Gait Flashcards
Single Leg support time ( %)
70 - 80%
Double leg support time ( %)
20-30%
Stance / swing time (%)
Stance: 60%
Swing: 40%
Cadence average
80 - 110 steps/ min
What is a defining feature of fraility?
slow gait speed
This factor predicted worse performance in all cognitive domains
slower gait speed
Decrease in these 2 factors increase the likelihood of dementia
cognition and gait
What is Motoric cognitive risk syndrome (MCRS)?
these individuals are 2-3x more likely to develop?
slowed gait speed and subjective cognitive impairment
more likely to develop dementia
Important consideration with gait/ mobility training?
integrate cognitive demands ( prouty likes dual task sooo)
more than or equal to 1.2 m/s means individual is and
extremely fit
can cross street safely
more than or equal to 1.0 m/s ( >= 1.0 m/s) means individual is
Healthy older population with lower risk of hospitalization or adverse health events;independent in ADLs
less than 1.0 m/s ( <1.0 m/s)
means individual is
= Increased risk for cognitive decline within 5 years;
= increased risk for death and hospitalization within 1 year
less than 0.8 m/s
Increased risk of mortality and mobility/ADL disability at 2 years;limited community ambulatory
less than 0.7 m/s
Increased risk of death, hospitalization, institutionalization, and falls
less than 0.4 m/s
Functional dependence;
severe walking disability
less than 0.2 m/s
Extremely frail; highly dependent
Clinical gait training must include —
you must consider these many things
more than walking from point A to B!
Consider: time constraints, ambient conditions, terrain characteristics, external physical load, attentional demands, postural transitions, traffic level
Four-point Pattern
WB status, needs, and indication
Weight bearing status: WBAT
Need: bilateral AD ( crutches or canes)
indication: Bilateral AD. WBAT. An alternative & reciprocal pattern
Modified Four-point
WB status, needs, and indication
weight bearing status: WBAT
Need: 1 AD
indication: sometimes used as a transitionary pattern as the patient progresses to the modified two-
point patter
Two-point Pattern
WB status, needs, and indication
Bilateral AD. WBAT.
A simultaneous & reciprocal pattern of AD and LE
Mod 2 pt
WB status, needs, and indication
THIS pattern is the quickest of these patterns.
1 AD
WBAT
Patient walks with a reciprocal pattern.
3 pt
WB status, needs, and indication
used for patients who are NWB on one of their LEs.
ALWAYS BILATERAL AD
Mod 3 pt
WB status, needs, and indication
Bilateral ADs. PWB
Gait Based Outcome Measures
Stair Climb - length of test, population its good for, what is it used for, what do results mean
lower = better
2 mins to admin.
post acute, post op, active living
measures functional strength
Dynamic Gait Index
length of test, what is it used for, what do results mean ( cutoff)
15 mins
assess likelihood of falling in older adults
cutoff: <19/24 = predictive of falls in community dwelling elderly
TUG
what is it used for, what do results mean ( cutoff)
To ID / screen elderly individuals prone to fall
cutoff: > 13.5 seconds
FGA
what is it used for, what do results mean ( cutoff)
classify fall risk and predict unexplained falls in community dwelling elderly
cutoff: less than 23
* more complex than DGI
Tinetti Poma
what is it used for, what do results mean ( cutoff), admin time for test
use: task-oriented test that measures an older adult’s gait and balance abilities
test time: 10-15 minutes
results: lower = worse
25-28 = low fall risk
19-24 = medium fall risk
< 19 = high fall risk
Backward walking less than this gait speed may indicate fall risk
0.4 m/s
Increased gait variability may indicate
postural instability
