LE Orthotic Gait Deviations

Question 1

What are 6 potential causes to lateral trunk bending deviation?

Answer 1

• medial side of KAFO too high
• insufficient shoe lift
• hip pain
• weak or tight abductors on the orthotic side
• short leg
• poor balance

Question 2

What are 4 potential causes to circumduction or vaulting deviation?

Answer 2

• locked knee
• excessive plantar flexion (inadequate stop or contracture)
• weak hip flexors
• weak dorsiflexors

Question 3

What are 3 potential causes to anterior trunk bending (pt leans forward during stance phase) deviation?

Answer 3

• weak quads
• inadequate knee lock
• hip or knee flexion contracture

Question 4

What are 3 potential causes to posterior trunk bending (pt has excessive lordosis) deviation?

Answer 4

• inadequate hip lock
• weak gluteus maximus
• bilateral knee extension braces (Craig Scott brace)

Question 5

What are 7 potential causes to a knee hyperextension deviation?

Answer 5

• inadequate PF stop
• inadequate knee lock (KAFO)
• poor fit of calf band
• weak quads
• lax knee ligaments
• extensor spasticity
• pes equinus (PF at mid foot)

Question 6

What are 5 potential causes to a knee instability gait deviation?

Answer 6

• inadequate DF stop
• inadequate knee lock
• knee and/or hip flexion contracture
• weak quadriceps
• knee pain

Question 7

What are 2 potential causes to a foot slap gait deviation?

Answer 7

• inadequate dorsiflexion assist
• inadequate plantarflexion stop
• weak dorsiflexors

Question 8

What are 7 potential causes to a tow walking gait deviation?

Answer 8

• inadequate DF assist
• inadequate PF stop
• inadequate heel lift
• heel pain
• extensor spasticity
• pes equinus
• short leg

Question 9

What are 2 potential causes to a flat foot gait deviation?

Answer 9

• inadequate longitudinal arch support

- pes planus

Question 10

What are 5 potential causes to excessive pronation gait deviation?

Answer 10

• valgus position of calcaneus
• transverse plane malalignment
• weak invertors
• pes valgus
• genus valgum

Question 11

What are 5 potential causes to excessive supination gait deviation?

Answer 11

• varus position of the calcaneus
• transverse plane malalignment
• weak evertors
• pes varus
• genu varum

Question 12

What are 6 potential causes to an excessive stance width gait deviation?

Answer 12

• KAFO too high on medial upright
• HKAFO hip joint aligned in excessive abduction
• knee is locked
• abduction contracture/tightness
• poor balance
• sound limb is too short