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1) E&M > Gait Deviations > Flashcards

Gait Deviations Flashcards

1
Q

Propulsive Gait

A

Stooped, Rigid Posture
Forward Head Posture
Forward Lean

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2
Q

Parkinsonian Gait

A

Short, Rapid Steps
No Arm Swing
Difficulty w/Starting, Stopping, & Turning

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3
Q

Steppage Gait

A

Exaggerated Hip & Knee Flexion w/Foot Drop

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4
Q

Steppage Gait

A 
Presence means pt may have:
     Weak Dorsiflexors
     Peroneal N. Damage
     Polyneuropathy
     Polio
     MS
     L5 Disc Herniation
     GBS
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5
Q

Waddling Gait

A

Toe-Out

Wide BoS

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6
Q

Waddling Gait

A

Presence means pt could have:
Congenital Hip Dysplasia
Muscular Dystrophy
Spinal Muscular Atrophy

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7
Q

Ataxic Gait

A

Wide BoS
Uncoordinated Movements
Increased Trunk Movements
Variable Foot Placement

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8
Q

Ataxic Gait

A

Presence means pt could have:
Cerebellar Disorder
Severe Sensory Deficit

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9
Q

Hemiplegic Gait

A 
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
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10
Q

Antalgic Gait

A

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

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11
Q

Limited Hip Flexion

A 
Decreased Step Length & Speed
Posterior Pelvic Tilt
Backward Lean
Excessive Forward Pelvic Rotation
Hip Hiking 
Circumduction
Voluntary knee flexion
Contralateral Vaulting
Contralateral Trunk Lean
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12
Q

Limited Hip Extension

A 
Decreased Step Length
Anterior Pelvic Tilt
Backward Lean
Lumbar Lordosis
Excessive Knee Flexion/Massed Flexion
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13
Q

Excessive Hip Adduction

A

Scissoring Gait

Presence means pt could have:
Adductor Contracture
Abductor Weakness
Use of adductors as hip flexor in swing

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14
Q

Excessive Hip Abduction

A

Circumduction
Balance Issues
Leg Length Discrepancy

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15
Q

Excessive ER

A

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
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16
Q

Excessive IR

A

Forward Pelvic Rotation

Presence means pt could have:
     Weak ER’s
     Overactive Medial Hamstrings
     Overactive adductors
     TFL & anterior GM activity
     Weak Quads
17
Q

Pelvic Hike

A

Generally Weak Hip

Difficulty w/foot clearance

18
Q

Trendelenburg

A

Uncompensated:
Weak Abductors
Adductor Contracture/Spasticity
Problems w/Joint Kinesthetics

Compensated:
     Limb Length Discrepancy
     Scoliosis
     Contralateral Abductor Weakness
     Adductors Contracture
     Excessive Plantarflexion
19
Q

Limited Pelvic Rotation

A

Rigid Spine w/Stiff Gait

20
Q

Forward Trunk Lean

A

Weak Glute Max
Weak Quads
Ankle PF

21
Q

Limited Knee Flexion

A

Weak Quads
Difficulty w/toe off & possible toe drag
Excessive hip flexion

22
Q

Excessive Knee Extension

A

Weak Quads

Dynamic Retraction to maintain speed & endurance

23
Q

Limited Knee Extension

A

Decreased Step Length
Hamstring Spasticity
Rapid advancement of Tibia due to Weak Soleus

24
Q

Weak Quads

A 
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
25
Q

Excessive PF

A

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
26
Q

Excessive DF

A 
Decreased Gait Speed
Decreased Step Length
Crouched Gait in Stance
No Heel Strike
Instability During Single Limb Support
Late Heel Off
Excessive Eversion
27
Q

Excessive Inversion (Varus)

A

Lateral Forefoot Loading
Early Heel Off

Presence means pt could have:
     Overactive Soleus
     Plantarflexion Contracture
     Overactive Toe Flexors
     Weak Peroneals
28
Q

Excessive Eversion (Valgus)

A

Excessive Dorsiflexion
Shortened Heel-on at IC

Presence means pt could have:
Weak Invertors

1) E&M (8 decks)

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