Gait mechanics Flashcards

1
Q

5 major attributes of development of gait

A

Stability in stance

Sufficient foot clearance in swing

Appropriate repositioning of foot for initial contact

Adequate step length

Energy conservation

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2
Q

Prerequisites of gait

A

CNS maturation

Adequate motor control and ROM

Muscle strength

Appropriate bone structure

Intact sensation

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3
Q

Early presentation of gait

A

Wide based gait

Rapid cadence

Arms outstretched

LE ER with bowing

Flat feet w/ little to no arch evident

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4
Q

When does heel strike appear?

A

15-18 months

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5
Q

When does running and change of direction appear?

A

2 years

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6
Q

Gross motor milestones: pre-walking

A

Sitting up unassisted (6-8 months)

Crawling on hands and knees (9-11 months)

Scooting bottom shuffle (11-12 months)

Cruising furniture walking (11-13 months)

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7
Q

When does a typical child begin walking?

A

12 to 14 months of age

Wide base, ER, short steps

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8
Q

Walking presentation @ 9-15 months

A

Wide BOS

Hip ABD and flex

Slight hip ER

Everted heel in WB

Anticipatory postural adjustments not yet present

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9
Q

Walking presentation @ 18-24 months

A

Varus of tibiofemoral angle in frontal plane has resolved and limb is now straight

Reduced limitation in hip ext. ROM

Decreased abd and improved stability

Narrower BOS

Increased dynamic balance and strength

Knee ext at mid-stance develops

80% of children ahble to run at 18 months

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10
Q

Walking presentation @ 2-3 yrs

A

Narrower BOS

Development of hip and knee ext

Stair navigation

Tip toes and heels

Hopping and jumping

Running and change of direction

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11
Q

Walking presentation @ 3-3.5 yrs

A

SLS

Heel strike, toe push off

Changing of joint angles

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12
Q

Walking presentation @ 6-7 yrs

A

Upper body posture

Balance

Pelvic movement

Knee position

Heel-to-toe

Gross motor developmental milestones

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