lecture 1 anatomical terms gait cycle Flashcards
hip and knee movements
flexion and extension- mediolateral axis saggital plane
abduction adduction- anteroposterior axis coronal plane
internal and external rotation-longitudinal axis of thigh and horizontal plane
ankle movement
plantarflexion and dorsiflexion- oblique mediolateral axis and oblique saggital plane
Relationship of GRF to the major joints:
To the hip joint: slightly posterior
To the knee joint: slightly anterior
To the ankle joint: about 2 inches anterior to the ankle
it comes up the foot between the heel and ball of the foot
GRF will tend to
hyperextend the hip-limited by iliofemoral and ischiofemoral ligaments
hyperextend knee-limited by intrascpular and extrascapular ligaments
dorsiflex ankle limited by active plantar flexors
patient loses ability to dorsiflex(extend) ankle
high steppage gait knee lifted high toe strike muscle atrophy toe of shoe is worn
GRF at midstance
one limb off ground
hip abductors prevent pelvis from sagging on swinging side
knee extensors active
plantarflexors stabilize ankle
patient loses hip abductors
the individual’s pelvis will tilt during midstance/swing phase
trendelenburg gait
compensation by shifting trunk to affected side during midstance
GRF at toe off
need hip flexors, knee extensors, ankle plantarflexors
because GRF is post to hip and knee and ant to ankle
Apropulsive or Calcaneus Gait
weakness of ankle plantarflexors
no toe off, whole foot comes up at once
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