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MY NPTE > Gait > Flashcards

Gait Flashcards

1
Q

Gait pattern with injury to tibial nerve

A

Decreased push off phase = decreased contralateral step length (double step gait pattern)

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2
Q

2 point gait pattern

A

cane and affected leg advance simultaneously

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3
Q

4 point gait pattern

A

Slowest but safest because 3/4 point are always in contact with the ground

ex. right crutch, left leg, left crutch, right leg

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4
Q

Positive trendelenburg =

A

drop of contralateral hip due to weakness of glute medius or instability (labral tear)

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5
Q

Heel whip is a frontal or sagittal plane deviation

A

frontal

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6
Q

Most commonly/widely used gait parameter to assess capacity

A

gait speed

normal: 1-1.4 m/s

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7
Q

Hip flexion at IC

A

20-30 degrees

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8
Q

Average step length adult

A

28 in

This means average stride length is 56 in

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9
Q

When is quad most active during gait cycle

A

loading response

not IC

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10
Q

Max knee ROM needed during gait
Knee ROM for sitting
Knee ROM for stairs
Knee ROM for crossing legs
Knee ROM for bike

A

60 degrees during swing
80
85-95
105
Bike 110 without compensation

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11
Q

S1-2 lesion gait deviation

A

gluteal lurch

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12
Q

Most PF needed during gait

A

20 degrees

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13
Q

PF action during loading response

A

eccentricly controlling DF

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14
Q

Quad activity in midstance

A

concentric to produce TKE

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15
Q

Hip flexor activation in midstance

A

eccentric to control hip extension

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16
Q

Pain on R leg

A

= shorter stance phase on R - normal step length (pain does not occur during swing phase

= shorter swing phase/step length on L

17
Q

Normal step length

A

28 in

normal stride length = 28x2 so 56 in

18
Q

Average cadence gait

A

110

19
Q

Lack of ankle DF on R =

A

early heel rise which abbreviates R stance phase = shortens contralateral L step length

20
Q

Above S2 =

A

reflexive spastic BOWEL

21
Q

Below S2 =

A

flaccid BOWEL

22
Q

Above T12

A

Spastic bladder

23
Q

Benzodiazapine
Diazepam (valium)

Purpose

A

sedation, relaxation, anxiety

24
Q

Name a CNS sedative

A

barbituates (amobarbital)
Ambien
Diazepam (valium)

25
Q

Side effects of CNS depressants

A

drowsiness
amnesia
decreased respirations
GI disturbance
dry mouth/sore throat

26
Q

Prozac
Zoloft

A

SSRI

27
Q

SSRIs

A

Prozac (fluoxetine)
Zoloft (sertaline)

28
Q

Bipolar disorder medical management

A

lithium

adverse affects = lithium retention, seizures

29
Q

Flexeril

A

muscle relaxants

adverse affects: dependence, sedation

30
Q

Baclofen is used for

A

spasticity in SCI, MS, CP

side affects: drowsiness, confusion, fatigue

MY NPTE (22 decks)

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