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NPTE - MSK > Gait > Flashcards

Gait Flashcards

1
Q

Stance

A
  • initial contact
  • loading response
  • midstance
  • terminal stance
  • pre-swing
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2
Q

Swing

A
  • initial swing
  • mid swing
  • terminal swing
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3
Q

Initial Contact

A

Pelvis: forward rotation
Hip: 30 degrees flexion
Knee: full extension
Ankle: neutral
Toes: neutral

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4
Q

Loading Response

A

Pelvis: less forward
Hip: 30 degrees flexion
Knee: 15 degrees flexion
Ankle: 15 degrees pf
Toes: neutral

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5
Q

Midstance

A

Pelvis: neutral
Hip: extending to neutral
Knee: extending to neutral
Ankle: 10 degrees df
Toes: neutral

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6
Q

Terminal Stance

A

Pelvis: backward rotation
Hip: hyperextension
Knee: full extension
Ankle: neutral
Toes: neutral IP, extended MP

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7
Q

Pre-Swing

A

Pelvis: backward rotation
Hip: neutral extension
Knee: 35 degrees flexion
Ankle: 20 degrees pf
Toes: neutral IP, extended MP

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8
Q

Initial Swing

A

Pelvis: backward rotation
Hip: 20 degrees extension
Knee: 60 degrees flexion
Ankle: 10 degrees pf
Toes: neutral

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9
Q

Mid Swing

A

Pelvis: neutral rotation
Hip: 20-30 degrees flexion
Knee: 60-30 degrees flexion
Ankle: neutral
Toes: neutral

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10
Q

Terminal Swing

A

Pelvis: forward rotation
Hip: 30 degrees flexion
Knee: extension to 0
Ankle: neutral
Toes: neutral

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11
Q

ROM Requirements for Gait

A

Hip flexion: 0-30
Hip extension: 0-10
Knee Flexion: 0-60
Knee extension: 0
Ankle DF: 0-10
Ankle PF: 0-20

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12
Q

Step Length

A

distance between R and L heel strike

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13
Q

Stride Length

A

distance between R heel strike and R heel strike

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14
Q

Double Step Gait Pattern

A

alternate steps are of a different length or rate

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15
Q

Equine Gait Pattern

A

characterized by high steps, involves excessive activity of the gastroc

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16
Q

Spastic Gait Pattern

A

stiff movement, toes catch and drag, legs held together, and hip/knee joint flexed

17
Q

Steppage Gait Pattern

A

feet and toes are lifted through hip and knee flexion, secondary to df weakness

18
Q

Tabetic Gait Pattern

A

a high stepping ataxic gait pattern in which feet slap the ground

19
Q

Gait Deviations - foot slap

A
  • weak df
  • df paralysis
20
Q

Gait Deviations - toe down instead of heel strike

A
  • pf contracture
  • pf spasticity
  • limited df ROM
  • weak df
21
Q

Gait Deviations - clawing of toes

A
  • toe flexor spasticity
  • positive support reflex
22
Q

Gait Deviations - heel lift during midstance

A
  • limited df ROM
  • pf spasticity
23
Q

Gait Deviations - no toe off

A
  • weak pf
  • weak toe flexors
  • limited pf ROM
24
Q

Gait Deviations - exaggerated knee flexion at contact

A
  • weak quads
  • hamstring spasticity
  • limited knee ROM
25
Q

Gait Deviations - hyperextension in stance

A
  • weak quads
  • pf contacture
26
Q

Gait Deviations - exaggerated knee flexion at terminal stance

A
  • knee flexion contracture
  • hip flexion contracture
27
Q

Gait Deviations - insufficient flexion with swing

A
  • effusion
  • quad spasticity
  • pf spasticity
  • limited knee ROM
28
Q

Gait Deviations - excessive flexion in swing

A
  • flexor withdrawal reflex
  • LE flexor synergy
29
Q

Gait Deviations - insufficient hip flexion at initial contact

A
  • weak hip flexors
  • hip extensor spasticity
  • limited hip ROM
30
Q

Gait Deviations - insufficient hip extension at stance

A
  • limited hip ROM
  • hip flexor contracture
  • LE flexion synergy
31
Q

Gait Deviations - circumduction

A
  • weak hip flexors
  • weak df
  • weak hamstrings
32
Q

Gait Deviations - hip hiking during swing

A
  • weak df
  • weak knee flexors
    -extensor synergy pattern
33
Q

Gait Deviations - exaggerated hip flexion during swing

A
  • flexor synergy
  • limited ankle df

NPTE - MSK (14 decks)

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