Gait Deviations Flashcards
Propulsive Gait
Stooped, Rigid Posture
Forward Head Posture
Forward Lean
Parkinsonian Gait
Short, Rapid Steps
No Arm Swing
Difficulty w/Starting, Stopping, & Turning
Steppage Gait
Exaggerated Hip & Knee Flexion w/Foot Drop
Steppage Gait
Presence means pt may have:
Weak Dorsiflexors
Peroneal N. Damage
Polyneuropathy
Polio
MS
L5 Disc Herniation
GBSWaddling Gait
Toe-Out
Wide BoS
Waddling Gait
Presence means pt could have:
Congenital Hip Dysplasia
Muscular Dystrophy
Spinal Muscular Atrophy
Ataxic Gait
Wide BoS
Uncoordinated Movements
Increased Trunk Movements
Variable Foot Placement
Ataxic Gait
Presence means pt could have:
Cerebellar Disorder
Severe Sensory Deficit
Hemiplegic Gait
Decreased Velocity Decreased Stance Time on AS Decreased Step Length on UA Limb Instability Difficulty w/Limb Clearance→ Toe Drag, Hip Hiking, Circumduction Difficulty w/Limb Advancement Synergy
Antalgic Gait
Decreased Stride Length
Avoidance of WB on AS
Maintains Slightly Flexed Knee
Toe Walking on AS
Stance:
Decreased Stance Time
Lean towards AS
Heel Strike Avoidance
Toe Off Avoidance
Swing:
Flexion, ER, Abduction to relax joint capsule
Limited Hip Flexion
Decreased Step Length & Speed Posterior Pelvic Tilt Backward Lean Excessive Forward Pelvic Rotation Hip Hiking Circumduction Voluntary knee flexion Contralateral Vaulting Contralateral Trunk Lean
Limited Hip Extension
Decreased Step Length Anterior Pelvic Tilt Backward Lean Lumbar Lordosis Excessive Knee Flexion/Massed Flexion
Excessive Hip Adduction
Scissoring Gait
Presence means pt could have:
Adductor Contracture
Abductor Weakness
Use of adductors as hip flexor in swing
Excessive Hip Abduction
Circumduction
Balance Issues
Leg Length Discrepancy
Excessive ER
Backward Pelvic Rotation
Presence means pt could have:
Weak IR’s
Overactive Glute Max
Weak Quads
Use of adductors as hip flexor
Use of peroneals as plantarflexors→ Bc pt has limited plantarflexor length
Excessive IR
Forward Pelvic Rotation
Presence means pt could have:
Weak ER’s
Overactive Medial Hamstrings
Overactive adductors
TFL & anterior GM activity
Weak Quads
Pelvic Hike
Generally Weak Hip
Difficulty w/foot clearance
Trendelenburg
Uncompensated:
Weak Abductors
Adductor Contracture/Spasticity
Problems w/Joint Kinesthetics
Compensated:
Limb Length Discrepancy
Scoliosis
Contralateral Abductor Weakness
Adductors Contracture
Excessive Plantarflexion
Limited Pelvic Rotation
Rigid Spine w/Stiff Gait
Forward Trunk Lean
Weak Glute Max
Weak Quads
Ankle PF
Limited Knee Flexion
Weak Quads
Difficulty w/toe off & possible toe drag
Excessive hip flexion
Excessive Knee Extension
Weak Quads
Dynamic Retraction to maintain speed & endurance
Limited Knee Extension
Decreased Step Length
Hamstring Spasticity
Rapid advancement of Tibia due to Weak Soleus
Weak Quads
Knee buckles during loading Hyperextension during stance Forward lurch Maintenance of knee extension until opposite foot is fully loaded Fast Retraction of Hip in Terminal Swing
Excessive PF
Decreased Stride Length
Decreased Step Length
Decreased Velocity
Initial Contact
Low Heel Contact
Forefoot Strike Instead of Heel Strike
Loading
Decreased Knee Flexion
Midstance
Knee Hyperextension
Early Heel-Off (Fast)
Forward Lean (Slow)
Decreased Heel Rocker to Toe Off
Midswing
Circumduction
Lateral Trunk Lean
Increased Hip & Knee Flexion
Toe Drag
Contralateral Vaulting
Excessive DF
Decreased Gait Speed Decreased Step Length Crouched Gait in Stance No Heel Strike Instability During Single Limb Support Late Heel Off Excessive Eversion
Excessive Inversion (Varus)
Lateral Forefoot Loading
Early Heel Off
Presence means pt could have:
Overactive Soleus
Plantarflexion Contracture
Overactive Toe Flexors
Weak Peroneals
Excessive Eversion (Valgus)
Excessive Dorsiflexion
Shortened Heel-on at IC
Presence means pt could have:
Weak Invertors
