class two: normal gait Flashcards
what is a stride
one completed gait cycle
original foot comes back down again
3 feet
what is a step
one foot and then the next foot
2 feet
what is stance phase time versus swing phase time
60/40
what is the order of the rocker for amb
heel rocker
ankle rocker
forefoot rocker
when pt is in initial contact or using heel rocker what muscles are controlling that movement
anterior muscle
look at the line of force
when a pt is at toe off or using their forefoot rockers what muscle are being used
posterior muscle
look at the line of force
ROM at hip needed for normal gait: stance phase
0-30° flexion and 0 – 10-20° hyperextension
ROM at hip needed for normal gait: swing phase
20-30° flexion
ROM at knee needed for normal gait: stance
0-40° flexion
ROM at knee needed for normal gait: swing
0-60° flexion
ROM at ankle needed for normal gait: stance
0-10° DF, 0-20° PF
ROM at ankle needed for normal gait: swing
0-10° PF
pretibial muscles - Prior to and during heel strike
̶Eccentric contraction – Lowers foot to the ground
pretibial muscle - Prior to and during swing
̶Concentric contraction – Dorsiflexion, clear toes off ground
calf muscles - midstance
̶Eccentric contraction – Control of tibia over the foot
calf muscle - heel off
̶Concentric contraction – Ankle plantarflexion
what are the hip abd
TFL, glute med and glute min
hip abd during stance phase
̶Eccentric contraction – Stabilize pelvis
what are our hip add
Adductor longus/brevis, Gracilis, Adductor magnus (horizontal and
vertical heads)
hip add during early and later stance phase
̶Concentric contraction – Stabilize pelvis
quads - heel strike
̶Quadriceps femoris contracts eccentrically- Control rapid knee flexion and to prevent buckling
quads - pre swing
̶Eccentric contraction – Slow down leg (tibia)
hamstrings - heel strike
̶Eccentric contraction – Protects knee from hyperextension
hamstring - swing phase
̶Concentric contraction – Knee flexion
