Gait Deviations Flashcards
Prosthetic Cause of Medial Whip
ER of knee
Tight Socket
Mis-aligned toe break
Amputee Cause of Medial Whip
Gait habit
Socket not put on properly
ER of hip at toe-off/hip flexion
Prosthetic Cause of Lateral Whip
IR of knee
Loose Socket
Mis-aligned toe break
Amputee Cause of Lateral Whip
Gait habit
Socket not put on properly
IR of hip at toe-off/hip flexion
Prosthetic Cause of Abducted Gait
Prosthesis too long
Medial wall too high
Insufficient femoral stability
Induces medial whip
Amputee Cause of Abducted Gait
Abduction contracture
Poor gait habit, patient insecure and desires wide base in belief it will increase stability
Prosthetic Cause of Circumducted Gait
Long Prosthesis
Excessive knee friction
Excessive knee stability
Amputee Cause of Circumducted Gait
Lack of confidence in flexing knee
Abduction contracture
Weak hip flexors
Habit, using entire hip and pelvis to initiate gait
Prosthetic Cause of Vaulting Gait
Long prosthesis
Poor suspension
Excessive plantar flexion of foot
Excessive knee resistance or stability
Amputee Cause of Vaulting Gait
Gait habit, fear of catching toe
Weak hip flexors on residual limb
Improper initiation of hip flexors on residual limb
Prosthetic Cause of Heel Rise Gait
Inadequate extension aid
Insufficient knee friction
Improper knee selection
Amputee Cause of Heel Rise Gait
Excessive use of hip flexors to initiate swing phase, overpowering knee unit
Prosthetic Cause of Knee Instability Gait
Excessive dorsiflexion
Knee aligned in unstable position (TKA)
Insufficient socket flexion
Mal-alignment of foot
Amputee Cause of Knee Instability Gait
Weak hip extensors
Hip flexion contracture
Prosthetic Cause of Uneven Timing: Short prosthetic step
Socket pain Weak extension aid Unstable knee Excessive Dorsiflexion Poor Suspension
Amputee Cause of Uneven Timing: Short prosthetic step
Patient insecurity
Weak hip muscles
Poor balance
Prosthetic Cause of Uneven Timing: Long prosthetic step
Excessive plantar flexion of foot
Insufficient initial socket flexion
Long toe lever arm
Amputee Cause of Uneven Timing: Long prosthetic step
Flexion contracture
Patient insecurity
Pain on sound side
Prosthetic Cause of Lateral Shift Gait
Prosthetic foot too far inset
Excessive socket abduction
Amputee Cause of Lateral Shift Gait
Weak hip abductors
Narrow gait base
Prosthetic Cause of Lateral Trunk Bend
Foot too far forward
Ineffective lateral socket containment
High medial wall
Aligned in abduction
Amputee Cause of Lateral Trunk Bend
Inadequate balance
Abduction contracture
Short residual limb
Habits
Prosthetic Cause of Toe Drag
Long prosthesis
Excessive plantar flexion
Excessive knee friction
Amputee Cause of Toe Drag
Weak hip abductors on sound side
Poor posture
Poor gait habits
Observation of patient who has a long prosthesis
Patient reports low back pain
Patient reports they feel like they are walking up a hill
Noticeable rise and drop of shoulder on the affected side
Reduced swing of the arm on the affected side, exaggerated swing with arm on sound side
Poor Gait Habit (Amputee cause) can cause which gait deviations?
Medial Whip Lateral Whip Abducted Circumducted Vaulting Lateral Trunk Bend Toe Drag
Poor Posture can lead to which gait deviations?
Toe Drag
Weak hip abductors can contribute to which type of gait deviation?
Toe Drag (weak on sound side) & Lateral Shift
A Short Residual Limb can contribute to which type of gait deviation?
Lateral Trunk Bend
Abduction Contracture can contribute to which type of gait deviation?
Lateral Trunk Bend
Abduction
Circumducted
Poor balance can contribute to which type of gait deviations?
Lateral Trunk Bend
Uneven Timing: Short Prosthetic Step
Narrow Base gait can lead to which gait deviation?
Lateral Shift
Pain on sound side can lead to which gait deviation?
Uneven Timing: Long Prosthetic Step
Patient insecurity can lead to which gait deviations?
Uneven Timing: Long Prosthetic Step Uneven Timing: Short Prosthetic Step Circumducted Vaulting (Fear of catching toe) Abducted (Patient insecure and desires wide base in belief it will increase stability)
Flexion contracture can lead to which type of gait deviations?
Uneven Timing: Long Prosthetic Step
Knee Instability
Medial Whip
Lateral Whip
Weak hip extensors can lead to which gait deviation?
Knee Instability
Weak hip flexors can contribute to which gait deviations?
Vaulting
Circumducted
If the socket is not put on properly, it can contribute to which gait deviations?
Medial Whip
Lateral Whip
ER of hip at toe-off can contribute to which gait deviation?
Medial Whip
IR of hip at toe-off can contribute to which gait deviation?
Lateral Whip
Excessive knee friction can contribute to which gait deviations? What about Insufficient knee friction?
Toe Drag
Circumducted
Heel Rise (insufficient)
Excessive plantarflexion can contribute to which gait deviations?
Uneven Timing: Long Prosthetic Step
Toe Drag
Long Prosthesis can contribute to which gait deviations?
Abducted
Circumducted
Vaulting
Toe Drag
Socket abduction can contribute to which gait deviations?
Lateral Shift
Lateral Trunk Bend
If the medial wall is too high, it can contribute to which gait deviations?
Lateral Trunk Bend
Abducted
Ineffective lateral socket containment can contribute to which gait deviations?
Lateral Trunk Bend
