Gait Deviations Flashcards

1
Q

Posterior movement of the trunk in GAIT on initial contact/loading response is caused by what?

A

Weak hip extensors on the right

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2
Q

What is the treatment needed for posterior movement of the trunk in GAIT on initial contact/loading response?

A

Eccentric strengthening of the hip extensors

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3
Q

Right knee in flexion during GAIT on initial contact/loading response is caused by what two things?

A

Weak quadriceps on the right or limited knee extension ROM

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4
Q

What is the treatment for the right knee in flexion during GAIT on initial contact/loading response ?

A

Quadricep strengthening on the right or stretching

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5
Q

Buckling of the right knee during GAIT on initial contact/loading response is caused by what ?

A

Weak quadriceps on the right

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6
Q

What is the treatment for buckling of the knee during GAIT on initial contact/loading response ?

A

Eccentric strengthening of the right quadriceps

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7
Q

A right foot slap during GAIT on initial contact/loading response is caused by what ?

A

Weak dorsiflexors on the right

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8
Q

What is the treatment for a right foot slap during GAIT on initial contact/loading response ?

A

Eccentric strengthening of the dorsiflexors

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9
Q

Landing flat footed (decreased right heel strike) during GAIT on initial contact/loading response is caused by what four things?

A

A knee flexion contracture, limited dorsiflexion ROM on the right, and weak quadriceps or dorsiflexors on the right

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10
Q

What is the treatment for landing flat footed (decreased right heel strike) during GAIT on initial contact/loading response?

A

Stretching into extension, stretching out the dorsiflexors, and strengthening the quadriceps and dorsiflexors on the right

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11
Q

Genu recurvatum/extension thrust on the right during GAIT in mid stance is caused by what two things ?

A

Weak quadriceps on the right and ligament instability

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12
Q

What is the treatment for genu recurvatum/extension thrust on the right during GAIT in mid stance?

A

Concentric strengthening of the quadriceps

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13
Q

Varus/valgus thrust on the right knee during GAIT in mid stance is caused by what two things ?

A

Osteoarthritis and ligamentous instability

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14
Q

What is the treatment for varus/valgus thrust on the right knee during GAIT in mid stance?

A

Overall strengthening and orthotics

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15
Q

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.

A

right; right

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16
Q

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?

A

Gluteus medius weakness

17
Q

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?

A

Glute med strengthening

18
Q

Excessive Right foot pronation during GAIT in mid stance is primarily caused by what three things ?

A

A flexible foot, IR/Valgus above, LLD with a long Right lower extremity, etc.

19
Q

What is the treatment for excessive Right foot pronation during GAIT in mid stance?

A

Fix the impairment (orthotics, proximal stabilization, etc)

20
Q

Vaulting during GAIT in mid stance is primarily caused by what ?

A

A leg length discrepancy

21
Q

What is the treatment for vaulting during GAIT in mid stance ?

A

Fix the leg length discrepancy (ex: heel lift)

22
Q

Limited Right hip extension during GAIT in terminal stance is primarily caused by what three things?

A

A hip flexion contracture, hip pain, and a short Left step length

23
Q

What is the treatment for limited Right hip extension during GAIT in terminal stance?

A

Stretch the hip flexors and control pain

24
Q

Early Right heel rise during GAIT in terminal stance is primarily caused by what three things?

A

Tight plantarflexors, a knee flexion contracture, or decreased hip extension due to pain or decreased ROM

25
Q

What is the treatment for early Right heel rise during GAIT in terminal stance?

A

Stretch the plantarflexors, increase knee extension, and address pain or hip extension ROM

26
Q

No Right heel off (decreased push off) during GAIT in terminal stance is primarily caused by what two things?

A

Weak plantarflexors and limited great toe extension ROM

27
Q

What is the treatment for no Right heel off (decreased push off) during GAIT in terminal stance?

A

Concentric strengthening of the plantarflexors and increase great toe extension

28
Q

Limited hip flexion during GAIT in initial to mid swing is primarily caused by what two things?

A

Hip flexor weakness and limited hip flexion ROM

29
Q

What is the treatment for limited hip flexion during GAIT in initial to mid swing ?

A

Concentric strengthening of the hip flexors and increase hip flexion ROM.

30
Q

Exaggerated Right hip/knee flexion during GAIT in initial to mid swing is primarily caused by what two things?

A

Decreased dorsiflexion strength or ROM

31
Q

What is the treatment for exaggerated Right hip/knee flexion during GAIT in initial to mid swing?

A

Concentric strengthening of the dorsiflexors / increase dorsiflexion ROM

32
Q

Hip hiking on the Right and circumduction on the Right during GAIT in initial to mid swing is primarily caused by what four things?

A

Right leg length is too long, decreased knee flexion, decreased dorsiflexion, decreased hip flexion, and weak hip flexors

33
Q

What is the treatment for hip hiking on the Right and circumduction on the Right during GAIT in initial to mid swing?

A

Correct the leg length, improve knee flexion ROM, improve dorsiflexion ROM, improve hip flexion ROM, and strengthen the hip flexors