Final Exam: Gait Training Flashcards

1
Q

A knee flexion contracture greater than ___ degrees greatly affect gait

A

10

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2
Q

Which view is best to analyze gait

A

AP and lateral on prosthetic side

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3
Q

During initial contact, knee extension should be ___ for TT and ___ for TF

A

0-5 for TT

0 for TF

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4
Q

True or False:

the prosthetic side should be abducted

A

false, it should not be and will add instability

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5
Q

The prosthetic side should not be ____ and the sound limb should not be ____

A

abd; add

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6
Q

During initial contact, forceful knee extension should be avoided in the (TT/TF) patient

A

TF

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7
Q

During loading response what are the events for both TT and TF patients

A

TT: knee flexion and PF
TF: straight knee increases energy cost

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8
Q

What phase of gait does transverse rotation forces tend to rotate the prosthetic limb, which is why rotator components are added

A

loading response

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9
Q

What are the events for mid stance

A

controlled tibial advancements
lateral hip stability
erect trunk

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10
Q

During mid stance, amputees dont have the ability to maintain body weight over prosthesis which results in a ____ ___ of the trunk and (increase/decrease) stability

A

lateral lean; decrease

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11
Q

Mid stance may look normal if they don’t have what two deviations

A

pelvic horizontal dip and decreased prosth. stance time.

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12
Q

What stance of gait can causes excessive lumbar lordosis if a patient has a hip flexion contracture

A

terminal stance

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13
Q

Which phase of gait requires 40 degrees of knee flexion with all passive motion

A

pre swing

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14
Q

Which phase of gait do amputees frequently “kick” the prosthetic limb? And during this kicking of the limb, a (anterior/posterior) rotation of the pelvis occurs

A

Pre-swing; posterior

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15
Q

In what phase of gait to TF patients flex the knee 20% lateral than normal

A

pre swing

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16
Q

Initial swing requires __ of knee flexion, __ of hip flexion, and to lift the limb from the floor

A

60 of knee flexion

15 of hip flexion

17
Q

most amputees have limited _____ pelvic rotation which (increases/decreases) knee flexion which results in (stronger/poorer) clearance of limb.

A

forward
decreases
poorer

18
Q

What is one of the most important things to work on with amputees during gait

A

pelvic rotation

19
Q

During mid swing, TT have the ability to control the forward propulsion of the tibia, but what must TF rely on

A

cadence control devices within the knee

20
Q

During terminal swing, we want full knee extension for ___ ___ and deceleration of the thigh for ___ ___.

A

step length; heel contact

21
Q

Typically, does the sound limb or prosthetic limb have a longer step length

A

prosthetic limb

22
Q

A stiff bumper will cause excessive knee ____ and a soft PF bumper will cause ___

A

flexion; extension (decreased knee flexion)

23
Q

A patient wearing higher heeled shoes will causes more ____ and lower heels cause more ____

A

flexion

extension (decreased knee flexion)

24
Q

insufficient sock flexion will cause (increased/decreased) knee flexion

25
excessive sock flexion will cause (increased/decreased) knee flexion
increased
26
If the foot is too far posterior the socket will be too far (ant/post) which causes ___ ___ ___
ant; excessive knee flexion
27
If the foot is too far anterior, the socket will be to far ____ which causes ___ ___ __-
posterior; decreased knee flexion
28
An increased abducted socket can cause increase ___ knee ___
lateral knee thrust
29
Ligamentous laxity in a patient can cause
lateral and medial knee thrust
30
increased foot inset causes (medial/lateral) knee thrust
lateral
31
increased foot outset causes (medial/lateral) knee thrust and (adducted/abducted) gait
medial; abducted
32
Weak hip abductors can cause (medial/lateral) knee thrust and a (medial/lateral) trunk lean
medial; lateral
33
What will happen if the prosthesis is too short
lateral trunk lean
34
What will happen if the prosthesis is too long
abducted gait
35
why does vaulting occur
prosthesis is too long
36
why does rotation of prosthesis occur
heel response is too hard weak hip rotators poor pelvic control decreased WB
37
Why does toe drag happen
prosthesis too long and inadequate pelvic control