Gait Flashcards

1
Q

What is gait?

A

The mechanism by which the body is transported using coordinated movements of the major lower limb joints.

Energy efficient interactions of MSK and neurological symptoms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the 5 attributes of normal gait?

A
  • Stability in Stance
  • Foot Clearance in Swing
  • Pre-positioning for initial Contact
  • Adequate Step Length
  • Energy Conservation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Gait cycle?

A

This describes the period of time from the initial contact (often the heel) to the next initial contact on the same side.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the stance phase?

A

This is when the foot is on the floor and baring weight - 60% of the time.

  • Initial contact (heel strike)
  • Loading response
  • Mid-stance (foot flat)
  • Terminal stance (heel off)
  • Pre-swing (tow off)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the swing phase?

A

This is when the foot in air and positioning - 40% of time.

  • Initial swing
  • Mid-swing
  • Terminal swing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens to the lengths of the phases when you walk quicker?

A

Swing phase becomes longer and stance phase shorter.

Running is when swing phase becomes longer than stance phase - Get a float phase instead of a double support.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define stride

A

Distance travelled in one gait cycle.

It is the distace from right initial contact to right inital contact,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define step

A

Difference in one foot to the other (two steps per stride).

It is the distance from Right Initial Contact to Left Initial Contact.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define Cadence

A

Number of steps per minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is kinematics?

A

Describes motion:

  • Joint angles
  • DIsplacements
  • Velocities
  • Accelerations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is kinetics?

A

Describes the things that cause motion

  • Forces
  • Moments.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Kinetics

A

Muscles produce force to:

  • Provide stability
  • Propel body segments

Muscles work:

  • Concentric (shortening) -acceleration / power generation
  • Eccentric (lengthening - deceleration / power absorption
  • Isometric (same length) - stability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What muscles help put foot down?

A

Anterior compartment muscles - Mostly Tibialis anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What muscles help you push off an go onto other leg?

A

Posterior compartment muscles - Gastrocnemius and Soleus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How is walking energy efficient?

A
  1. Minimise excursion of centre of of gravity
  2. Control momentum
  3. Transfer energy between body segments
  4. Phasic muscle action
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Pathological gaits?

A
  • Antalgic / Limp
  • Trendelenburg / Waddling
  • Spastic -Hemiplegic and Diplegic
  • High steppage / Foot drop
  • Parkinsonian / Festinant
  • Ataxic / Cerebellar / Broad-based
17
Q

Antalgic Gait?

A
  • Limp
  • Painful leg
  • Short stance phase affected leg
  • Lack body weight shift to affected leg
  • Short swing phase unaffected
  • Uneven
  • Use walking stick in ‘opposite’ Hand. - Offload and prevent falling over.
18
Q

Trendelenburg Gait?

A

Hip abductor weakness

  • Pain
  • Neurological damage
  • Trauma (surgical)

Pelvis drops on unaffected side in stance phase.

Torso swings to affected side

Bilateral

Waddling.

19
Q

Hemiplegic Gait

A

Hemi-Brain Injury

  • Stroke
  • Cerebral Palsy
  • Trauma

Flexed upper limb

Extended lower limb

Short step unaffected leg

Circumduction affected leg

20
Q

Diplegic gait

A

Neuromuscular disorders - Cerebral Palsy

Occurs in children, Gets worse as older and get heavier so more difficult to walk.

Scissoring

Tight Muscle groups - Psoas / Adductors / Hamstrings / Calf

Ankles plantar-flexed

Forefoot initial Contact

21
Q

High steppage gait

A

Foot Drop

  • Sciatica
  • Common Peromeal n. Palsy
  • Neuromuscular disorders

Toes hanging down

Excessive hip flexion affected side

Foot slap

22
Q

Parkinsonian Gait

A

Neurological disease - Parkinson’s

Hard to initiate movement

Short step

Shuffling / ‘Festinant’

Forward flexed

No arm swing

23
Q

Ataxic Gait

A

Cerebellum disorders

  • Inherited
  • Sensory
  • Intoxication

Broad based

Reeling

Inco-ordinated

Arms balancing

‘Drunk’