Gait Deviations with prosthetics Flashcards
BK gait deviations
Drop off
Prosthetic cause:
- Short to lever
- Excessive socket flexion
Amputee cause:
- Gait habit
- Hip flexion tightness
BK gait deviations
Vaulting
Prosthetic cause:
- Long Prosthesis
- Poor suspension
- Excessive PF
Amputee cause:
- Gait habit, fear of catching toe
- Weak hip flexors
BK gait deviations
Circumduction
Prosthetic cause:
- Long prosthesis
- Excessive PF
- Poor suspension
Amputee cause:
- Lack of confidence flexing knee
- ABduction contracture
- Weak hip flexors
- Gait habit
BK gait deviations
Trendelenburg
Prosthetic cause:
- Short prosthesis
- Foot too far inset
- Poor socket fit
Amputee cause:
- Weak hip musculature
- Weak gluteus minimus
- Gaity habit
BK gait deviation
Short prosthetic step
Prosthetic cause:
- Pain in socket
- Excessive PF
- Insufficient socket flexion
- Toe lever too long
Amputtee cause:
- Lack of confidence
- Hip contracture
BK gait deviation
Excessive heel raise
Prosthetic cause:
- Excessive PF
- Insufficient socket flexion
- Poor suspension
Amputee cause:
- Gait habit
- Fear of catching toe
BK gait deviation
Lateral thrust
Prosthetic cause:
- Foot too far inset
- Insufficient socket Adduction
- Short prosthesis
Amputee cause:
- Poor balance
- Weak knee
- Narrow base
BK gait deviation
Medial thrust
Prosthetic cause
- Foot too far outset
- Excessive socket Adduction
Amputee cause:
- Lack of confidence
- Wide base
- Poor ML knee control
BK gait deviations
toe drag
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
BK gait deviations
external foot rotation
Prosthetic cause
- External foot rotation – alignment
- Poor socket fit
Amputee cause:
- Hip weakness or contracture
- Habit
BK gait deviation
internal foot rotation
prosthetic cause:
- Internal foot rotation – alignment
- Poor socket fit
Amputee cause:
- Hip weakness or contracture
- Habit
AK gait deviation
medial whip
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
AK gait deviation
lateral whip
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
AK gait deviation
abducted gait
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
AK gait deviation
circumduction
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
AK gait deviations
vaulting
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
AK gait deviation
excessive heel raise
prosthetic cause
- Inadequate knee extension
- Insufficient knee friction (knee settings)
Amputee cause:
- Excessive use of hip flexors to initiate swing, overpowering knee
AK gait deviations
knee instability
prosthetic cause:
- Excessive DF
- Knee alignment unstable
- Insufficient socket flexion
- Improper foot alignment
- Incorrect knee settings
Amputee cause:
- Weak hip extensors
- Hip flexion contracture
AK gait deviation
uneven timing
prosthetic cause:
- Socket pain
- Inadequate knee extension (knee settings)
- Unstable knee
- Leg length discrepancy
- Poor suspension
Amputee cause:
- Insecurity
- Weak hip muscles
- Poor balance
AK gait devaitions
lateral trunk bend
prosthetic cause:
- Foot too far inset
- High medial wall
- Excessive ABduction of socket
Amputee cause:
- Poor Balance
- Short Residual limb
- Habit
AK gait deviation
toe drag
prosthetic cause:
- Long prosthesis
- Excessive PF
- Excessive knee friction (knee settings)
Amputee cause:
- Weak hip extensors
- Weak hip Abductors
- Poor posture
- Habit
AK gait deviations
internal foot rotation
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)
AK gait deviations
external foot rotation
prosthetic cause:
- External knee rotation – alignment
- External foot rotation – alignment
- Socket fit, tight adductor channel in socket
Amputee cause
- Impurely donning socket
