FOOT DURING GAIT Flashcards
what is the motion of the calcaneus in the frontal plane used as?
a gauge of STJ motion based on the vertical bisection of the calcaneus
at the start of the contact phase how should the calcaneus be positioned?
slightly inverted indicating a supinated STJ
during the contact period how should the STJ be?
pronating to absorb shock of heel contact
during the midstance period how should the STJ be?
supinating and continue supinating though pr
*STJ should be in its neutral position before the end of midstance
how is the foot affected during the propulsive gait?
patient will have a flexing of the MPJs during propulsion, blanching of the digits
how is the foot affected during the apropulsive gait?
patient will not have flexing of the MPJs during the propulsion, lack of blanching of the digits
how should the foot be assessed in the the transverse plane?
observed at toe off for an abductory twist
what are some examples of conditions affected in the transverse plane? how should the MTJ be observed?
equinas
forefoot valgus
lateral border
forefoot will appear abducted if MTJ is in the pronated position
lateral aspect
forefoot will appear adducted on rearfoot giving a c-shape if MTJ supinated
what should be observed in the sagittal plane?
MTJ should be observed for
midtarsal joint break
what causes mid tarsal joint break?
rearfoot flexing over the forefoot due to loss of rigid lever
destabilization of the C-C joint
what are the ideal conditions for gait analysis?
well lit area
unobstructed view of the patients head, shoulders, torso, hip, knees and feet