Gait Flashcards

1
Q

What is the standard stance phase of gait?

A

Heel strike
Foot flat
Midstance
Heel off
Toe off

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2
Q

What % of stance phase is the gait cycle?

A

60%

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3
Q

What is the standard swing phase in gait?

A

Acceleration
Mid swing
Deceleration

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4
Q

What is the percentage of swing phase in the gait cycle?

A

40%

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5
Q

What is the percentage of single limb support do we use?

A

80%

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6
Q

What is the percentage of double limb support in gait?

A

20%

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7
Q

What is the stance phase in ranches los amigos?

A

Initial contact
Loading response
Midstance
Terminal stance
Pre-swing

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8
Q

What is the swing phase in ranches los amigos?

A

Initial swing
mid swing
Terminal swing

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9
Q

What is stride vs step length?
What is normal length for stride and step length?

A

Stride- R heel strike to R heel strike, 56”
Step- R heel strike to L heel strike, 28”

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10
Q

What is the BOS ( step width)?

A

2-4”

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11
Q

Heel strike
Foot flat
Midstance
Heel off
Toe off
Acceleration
Mid swing
Deceleration

A

Initial contact
Loading response
Midstance
Terminal stance
Pre swing
Initial swing
Mid swing
Terminal swing

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12
Q

What is the normal ROM for hip flexion, extension, knee flexion, extension, PF,DF?

A

Hip flexion-30. Swing
Hip extension- 10. Stance
Knee flexion-60. Swing
Knee extension- 0. Stance
PF- 20. Stance
DF- 10. Swing

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13
Q

What is steppage gait?

A

Foot drop

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14
Q

What is vaulting?

A

Foot/ankle weakness/ denervation

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15
Q

What is the 5 swing phase leg deviations?

A

Circumducted
Hip hike
Steppage
Vaulting
Trendelenburg

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16
Q

What is trendelenburg gait?

A

Normal glute med strength
Lean over stance

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17
Q

What is the 3 stance phase leg deviation?

A

Hip
Knee
Ankle/foot
(Foot slap/drop)

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18
Q

What gait is associated with pain (limp)?

A

Antalgic

19
Q

What is type of gait with signs of P.D, ^cadence, decrease stride, freezing?

A

Festinating

20
Q

What are the signs of hemiplegic gait?

A

Stroke
Hip hike
Circumduction
Scissoring
Tredelenburg

21
Q

What is scissoring gait?

A

Cross midline @ heel strike

22
Q

What type of gait is CP gait?

A

Spastic

23
Q

Decrease stride length
No heel strike
No toe off
Short stride
Slow speed
What type of gait?

A

Shuffling

24
Q

“Drunk walk”
Increase BOS
Decreased stride length
Hands help in high guard
Balance/cerebellar
What type of gait?

A

Ataxic

25
Q

How wide should door way be for wheelchair entry? Single and double door way?

A

36”
48” double

26
Q

What is the standard step size? How to calculate for ramp?

A

7” tall
3 standard steps x 7= 21’

27
Q

How wide should inside door be in a home?

A

32”

28
Q

When the knee hyperextends or buckles what muscle is weak?

A

Quads

29
Q

What does dorsi weakness (tib ant) impact in stance phase?

A

Impacts initial contact and loading response

30
Q

Which way during stance phase do we lean?

A

Weakness side

31
Q

Which way during swing phase do we lean?

A

Tightness side

32
Q

Heel strike -> foot flat
After toe off until heel strike
Which muscle?
Which is Concentric or eccentric?

A

Eccentric
Concentric
Tib anterior

33
Q

What is the gait impact with Tibialis ant?

A

Foot slap- stance
Foot drop- swing

34
Q

What is the gait impact with gastroc/soleus?
Concentric or eccentric?

A

Short swing
Decreased stride length

35
Q

What is the gait impacts with quads?

A

Knee buckling at Midstance
Hyper extension on knee at initial contact

36
Q

How do the quads work with gait?

A

Concentric- heel strike
Eccentric-loading response through Midstance
Concentric- right at toe off to help initiate swing

37
Q

What is impacted during gait with hamstrings?

A

Knee slap

38
Q

What happens during gait at the hamstrings?

A

Concentric- initial swing to mid swing- lifts foot
Eccentric-mid swing through terminal swing
-slows knee into extension

39
Q

What happens with glute Maximus in gait?

A

Concentric- at heel strike thru toe off ( whole stance)

40
Q

What is impacted with glute max?

A

Posterior lean ( during stance)
Short step/stride

41
Q

What is impacted during gait with glute med?

A

Pelvic drop on opposite side (trendelenburg)

42
Q

What happens during gait with glute med?

A

Concentric- on stance leg while other leg is in swing
( foot off the ground)

43
Q

How wide is the standard wheelchair?

A

25-26”