gait session Flashcards
what to look at
trunk and pelvic position, hip ROM and position during WB, knee ROM and position during WB, shin (rotation), ankle ROM, foot position and pronation/supination during WB
viewpoints- frontal and sagittal plane
frontal- trink, hip/thigh, knee- valgus/rotation, shin, foot, degree of rotation- look at compensatory movements, sagittal- trunk- lean, hip/thigh, knee, shin (contact), foot contact/ lift off
abnormal gaits- coxalgic
weakness of glut med/ min, problem on stance leg, compensate by leaning over to take of some of the weight
abnormal gaits- trendelenburg gait
opposite leg drops down (ADD), pelvis dropped may also be a crossover of foot
abnormal gaits- cross over gait
foot crosses over other one posteriorly- common for someone with gluteal tendinopathy
abnormal gaits- weakness in quads
increase in trunk lean- compensatory
abnormal gaits- foot drop
may occur due to irritation of one of the nerves within the spinal formain, tibial nerve- L4/5, peroneal nerve, drag feet, often have repeated falls, compensate by leaning over to other side to swing leg out, or swing leg out in a circumducted position
kinetic chain
this is a movement chain. pronation of foot, tibia then rotates medially, cue angle then increases, causes hip to go into add- more load on glut med/min- compress on GT- causing stress on area- gluteal tendinopathy
if someone has valgus knee during squat- insert something under foot- fix pronation see how this affects pain in knee and hip
summary
assess for gait abnormality systematically, use multiple viewpoints, side on good for ROM of joint, frontal best for rotation issues, stride pattern (cadence, stride length) best sideways, know normal gait parameters and assess against this, speed influences pattern (midfoot strikes in sprinters), people compensate differently
