Gait Deviations

Question 1

Why might you see lateral trunk bending

Answer 1

Hip pain, weak glute med

Question 2

Why might you see backward trunk lean

Answer 2

Weak glute max

Question 3

Why might you see forward trunk lean

Answer 3

Weak quads, hip and knee flexion contracture

Question 4

Why might you see excessive hip flexion

Answer 4

Weak hip extensors, tight hip and knee flexors

Question 5

Why might you see limited hip extension

Answer 5

Tight or spastic hip flexors

Question 6

Why might you see limited hip flexion

Answer 6

Weak hip flexors, tight hip extensors

Question 7

Why might you see excessive knee flexion

Answer 7

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

Question 8

Why might you see toe first

Answer 8

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

Question 9

Why might you see Foot slap

Answer 9

Weak dorsiflexors, hypotonia

Question 10

Why might you see foot flat

Answer 10

Weak dorsiflexor, limited ROM, neonate

Question 11

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

Answer 11

Weak plantar flexors

Question 12

Why might you see excessive plantar flexion

Answer 12

Plantar flexion spasticity or contracture

Question 13

Why might you see supination in stance

Answer 13

Spastic inverters, weak evertors, pes varus, genu varum

Question 14

Why might you see pronation in stance

Answer 14

Weak invertors, spasticity, pes valgus, genu valgum

Question 15

Why might you see claw toes

Answer 15

Spastic toe flexors, hyper active plantar grasp reflex

Question 16

Why might you see Inadequate push off

Answer 16

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

Question 17

Why might you see insufficient forward pelvic rotation in swing

Answer 17

Weak abs, weak flexor muscles

Question 18

Why might you see insufficient hip and knee flexion in swing

Answer 18

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

Question 19

Why might you see circumduction in swing

Answer 19

Weak hip and knee flexors

Question 20

Why might you see hip hiking in swing

Answer 20

Weak hip and knee flexors, extensor spasticity

Question 21

Why might you see excessive hip and knee flexion in swing

Answer 21

Long leg, weak dorsiflexion

Question 22

Why might you see insufficient knee flexion in swing

Answer 22

Extensor spasticity, pain, decreased ROM, weak hamstrings

Question 23

Why might you see excessive knee flexion in swing

Answer 23

Flexor spasticity, flexor withdrawal reflex

Question 24

Why might you see foot drop in swing

Answer 24

Weak or delayed dorsiflexion contraction, spastic plantar flexion

Question 25

Why might you see varus/ inverted foot in swing

Answer 25

Spastic inverters, weak peroneals, abnormal synergistic pattern

Question 26

Why might you see equinovarus in swing

Answer 26

Posterior tibialis or gastroc soleus spasticity

Question 27

Which gait deviations are associated with hip pain

Answer 27

Lateral trunk bend

Antalgic gait: decreased stance time and decreased step length on uninvolved side

Question 28

Which gait deviations are associated with weak glute med

Answer 28

Lateral trunk bend

Question 29

Which gait deviations are associated with weak glute max

Answer 29

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

Question 30

Which gait deviations are associated with hip flexion contracture

Answer 30

Forward trunk lean

Question 31

Which gait deviations are associated with tight hip flexors

Answer 31

Excessive hip flexion, limited hip hyperextension

Question 32

Which gait deviations are associated with weak hip extensors

Answer 32

Excessive hip flexion, insufficient knee flexion

Question 33

Which gait deviations are associated with tight hip extensors

Answer 33

Limited hip flexion, hip hike

Question 34

Which gait deviations are associated with tight knee flexors

Answer 34

Forward trunk lean, excessive hip flexion, excessive knee flexion

Question 35

Which gait deviations are associated with weak knee flexors

Answer 35

Hyperextension, insufficient hip and knee flexion, circumduction, hip hike, insufficient knee flexion

Question 36

Which gait deviations are associated with plantar flexion contracture

Answer 36

Knee hyper extension, toe first, excessive plantar flexion

Question 37

Which gait deviations are associated with weak plantar flexion

Answer 37

Excessive dorsiflexion, inadequate push off

Question 38

Which gait deviations are associated with weak dorsiflexors

Answer 38

Toe first, foot slap, foot flat

Question 39

Which gait deviations are associated with spastic inverters

Answer 39

Supination

Question 40

Which gait deviations are associated with weak evertors

Answer 40

Supination

Question 41

Which gait deviations are associated with pes varus

Answer 41

Supination

Question 42

Which gait deviations are associated with genu varum

Answer 42

Supination

Question 43

Which gait deviations are associated with weak invertors

Answer 43

Pronation

Question 44

Which gait deviations are associated with spastic evertors

Answer 44

Pronation

Question 45

Which gait deviations are associated with pes valgus

Answer 45

Pronation

Question 46

Which gait deviations are associated with genu valgum

Answer 46

Pronation

Question 47

Which gait deviations are associated with spastic toe flexors

Answer 47

Toe claw