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
Jigsaw Guide
60 year old patient presents with toe-out gait on the right side. Complains of dragging their foot more often. What muscle is most likely involved for the decreased the joint range of motion?
- A: Gluteus Medius
- B: Tibialis Anterior
- C: Hip flexors
- D: Gastrocnemius/Soleus
Muscular Action of Single-leg Support
60 year old patient presents with toe-out gait on the right side. Complains of dragging their foot more often. What muscle is most likely involved for the decreased the joint range of motion? =
Tibialis Anterior
Jigsaw Guide
A geriatric pt comes in with unstable balance medially and a collapse at the arch of the foot. The patient complains of medial knee pain and instability at the ankle. What muscles would be used to keep stability during single limb support of gait?
- A: Posterior Tibialis, Hip abductors, Peroneals
- B: Anterior Tibialis, Hip adductors, Hip flexors
- C: Gastrocnemius
- D: Hamstrings
Muscular Action of Single-leg Support
A geriatric pt comes in with unstable balance medially and a collapse at the arch of the foot. The patient complains of medial knee pain and instability at the ankle. What muscles would be used to keep stability during single limb support of gait? =
Posterior Tibialis, Hip abductors, Peroneals
Jigsaw Guide
A long distance runner comes in to a clinic presenting pain while running. You as the PT decided to have her run and record her. You notice that she is landing on the lateral aspect of her foot and slamming into pronation. Along with this you notice that she is having excessive circumduction and toe out along with this we notice that she had a huge hip drop. What muscle is causing her to have this circumduction?
- A:Tibialis Post.
- B: Tibialis Ant.
- C: gastrocnemius
- D: TFL
Muscular Action of Single-leg Support
A long distance runner comes in to a clinic presenting pain while running. You as the PT decided to have her run and record her. You notice that she is landing on the lateral aspect of her foot and slamming into pronation. Along with this you notice that she is having excessive circumduction and toe out along with this we notice that she had a huge hip drop. What muscle is causing her to have this circumduction? =
Tibialis Ant.
Jigsaw Guide
A patient presents with weak hip flexors. Also presented with limited knee flexion when going through test and measures. What movements might this patient be struggling to preform throughout the gait cycle?
- A: Single leg support
- B: Weight acceptance
- C: Limb advancement
- D: Double limb support
Muscular Action of Swing Limb Advancement
A patient presents with weak hip flexors. Also presented with limited knee flexion when going through test and measures. What movements might this patient be struggling to preform throughout the gait cycle? =
Limb advancement
Jigsaw Guide
A patient presents with a vaulting gait resulting in reduced stride length in the advancing limb. What would cause this deviation within the gait?
- A: Deficits in hip flexion
- B: Deficits in ankle plantarflexion
- C: Deficits in ankle dorsiflexion
- D: Deficits in hip extension
Muscular Action of Swing Limb Advancement
A patient presents with a vaulting gait resulting in reduced stride length in the advancing limb. What would cause this deviation within the gait? =
Deficits in hip flexion
Jigsaw Guide
A patient presents with a hip circumduction gait due to weak hip flexors. This type of gait is a compensation for deficits in what part of gait?
- A: Toe Off
- B: Heel Strike
- C: Toe Clearance
- D: Heel Off
Muscular Action of Swing Limb Advancement
A patient presents with a hip circumduction gait due to weak hip flexors. This type of gait is a compensation for deficits in what part of gait? =
Toe Clearance
