Gait Deviations Flashcards

1
Q

Why might you see lateral trunk bending

A

Hip pain, weak glute med

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2
Q

Why might you see backward trunk lean

A

Weak glute max

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3
Q

Why might you see forward trunk lean

A

Weak quads, hip and knee flexion contracture

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4
Q

Why might you see excessive hip flexion

A

Weak hip extensors, tight hip and knee flexors

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5
Q

Why might you see limited hip extension

A

Tight or spastic hip flexors

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6
Q

Why might you see limited hip flexion

A

Weak hip flexors, tight hip extensors

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7
Q

Why might you see excessive knee flexion

A

Weak quads, plantar flexion contracture, quad spasticity, plantar flexion spasticity

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8
Q

Why might you see toe first

A

Weak dorsiflexors, spastic or tight plantarflexors, short leg, heel pain, positive support reflex

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9
Q

Why might you see Foot slap

A

Weak dorsiflexors, hypotonia

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10
Q

Why might you see foot flat

A

Weak dorsiflexor, limited ROM, neonate

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11
Q

Why might you see excessive dorsiflexion with uncontrolled forward motion of the tibia

A

Weak plantar flexors

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12
Q

Why might you see excessive plantar flexion

A

Plantar flexion spasticity or contracture

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13
Q

Why might you see supination in stance

A

Spastic inverters, weak evertors, pes varus, genu varum

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14
Q

Why might you see pronation in stance

A

Weak invertors, spasticity, pes valgus, genu valgum

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15
Q

Why might you see claw toes

A

Spastic toe flexors, hyper active plantar grasp reflex

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16
Q

Why might you see Inadequate push off

A

Weak plantar flexor, decreased range of motion, pain in forefoot

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17
Q

Why might you see insufficient forward pelvic rotation in swing

A

Weak abs, weak flexor muscles

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18
Q

Why might you see insufficient hip and knee flexion in swing

A

Weak hip and knee flexors, inability to lift leg and move it forward

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19
Q

Why might you see circumduction in swing

A

Weak hip and knee flexors

20
Q

Why might you see hip hiking in swing

A

Weak hip and knee flexors, extensor spasticity

21
Q

Why might you see excessive hip and knee flexion in swing

A

Long leg, weak dorsiflexion

22
Q

Why might you see insufficient knee flexion in swing

A

Extensor spasticity, pain, decreased ROM, weak hamstrings

23
Q

Why might you see excessive knee flexion in swing

A

Flexor spasticity, flexor withdrawal reflex

24
Q

Why might you see foot drop in swing

A

Weak or delayed dorsiflexion contraction, spastic plantar flexion

25
Why might you see varus/ inverted foot in swing
Spastic inverters, weak peroneals, abnormal synergistic pattern
26
Why might you see equinovarus in swing
Posterior tibialis or gastroc soleus spasticity
27
Which gait deviations are associated with hip pain
Lateral trunk bend | Antalgic gait: decreased stance time and decreased step length on uninvolved side
28
Which gait deviations are associated with weak glute med
Lateral trunk bend
29
Which gait deviations are associated with weak glute max
Forward trunk lean, limited hip flexion, excessive knee flexion, difficulty going downstairs or ramps, insufficient forward pelvic rotation, circumduction, hip hike, insufficient hip and knee flexion
30
Which gait deviations are associated with hip flexion contracture
Forward trunk lean
31
Which gait deviations are associated with tight hip flexors
Excessive hip flexion, limited hip hyperextension
32
Which gait deviations are associated with weak hip extensors
Excessive hip flexion, insufficient knee flexion
33
Which gait deviations are associated with tight hip extensors
Limited hip flexion, hip hike
34
Which gait deviations are associated with tight knee flexors
Forward trunk lean, excessive hip flexion, excessive knee flexion
35
Which gait deviations are associated with weak knee flexors
Hyperextension, insufficient hip and knee flexion, circumduction, hip hike, insufficient knee flexion
36
Which gait deviations are associated with plantar flexion contracture
Knee hyper extension, toe first, excessive plantar flexion
37
Which gait deviations are associated with weak plantar flexion
Excessive dorsiflexion, inadequate push off
38
Which gait deviations are associated with weak dorsiflexors
Toe first, foot slap, foot flat
39
Which gait deviations are associated with spastic inverters
Supination
40
Which gait deviations are associated with weak evertors
Supination
41
Which gait deviations are associated with pes varus
Supination
42
Which gait deviations are associated with genu varum
Supination
43
Which gait deviations are associated with weak invertors
Pronation
44
Which gait deviations are associated with spastic evertors
Pronation
45
Which gait deviations are associated with pes valgus
Pronation
46
Which gait deviations are associated with genu valgum
Pronation
47
Which gait deviations are associated with spastic toe flexors
Toe claw