Gait Flashcards

1
Q

What is gait

A

……… mechanism by which the body is transported using coordinated movements of the major lower limb joints
…….. energy-efficient interaction of MSK and Neurological systems

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2
Q

What are the 5 attributes of normal gait

A
5 Attributes 
• Stability in Stance 
• Foot Clearance in Swing 
• Pre-positioning for Initial Contact 
• Adequate Step Length 
• Energy Conservation
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3
Q

What is the gait cycle

A

• Describes the period of time from initial contact to next initial contact on the same side

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4
Q

Describe the gait cycle in walking

A

60% stance 40% swing

Points of bobble support between them - see slide

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5
Q

Describe the gait cycle in running

A

Swing longer than stance, get 2 periods of double float

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6
Q

Describe the stance phase

A
  • Initial Contact (Heel strike)
  • Loading response
  • Mid-stance (Foot flat)
  • Terminal stance (Heel off)
  • Pre-swing (Toe off)
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7
Q

Describe the swing phase

A

• Initial swing • Mid-swing • Terminal swing

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8
Q

Define stride

A

IC right -> IC left (one cycle)

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9
Q

Define step

A

Distance from IC right to IC left

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10
Q

Define cadence

A

No of steps per minute

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11
Q

What is kinematic

A
Describes motion:
– joint angles 
– displacements 
– velocities 
– accelerations
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12
Q

What is kinetics

A

Describes the things that cause motion:

– forces – moments

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13
Q

Describe gait kinematics of the hip knee and ankle

A

See slide for graphs

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14
Q

What do muscles provide force for and how

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

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15
Q

Describe ankle kinetics

A

Generation of force shifts to muscles in posterior part of lower leg -
anterior has a rest
calf muscles very important for pushing off

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16
Q

How is energy converted in walking

A
  1. Minimise excursion of Centre of Gravity
  2. Control momentum
  3. Transfer energy between body segments
  4. Phasic muscle action
17
Q

Name some pathological gaits

A
• Antalgic / Limp 
• Trendelenburg / Waddling 
• Spastic
  – Hemiplegic
  – Diplegic 
• High steppage / Foot drop 
• Parkinsonian / Festinant 
• Ataxic / Cerebellar / Broad-based
18
Q

What is antalgic gait

A
• ‘Limp’ 
• Painful leg 
• Short stance phase affected leg 
• Lack body weight shift to affected leg 
• Short swing phase unaffected leg 
• ‘Uneven’
Use Walking stick in Opposite hand
19
Q

What is trendelenberg 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’ - swinging from side to side
20
Q

What is hemiplegic gait

A
• Hemi-Brain injury
– Stroke
– Cerebral Palsy
– Trauma 
• Flexed upper limb 
• Extended lower limb 
• Short step unaffected leg 
• Circumduction affected leg
21
Q

What is diplegic gait

A
• Neuromuscular disorders
– Cerebral Palsy 
• Scissoring 
• Tight Muscle groups
– Psoas / Adductors / Hamstrings / Calf 
• Ankles plantar-flexed 
• Forefoot Initial Contact
22
Q

What s high steppage gait

A
• Foot Drop
– Sciatica
– Common Peroneal n. Palsy
– Neuromuscular disorders 
• Toes hanging down 
• Excessive hip flexion affected side 
• Foot slap
23
Q

What is Parkinsonian gait

A
• Neurological disease
– Parkinsons 
• Hard to initiate movement 
• Short step 
• Shuffling / ‘Festinant’ 
• Forward flexed 
• No arm swing
24
Q

What is ataxic gait

A
• Cerebellar disorders
– Inherited
– Sensory
– Intoxication 
• Broad based 
• ‘Reeling’ 
• Inco-ordinated 
• Arms balancing 
• ‘Drunk’