Gait Deviations

Question 1

can you list and describe the 4 hip deviations?

Answer 1

forward trunk lean
decreased hip extension
rocking horse gait/Glute max gait/backward trunk lean
hip drop

Question 2

what may be the underlying cause of forward trunk lean?

Answer 2

weak quads
hip flexor contracture
weak lumbar or hip ext
hypomobile capsule

Question 3

what might cause a decrease in hip extension

Answer 3

tight hip flexors
joint hypomobility
weak glutes

Question 4

what are a couple of compensation patterns for trendelenburg gait?

Answer 4

trunk lean or hip hike of uninvolved leg

Question 5

can you list and describe the 4 knee deviations?

Answer 5

genu recurvatum
decreased knee extension (very visible on stairs)
excessive valgum or varum

Question 6

what could be an underlying cause of genu recurvatum?

Answer 6

weak quads (unable to eccentrically contract)
weak hamstrings
increased tone in quads
compensation for PF spasticity/contracture (to offset dorsiflex of tibial translation)

Question 7

what could be an underlying cause of decreased knee extension?

Answer 7

weak quads
hypomobile joint
hamstring contracture/stiffness
avoiding heel rocker

Question 8

list some of the underlying causes of excessive knee valgum

Answer 8

Bone deformity, pain, excessive pronation, glute med weakness, excessive femoral add, ipsilateral trunk lean, lax MCL

Question 9

list and describe the 8 foot and ankle gait deviations

Answer 9

excessive pronation
supination
foot flat
foot drop-foot slap
Equinovarus-club foot
calcaneal gait
equinus gait (PF)-tip toe
Inadequate push off