Gait

Question 1

What proportion of the time is spent in each of swing phase and stance phase in a normal gait?

Answer 1

Swing 40 percent

Stance 60 percent

Question 2

What are the parts of the stance phase and what anatomical movements are they associated with? And what muscles?

Answer 2

Heel strike - controlled relaxation of plantar flexion, eccentric contraction of ant. leg muscles, inverters and everters stabilise, gluteus minimus and medius and tensor fascia lata for balance
Move onto ball of foot - plantar flexion

Question 3

What are the 4 parts of the swing phase? What anatomical movements are they associated with?

Answer 3

Push off - plantar flexion
Lift limb - flexion of thigh and leg
Raise foot - dorsiflexion
Final swing - extension of leg (at knee)

Question 4

Which muscles control pelvic tilt during walking?

Answer 4

Gluteus medius and minimus

Question 5

What is a antalagic gait?

Answer 5

“Painful” limping gait developed by pts with chronic MSK LL pain

Question 6

What might a high steppage gait indicate?

Answer 6

Foot drop, diabetes, peripheral neuropathy