Gait Deviations (Reversed)

Question 1

Stooped, Rigid Posture
Forward Head Posture
Forward Lean

Answer 1

Propulsive Gait

Question 2

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

Answer 2

Parkinsonian Gait

Question 3

Exaggerated Hip & Knee Flexion w/Foot Drop

Answer 3

Steppage Gait

Question 4

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

Answer 4

Steppage Gait

Question 5

Toe-Out

Wide BoS

Answer 5

Waddling Gait

Question 6

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

Answer 6

Waddling Gait

Question 7

Wide BoS
Uncoordinated Movements
Increased Trunk Movements
Variable Foot Placement

Answer 7

Ataxic Gait

Question 8

Presence means pt could have:
Cerebellar Disorder
Severe Sensory Deficit

Answer 8

Ataxic Gait

Question 9

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

Answer 9

Hemiplegic Gait

Question 10

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

Answer 10

Antalgic Gait

Question 11

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

Answer 11

Limited Hip Flexion

Question 12

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

Answer 12

Limited Hip Extension

Question 13

Scissoring Gait

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

Answer 13

Excessive Hip Adduction

Question 14

Circumduction
Balance Issues
Leg Length Discrepancy

Answer 14

Excessive Hip Abduction

Question 15

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

Answer 15

Excessive ER

Question 16

Forward Pelvic Rotation

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

Answer 16

Excessive IR

Question 17

Generally Weak Hip

Difficulty w/foot clearance

Answer 17

Pelvic Hike

Question 18

Weak Abductors
Adductor Contracture/Spasticity
Problems w/Joint Kinesthetics

Answer 18

Uncompensated Trendelenburg

Question 19

Limb Length Discrepancy
Scoliosis
Contralateral Abductor Weakness
Adductors Contracture
Excessive Plantarflexion

Answer 19

Compensated Trendelenburg

Question 20

Rigid Spine w/Stiff Gait

Answer 20

Limited Pelvic Rotation

Question 21

Weak Glute Max
Weak Quads
Ankle PF

Answer 21

Forward Trunk Lean

Question 22

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

Answer 22

Limited Knee Flexion

Question 23

Weak Quads

Dynamic Retraction to maintain speed & endurance

Answer 23

Excessive Knee Extension

Question 24

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

Answer 24

Limited Knee Extension

Question 25

``` 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 ```

Answer 25

Weak Quads

Question 26

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 ```

Answer 26

Excessive PF

Question 27

``` Decreased Gait Speed Decreased Step Length Crouched Gait in Stance No Heel Strike (Foot Flat) Instability During Single Limb Support Late Heel Off Excessive Eversion ```

Answer 27

Excessive DF

Question 28

Lateral Forefoot Loading Early Heel Off ``` Presence means pt could have: Overactive Soleus Plantarflexion Contracture Overactive Toe Flexors Weak Peroneals ```

Answer 28

Excessive Inversion (Varus)

Question 29

Excessive Dorsiflexion Shortened Heel-on at IC Presence means pt could have: Weak Invertors

Answer 29

Excessive Eversion (Valgus)