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CM Clinical Symposia > Gait and posture 2 - clinical > Flashcards

Gait and posture 2 - clinical Flashcards

1
Q

Clinical - evaluating gait

A

Top down approach, symmetry, orientation, timing of motions, specific tasks (stairs etc)

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2
Q

Closed and open kinetic chain

A

Hand and arm - open kinetic chain, closed chain motions have proximal consequences

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3
Q

Blount’s disease

A

Slippage of tibia epiphysis during growth, bowed legs, compression medial part of knee, lateral loading of feet

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4
Q

Primary pathology or compensation

A

Abnormal positions, aches and pains, bony stress reaction, callosities at interface

Compensation - own implications

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5
Q

Major pathologies in gait

A

Motor, sensory impairment, pain, physical restriction, lack of normal restriction (hyper-mobility)

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6
Q

Ataxia

A

Loss of full body control/coordination (cerebral palsy)

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7
Q

Hemiparesis

A

Secondary to stroke, arm across body and leg out/circumduction (stroke - extension)

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8
Q

Festinating gait

A

(Parkinsons) Difficulty starting, turning and stopping, few small steps

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9
Q

Antalgia

A

Avoid pain use 1 leg more than the other (osteoarthritis)

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10
Q

Insensate gait

A

Heavy footed - don’t know feet are on the floor (diabetic neuropathy/leprosy)

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11
Q

Weakness

A

Knee up higher to avoid foot dragging (damage perineal nerve - tibailais anterior)

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12
Q

Contracture

A

Liberating effect move freely

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13
Q

Hypermobility

A

Feet bow in, subtle, long standing RA/extreme demands

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14
Q

Marfan’s

A

Connective tissue disorder (Elhos danlos), changes in CVD, muscles, face, generalised hypermobility

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15
Q

Pes cavus

A

Gravity defying - high arch, neurological cause

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16
Q

Pes planus

A

Gravity aided, flat foot, due to hypermobile joints

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17
Q

Quantifying gait

A

Temporal and spatial parameters, pressure, force, joint kinematics, joint kinetics

18
Q

RA

A

Gait velocity/speed declines progressively,

19
Q

Wheelchair use

A
20
Q

Tests

A
  • Force plate
  • Kinematics - infrared pulse, computerize walk
  • Markers - hi res - tweezers (mount of skin, moves relative to bones)
  • Any body foot model (all 26 bones)
  • Radiostereogrammetry/videofluoroscopy
  • Ultrasound elastography (tissue stiffness)
  • MRI/ultrasound combination
21
Q

Kinetic modelling

A

Inverse dynamics - measured kinematics, antropometrics, force, moments (bending), power (how hard can apply force)

22
Q

Clinical - evaluating gait

A

Top down approach, symmetry, orientation, timing of motions, specific tasks (stairs etc)

23
Q

Closed and open kinetic chain

A

Hand and arm - open kinetic chain, closed chain motions have proximal consequences

24
Q

Blount’s disease

A

Slippage of tibia epiphysis during growth, bowed legs, compression medial part of knee, lateral loading of feet

25
Q

Primary pathology or compensation

A

Abnormal positions, aches and pains, bony stress reaction, callosities at interface

Compensation - own implications

26
Q

Major pathologies in gait

A

Motor, sensory impairment, pain, physical restriction, lack of normal restriction (hyper-mobility)

27
Q

Ataxia

A

Loss of full body control/coordination (cerebral palsy)

28
Q

Hemiparesis

A

Secondary to stroke, arm across body and leg out/circumduction (stroke - extension)

29
Q

Festinating gait

A

(Parkinsons) Difficulty starting, turning and stopping, few small steps

30
Q

Antalgia

A

Avoid pain use 1 leg more than the other (osteoarthritis)

31
Q

Insensate gait

A

Heavy footed - don’t know feet are on the floor (diabetic neuropathy/leprosy)

32
Q

Weakness

A

Knee up higher to avoid foot dragging (damage perineal nerve - tibailais anterior)

33
Q

Contracture

A

Liberating effect move freely

34
Q

Hypermobility

A

Feet bow in, subtle, long standing RA/extreme demands

35
Q

Marfan’s

A

Connective tissue disorder (Elhos danlos), changes in CVD, muscles, face, generalised hypermobility

36
Q

Pes cavus

A

Gravity defying - high arch, neurological cause

37
Q

Pes planus

A

Gravity aided, flat foot, due to hypermobile joints

38
Q

Quantifying gait

A

Temporal and spatial parameters, pressure, force, joint kinematics, joint kinetics

39
Q

RA

A

Gait velocity/speed declines progressively,

40
Q

Wheelchair use

A
41
Q

Tests

A
  • Force plate
  • Kinematics - infrared pulse, computerize walk
  • Markers - hi res - tweezers (mount of skin, moves relative to bones)
  • Any body foot model (all 26 bones)
42
Q

Kinetic modelling

A

Inverse dynamics - measured kinematics, antropometrics, force, moments (bending), power (how hard can apply force)

CM Clinical Symposia (24 decks)

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