Gait Flashcards
Cadence
The number of steps taken per unit of time
mean is 113 steps/min
Step length
The linear distance between point of foot contact (heel strike) of one extremity to the point of heel strike of the opposite extremity
Step time
the number of seconds that elapse during one step
Step width
the distance between feet
measured from one heel to the same point on the opposite heel
Stride length
the linear distance between two consecutive contact points of the same extremity
Stride time
the number of seconds that elapse in one stride
Velocity
the rate of motion in any direction
distance divided by time
Acceleration
the rate of change of velocity in relation to time
Energy cost of walking - average oxygen rate
12 mL/kg x min
Energy cost of walking - metabolic cost
5.5 kcal/min
Gait deviations with stance - lateral trunk bending
weak glut med
bend to same side as the weakness
Gait deviations with stance - backward trunk lean
weak glut max
Gait deviations with stance - forward trunk lean
weak quad
dec flexor moment at knee
might see hip and knee flex contractures
Gait deviations with stance - excessive hip flexion
result of weak hip extensors
tight hip and/or knee flexors
Gait deviations with stance - limited hip ext
right or spastic hip flexors
Gait deviations with stance - limited hip flex
weak hip flexors
tight extensors
Gait deviations with stance - excessive knee flex
weak quads
contracture knee flex
(forward trunk bend can compensate for weak quads)
Gait deviations with stance - knee hyperextension
result of weak quads
PF contracture
extensor spasticity
Gait deviations with stance - toe first
weak DF
spastic or tight PF
shortened leg
painful heel
Gait deviations with stance - foot slap
weak DF
hypotonia
Gait deviations with stance - foot flat
weak DF
limited ROM
Gait deviations with stance - excessive DF with unctrontrolled forward motion of tibia
weak PF
Gait deviations with stance - excessive PF
spasticitiy or contracture of PF
Gait deviations with stance - supination
spastic inverters
weak everters
pes varus
genu varum