Gait Deviations with prosthetics

Question 1

BK gait deviations

Drop off

Answer 1

Prosthetic cause:

• Short to lever
• Excessive socket flexion

Amputee cause:

• Gait habit
• Hip flexion tightness

Question 2

BK gait deviations

Vaulting

Answer 2

Prosthetic cause:

• Long Prosthesis
• Poor suspension
• Excessive PF

Amputee cause:

• Gait habit, fear of catching toe
• Weak hip flexors

Question 3

BK gait deviations

Circumduction

Answer 3

Prosthetic cause:

• Long prosthesis
• Excessive PF
• Poor suspension

Amputee cause:

• Lack of confidence flexing knee
• ABduction contracture
• Weak hip flexors
• Gait habit

Question 4

BK gait deviations

Trendelenburg

Answer 4

Prosthetic cause:

• Short prosthesis
• Foot too far inset
• Poor socket fit

Amputee cause:

• Weak hip musculature
• Weak gluteus minimus
• Gaity habit

Question 5

BK gait deviation

Short prosthetic step

Answer 5

Prosthetic cause:

• Pain in socket
• Excessive PF
• Insufficient socket flexion
• Toe lever too long

Amputtee cause:

• Lack of confidence
• Hip contracture

Question 6

BK gait deviation

Excessive heel raise

Answer 6

Prosthetic cause:

• Excessive PF
• Insufficient socket flexion
• Poor suspension

Amputee cause:

• Gait habit
• Fear of catching toe

Question 7

BK gait deviation

Lateral thrust

Answer 7

Prosthetic cause:

• Foot too far inset
• Insufficient socket Adduction
• Short prosthesis

Amputee cause:

• Poor balance
• Weak knee
• Narrow base

Question 8

BK gait deviation

Medial thrust

Answer 8

Prosthetic cause

• Foot too far outset
• Excessive socket Adduction

Amputee cause:

• Lack of confidence
• Wide base
• Poor ML knee control

Question 9

BK gait deviations

toe drag

Answer 9

Prosthetic cause:

• Long prosthesis
• Poor suspension
• Excessive PF
• Insufficient socket flexion

Amputee cause:

• Weak hip extensors sound side
• Weak ABductors sound side
• Poor posture
• Gait habit

Question 10

BK gait deviations

external foot rotation

Answer 10

Prosthetic cause

• External foot rotation – alignment
• Poor socket fit

Amputee cause:

• Hip weakness or contracture
• Habit

Question 11

BK gait deviation

internal foot rotation

Answer 11

prosthetic cause:

• Internal foot rotation – alignment
• Poor socket fit

Amputee cause:

• Hip weakness or contracture
• Habit

Question 12

AK gait deviation

medial whip

Answer 12

prosthetic cause:

• External rotation of knee joint
• Tight socket
• Incorrect foot rotation
• Socket shape cylindrical vs. anatomical
• Heel too stiff

Amputee cause:

• Gait habit
• Socket not donned properly
• External rotation of hip at toe off
• Hip flexion tight ness

Question 13

AK gait deviation

lateral whip

Answer 13

prosthetic cause:

• Internal rotation of knee joint
• Loose socket
• Incorrect foot rotation
• Socket shape cylindrical vs. anatomical
• Heel too stiff

Amputee cause:

• Gait habit
• Socket not donned properly
• Internal rotation of hip at toe off
• Tight ADducotrs, internal rotators, flexors

Question 14

AK gait deviation

abducted gait

Answer 14

prosthetic cause:

• Prosthesis too long
• Medial wall too high
• Poor femoral stability within socket
• Induces medial whip

Amputee cause:

• Abduction contracture
• Gait habit/insecurity, wants wide base for increased support

Question 15

AK gait deviation

circumduction

Answer 15

prosthetic cause:

• Long prosthesis
• Excessive knee friction (knee settings)
• Excessive knee stability

Amputee cause:

• Lack of confidence flexing knee
• ABduction contracture
• Weak hip flexors
• Habit

Question 16

AK gait deviations

vaulting

Answer 16

prosthetic cause:

• Long prosthesis
• Poor suspension
• Excessive PF
• Excessive knee resistance
• Excessive knee stability
• Inadequate knee extension (knee settings)

Amputee cause:

• Gait Habit
• Weak hip flexors
• Improper initiation hip flexors

Question 17

AK gait deviation

excessive heel raise

Answer 17

prosthetic cause

• Inadequate knee extension
• Insufficient knee friction (knee settings)

Amputee cause:

• Excessive use of hip flexors to initiate swing, overpowering knee

Question 18

AK gait deviations

knee instability

Answer 18

prosthetic cause:

• Excessive DF
• Knee alignment unstable
• Insufficient socket flexion
• Improper foot alignment
• Incorrect knee settings

Amputee cause:

• Weak hip extensors
• Hip flexion contracture

Question 19

AK gait deviation

uneven timing

Answer 19

prosthetic cause:

• Socket pain
• Inadequate knee extension (knee settings)
• Unstable knee
• Leg length discrepancy
• Poor suspension

Amputee cause:

• Insecurity
• Weak hip muscles
• Poor balance

Question 20

AK gait devaitions

lateral trunk bend

Answer 20

prosthetic cause:

• Foot too far inset
• High medial wall
• Excessive ABduction of socket

Amputee cause:

• Poor Balance
• Short Residual limb
• Habit

Question 21

AK gait deviation

toe drag

Answer 21

prosthetic cause:

• Long prosthesis
• Excessive PF
• Excessive knee friction (knee settings)

Amputee cause:

• Weak hip extensors
• Weak hip Abductors
• Poor posture
• Habit

Question 22

AK gait deviations

internal foot rotation

Answer 22

prosthetic cause:

• Internal knee rotation – alignment
• Internal foot rotation -alignment
• Socket fit issue
• Excessive quad pressure

Amputee cause:

• Improperly donning socket
• Flexed at hip during gait (bent over/looking at ground when walking)

Question 23

AK gait deviations

external foot rotation

Answer 23

prosthetic cause:

• External knee rotation – alignment
• External foot rotation – alignment
• Socket fit, tight adductor channel in socket

Amputee cause

• Impurely donning socket