Gait deviations Flashcards

1
Q

ankle and foot deviations

A
  • foot slap
  • toe down instead of heel strike
  • clawing of toes
  • heel lift during midstance
  • no toe-off
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2
Q

potential causes: foot slap

A
  • weak dorsiflexors

- DF paralysis

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3
Q

potential causes: toe down instead of heel strike

A
  • PF spasticity
  • PF contracture
  • weak DF
  • DF paralysis
  • leg length discrepancy
  • hindfoot pain
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4
Q

potential causes: clawing of toes

A
  • toe flexor spasticity

- positive support reflex

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5
Q

potential causes: heel lift during midstance

A
  • insufficient DF range

- PF spasticity

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6
Q

potential causes: no toe-off

A
  • forefoot/toe pain
  • weak PF
  • weak toe flexors
  • insufficient PF ROM
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7
Q

knee deviations

A
  • exaggerated knee flexion at contact
  • hyperextension in stance
  • exaggerated knee flexion at terminal stance
  • insufficient flexion with swing
  • excessive flexion with swing
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8
Q

potential causes: exaggerated knee flexion at contact

A
  • weak quads
  • quadriceps paralysis
  • HS spasticity
  • insufficient extension ROM
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9
Q

potential causes: hyperextension in stance

A
  • compensation for weak quads

- PF contracture

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10
Q

potential causes: exaggerated knee flexion at terminal stance

A
  • knee flexion contracture

- hip flexion contracture

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11
Q

potential causes: insufficient flexion with swing

A
  • knee effusion
  • quadriceps extension spasticity
  • PF spasticity
  • insufficient flexion ROM
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12
Q

potential causes: excessive flexion with swing

A
  • flexor withdrawal reflex

- LE flexor synergy

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13
Q

hip deviations

A
  • insufficient hip flexion at initial contact
  • insufficient hip extension in stance
  • circumduction during swing
  • hip hiking during swing
  • exaggerated hip flexion during swing
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14
Q

potential causes: insufficient hip flexion at IC

A
  • weak hip flexors
  • hip flexor paralysis
  • hip extensor spasticity
  • insufficient hip flexion ROM
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15
Q

potential causes: insufficient hip extension at stance

A
  • insufficient hip extension ROM
  • hip flexion contracture
  • LE flexor synergy
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16
Q

potential causes: circumduction during swing

A
  • compensation for weak hip flexors
  • compensation for weak DF
  • compensation for weak HS
17
Q

potential causes: hip hiking during swing

A
  • compensation for weak DF
  • compensation for weak knee flexors
  • compensation for extensor synergy pattern
18
Q

potential causes: exaggerated hip flexion during swing

A
  • lower extremity flexor synergy

- compensation for insufficient ankle DF