Gait Deviations Flashcards

1
Q

Backward trunk lean

A
  • weak glut max

- difficulty going up stairs and up ramps

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2
Q

Lateral Trunk Bending

A
  • weak glut med

- pain in hip

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3
Q

Bckward trunk lean

A
  • weak glut max

- difficulty going up stairs/ramps

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4
Q

Forward trunk lean

A
  • weak quads

- hip and knee flexion contractures

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5
Q

Excessive hip flexion

A
  • weak hip extensors

- tight hip and/or knee flexors

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6
Q

Limited hip extnsion

A

-tight or spastic hip flexors

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7
Q

Limited hip flexion

A

-weak hip flexors or tight extensors

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8
Q

Abnormal synergistic activity

A

-excessive hip adduction combined with hip and knee extension, plantarflexion, scissoring, or adducted gait pattern

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9
Q

Excessive knee flexion

A
  • weak quads
  • knee flexor contracture
  • difficulty going down stairs/ramps
  • forward trunk bending can compensate
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10
Q

Knee hyperextension

A
  • weak quads
  • plantarflexion contracture
  • extensor spasticity (quads or plantarflexion)
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11
Q

Toe first

A
  • weak DF
  • spastic or tight PF
  • may also be caused by shortened leg or positive support reflex
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12
Q

Foot slap

A
  • weak DF
  • hypotonia
  • compensated for with steppage
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13
Q

Foot flat

A
  • weak DF
  • limited ROM
  • immature gait pattern
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14
Q

Excessive DF with uncontrolled forward motion of tibia

A

-weak PF

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15
Q

Excessive PF (equinus)

A

-spasticity or contracture of PF

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16
Q

Supination

A
  • spastic invertors
  • spasticity
  • weak evertors
  • pes varus
  • genu varum
17
Q

Pronation

A
  • weak invertors
  • spasticity
  • pes valgus
  • genu valgum
18
Q

toes claw

A
  • spastic toe flexors

- hyperactive plantar grasp reflex

19
Q

Inadequate push off

A
  • weak PF
  • decreased ROM
  • painful foot
20
Q

Insufficient forward pelvic rotation

A
  • weak abs

- weak flexor muscles

21
Q

Insufficient hip and knee flexion

A

-weak hip and knee flexors

22
Q

Circumduction

A

-weak hip and knee flexors

23
Q

Hip hiking

A
  • compensatory response for weak hip and knee flexors

- extensor spasticity

24
Q

Excessive hip and knee flexion

A
  • steppage

- weak DF

25
Q

Insufficient knee flexion

A
  • weak HS
  • extensor spasticity
  • pain/decreased ROM
26
Q

Excessive knee flexion

A
  • flexor spasticity

- flexor withdrawal reflex

27
Q

Foot drop (equinus)

A
  • weak or delayed contraction of DF

- spastic PF

28
Q

Varus or inverted foot

A
  • spastic invertors
  • weak peroneals
  • abnormal synergistic pattern
29
Q

Equinovarus

A
  • spasticity in posterior tib and gastroc/soleus

- developmental abnormality