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NCS > Gait And Movement Analysis > Flashcards

Gait And Movement Analysis Flashcards

1
Q

Circumduction in swing

A
  • Hip flexor weakness

- DF weakness

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2
Q

INITIAL CONTACT at hip, knee, ankle

A 
Hip = 20 degrees flexion (extensors act to prevent trunk flexion)
Knee = 5 degrees flexion (to absorb shock)
Ankle = 0
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3
Q

MIDSTANCE at hip, knee, ankle

A 
Hip = 0 (abductors stabilizing pelvis)
Knee = 5 degrees flexion (quads then passive)
Ankle = 5 degrees dorsiflexion
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4
Q

Spasticity, PF contracture, or absent proprioception affects foot placement + without BBS <43/56, severe spasticity, or absent proprioception

A

Articulating AFO PF stop

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5
Q

Absent heel rise in mid- and terminal stance

A

PF weakness

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6
Q

Limited hip extension in mid- and terminal stance

A
  • Hip flexor contracture/spasticity

- Hip extensor weakness

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7
Q

Excessive PF in mid- and terminal stance

A
  • PF contracture
  • PF spasticity
  • Quad weakness
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8
Q

Excessive knee buckling

A
  • Quad weakness

- Hamstring spasticity

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9
Q

MIDSWING at hip, knee, ankle

A 
Hip = 25 degrees flexion
Knee = 25 degrees flexion
Ankle = 0
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10
Q

Excessive knee flexion/buckling mid- and terminal stance

A
  • Hamstring contracture/spasticity
  • Quads weakness
  • Excessive DF
  • Knee pain
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11
Q

Past-retract in swing

A
  • Impaired motor control (unable to extend knee with hip flexed)
  • Compensation to achieve knee stability during loading response
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12
Q

No spasticity, PF contracture, or absent proprioception affects foot placement

A

Articulated AFO with/without DF assist stop/assist

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13
Q

INITIAL SWING at hip, knee, ankle

A 
Hip = 15 degrees flexion
Knee = 60 degrees flexion
Ankle = 5 degrees plantarflexion
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14
Q

Early heel rise in mid-stance

A
  • PF spasticity
  • Heel pain
  • Excessive knee flexion
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15
Q

Hip hiking in swing

A
  • Compensation of lack of knee flex/ankle DF
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16
Q

Excessive DF in mid- and terminal stance

A
  • PF weakness
  • Knee or hip flexor contracture
  • Crouched gait
17
Q

Hip abduction/scissoring in swing

A
  • Adductor spasticity

- Contralateral abductor weakness

18
Q

TERMINAL SWING at hip, knee, ankle

A 
Hip = 20 degrees flexion
Knee = 5 degrees flexion 
Ankle = 0
19
Q

TERMINAL STANCE at hip, knee, ankle

A 
Hip = 20 degrees extension (PASSIVE)
Knee = 5 degrees flexion (PASSIVE)
Ankle = 10 degrees dorsiflexion
20
Q

LOADING RESPONSE at hip, knee, ankle

A 
Hip = 20 degrees flexion
Knee = 15 degrees flexion (accepts the load)
Ankle = 5 degrees plantarflexion
21
Q

Spasticity, PF contracture, or absent proprioception affects foot placement + BBS <43/56, severe spasticity, or absent proprioception

A

Solid AFO

22
Q

Absent heel strike

A
  • Excessive knee flexion in TSw (quad weakness or hamstring spasticity)
  • Excessive PF in TSw (PF spasticity or DF weakness)
  • Heel pain
23
Q

Knee hyper ext in mid- and terminal stance

A
  • PF weakness/contracture
  • Hip ext weakness
  • Quad weakness
  • Quad spasticity
  • Impaired proprioception
24
Q

Completion criteria for KAFO

A
  1. Come to stand with AD Ind (3 sessions)
  2. Stand and walk through // bars with open hands Ind (1 session)
  3. Walk with AD 20 steps with SBA (2 sessions)
25
Q

PRESWING at hip, knee, ankle

A 
Hip = 10 degrees extension (adductors to assist with swing initiation)
Knee = 40 degrees flexion (PASSIVE)
Ankle = 15 degrees plantarflexion (PASSIVE)
26
Q

Foot slap

A

DF weakness

27
Q

Hip external reputation at mid- and terminal stance

A
  • Limited ankle DF mobility
28
Q

Decreased foot clearance in swing

A
  • Limited hip/knee flexion or excessive PF

- Impaired proprioception

29
Q

Participation criteria for KAFO

A
  1. No contracture of hip/knee/ankle
  2. SLR 0-110 degrees
  3. Ind with transfers including wheelchair to floor
  4. Max VO2 >20 mL/kg/min
  5. 50 continuous full dips in // bars
30
Q

Excessive hip/knee flexion (steppage)

A
  • DF weakness

- PF spasticity

NCS (19 decks)

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