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academic weapon > KINES: Pathologic Gait > Flashcards

KINES: Pathologic Gait Flashcards

1
Q

aka as limping gait

A

antalgic gait

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2
Q

what is antalgic gain

A

WB avoidance on affected limb bc of pain - decreased stance phase on affected LE and inc on unaffected side

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3
Q

compare foot slap and drop

A

foot slap - during stance phase

foot drop or toe drag - swing phase

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4
Q

what is steppage gait

A

compensatory inc in hip and knee flexion

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5
Q

aka gluts medius lurch

A

trendelenburg gait

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6
Q

what is trendelenburg gait

A

pelvis drops on swinging leg - trunk lurches on stance leg to prevent drop of pelvis

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7
Q

causes of trendelenburg gait

A

weak gluts med or superior gluteal nerve affecation

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8
Q

causes of trendelenburg gait

A

weak gluts med or superior gluteal nerve affecation

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9
Q

causes of steppage gait

A

due to weak DF or deep peroneal nerve affectation

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10
Q

compare the 2 lurching gaits

A

forward or quadriceps gait - weak quads, femoral nerve affectation

backward or gluts max gait - weak gluts max, affectation of inferior gluteal nerve

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11
Q

what is genu recurvatum gait

A

hyperex of knee on stance to prevent buckling - common in midstance

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12
Q

causes of genu recurvatum gait

A

weak quads, PF contracture

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13
Q

what is crouched gait

A

flexed hip and/or knee flexion during stance - inc lumbar lordosis and dec step length

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14
Q

causes of crouched gait

A

hip or knee flexor contactures

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15
Q

gait deviations due to stiff LE or leg discrepancy

A

hip hiking
circumducting gait
vaulting

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16
Q

discuss hip hiking

A

pelvic elevation on swinging LE to allow clearance kase lengthened LE

17
Q

discuss circumducting gait

A

semi-circular swinging path of affected LE

18
Q

discuss vaulting

A

heel raise on stance LE

19
Q

what is hemiplegic gait

A

extension synergy of LE - hip EADIR and ankle PF inversion

20
Q

where is hemiplegic gait common seen

A

stroke pts w spasticity

21
Q

what is ataxic gait

A

aka wide based or drunken sailor gait

22
Q

causes of ataxic gait

A

due to abducted hip or valgus knee or balance probs due to cerebellar ataxia

23
Q

what is waddling gait

A

aka myopathic gait

exaggerated lateral trunk movements and hip elevation - penguin walk

24
Q

causes of waddling gait

A

weak proximal muscles of pelvic girdle - spinal muscular atrophy

25
Q

what is parkinsonian gait

A

short shuffling gait bc difficulty in initiating walking - too much forward momentum

COG falls anteriorly - flex posture to catch it

26
Q

characteristics of parkinsonian gait

A

short steps, no heel strike, no arm swing, no pelvic rotation and toe first

27
Q

what is scissoring gait

A

leg crosses midline for each step

28
Q

causes of scissoring gait

A

seen in cerebral palsy spastic diplegia - hip adductor spasticity

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