GAIT Flashcards
Weight Distribution within foot
Posteriorly: medial process of the calcaneal tuberosity
Anteriorly: head of the metarsals
Function of foot arches
Shock absorption as the foot strikes the ground
Flexibility to adapt to body weight distrubtion and variable ground surfaces
Propel body during walking, running, jumoing
Medial longitudinal arch
Calcaneus
Talus
Navicular
Three cuneiforms
1-3rd metatarsals
Lateral Longitudinal
Calcaneus
cuboid
4th-5th metatarsals
Transverse arch
cuboid, 3 cuneiforms
base of metatarsals
(tibialis posterior, fibularis longus)
Dynamic Arch Support are supported by
bracing action of the intrinsic foot muscles
Tonic Contraction of extrinsic foot muscles via long tendons in the foot
Longitudinal arch muscles
Flexor hallucis longus
Flexor digitorum longus
Tran serve arch
tibialis posterior
fibularis longus
Roles of Tendons of Tibilalis Posterior
Fibularis Longus
Form a stirrup under the foot which holds up transverse arch
Assist in mointor and control inversion and eversion
Windless mechanism
Contraction of plantar-flexor muscles lifts the calcaneus which transfers the bodyweight over the metatarsal heads resulting in extension of metatarsophalangeal joints
Pes Cavus (higher arches) that affect windless mechanism
more rigid joints of midfoot, forefoot with less flexibility hence in pronation to spread force
Pes Planus (flattened arches) that affect windless mechanism
Medial longitudinal arch is typically supported and reduced extension of MTP limits ability of windless mechanism to occur
Stance Phase of Gait 60% of GAIT
begins with heel contact of one foot ends with toe off of the same foot.
Double Limb Support?
when both feet are in contact with the ground
Single Limb Support?
when only 1 foot is in contact with the ground
When does the double limb support become shorter?
when gait speed increases
If gait occurs fast enough where double limb support doesn’t occur at all….
running
Swing Phase (40%)
when the foot is in the air being advanced forward for the next contact foot
Stance Phase 5-phases
Heel contact (pronation)
foot flat
mid stance heel (foot is supinated)
toe off
Swing Phase 3 swings
Early swing (plantarflexion to neutral foot)
Mid swing relatively full dorsiflexion
Late Swing
Posterior leg muscles involved in gait (supination)
tibialis posterior, FHL, FDL
From foot flat to before heel off (stance phase)
Eccentrically to decelerate the dorsi-flexion over the fixed talus
Heel off Toe Off Posterior Compartment
Plantar-flexors switch to concentric which assist in neccessry thurst and push off
Leg Muscles involved anterior compartment
Most active in early stnace and again swing phase
Early stance anterior muscles leg?
eccentrically contract to control rate of planterfelxion. soft landing
Swing phase anterior leg muscles?
concetrically contract to dorsifle the ankle nd extend the toes to ensure toes clear the groun