Gait Flashcards

1
Q

manner in which a person walks,

ability to move from one place to another

A

gait

locomotion

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2
Q

gait cycle?

A
IC
loading response
mid stance
terminal stance
pre-swing/ toe off

60/40

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3
Q

kinetic vs kinematic

A

describe forces

describe movement

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4
Q

Spatial measures of gait>?

temporal?

A

step/stride length/ width/ foot angle

cadence/velocity/stride time

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5
Q

Prerequisites for functional gait?

A

stance stability
clearance in swing
swing pre-positioning
step length

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6
Q

IC norms

A

ankle:neutral-PF
knee: neutral–ext
Thigh:20 deg.-flex
pelvis: 5 deg forward rotation

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7
Q

LR norms

A

ankle: neutral ecc PF torque
knee: flexion torque quad ecc
hip: 20 flex/ add torque
Pelvis: remains rotated foraward

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8
Q

mid stance norms

A

A: 5 deg DF torque
K: Neutral w/ quad quiet gastric ^ /ext torque
H: extend torque to neutral
P: neural

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9
Q

TS norms

A

A:DF & MTP Ext. DF torque greatest muscle demand at DF nd calf
K:neutral ext torque
H: 20 deg ext tq
P: rotates backward

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10
Q

Pre-swing norms

A

A: 15 deg/ MTP 60 deg
K: 40 deg
H: Extended
P: 5 deg backward

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11
Q

Stance phase rocker positions

heel
ankle
forefoot
toe?

A

LR
MS
TS
PS

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12
Q

Initial swing norm

A

A:5 deg PF: tips initial DF
K: 60 deg flexion(tq) (from hip and tib)
H:15 deg flexion
P:5 deg rotation

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13
Q

Mid swing norm

A

A:Neutral
K: 25 deg ext torque
H: 25 deg flex torque
P: neutral

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14
Q

TS norm

A

A: pretrials active
K: neutral (hammy decelerate)
H: prep for weight acceptance
P:rotate forward.

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15
Q

What is stabilizing in all planes during gait?

A

back extensors+abs

RA in MS and TS
Erectors in Preswing

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16
Q

What are the functional tasks?

A

Weight acceptance
Single limb support
swing limb advance

17
Q

A visible forward then backward movement of thigh during terminal swing?

A

Past retract. just slapping it back..

decreases step length.

18
Q

What are some trunk deviations?

A

leans (lat/f/b)
rotation (cant dissociate)
help reduce load on other structures

19
Q

what are the pathological gait pattern?

A

ataxic (stagger wide BOS -cerrebellar)
Festinating (on toes PD)
Scissor (cross midline CP/CVA/TBI)

20
Q

What is included in neuroplasticity in locomotor training?

A
specificity
amount (most important)
intensity (increase it)
21
Q

Principles of locomotor training?

A

Maximize LE loading
Enhance sensory cues (fácil)
optimize kinetics (posture/coordinate)

22
Q

Training of one motor task may affect performance of biomechanically separate tasks

A

Leapfrog effect

via overlapping neural circuits

23
Q

activities of pregait?

A

parallel bars
weight shift
f/b steps
stability before mobility

24
Q

Bracing/orthotic interventions?

A

control DOF and improve mechanics

or use stimulation

25
Q

Robo gait orthosis in VR?

whats an exoskeleton

A

lokomat

preset gait parameters with auditory feedback

26
Q

What are KPKR of robot?

A

KP: audiovisual feedback

KR: step/distance/upright time

27
Q

Tx progression of environment?

other progressions?

A

gentile: stationary/predict
then unpredict
moving pred/unpred

dual task
adaptability

28
Q

Gait speed importance?

A

reflect Fx+ physiologic change
balance confidence
predictor of future.