Clinical Science 6 Flashcards
When assessing posture laterally, the plumb line will coincide with the following landmarks:
Slightly Ant to Lat Malleolus Slightly Ant to head of Fibula Great Trochanter Acromian External Meatus (ear)
In Coronal Plane
Antalgic Gait
The bodies attempt to protect itself from further injury (ankle leg, hip, low back)
Ex: linking because of ankle sprain
Stance phase is shorter on affected side as person attempts to remove weight from affected leg
Ataxic Gait
Poor sensation in Extremities
Loss of m’m coordination
Person keep feet fighter part for balance + may exaggerate all mvmts
Hemiplegic Gait
Swing affected leg into ABduction + FLX
Frequently the affected arm is held I shoulder ADDuction, elbow & wrist FLX & pronation of forearm
Parkinson’s Gait
Also called Festinating Gait
SHort, shuffling steps
Knees, trunk, and neck in FLX
Arms move stiffly
The ROM that causes a patent pain is ALWAYS performed:
LASt
Define Gait Cycle
Sequence of motions that occurs btw tow consecutive initial contacts of the same foot
Stance phase 60%
Swing phase 40%
Stages of Stance Phase
Initial Contact (heel strike) Load response (foot flat) Midstance (single-leg stance) Terminal Stance (heel off) Pressing (toe off)
Stages of Swing Phase
Initial swing
Midswing
Terminal Swing (deceleration)
Swing phase makes up 40% of the gait cycle
If the Hamstrings are weak during Terminal Swing:
Heel strike may be excessively harsh to lock the knee in EXT
S1-S2 N root lesion
If the Ankle Dorsiflexors are weak in Midswing:
Person would have steppage gait = hip flxs excessively so the toes can clear the ground
If the hip flexors are weak in Initial Swing phase:
**Boards
(Quadriceps)
The trunk mms thrust the pelvis forward to provide forward movement to leg
What structure provide the most stability in the lower limb during Swing Phase?
The Pelvis and hip provide the most stability
This phase is a non weight bearing, open kinetic chain