Exam 3 Balance/Posture Part 4

Question 1

T/F: During midstance, dorsiflexion and pronation are slowed by eccentric contraction of the tibialis posterior.

Answer 1

True

Question 2

What motion will the foot undergo when the tibialis posterior contracts concentrically?

Answer 2

plantar flexion and inversion

Question 3

In general, what are the 4 causes of gait deviations?

Answer 3

weakness, abnormal joint position/ROM, muscle contracture, and pain

Question 4

Which Abnormal Gait Syndrome is characterized by a decrease in the stance period on the involved side in an attempt to eliminate the weight from the involved leg and use of the injured body part as much as possible?

Answer 4

Antalgic Gait

Question 5

Which Abnormal Gait Syndrome occurs as a result of spastic diplegia and is aka toe-walking?

Answer 5

Equinus Gait

Question 6

Which Abnormal Gait Syndrome is characterized by a posterior thrusting of the trunk at initial contact and a forward tilt of the pelvis (which results in hyperlordosis), and is the result of gluteus maximus weakness?

Answer 6

Gluteus Maximus Gait

Question 7

Which Abnormal Gait Syndrome involves circumducting each leg, leaning of the body toward the unaffected side to balance COG, and is the result of Quadriceps weakness?

Answer 7

Quadriceps Gait

Question 8

Which Abnormal Gait Syndrome is associated with a stiff, foot-dragging walk from contracture and may result from eith unilateral or bilateral UMN lesions?

Answer 8

Spastic Gait

Question 9

Which Abnormal Gait Syndrome results from a unilateral UMN lesion? from a bilateral UMN lesion?

Answer 9

Spastic hemiplegic (hemiparetic) gait, frequently from strokes;
Spastic paraparetic gait

Question 10

Which Abnormal Gait Syndrome is seen in both cerebellar diseases and posterior column diseases?

Answer 10

Ataxic Gait

Question 11

Which Abnormal Gait Syndrome is characterized as an unsteady, uncoordinated walk employing a wide base and the feet thrown out?

Answer 11

Ataxic Gait (how drunk people walk)

Question 12

Which Abnormal Gait Syndrome results from weakness or paralysis of the dorsiflexor muscles, resulting in the patient lifting the leg high enough to clear the flail foot and then slapping it on the floor?

Answer 12

Steppage Gait

Question 13

Which Abnormal Gait Syndrome is due to weakness of the hip abductors, as a result, the patient demonstrates an excessive lateral list in which the trunk is thrust laterally in an attempt to keep the COG over the stance leg?

Answer 13

Trendelenburg Gait

Question 14

Which Abnormal Gait Syndrome is aka Festinating Gait?

Answer 14

Parkinsonian Gait

Question 15

Which Abnormal Gait Syndrome is characterized by a flexed and stooped posture where the patient has difficulty initiating movements and walks with short, shuffling type steps?

Answer 15

Parkinsonian Gait

Question 16

Which Abnormal Gait Syndrome is non-specific and bizarre, not conforming to any specific organic pattern?

Answer 16

Hysterical Gait

Question 17

What deformity consists of the calcaneus resting in an inverted position which leads to rapid pronation of the subtalar joint following lateral contact at heel strike?

Answer 17

Rearfoot Varus Deformity

Question 18

Which deformity causes subtalar pronation throughout the stance phase and results in great stress on the plantar fascia?

Answer 18

Forefoot Varus Deformity