Gait 3 Flashcards

1
Q

foot slap - 2/2

A

weak DF

dorsiflexion paralysis (nothing to control)

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2
Q

toe down instead of heel strike - 2/2

A

PF spasticity
PF contracture

weak DF
dorsiflexion paralysis

leg length

hindfoot pain

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3
Q

clawing of the toe 2/2

A

toe flexor spasticity

postive suppor reflex

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4
Q

what is the positive support reflex

A

the first postural reflex to develop and is present by 3 to 4 months of age

When the baby is placed in vertical suspension with the feet touching the mat, the baby will extend the legs and attempts to support their weight while being balanced by the examiner.

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5
Q

heel lift during midstance 2/2

A

lack of DF range

PF spasticity

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6
Q

no toe off 2/2

A

forefoot/toe pain
weak toe flexors

weak PF
insufficient PF ROM

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7
Q

exaggerated knee flexion at contact

A

quad weakness
quad paralysis

hamstring spasticity

insufficient extension ROM

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8
Q

hyperextension in stance

A

comp for weak quads

PF flexor contracture

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9
Q

Exaggerated knee flexion at terminal stance

A

knee flexion contracture

hip flexion contracture

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10
Q

Insufficient knee flex with swing

A

knee effusion

quad extension spasticity
PF spasticity

insufficient flexion ROM

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11
Q

excessive knee flexion with swing

A

flexor withdrawal reflex

LE synergy pattern

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12
Q

flexor withdrawal reflex

A

reflex that protects the body from damaging stimuli by automatically withdrawing a limb from a potential threat

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13
Q

insufficient hip flexion at initial contact

A

weak hip flexors

hip flexion paralysis

hip ext spas

lack of flex ROM

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14
Q

insufficient hip ext at stance

A

hip flex contracture

lower extremity flexor synergy

insufficient hip ext ROM

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15
Q

circumduction during swing

A

compensation for weak:
- DF
- hip flexors
- knee flex (hamstring)

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16
Q

hip hiking during swing

A

compensation for:
- weak DF
- knee flexors
- extensor LE synergy

17
Q

exaggerated hip flex during swing

A

LE flexor synergy

comp for lack of DF

18
Q

what happens to the base of support as cadance increased

A

the BOS gets smaller

19
Q

what is the average cadence for an adult

A

110- 120 steps per min

20
Q

double support time relationship with speed of walking

A

inverse

double support increased as cadence decreases

21
Q

what is double step

A

a gait pattern in which alternate steps are of a different length or at a different rate

22
Q

waddling gait is characterized by

A

exaggerated lateral trunk movements and hip elevation.

The abnormal gait is caused by gluteus medius weakness and is often seen with progressive muscular dystrophy.

23
Q

From heel strike throughout the loading response - what are the DF doing

A

works eccentrically to control the speed of the forefoot lowering to the ground.

24
Q

The stance phase of a normal gait pattern is approximately ___ of the gait cycle

A

60%

25
Q

what is genu recurvatum

A

a knee joint deformity that causes the knee to bend backward

hyperextension of the knee

26
Q

quadratus lumborum orgin

A

iliolumbar ligament and the iliac crest

27
Q

quadratus lumborum insertion

A

inferior border of the last rib and the transverse processes of the upper four lumbar vertebrae