Functional Anatomy of the Lower Limbs Flashcards

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1
Q

What is stride length?

A

the distance between two successive heel contacts of the same foot (1 stride length = 1 gait cycle)

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2
Q

What is step length?

A

distance between heel contacts of each foot

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3
Q

What are the periods of stride?

A

loading response

mild stance

terminal stance

pre-swing

initial swing

mid swing

terminal swing

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4
Q

What is step width?

A

distance between heel centers of two consecutive heel contacts

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5
Q

What is the toe-out angle?

A

angle between the line of progression of the body and the long axis of the foot

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6
Q

cadence vs walking speed

A

cadence = number of steps a minute

walking speed = distance covered/time

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7
Q

What factors affect gait speed?

A

age

height

weight

speed may be the best and most functional measure of an individual’s walking ability

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8
Q

What are the two strategies to increase walking speed?

A

increase stride length

increase cadence

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9
Q

What is the role of th gluteus medius?

A

stabilization of the hip

prevents hip drop

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10
Q

stance phase vs. swing phase

A

stance phase is 0-60% of a step

swing phase is 60-100% of a step

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11
Q

What muscles are involved with 0%-heel strike of gait?

A

quadriceps, hamstrings, dorsiflexors

most of the muscle activity is eccentric

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12
Q

What is the muscle activity of the loading phase (0-10%)?

A

quadriceps and gluteals

supportive roles

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13
Q

What is the muscle activity of mid-stance (10-30%)?

A

gluteus medius

gastrocnemius (works eccentrically to control tibia movement)

soleus

in gait, some hip drop is normal (5 degrees is normal)

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14
Q

What is the muscle activity of the terminal stance (30-50%)?

A

gastrocnemius

soleus

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15
Q

What is the muscle activity in the pre-swing phase (50-60%)?

A

adductor longus

rectus femoris

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16
Q

What is the muscle activity of the initial swing (60-70%)?

A

hip flexors (iliacus)

biceps femoris-short head

ankel DF (TA, EDL, EHL)

17
Q

What is the muscle activity of mid swing (70-85%)?

A

hip flexors

ankle DF (TA, EDL, EHL)

18
Q

What is the muscle activity of the terminal swing (85-100%)?

A

hip flexors

hamstrings (biceps femoris, semitendinosis, semimembranosus)

quadriceps

andkle DF (TA, EDL, EHL)

19
Q

What are some common reasons for pathological gait?

A

deformity (joint contractures)

muscle weakness

impaired control (CVA, SCI, peripheral nerve injuries)

pain (OA)

20
Q

What happens if quadriceps are weak?

A

leg hyperextension due to failure of eccentric contraction

21
Q

What happens in foot drop?

A

the dorsiflexors are weak

the foot doesn’t come up when walking

22
Q

What is varus thrust?

A

knee thrusts out as one walks