Gait Flashcards
Gait pattern with injury to tibial nerve
Decreased push off phase = decreased contralateral step length (double step gait pattern)
2 point gait pattern
cane and affected leg advance simultaneously
4 point gait pattern
Slowest but safest because 3/4 point are always in contact with the ground
ex. right crutch, left leg, left crutch, right leg
Positive trendelenburg =
drop of contralateral hip due to weakness of glute medius or instability (labral tear)
Heel whip is a frontal or sagittal plane deviation
frontal
Most commonly/widely used gait parameter to assess capacity
gait speed
normal: 1-1.4 m/s
Hip flexion at IC
20-30 degrees
Average step length adult
28 in
This means average stride length is 56 in
When is quad most active during gait cycle
loading response
not IC
Max knee ROM needed during gait
Knee ROM for sitting
Knee ROM for stairs
Knee ROM for crossing legs
Knee ROM for bike
60 degrees during swing
80
85-95
105
Bike 110 without compensation
S1-2 lesion gait deviation
gluteal lurch
Most PF needed during gait
20 degrees
PF action during loading response
eccentricly controlling DF
Quad activity in midstance
concentric to produce TKE
Hip flexor activation in midstance
eccentric to control hip extension
Pain on R leg
= shorter stance phase on R - normal step length (pain does not occur during swing phase
= shorter swing phase/step length on L
Normal step length
28 in
normal stride length = 28x2 so 56 in
Average cadence gait
110
Lack of ankle DF on R =
early heel rise which abbreviates R stance phase = shortens contralateral L step length
Above S2 =
reflexive spastic BOWEL
Below S2 =
flaccid BOWEL
Above T12
Spastic bladder
Benzodiazapine
Diazepam (valium)
Purpose
sedation, relaxation, anxiety
Name a CNS sedative
barbituates (amobarbital)
Ambien
Diazepam (valium)
Side effects of CNS depressants
drowsiness
amnesia
decreased respirations
GI disturbance
dry mouth/sore throat
Prozac
Zoloft
SSRI
SSRIs
Prozac (fluoxetine)
Zoloft (sertaline)
Bipolar disorder medical management
lithium
adverse affects = lithium retention, seizures
Flexeril
muscle relaxants
adverse affects: dependence, sedation
Baclofen is used for
spasticity in SCI, MS, CP
side affects: drowsiness, confusion, fatigue