Jigsaw Guide / Student Generated Questions Flashcards
Jigsaw Guide
With the knee positioned underneath the pelvis in single limb stance, gluteus medius is positioned in a manner to control movement in which plane?
- A: Frontal
- B: Sagittal
- C: Horizontal
- D: Boeing 747
Simian/Human Differences
With the knee positioned underneath the pelvis in single limb stance, gluteus medius is positioned in a manner to control movement in which plane =
Frontal
Jigsaw Guide
Collapsing of the arch or inability to bear weight through the _ _ _ will disrupt the gait process.
- A: Big toe
- B: 5th metatarsal
- C: Calcaneus
- D: Lateral aspect of knee
Simian/Human Differences
Collapsing of the arch or inability to bear weight through the _ _ _ will disrupt the gait process =
Big toe
Jigsaw Guide
If patients present with thoracic spine rotation deficits, what symptoms would also likely be present?
- A: Loss of contralateral mobility of pelvis
- B: Loss of ipsilateral mobility of pelvis
- C: Excessive lumbar lordosis
- D: Excessive thoracic kyphosis
Simian/Human Differences
If patients present with thoracic spine rotation deficits, what symptoms would also likely be present? =
Loss of contralateral mobility of pelvis
Jigsaw Guide
A 65 year old patient comes in, with a history of falls, and you immediately visualize gait deviations, what is a sign of general gait deterioration that you would expect?
- A: Wider base of support
- B: Trendelenburg Sign
- C: Walking on toes
- D: Excessive Hip circumduction
Gait Development and Deterioration
A 65 year old patient comes in, with a history of falls, and you immediately visualize gait deviations, what is a sign of general gait deterioration that you would expect? =
Wider base of support
Jigsaw Guide
A three year old comes into your clinic. Given no known deviations, what phase of gait development would you expect them to demonstrate?
- A: Balance: Top down
- B: Refinement: Top down
- C: Balance: Bottom up
- D: Balance: Bottom up
Gait Development and Deterioration
A three year old comes into your clinic. Given no known deviations, what phase of gait development would you expect them to demonstrate? =
Refinement: Bottom up
Jigsaw Guide
What is the correct pairing of postural control stage and age that you would expect to see in a young child?
- A: 8 months - prone to supine
- B: 6 months - Supported sitting
- C: 8 months - independent sitting
- D: 8 months - phase one walking
Gait Development and Deterioration
What is the correct pairing of postural control stage and age that you would expect to see in a young child? =
8 months - independent sitting
Jigsaw Guide
A patient presents with a stride length that has substantially decreased over the past 30 years. What are some strategies they could be using to continue to walk despite having a shortened step length?
- A: Increased stridewidth and slower walking speed
- B: Decreased stride width and slower walking speed
- C: Increased step length
- D: More vertical displacement of center of mass and faster walking speed
Quantitative Measures of Gait
A patient presents with a stride length that has substantially decreased over the past 30 years. What are some strategies they could be using to continue to walk despite having a shortened step length? =
Increased stride width and slower walking speed
Jigsaw Guide
A patient presents with decreased walking speed after a special test??? Are they indicative of a high fall risk if they were able to complete the length… at a speed of 2.0 miles per hour?
- A: No, because they are not under 1.6 mph.
- B: Yes, because a speed under 3 mph is not safe
- C: Depends on their UE strength
- D: Yes, because 2.0 mph is the border between fall risks and just needing rehab.
Quantitative Measures of Gait
A patient presents with decreased walking speed after a special test??? Are they indicative of a high fall risk if they were able to complete the length… at a speed of 2.0 miles per hour? =
No, because they are not under 1.6 mph.
Jigsaw Guide
How many steps does it normally take to ambulate 20 feet?
- A: 15-16 steps
- B: 10-11 steps
- C: 8-9 steps
- D: 4-5 steps
Quantitative Measures of Gait
How many steps does it normally take to ambulate 20 feet? =
8-9 steps
Jigsaw Guide
Which period of gait ends in contralateral toe-off, and what phase is it in?
- A: Terminal stance , stance
- B: Preswing, swing
- C: Initial contact, stance
- D: Loading response, stance
Gait Periods and Phases
Which period of gait ends in contralateral toe-off, and what phase is it in? =
Loading response, stance
Jigsaw Guide
When a patient exhibits a circumduction gait during the initial swing phase, what muscle activity would demonstrate diminished activity on an EMG?
- A: Tibialis anterior
- B: Gluteus maximus
- C: TFL
- D: Loading response, stance
Gait Periods and Phases
When a patient exhibits a circumduction gait during the initial swing phase, what muscle activity would demonstrate diminished activity on an EMG? =
Tibialis anterior
Jigsaw Guide
A patient with a diagnosed gait abnormality exhibits a longer duration of double support during walking. Explain the significance of this finding in the context of gait periods and its potential clinical implications.
- A: Prolonged double support suggests an issue in the swing phase, potentially related to quadriceps weakness.
- B: This finding indicates an extended stance phase, potentially associated with knee hyperextension.
- C: Longer single support signifies issues with the overall gait cycle, particularly affecting both stance and swing phases.
- D: Increased double support suggests a shortened swing phase, possibly due to quadriceps weakness.
Gait Periods and Phases
A patient with a diagnosed gait abnormality exhibits a longer duration of double support during walking. Explain the significance of this finding in the context of gait periods and its potential clinical implications. =
This finding indicates an extended stance phase, potentially associated with knee hyperextension.
Jigsaw Guide
After manual muscle testing a patient for hip extension with a flexed knee and recording a 2/5, a physical therapist analyzes this patient’s gait. What common compensation may they likely see?
- A: Trendelenburg Gait
- B: Vaulting
- C: Gluteal Lurch
- D: Crouched Gait
Muscular Action of Weight Acceptance
After manual muscle testing a patient for hip extension with a flexed knee and recording a 2/5, a physical therapist analyzes this patient’s gait. What common compensation may they likely see? =
Gluteal Lurch
Jigsaw Guide
A patient presents with a hyperextended knee upon weight acceptance phase of the gait cycle. MMT of tibialis anterior presents 4/5 and gastrocnemius presents 4/5. Which of these would be the most common reason for this?
- A: Hamstring weakness
- B: Hip extensor weakness
- C: Overactive quads
- D: Quad weakness
Muscular Action of Weight Acceptance
A patient presents with a hyperextended knee upon weight acceptance phase of the gait cycle. MMT of tibialis anterior presents 4/5 and gastrocnemius presents 4/5. Which of these would be the most common reason for this? =
Quad weakness
Jigsaw Guide
A patient presents with flat foot and slapping gait during initial contact phase, which of the following muscular impairments and action is most likely the cause?
- A: Lateral Gastoc, weak PF
- B: Quads, limited flexion
- C: Tibialis Anterior, weak DF
- D: Tibialis Posterior, weak PF
Muscular Action of Weight Acceptance
A patient presents with flat foot and slapping gait during initial contact phase, which of the following muscular impairments and action is most likely the cause? =
Tibialis Anterior, weak DF
