KINES: Pathologic Gait Flashcards
aka as limping gait
antalgic gait
what is antalgic gain
WB avoidance on affected limb bc of pain - decreased stance phase on affected LE and inc on unaffected side
compare foot slap and drop
foot slap - during stance phase
foot drop or toe drag - swing phase
what is steppage gait
compensatory inc in hip and knee flexion
aka gluts medius lurch
trendelenburg gait
what is trendelenburg gait
pelvis drops on swinging leg - trunk lurches on stance leg to prevent drop of pelvis
causes of trendelenburg gait
weak gluts med or superior gluteal nerve affecation
causes of trendelenburg gait
weak gluts med or superior gluteal nerve affecation
causes of steppage gait
due to weak DF or deep peroneal nerve affectation
compare the 2 lurching gaits
forward or quadriceps gait - weak quads, femoral nerve affectation
backward or gluts max gait - weak gluts max, affectation of inferior gluteal nerve
what is genu recurvatum gait
hyperex of knee on stance to prevent buckling - common in midstance
causes of genu recurvatum gait
weak quads, PF contracture
what is crouched gait
flexed hip and/or knee flexion during stance - inc lumbar lordosis and dec step length
causes of crouched gait
hip or knee flexor contactures
gait deviations due to stiff LE or leg discrepancy
hip hiking
circumducting gait
vaulting
discuss hip hiking
pelvic elevation on swinging LE to allow clearance kase lengthened LE
discuss circumducting gait
semi-circular swinging path of affected LE
discuss vaulting
heel raise on stance LE
what is hemiplegic gait
extension synergy of LE - hip EADIR and ankle PF inversion
where is hemiplegic gait common seen
stroke pts w spasticity
what is ataxic gait
aka wide based or drunken sailor gait
causes of ataxic gait
due to abducted hip or valgus knee or balance probs due to cerebellar ataxia
what is waddling gait
aka myopathic gait
exaggerated lateral trunk movements and hip elevation - penguin walk
causes of waddling gait
weak proximal muscles of pelvic girdle - spinal muscular atrophy
what is parkinsonian gait
short shuffling gait bc difficulty in initiating walking - too much forward momentum
COG falls anteriorly - flex posture to catch it
characteristics of parkinsonian gait
short steps, no heel strike, no arm swing, no pelvic rotation and toe first
what is scissoring gait
leg crosses midline for each step
causes of scissoring gait
seen in cerebral palsy spastic diplegia - hip adductor spasticity
