean