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NPTE PREP > Gait > Flashcards

Gait Flashcards

1
Q

What is the appropriate amount of ROM of the hip needed for normal gait in Stance Phase?

A

0-30 degrees of flexion

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2
Q

What is the appropriate amount of ROM of the hip needed for normal gait in swing phase?

A

20-30 degrees of flexion

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3
Q

What is the appropriate amount of knee ROM needed for normal gait during stance phase?

A

0-40 degrees of flexion

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4
Q

What is the appropriate amount of knee ROM needed for normal gait during swing phase?

A

0-60 degrees of flexion

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5
Q

What is the appropriate amount of ankle ROM needed for normal gait during stance phase?

A

10-15 degrees of DF and 0-20 degrees of PF

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6
Q

What is the appropriate amount of ankle ROM needed for normal gait during swing phase?

A

10-15 degrees of PF

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7
Q

What are the causes of Backward Leaning in stance phase?

A

Weak Hip extensors
Hip flexion rigid contracture

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8
Q

What is the cause of delayed heel contact?

A

weak tibialis anterior

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9
Q

What is the cause of premature heel off?

A

Tight hip flexors in terminal stance OR tight gastrocs in early heel off in midstance

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10
Q

What is the cause of foot slap?

A

Weak Dorsiflexors

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11
Q

What are the three substitutes for excessive plantarflexion?

A

Premature heel off, knee hyperextension, and forward trunk lean

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12
Q

Are anterior or posterior muscles activated when landing during gait?

A

Anterior muscles activated

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13
Q

What is the role of the Anterior Tibialis, Extensor Digitorium Longus, & Extensor Hallacis Longus during gait?

A

Eccentric contraction to help lower foot to ground during heel strike

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14
Q

What is the role of the Quadriceps during heel strike?

A

Contract eccentrically - controls rapid knee flexion to prevent knee buckling

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15
Q

What is the role of the Quadriceps during Pre-swing?

A

Eccentric contraction to slow down tibia

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16
Q

What does Frontal Plane Mean?

A

Abduction and Adduction

17
Q

What does Sagittal plane mean?

A

Flexion and Extension

18
Q

How does COM change during an amputation of LE?

A

COM will move away from removed limb and become higher up.

19
Q

For an AKA, Low anterior wall indicates what?

A

Weak Quadriceps

20
Q

Lateral Bending for AKA Stance Phase Deviation?

A

Short Prothesis or inadequate lateral wall

21
Q

Abduction for AKA Stance Deviation?

A

Long prothesis or abducted hip joint

22
Q

Lordosis during stance phase of AKA amputation indicates?

A

Anterior socket wall discomfort

23
Q

Forward Flexion during stance phase of AKA gait deviation?

A

Unstable knee joint or short walker

24
Q

High Heel Rise during swing phase for AKA amputation?

A

Inadequate friction or slack extension aid

25
Q

Terminal Impact during swing phase for AKA amputation?

A

Inadequate friction or taut extension aid

26
Q

Heel whip during swing phase for AKA amputation?

A

Knee bolt rotated or prothesis donned to malrotation

27
Q

Foot Rotation during swing phase for AKA amputation?

A

Stiff heel cushion or malrotated foot

28
Q

What does LIME WHIP stand for?

A

Lateral Whip = Internal rotation & Medial Whip = External rotation

29
Q

What will happen with PF is restricted by hard bumper?

A

Increased flexion of knee to clear floor & bumper will not absorb shock so abrupt excessive knee flexion

30
Q

What will happen with a soft PF bumper

A

Causes hyperextension of the knee

31
Q

What are the Orthotic causes of Toe Drag?

A

Inadequate DF assist (similar to weak muscles)
Inadequate PF stop (similar to spastic muscles)

32
Q

What are Pressure Sensitive Areas for Transtibial Amputation?

A

Anterior tibia, Anterior Tibial Crest, Fibular head and neck, & Fibular nerve

33
Q

What are pressure Tolerant Areas for Transtibial Amputation?

A

Patellar tendon, Medial Tibial Plateau, Tibial and fibular shafts, & Distal end of Fibula

NPTE PREP (5 decks)

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