Gait mechanics Flashcards
5 major attributes of development of gait
Stability in stance
Sufficient foot clearance in swing
Appropriate repositioning of foot for initial contact
Adequate step length
Energy conservation
Prerequisites of gait
CNS maturation
Adequate motor control and ROM
Muscle strength
Appropriate bone structure
Intact sensation
Early presentation of gait
Wide based gait
Rapid cadence
Arms outstretched
LE ER with bowing
Flat feet w/ little to no arch evident
When does heel strike appear?
15-18 months
When does running and change of direction appear?
2 years
Gross motor milestones: pre-walking
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)
When does a typical child begin walking?
12 to 14 months of age
Wide base, ER, short steps
Walking presentation @ 9-15 months
Wide BOS
Hip ABD and flex
Slight hip ER
Everted heel in WB
Anticipatory postural adjustments not yet present
Walking presentation @ 18-24 months
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
Walking presentation @ 2-3 yrs
Narrower BOS
Development of hip and knee ext
Stair navigation
Tip toes and heels
Hopping and jumping
Running and change of direction
Walking presentation @ 3-3.5 yrs
SLS
Heel strike, toe push off
Changing of joint angles
Walking presentation @ 6-7 yrs
Upper body posture
Balance
Pelvic movement
Knee position
Heel-to-toe
Gross motor developmental milestones