Gait devation Flashcards
lateral leaning over prosthetic side
lateral trunk bending
prosthetic foot too far lateral/ onset
weak hip abd
prosthetic too short/ abd
pain/ bone spurs on distal lateral femur
abd contracture/ hip pain
lateral trunk bending
PF of intact limb to clear prosthetic
assist in clearance of prosthetic limb
Vaulting
prosthetic too long
excessive knee friction (not allowing it to unlock in time)
Vaulting
sudden knee flexion at end of SLS before DLS
drop off
toe lever too soft/ short
heel height too tall
- puts tibia in anterior tilt position/ facilitate knee flex
poor eccentric control of PF (soleus)
drop off
valgus of knee BKA during midstance
excessive valgus
foot too lateral compared to socket
foot too inverted
poor integrity of MCL
Excessive valgus
Varus of knee BKA
excessive varus
too much medial lateral dimension of socket (leg moving inside socket)
foot too everter or in set compared to socket
poor LCL intergrity
Excessive varus
rapid slap at heel inital contact
foot slap
insufficient PF resistance in prosthetic foot
heel too soft
Foot slap
foot turned out, result in shorter stance time because toe lever is shortened
excessive toe out
too much ER of prosthetic foot
Excessive toe out
lateral movement of forefoot at start of stance phase, whip motion
ER of foot at Inital contact
heel mechanism too firm (become fulcrum and motion occurs around it instead of it absorbing form)
movement occurs when socket is too loose
ER of foot at initial contact
slow procession through stance phase
wobbly knee
lean fwd on AD to avoid quad demand
knee instability
weak quad/ deconditioning
excessive socket flex/ DF (socket ant tilted)
poor eccentric control PF (soleus)
hip flex contracture- excess socket flex
knee instability
throwing leg fwd at terminal stance to lock out
clunk sound for full ext
Terminal impact/ past retract
inadequate resistance to knee ext
need sensory input/ confirmation knee is locket out
Terminal impact/ past retract
hip hike on prosthetic side during swing phase
energy demand and cause LBP
pelvic elevation, hip hike
prosthetic limb too long
pelvic elevation, hip hike
heel whips lateral at start of swing phase
lateral whip
poor rotation of knee bolt
weak hip rotators
heel cushion too stiff (pivot point)
lateral whip
wide arc of prosthetic limb during swing phase
circumduction
excessive knee flex resistance
antalgic gt if socket rubs, excessive high medial brim (pinch)
abd contracture, prosthetic foot too PF or prosthetic too long
Circumduction
wide BOS through entire
prosthetic never comes to midline
abducted gait
excessive medial brin height pinch/ pain
excessive volume of thigh won’t fit in socket
abd contracture
Abducted gait
heel whips medially at start of swing
medial whip
excessive knee axis ER, prosthesis donned in ER, weak hip rotators
heel cushion too stiff (pivot point)
medial whip