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DPT 735 Orthotics > Gait Deviations > Flashcards

Gait Deviations Flashcards

1
Q

Prosthetic Cause of Medial Whip

A

ER of knee
Tight Socket
Mis-aligned toe break

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2
Q

Amputee Cause of Medial Whip

A

Gait habit
Socket not put on properly
ER of hip at toe-off/hip flexion

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3
Q

Prosthetic Cause of Lateral Whip

A

IR of knee
Loose Socket
Mis-aligned toe break

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4
Q

Amputee Cause of Lateral Whip

A

Gait habit
Socket not put on properly
IR of hip at toe-off/hip flexion

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5
Q

Prosthetic Cause of Abducted Gait

A

Prosthesis too long
Medial wall too high
Insufficient femoral stability
Induces medial whip

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6
Q

Amputee Cause of Abducted Gait

A

Abduction contracture

Poor gait habit, patient insecure and desires wide base in belief it will increase stability

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7
Q

Prosthetic Cause of Circumducted Gait

A

Long Prosthesis
Excessive knee friction
Excessive knee stability

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8
Q

Amputee Cause of Circumducted Gait

A

Lack of confidence in flexing knee
Abduction contracture
Weak hip flexors
Habit, using entire hip and pelvis to initiate gait

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9
Q

Prosthetic Cause of Vaulting Gait

A

Long prosthesis
Poor suspension
Excessive plantar flexion of foot
Excessive knee resistance or stability

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10
Q

Amputee Cause of Vaulting Gait

A

Gait habit, fear of catching toe
Weak hip flexors on residual limb
Improper initiation of hip flexors on residual limb

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11
Q

Prosthetic Cause of Heel Rise Gait

A

Inadequate extension aid
Insufficient knee friction
Improper knee selection

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12
Q

Amputee Cause of Heel Rise Gait

A

Excessive use of hip flexors to initiate swing phase, overpowering knee unit

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13
Q

Prosthetic Cause of Knee Instability Gait

A

Excessive dorsiflexion
Knee aligned in unstable position (TKA)
Insufficient socket flexion
Mal-alignment of foot

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14
Q

Amputee Cause of Knee Instability Gait

A

Weak hip extensors

Hip flexion contracture

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15
Q

Prosthetic Cause of Uneven Timing: Short prosthetic step

A 
Socket pain
Weak extension aid
Unstable knee
Excessive Dorsiflexion
Poor Suspension
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16
Q

Amputee Cause of Uneven Timing: Short prosthetic step

A

Patient insecurity
Weak hip muscles
Poor balance

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17
Q

Prosthetic Cause of Uneven Timing: Long prosthetic step

A

Excessive plantar flexion of foot
Insufficient initial socket flexion
Long toe lever arm

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18
Q

Amputee Cause of Uneven Timing: Long prosthetic step

A

Flexion contracture
Patient insecurity
Pain on sound side

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19
Q

Prosthetic Cause of Lateral Shift Gait

A

Prosthetic foot too far inset

Excessive socket abduction

20
Q

Amputee Cause of Lateral Shift Gait

A

Weak hip abductors

Narrow gait base

21
Q

Prosthetic Cause of Lateral Trunk Bend

A

Foot too far forward
Ineffective lateral socket containment
High medial wall
Aligned in abduction

22
Q

Amputee Cause of Lateral Trunk Bend

A

Inadequate balance
Abduction contracture
Short residual limb
Habits

23
Q

Prosthetic Cause of Toe Drag

A

Long prosthesis
Excessive plantar flexion
Excessive knee friction

24
Q

Amputee Cause of Toe Drag

A

Weak hip abductors on sound side
Poor posture
Poor gait habits

25
Q

Observation of patient who has a long prosthesis

A

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

26
Q

Poor Gait Habit (Amputee cause) can cause which gait deviations?

A 
Medial Whip
Lateral Whip
Abducted
Circumducted
Vaulting
Lateral Trunk Bend
Toe Drag
27
Q

Poor Posture can lead to which gait deviations?

A

Toe Drag

28
Q

Weak hip abductors can contribute to which type of gait deviation?

A

Toe Drag (weak on sound side) & Lateral Shift

29
Q

A Short Residual Limb can contribute to which type of gait deviation?

A

Lateral Trunk Bend

30
Q

Abduction Contracture can contribute to which type of gait deviation?

A

Lateral Trunk Bend
Abduction
Circumducted

31
Q

Poor balance can contribute to which type of gait deviations?

A

Lateral Trunk Bend

Uneven Timing: Short Prosthetic Step

32
Q

Narrow Base gait can lead to which gait deviation?

A

Lateral Shift

33
Q

Pain on sound side can lead to which gait deviation?

A

Uneven Timing: Long Prosthetic Step

34
Q

Patient insecurity can lead to which gait deviations?

A 
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)
35
Q

Flexion contracture can lead to which type of gait deviations?

A

Uneven Timing: Long Prosthetic Step
Knee Instability

Medial Whip
Lateral Whip

36
Q

Weak hip extensors can lead to which gait deviation?

A

Knee Instability

37
Q

Weak hip flexors can contribute to which gait deviations?

A

Vaulting

Circumducted

38
Q

If the socket is not put on properly, it can contribute to which gait deviations?

A

Medial Whip

Lateral Whip

39
Q

ER of hip at toe-off can contribute to which gait deviation?

A

Medial Whip

40
Q

IR of hip at toe-off can contribute to which gait deviation?

A

Lateral Whip

41
Q

Excessive knee friction can contribute to which gait deviations? What about Insufficient knee friction?

A

Toe Drag
Circumducted

Heel Rise (insufficient)

42
Q

Excessive plantarflexion can contribute to which gait deviations?

A

Uneven Timing: Long Prosthetic Step

Toe Drag

43
Q

Long Prosthesis can contribute to which gait deviations?

A

Abducted
Circumducted
Vaulting
Toe Drag

44
Q

Socket abduction can contribute to which gait deviations?

A

Lateral Shift

Lateral Trunk Bend

45
Q

If the medial wall is too high, it can contribute to which gait deviations?

A

Lateral Trunk Bend

Abducted

46
Q

Ineffective lateral socket containment can contribute to which gait deviations?

A

Lateral Trunk Bend

DPT 735 Orthotics (1 decks)

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