Gait anaylysis Flashcards

1
Q

Why perform gait analysis?

A

determine functional ability, eval for pt intervention, determine d/c plan, eval surgincal intervention, evaluate orthotic devices, research

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three essential requirement of Gait?

A

progression, stability, adatapiltiy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Progression of gait?

A

rhythmic pattern and ability to initiate and terminate movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is stability of gait?

A

maintain posture for upright, dynamic stability, and interact with forces of gravity and other forces.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is adaptability of gait?

A

Meet the goals of the individual and meet the demands of the environment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When are the two double limb support?

A

Loading response and pre-swing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When is heel off?

A

Terminal stance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When is shock absorption occuring?

A

loading response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When is the end of weight acceptance?

A

Foot flat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When is the start of terminal stance?

A

heel off

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How many % is the stance phase?

A

60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

During loading response what is the Ankle, Quad, H/s, hip abductors/TFL, Erector spinae, and Glue max doing?

A

Ankle: ecc contracting for control of foot slap
Quad: ecc contraction for control of knee flexion
H/S: isometric contraction for control knee flexion
Hip abd/TFL: isometric contraction to prevent pelvic drop
ES: isometric contraction to control forward flexion and trunk stability
GMax: during IC and Midstance= concentric contraction to generate power

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

During Midstance what is the foot intrinsics, ankle, Quad, and hip abd doing?

A

Foot intrinsics: concentric to promote rigid structure from pro to supination
anke: PFers eccentric to control tibial advancement
Quad: concentric to initiate knee extension
Hip abd: isometric control pelvic drop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

During terminal stance what is the foot intrinsics, ankle, hip abd, iliopsoas, and quad doing?

A

Foot intrinsics: isometric
ankle PF: concentric to control heel strike
HIp abd: isometric to concentric to elevate pelvis
Iliopsoas: eccentric for control hip exntension
Quad: inactive bc PRF and PFers maintian knee extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

During preswing what is the ankle, iliopsoas, rectus femoris, and ES doing?

A

Ankle PFers: concentric to provide propulsive push off
Iliopsoas: eccentric to concentric for limb advancement pull off
rectus femoris: isometric to limit knee flexion
ES: active *controversial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

During initial swing what is the hip flexors, hip add, knee ext, and ankle doing?

A

Hip flexors: concentric for brief limb advancement
Hip add: may assit in hip flexion
knee extensors: concentric for limb advancement
ankle DFers: concentric for toe clearance

17
Q

During Midswing what is the ankel doing?

A

No real activities only DFers isometric to maintain foot in DF for foot clearance.

18
Q

During Termainl swing what is the H/S, ankle, and Quads and hip abd doing?

A

H/S: eccentric to decelerate the limb
Ankle DFers: isometric to create heel contact
Quads and hip abd: become active jsut prior to contact as feedforward mechansism to prepare for GRF.

19
Q

What are the three funcitonal task parts of the gait?

A

WA: weight acceptance
SLS: single limb support
SLA: swing limb advancement

20
Q

How to test gait?

A

gait velocity, dynamic gait index, 6 min walk test

21
Q

How to test gait and balance?

A

TUG, POMA test

22
Q

How to test just balance?

A

Functional reach test, rhomberg test, Berg balance test

23
Q

What is considered a community ambulation?

A

0.8 m/s or 1.8 mph or 1000feet in 6 min walk test

24
Q

What is an indicator for increased fall risk?

A

below 1 m/s

25
Q

What speed do you need to cross a street?

A

1.2 m/s

26
Q

What are the Functional Ambulation Classification 1-6?

A

1- nonfunctional
2- dependent for physical assistance level 2
3- dependent for physical assistance level 1
4- dependent for supervision
5- indiependent level surfaces only
6- independent

27
Q

How is the FAC assessed?

A

ambulate for 10 feet on level and unlevel surfaces, ascend/descend at least 7 steps with rail, walk up/down incline with 30 degrees or greater and CAN USE assistive device and still score a 6.

28
Q

DGI (dynamic gait index) what is it and what do you need?

A

assesses the likelihood of falling in older adults with 7 facets of gait. use box, cones, stairs, 20’ walkway 15” wide, takes ~15 minutes to complete

29
Q

What is the DGI score and implications:

A

22/24= safe ambulator

30
Q

What do you measure during the 6 min walk test?

A

distance, if pt stops or not, SOB or fatigue before and after the test.

31
Q

What is cadence?

A

steps per minute