Gait Deviations Flashcards
Posterior movement of the trunk in GAIT on initial contact/loading response is caused by what?
Weak hip extensors on the right
What is the treatment needed for posterior movement of the trunk in GAIT on initial contact/loading response?
Eccentric strengthening of the hip extensors
Right knee in flexion during GAIT on initial contact/loading response is caused by what two things?
Weak quadriceps on the right or limited knee extension ROM
What is the treatment for the right knee in flexion during GAIT on initial contact/loading response ?
Quadricep strengthening on the right or stretching
Buckling of the right knee during GAIT on initial contact/loading response is caused by what ?
Weak quadriceps on the right
What is the treatment for buckling of the knee during GAIT on initial contact/loading response ?
Eccentric strengthening of the right quadriceps
A right foot slap during GAIT on initial contact/loading response is caused by what ?
Weak dorsiflexors on the right
What is the treatment for a right foot slap during GAIT on initial contact/loading response ?
Eccentric strengthening of the dorsiflexors
Landing flat footed (decreased right heel strike) during GAIT on initial contact/loading response is caused by what four things?
A knee flexion contracture, limited dorsiflexion ROM on the right, and weak quadriceps or dorsiflexors on the right
What is the treatment for landing flat footed (decreased right heel strike) during GAIT on initial contact/loading response?
Stretching into extension, stretching out the dorsiflexors, and strengthening the quadriceps and dorsiflexors on the right
Genu recurvatum/extension thrust on the right during GAIT in mid stance is caused by what two things ?
Weak quadriceps on the right and ligament instability
What is the treatment for genu recurvatum/extension thrust on the right during GAIT in mid stance?
Concentric strengthening of the quadriceps
Varus/valgus thrust on the right knee during GAIT in mid stance is caused by what two things ?
Osteoarthritis and ligamentous instability
What is the treatment for varus/valgus thrust on the right knee during GAIT in mid stance?
Overall strengthening and orthotics
A right or left trendelenburg / compensated trendelenburg GAIT is named towards the side of weakness. So a left hip drop would be a (right/left) trendelenburg GAIT and a lean to the right would be a (right/left) compensated trendelenburg GAIT.
right; right
A Right trendelenburg sign (drop of left side of the pelvis) and a Right compensated trendelenburg (lateral lean to the right) during GAIT in mid stance is caused by what?
Gluteus medius weakness
What is the treatment for a Right trendelenburg sign (drop of left side of the pelvis) and a Right compensated trendelenburg (lateral lean to the right) during GAIT in mid stance?
Glute med strengthening
Excessive Right foot pronation during GAIT in mid stance is primarily caused by what three things ?
A flexible foot, IR/Valgus above, LLD with a long Right lower extremity, etc.
What is the treatment for excessive Right foot pronation during GAIT in mid stance?
Fix the impairment (orthotics, proximal stabilization, etc)
Vaulting during GAIT in mid stance is primarily caused by what ?
A leg length discrepancy
What is the treatment for vaulting during GAIT in mid stance ?
Fix the leg length discrepancy (ex: heel lift)
Limited Right hip extension during GAIT in terminal stance is primarily caused by what three things?
A hip flexion contracture, hip pain, and a short Left step length
What is the treatment for limited Right hip extension during GAIT in terminal stance?
Stretch the hip flexors and control pain
Early Right heel rise during GAIT in terminal stance is primarily caused by what three things?
Tight plantarflexors, a knee flexion contracture, or decreased hip extension due to pain or decreased ROM
What is the treatment for early Right heel rise during GAIT in terminal stance?
Stretch the plantarflexors, increase knee extension, and address pain or hip extension ROM
No Right heel off (decreased push off) during GAIT in terminal stance is primarily caused by what two things?
Weak plantarflexors and limited great toe extension ROM
What is the treatment for no Right heel off (decreased push off) during GAIT in terminal stance?
Concentric strengthening of the plantarflexors and increase great toe extension
Limited hip flexion during GAIT in initial to mid swing is primarily caused by what two things?
Hip flexor weakness and limited hip flexion ROM
What is the treatment for limited hip flexion during GAIT in initial to mid swing ?
Concentric strengthening of the hip flexors and increase hip flexion ROM.
Exaggerated Right hip/knee flexion during GAIT in initial to mid swing is primarily caused by what two things?
Decreased dorsiflexion strength or ROM
What is the treatment for exaggerated Right hip/knee flexion during GAIT in initial to mid swing?
Concentric strengthening of the dorsiflexors / increase dorsiflexion ROM
Hip hiking on the Right and circumduction on the Right during GAIT in initial to mid swing is primarily caused by what four things?
Right leg length is too long, decreased knee flexion, decreased dorsiflexion, decreased hip flexion, and weak hip flexors
What is the treatment for hip hiking on the Right and circumduction on the Right during GAIT in initial to mid swing?
Correct the leg length, improve knee flexion ROM, improve dorsiflexion ROM, improve hip flexion ROM, and strengthen the hip flexors
