Gait Flashcards

1
Q

During gait where is the centre of force located with regards to the knee joint

A

Medial to the midline (though lateral compartment receives greater stresses)

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2
Q

During walking how is the weight of the body taken through the foot

A

Successively onto the heel, lateral border then ball of the foot.
The anterior pillar of the medial longitudinal arch is the last to leave the ground

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3
Q

How does the transference of body weight change through the foot from walking to running

A

During running the heel does not come in contact with the ground, yet the anterior pillar is still the last to leave the ground

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4
Q

What are the phases of gait/ walking

A

Toe-off
Carry-through
Heel-strike
Support

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5
Q

Describe the toe-off phase

A
To start
Hip- extended, adducted and medially rotated
Knee- extended
Ankle- dorsiflexed to begin
Toes- neutral but gripping the surface

Ankle is plantarflexed, toes are forced into extension then flex. Thrust from foot transmitted through the extended knee to the hip, pelvis and trunk

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6
Q

Describe the carry-through phase

A

Initially- hip is flexed and laterally rotated and pelvis pivots forward around supporting hip, knee is flexed, ankle is dorsiflexed and toes extend

Once foot passes under hip- hip is still flexed and laterally rotated, knee is extended, ankle and toes assume a neutral or slightly flexed position through dorsiflexion, foot also slightly inverted

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7
Q

Describe the heel-strike phase

A

From the carry through phase the foot is slightly inverted comes into contact via its lateral side
Hip is flexed, knee is extended, foot and toes are slightly dorsiflexed

Frictional forces from the ground drag on the heel and as it takes the weight of the body it is compressed and prepared for the next propulsive phase

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8
Q

Describe the support phase

A

Weight is taken on to foot with body moving forward

Hip extended, knee undergoes a small flexion wave, ankle is dorsiflexed, toes neutral

As the foot passes behind the line of the hip joint the muscles of the calf contract and the phase starts again

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9
Q

During the support phase what is extending the hip

A

During quiet walking is mostly the momentum of the body, during fast walking is aided by gluteus maximus and hamstrings

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10
Q

What maintains the level position of the pelvis during the support phase

A

The hip abductors of the hip planted particularly gluteus medius and minimus

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11
Q

When does the toe-off phase begin

A

As the supporting foot is powerfully plantarflexed

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12
Q

When does the carry-through phase begin

A

As the great toe leaves the ground

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13
Q

When does the heel-strike phase begin

A

When the heel hits the ground

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