Gait Flashcards

1
Q

Gait Cycle definition

A

Between the same event repeated on the same leg.
Example: from L heel strike to next L heel strike.

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2
Q

Stride definition

A

1 gait cycle.
Example: from L heel strike to next L heel strike.

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3
Q

Step definition

A

Between the same event repeated on the opposite leg.
Example: from L heel strike to R heel strike.

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4
Q

Stance Phase vs Swing Phase percentages

A

Stance = 60%
Swing = 40%

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5
Q

Stages of Stance Phase

A
  1. Initial Contact
  2. Loading Response
  3. Mid-Stance
  4. Terminal Stance
  5. Pre-Swing
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6
Q

Stages of Swing Phase

A
  1. Initial Swing
  2. Mid-Swing
  3. Terminal Swing
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7
Q

Muscle activation during Initial Contact

A

Eccentric:
-DF
-Quads
-Hip ABD
Concentric:
-Hip add

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8
Q

Muscle activation during Loading Response

A

Eccentric:
-PF
-Glut Max
-Hip ABD

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9
Q

Muscle activation during Mid-Stance

A

Eccentric:
-PF
-Glut Max
-Hip ABD

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10
Q

Muscle activation during Terminal Stance

A

Eccentric:
-Hip ABD
Concentric:
-PF
-Hip add

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11
Q

Muscle activation during Pre-Swing

A

Eccentric:
-Quads
-Hip ABD
Concentric:
-DF
-HS

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12
Q

Muscle activation during Initial Swing

A

Concentric:
-DF
-HS

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13
Q

Muscle activation during Mid-Swing

A

Concentric:
-DF
-HS

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14
Q

Muscle activation during Terminal Swing

A

Concentric:
-DF
-HS

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15
Q

What are the 3 rockers & when do they occur?

A
  1. Heel Rocker (IC)
  2. Ankle Rocker (Mid-Stance)
  3. Forefoot Rocker (Terminal Stance)
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16
Q

Pretibial Muscles: list the important ones, when they’re active, & what nerve?

A

-TA, EDL, & EHL.
-Eccentric at IC.
-Concentric during swing.
-Peroneal N.

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17
Q

PF Muscles: list the important ones, when they’re active, & what nerve?

A

-gastroc, soleus, FDL, FHL, posterior tib.
-Eccentric at mid-stance.
-Concentric at terminal stance.
-Tibial N.

18
Q

FES should be used for…

A

Concentric contractions

19
Q

Hip ROM required for walking

A

Stance:
-Flex = 0-30
-Ext = 0-20
Swing:
-Flex = 20-30

20
Q

Knee ROM required for walking

A

Stance:
-Flex = 0-40
Swing:
-Flex = 0-60

21
Q

Ankle ROM required for walking

A

Stance:
-DF = 0-10
-PF = 0-20
Swing:
-DF = 0-20

22
Q

ROM required for running

A

2x ROM for walking

23
Q

General gait changes for contracture or tightness

A

-Decreased ROM on opposite side.
-Early gait phases.

24
Q

General gait changes for weakness

A

-Decreased ROM on same side.
-Late gait phases.

25
Q

Trendelenberg gait: indicates what issue? Looks like? How is it named?

A

-Indicates weak hip ABD (glut med/min, TFL).
-Opposite pelvis drop.
-Named based on the WEAK side.
Ex) R pelvis drop = L weak = L Trendelenberg.

26
Q

Role of glut max

A

Decelerates forward momentum during early stance

27
Q

Role of erector spinae

A

Maintain upright posture during stance phase

28
Q

General rule for trunk lean

A

Stance: trunk leans TOWARD weakness (or away from contracture).
Swing: trunk leans AWAY from weakness.

29
Q

Forward trunk lean in stance may indicate…

A

weak quads

30
Q

Lateral trunk lean in stance may indicate…

A

weak glut med

31
Q

Backward trunk lean in stance may indicate…

A

weak hip extensors

32
Q

Backward trunk lean in swing may indicate…

A

weak hip flexors

33
Q

Role of peroneals

A

-Concentric in stance.
-Maintain med/lat stability.

34
Q

Role of foot intrinsics

A

-Concentric in stance.
-Support plantar fascia.

35
Q

Characteristics of excessive PF

A

-Short stride length.
-Slower gait speed.
-Early heel-off.
-Knee hyperext.
-Fwd trunk lean.

36
Q

Early heel-off may be caused by…

A

-Tight hip flexors (heel-off in terminal stance).
-Tight gastroc (heel-off in mid-stance).

37
Q

Delayed heel contact may be caused by…

A

-Weak DF
-Tight PF

38
Q

Toe drag may be caused by…

A

-Weak DF
-Tight PF

39
Q

Foot slap may be caused by…

A

Weak eccentric DF

40
Q

Knee hyperext in stance indicates…

A

quad weakness

41
Q

Compensatory patterns associated with knee hyperext

A

-Excessive PF
-Flat foot at IC
-Anterior pelvic tilt
-Fwd trunk lean in stance
-Increased hip extension

42
Q

Compensatory patterns associated with knee valgus

A

-Pes planus
-Excessive hip adduction
-Weak hip ABD
-Subtalar pronation