CPM Gait

Question 1

Abducted gait TF

Answer 1

Px:
Ramus pressure, Px too long, medial wall too high, insufficient femoral stability
Amp: Abduction contracture, patient insecure and desires wide base, gait habbit

Question 2

Lateral bending of the trunk

Answer 2

Px too short/ long foot too outset

Question 3

Circumducted gait TF

Answer 3

Px: too long, excessive knee friction, excessive knee stability
Inadequate suspension
Amp: lack of confidence in flexing knee, abduction contracture, weak hip flexors, habit

Question 4

Rotation on heel strike

Answer 4

PF bumper too firm
Excessive toe out/in
Poor muscle control

Question 5

Lateral whip TF&TT

Answer 5

TF
PX: Knee is too internally rotated, Loose socket, mis-aligned toe break
Amp: gait habbit, Socket rotated/improper donned, gait habbit, internal rotation of hip @toe off/hip flexion
TT

Question 6

Medial whip TF &TT

Answer 6

TF
PX: Knee is too externally rotated, tight socket, miss aligned toe break
Amp: Socket rotated/no donned properly
External rotation of hip@ toe off/hip flexion
TT:

Question 7

Vaulting TF TT

Answer 7

TF:
Px :too long, Excessive knee flexion resistance, Foot too PF, poor suspension
Amp: gait habbit, fear of catching toe, weak hip flexors on RL, improper initiation of hip flexors on RL
TT:

Question 8

Hip hiking

Answer 8

Px too long
Excessive knee flexion resistance
Inadequate suspension

Question 9

Uneven arm swing

Answer 9

Poor fitting socket causes limb discomfort; poor amputee balance; fear/insecurity accompanied by uneven timing; habit

Question 10

Heel off early(drop off)

Answer 10

Toe lever short
Foot too DF
Socket has too much flexion

Question 11

Heel off delay - walking uphill

Answer 11

Toe lever too long
Foot too PF
Not enough socket flexion

Question 12

Long px step

Answer 12

Hip pathology
Ill fitting socket
Pt not confident in px
Too much flexion(TF)
Socket in too much extension (TT)

Question 13

Foot slap

Answer 13

PF bumper too soft

SACH heel too soft

Question 14

Excessive lordosis

Answer 14

Insufficient initial socket flexion
Pain at ischial seat
Hip flexion contracture

Question 15

Knee instability TF

Answer 15

Px: excessive DF, Knee too far anterior, insufficient socket flexion, meal-alignment of foot,
Increased shoe heel height
AMP: Weak hip extensors, hip flexion contracture

Question 16

Unequal step length

Answer 16

?

Question 17

Uneven timing

Answer 17

Improperly fittingsocket may cause pain and a desired to shorten the stance phase on the px side; weak extension aid or insufficient friction in the px knee can cause excessive heel rise and thus result in uneven timing because of a prolonged swing through; alignment stability may be a factor if the knee buckles too easily

Question 18

Excessive heel rise TF

Answer 18

PX: inadequate extension aid, insufficient knee friction, improper knee selection
Amp: excessive use of hip flexors to initiates swing phase,over powering knee unit