Gait Pathology

Question 1

Does the gluteus medius activate during stance phase or swing phase?

Answer 1

Stance phase

Question 2

If someone presents with genu recurvatum, do you expect the quads or the hamstrings to be weak?

Answer 2

Hamstring weakness and spastic quads

Question 3

What requires more energy - using crutches or walking with a prosthetic?

Answer 3

Walking with crutches

Question 4

If a patient has quadratus lumborum shortening on one side, what gait pathology do you expect?

Answer 4

Hip hiking

Question 5

If someone presents with excessive foot supination, do you suspect forefoot valgus or varus? Pes cavus or planus? What about excessive foot pronation?

Answer 5

Supination = forefoot valgus, pes cavus
Pronation = forefoot varus, pes planus

Question 6

Uncompensated vs compensated trendelenburg

Answer 6

Uncompensated = contralateral pelvic drop
Compensated = swinging of the hip with lateral lean to compensate for hip drop

Question 7

If a patient has plantar flexor spasticity/Achilles tendon contracture, what gait pathology do you expect?

Answer 7

Genu recurvatum and a bouncing step

Question 8

What is a cause of waddling gait

Answer 8

Bilateral gluteus medius weakness

Question 9

What part of the gait cycle is the gluteus maximus active

Answer 9

Heel strike/initial contact

Question 10

If someone has a long a limb or a stiff knee, what 2 gait pathologies can you expect?

Answer 10

Circumduction or hip hiking

Question 11

If you stand on the right leg and the left pelvis drops, which is the side of dysfunction?

Answer 11

Right gluteus medius weakness

Question 12

What muscles are weak in trendeleburg gait?

Answer 12

Gluteus medius and minimus