Gait Flashcards
Muscle Activity: Stance to swing phase
Lower extremity:
hip extensors and abductors, knee flexors and extensors, ankle plantar flexors
Muscle Activity: Stance to swing phase
Upper extremity:
while using ambulation assistive devices
while using ambulation assistive devices
scapular stabilizers; shoulder depressors, flexors, and extensors; elbow flexors and extensors; finger flexors
muscle activity: swing phase
LE
hip flexors, knee flexors, ankle dorsiflexors elevate LE and with momentum, move it during swing phase
gait patterns: WBAT to FWB, requires use of bilateral ambulation aid
four-point
two-point
gait patterns: NWB, requires use of walker or bilateral ambulation aid
three-point
gait patterns: PWB, requires use of bilateral ambulation aid
three-one-point
gait patterns: FWB, requires one ambulation aid
modified four-point
modified two-point
gait pattern that is very slow but stable, uses low energy expenditure
requires use of bilateral aids
uses an alternate and reciprocal forward movement of the ambulation aid and the pt’s opposite LE
four-point gait pattern
requires use of bilateral ambulation aids
simultaneous, reciprocal forward placement of the ambulation aid and the pt’s opposite LE
stable and faster
low energy expenditure
two-point gait pattern
requires only one ambulation aide
used for pts who have only one functional UE or uses only one ambulation aid
aid is held in the UE opposite to the LE that requires protection
modified four-point or two-point
requires bilateral ambulation aids or a walker (no bilat canes)
usualy referred to as a step-to or step-through gait pattern
walker or crutches and the NWB extremity are advanced, then the pt steps up to the front rail of walker or through crutches
less stable, high energy expenditure, requires good strength in UEs, trunk, and one LE
Three Point/non-weight bearing gait pattern
requires use of bilateral ambulation aids or a walker
used when the pt is PWB on one LE
the walker, crutches, or canes are advaced simultaneuously with the PWB LE; then FWB LE is advanced while pt distributes body weight onto aid and protected LE
more stable, less strength and energy expenditure, slower
three-one-point/PWB or modified three point gait pattern