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MSK NPTE > Gait > Flashcards

Gait Flashcards

1
Q

Initial Swing - Hip

A

20* flexion

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2
Q

Midswing - hip

A

20-30* flexion

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3
Q

Terminal Swing - hip

A

30* flexion

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4
Q

Initial contact - hip

A

30* flexion

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5
Q

Loading response - hip

A

30* flexion

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6
Q

Midstance - hip

A

extending to neutral

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7
Q

Terminal stance - hip

A

10* hyperextension

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8
Q

Pre-Swing - hip

A

Neutral extension

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9
Q

Initial Swing - knee

A

60* flexion

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10
Q

Midswing - knee

A

60-30* flexion

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11
Q

Terminal swing - knee

A

0* extension

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12
Q

Initial contact - knee

A

Full extension

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13
Q

Loading response - knee

A

15* flexion

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14
Q

Midstance - knee

A

extending to neutral

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15
Q

Terminal Stance - knee

A

full extension

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16
Q

Pre-swing - knee

A

35* flexion

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17
Q

Initial swing - ankle

A

10* PF

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18
Q

Midswing - ankle

A

neutral

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19
Q

Terminal swing - ankle

A

neutral

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20
Q

Initial contact - ankle

A

neutral, heel strike

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21
Q

Loading Response - ankle

A

15* PF

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22
Q

Midstance - ankle

A

10* DF

23
Q

Terminal stance - ankle

A

Neutral

24
Q

Pre-swing - ankle

A

20* PF

25
Q

Hip Flexion ROM Requirements

A

0-30

26
Q

Hip Extension ROM Requirements

A

0-10

27
Q

Knee flexion ROM requirements

A

0-60

28
Q

Knee extension ROM requirements

A

0 degrees

29
Q

Ankle DF ROM requirements

A

0-10

30
Q

Ankle PF ROM requirements

A

0-20

31
Q

Antalgic

A

a protective gait pattern where the stance time is decreased to avoid weight bearing on the involved side due to pain.

32
Q

Ataxic

A

staggering and unsteadiness with a wide base of support and exaggerated movements

33
Q

Cerebellar

A

A staggering gait pattern seen in cerebellar disease

34
Q

Circumduction

A

circular motion to advance the leg during swing phase; this may be used to compensate for insufficient hip or knee flexion or dorsiflexion

35
Q

Double step

A

Alternate steps are of a different length or at a different rate

36
Q

Equine

A

high steps, usually involving excessive activity of the gastrocnemius

37
Q

Festinating

A

patient walks on toes as though pushed. Starts slowly and increases, continuing until the pt grasps an object in order to stop

38
Q

Hemiplegic

A

patient abducts the paralyzed limb, swing it around, and bring it forward so the foot comes to the ground in front of them.

39
Q

Parkinsonian

A

increased forward flexion of the trunk and knees; gait is shuffling with quick and small stress festinating may occur

40
Q

Scissor

A

the legs cross midline upon advancement

41
Q

Spastic

A

stiff movement, toes seeming to catch and drag, legs together, and hip and knee joints slightly flexed. Commonly seen in spastic paraplegia

42
Q

Steppage

A

feet and toes are lifted through hip and knee flexion to excessive heights secondary to DF weakness. Foot will slap at initial contact with the ground.

43
Q

Tabetic

A

a high stepping ataxic gait pattern in which the feet slap the ground

44
Q

Trendelenburg

A

a gait pattern that denotes glute med weakness; excessive lateral trunk flexion and weight shifting over the stance leg

45
Q

Vaulting

A

swing leg advances by compensating through the combination of elevation of the pelvis and plantar flexion of the stance leg

46
Q

Toeing-out

A

retroversion of the neck of the femur or tight hip external rotators - causing excessive hip ER

47
Q

Toeing-in

A

excessive femoral anteversion or spasticity of the hip adductors causing excessive hip IR

48
Q

Backward trunk lean during loading response

A

weak hip extensors - moves the line of gravity of the trunk behind the hip and reduces the need for hip extension torque

49
Q

Forward bending of the trunk during mid and terminal stance

A

used to compensate for lack of hip extension

50
Q

Excessive lumbar lordosis in terminal stance

A

lack of hip extension

51
Q

Hip posterior tilt during initial swing

A

abdominals are used during initial swing to advance the swing

52
Q

Forward bending of the trunk during loading response

A

weak quads - brings the line of gravity anterior to the axis of rotation to reduce need for knee extension

53
Q

Forward bending of the trunk during mid and terminal stance

A

move weight of body over stance foot due to lack of dorsiflexion

MSK NPTE (15 decks)

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