Gait ROM/muscle activity Flashcards
ROM requirements for normal gait: hip flexion
0-30˚
ROM requirements for normal gait: hip extension
0-10˚
ROM requirements for normal gait: knee flexion
0-60˚
ROM requirements for normal gait: knee extension
0˚
ROM requirements for normal gait: ankle DF
0-10˚
ROM requirements for normal gait: ankle PF
0-20˚
initial contact: muscle actions
ankle dorsiflexors
ankle DF place ankle in DF during heel strike and prepare foot to lower
initial contact: muscle actions
quadriceps
quadriceps put knee in extension
initial contact: muscle actions
hamstrings
hamstrings stabilize knee and prevent hyperextension
initial contact: muscle actions
hip extensors and abductors
contract to stabilize trunk
loading response: muscle actions
dorsiflexors
eccentrically control lowering of the foot
loading response: muscle actions
quadriceps
eccentrically contract to control knee flexion as the limb accepts the weight of the body
becomes concentric to draw the femur forward over the tibia
loading response: muscle actions
plantarflexors
eccentrically control DF as tibia moves over the foot
loading response: muscle actions
tibialis posterior
eccentrically controls foot pronation
loading response: muscle actions
hip extensors
contract concentrically to produce hip extension throughout
midstance: muscle actions
plantarflexors
eccentrically control dorsiflexion as body moves over stance limb
midstance: muscle actions
knee musculature
minimal activity, but quads contract concentrically to continue producing closed chain knee extension
midstance: muscle actions
hip abductors
stabilize pelvis and prevent contralateral hip drop
midstance: muscle actions
iliopsoas
eccentrically contracts to control hip extension
terminal stance: muscle actions
plantarflexors
begin to work concentrically to aid foot in propulsion of the body forward
terminal stance: muscle actions
knee musculature
limited
terminal stance: muscle actions
hip abductors
continue to stabilize pelvis
terminal stance: muscle actions
iliopsoas
continues to slow rate of hip extension
pre-swing: muscle actions
plantarflexors
at their peak of activity as the foot toes off from the ground
pre-swing: muscle actions
hamstrings
produce knee flexion to prepare for swing phase
assisted by momentum
pre-swing: muscle actions
iliopsoas
concentrically contracts to produce hip flexion
along with other hip flexors
initial swing: muscle actions
dorsiflexors
concentrically contract to clear the foot from the ground
initial swing: muscle actions
hamstrings
assist with foot clearance by flexing the knee
initial swing: muscle actions
hip flexors
continue to produce hip flexion to advance the limb forward
midswing: muscle actions
ankle dorsiflexors
concentrically contract to maintain DF
midswing: muscle actions
knee and hip muscle activity
minimal during this phase due to forward momentum allowing for limb advancement
terminal swing: muscle actions
dorsiflexors
concentrically contract to maintain DF
terminal swing: muscle actions
ankle invertors
concentrically contract to prepare foot for initial contact
terminal swing: muscle actions
quadriceps
contract concentrically to place the knee in extension for initial contact
terminal swing: muscle actions
hamstrings
eccentrically contract to control rate of knee extension
terminal swing: muscle actions
hip extensors
eccentrically slow the rate of hip flexion and prepare limb for initial contact