Gait Devs Flashcards
Ataxic
Staggering + Unsteadiness
Wide base of support
Exaggerated movements
Antalgic
Protective gait pattern
Decreased stance time to avoid weight bearing on involved sign
Rapid/shorter swing phase of uninvolved limb
Cerebellar
Staggering gait seen in cerebellar disease
Circumduction
Circular motion to advance leg during swing phase
Compensation for lack of hip/knee flexion or dorsiflexion
Double Step
Alternate steps are different length or rate
Equine
High steps
Excessive gastroc activity (crossed legged palsy)
Festinating
Walks on toes as though pushed
Starts slow, increases, and may continue until patient grasps an object in order to stop
(Parkinsons)
Hemiplegic
Abducts paralyzed limb to swing around, brings it forward so foot comes to ground in front of them (Stroke)
Parkinsonian
Increased forward flexion of trunk and knees, shuffling gait, quick and small steps (Parkinsons)
Scissor
Legs cross midline upon advancement, tight adductors
Spastic
Stiff movement, toes catch and drag, hip and knee joints slightly flexed
Steppage
Feet and toes are lifted through hip and knee flexion to excessive heights (hip hiking), dorsiflexor weakness, foot slap at initial contact
Tabetic
High stepping ataxic gait pattern, feet slap the ground
Trendelenburg
Excessive lateral trunk flexion and weight shifting over stance leg to decrease load of ipsilateral hip abductors
Midstance
IPSIL TRUNK LEAN, CONTRAL HIP DROP
Vaulting
Active plantarflexion of stance limb in order to clear contralateral limb during swing phase
Midstance
Causes of vaulting
LLD
prosthesis too long
PF spasticity/contracture
Knee thrust
Rapid hyperextension of knee, to move center of mass anterior to knee to produce knee extensor moment
Loading response to midstance
Causes of knee thrust
Weak quads
Spastic quads
PF contracture
Causes of trendelenburg
Glute med/min weakness
Ipsilateral hip adductor tightness
Superior gluteal nerve palsy
Delayed heel off
Lack of plantarflexion that results in inability to transfer weight onto forefoot in prep for swing
Terminal stance to preswing
Causes of delayed heel off
Weak plantarflexors
Excessive dorsiflexion mobility
Tibial nerve palsy
Anterior foot pain
Early heel off
Inability to have enough dorsiflexion during late stance phase
Midstance
Causes of early heel off
Limited posterior talocrural mobility
Tight/spastic plantarflexors
Heel pain
Backward trunk lean
Trunk extension to shift center of mass posteriorly and reduce load on glute max
Initial contact to midstance
Causes of backward trunk lean
Glute max weakness
Inferior glute nerve palsy
