Gait Flashcards
HAT
-head arms and trunk: 75% of BW
-Head and ams: 25%
-Trunk: 50%
Tasks of Gait
- Maintain HAT
- Maintain balance/posture
- Control Feet
- Generate forward velocity
- Shock absorption to decrease velocity
1 Year Gait Development
-high guard
-foot flat
-more flexion
-wide BOS
1.5 Year Gait Development
-more natural gait
-heel strike and arm swing
-running
2-3 Year Gait Development
-normal BOS
-can walk on tip toes or hop
7 Year Gait Development
-adult-like
Adolescents Year Gait Development
-gait stabilizes when growth stops
Normal Adult Gait
-0.64s
-smooth, energy efficinet, saggital torque, shift COP, arm swing
Gait Cycle
Stance:
-Initial contact (Preswing): heel contact, flexion hip (20), ant pelvic rotation
-Loading response (pre- swing): weightshift, flexed knee (15), DF (7 lack of will show)
-Midstance (initial-mid Swing): Neutral hip
-Terminal Stance (Terminal Swing): extended hip (20), DF (10 at highest), mtp exetnsion
-Pre-Swing (Initial contact and loading response): extension, flexion (40), PF (15) (MTP 60 for windlass)
Swing:
-Initial Swing (midstance): toe off, most knee flexion (60),
-Middle Swing (Midstance): most flexion (25)
-Terminal Swing (Terminal Swimg): right before initial contact
Double Limb Support
-20%
Single Limb Support
-80%
-running is 100%
Pelvis MMT During Gait
-4-8 deg ant/post
-5 deg sup/inf, 4-5cm
Step Length
-distance foot advances in relation to the other (heel to heel)
-18 inch norm
Stride Length
-distance from one foot back to the same foot
-Right heel to right heel
-3 ft norm
Step Width
-horizontal disrance between heels
-3.5 inches