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)?

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?

23
Q

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

24
Q

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

25
How wide should door way be for wheelchair entry? Single and double door way?
36” 48” double
26
What is the standard step size? How to calculate for ramp?
7” tall 3 standard steps x 7= 21’
27
How wide should inside door be in a home?
32”
28
When the knee hyperextends or buckles what muscle is weak?
Quads
29
What does dorsi weakness (tib ant) impact in stance phase?
Impacts initial contact and loading response
30
Which way during stance phase do we lean?
Weakness side
31
Which way during swing phase do we lean?
Tightness side
32
Heel strike -> foot flat After toe off until heel strike Which muscle? Which is Concentric or eccentric?
Eccentric Concentric Tib anterior
33
What is the gait impact with Tibialis ant?
Foot slap- stance Foot drop- swing
34
What is the gait impact with gastroc/soleus? Concentric or eccentric?
Short swing Decreased stride length
35
What is the gait impacts with quads?
Knee buckling at Midstance Hyper extension on knee at initial contact
36
How do the quads work with gait?
Concentric- heel strike Eccentric-loading response through Midstance Concentric- right at toe off to help initiate swing
37
What is impacted during gait with hamstrings?
Knee slap
38
What happens during gait at the hamstrings?
Concentric- initial swing to mid swing- lifts foot Eccentric-mid swing through terminal swing -slows knee into extension
39
What happens with glute Maximus in gait?
Concentric- at heel strike thru toe off ( whole stance)
40
What is impacted with glute max?
Posterior lean ( during stance) Short step/stride
41
What is impacted during gait with glute med?
Pelvic drop on opposite side (trendelenburg)
42
What happens during gait with glute med?
Concentric- on stance leg while other leg is in swing ( foot off the ground)
43
How wide is the standard wheelchair?
25-26”