Common Gate Deviations (gaaah make it stop)!!

Question 1

Lateral Trunk Bend

Answer 1

Weak glute med
Will bend toward same side was weakness
aka Trendelenburg Gait
Can be seen with pain in the hip

Question 2

Backward Trunk Lean

Answer 2

The result of weak glute max

Will also have difficulty going up stairs or ramps

Question 3

Forward Trunk lean

Answer 3

Weak quads (decreased flexor movement at knee)
Hip and knee flexion contractors

Question 4

Excessive hip flexion

Answer 4

Weak hip extensors or tight hip and or knee flexors

Question 5

Limited hip extension

Answer 5

Tight or spastic hip flexors

Question 6

Limited hip flexion

Answer 6

Weak hip flexors, tight extensors

Question 7

Excessive knee flexion

Answer 7

Weak quads or flexor contracture

Can see a forward trunk with this

Question 8

Hyperextension

Answer 8

Weak quads

Plantar flexion contracture or extensor spasticity

Question 9

Toe first gait

Answer 9

Weak dorsiflexors
Spastic PF
Shortened leg
Painful heel
Positive support reflex

Question 10

Foot Slap

Answer 10

Weak dorsiflexors or hypotonia

Compensated with steppage gait

Question 11

Foot flat gait

Answer 11

Weak DF

Decreased ROM into DF

Question 12

Excessive DF with uncontrolled tibia (calcaneus gait)

Answer 12

Weak PF

Question 13

Equines gait (excessive PF)

Answer 13

Spastic or contracture of PFs

Question 14

Supination (varus position of calcaneus)

Answer 14

Spastic inverters, weak everters, pes vors, genau varum

Question 15

Pronation

Answer 15

Weak inverters, spasticity, pes valgus, genu valgum

Question 16

Inadequate push-off

Answer 16

Result of weak PF, decreased ROM, or pain in forefoot

Question 17

Insufficient forward pelvic rotation during swing

Answer 17

Stiff pelvis
Weak abs
Weak flexor muscles

Question 18

Insufficient hip and knee flexion during swing

Answer 18

Weak hip and knee flexors

Question 19

Circumduction during swing

Answer 19

Weak hip and knee flexors

Question 20

Hip hiking during swing

Answer 20

Weak hip and knee flexors or extensor spasticity

Results in quadratus lumborum activation

Question 21

Excessive hip and knee flexion (steppage Gait) during swing

Answer 21

Shorten leg length

Weak DF’s

Question 22

Insufficient knee flexion during swing

Answer 22

Extensor spasticity

Decreased ROM or weak hamstrings

Question 23

Excessive knee flexion during swing

Answer 23

Flexor spasticity, flexor withdrawal reflex

Question 24

Foot drop during swing (equinus)

Answer 24

Weak or delayed DF or spastic PF

Question 25

Varus or inverted foot during swing

Answer 25

Spastic inverters (anterior tib)
Weak peroneals
Abnormal synergistic pattern (stroke)

Question 26

Equinovarus

Answer 26

Spastic posterior tib and or gastroc/soleus complex