Ms2 Flashcards

1
Q

Heel strike

A

0-11%
Heel strike and foot flat
IC and LR

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2
Q

Midstance

A

12-40

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3
Q

Push off

A

40-60%
Heel off and toe off
TS and PS

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4
Q

Acceleration

A

60-75%

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5
Q

Mid swing

A

75-85

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6
Q

Deceleration

A

85-100

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7
Q

Normal cadence

A

110-116 steps/min

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8
Q

Normal speed

A

1.23-1.37 m/sec

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9
Q

Normal stride length

A

1.27-1-48m

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10
Q

Normal step width

A

1-5”

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11
Q

Normal Toe out

A

7

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12
Q

Ankle movement

A

5 inv, 5 ev and 15 inv

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13
Q

Minimal rom for gait

A

Hip 20 flx and 20 ext
Knee 0-60
Ankle pf 25 and df 7

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14
Q

Gait initiation from erect standing

A
  • inhibition of gastroc followed by activation of ant tib bilaterally inclines body forward
  • COP shifts from swing foot to stance foot
  • Glut med accepts weight on stance limb
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15
Q

Termination of gait

A
  • stance limb reduces push off w hip ext, knee ext and ant tib
  • swing limb brakes at IC w soleus, quads and erector spinae
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16
Q

Sinusoidal pattern in Sagittal plane

A

Up and down (4-5cm) low at IC high at MS

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17
Q

Head stability

A

Postural righting

Head stability

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18
Q

Gait UE ROM

A

Shoulder 30
- 6 flx, 24 ext
Elbow 20-45

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19
Q

Stairs gait

A
Stance-up and forward
Swing
Vertical work ^^^
Quad work ^^^^
Knee torque 3x in accent and descent 
Head motion ^^^
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20
Q

Running gait

A

Swing, stance and float phase

ROM INCREASE FOR ALL FLEXION

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21
Q

Baby gait

A

11-15 mos

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22
Q

Research in baby motor dev: McGraw

A

Phases and transitional patterns (neuromaturational)

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23
Q

5 task of gait

A
Support hat
Maintain posture and balance
Control foot trajectory 
Generate mechanical energy
Absorption of mechanical energy
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24
Q

Robert Halverson

A

Used descriptive analysis and divided a pattern into its component parts (physical development)

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25
Adolph
Stresses the role of peripheral, biome gal factors and the role of experience .
26
Walking hands held
8-10 mos
27
Initial phase of gait
3-6 mos after walking onset | Control balance
28
Gait 2nd phase
3-5 years | Locomotor pattern is refined
29
Gait maturation
22 wks after ind walking | Heel strike and reciprocal arm swing
30
Baby gait
70 stance | 30 swing
31
1st days of walking
``` No push off stage Step width is wide Arms in high guard Propels by leaning forward at trunk Very short swing phase ```
32
Toddler
Ind ambulation but not mature Inconsistency Increase in walking speed Decrease in cadence (bigger steps)
33
1st year walking
``` Increased step freq Absent arm swing Flexed knee in stance Ankle plantar flexion Increased hip flexion Decreased limb stance ```
34
2 year old
Pelvic tilt, abd and ext rot are decreased Knee-flexion wave occurs Heel strike is present at 18mos Ankle df in swing Reciprocal arm swing begins (matures at 4yo) End of 2nd year push off
35
3 yo gait
``` Reciprocal arm swing in 90% Lordosis with ant pelvic tilt May have knee hyper ext Hip ext Increased sls, step length, and stride length Genu valgun present ```
36
4-6
Balance and posture disequilibrium Normal propulsion 6 yo heel to toe gait
37
7 yo
Mature COM slightly higher Heel position is neutral
38
Motor milestone
``` Head control Rolling Sit Creep Walk Run Gallop Hop Skip ```
39
Fast walk
18-19 mos
40
Early running stages
2 yo Limited hip ext (up to 3yo) Flatfoot Arms in middle guard
41
Advanced stage running
Peaks at 14-15 females 17 boys
42
Galloping
4yo 43% | 6.5yo most all are proficient
43
Hopping
4yo 33% | 6.5yo proficient
44
Skipping
4yo 14% can skip
45
Young old
65-74
46
Older old
75-84
47
Oldest old
_>85
48
Abnormal gait
``` Temp or spatial changes beyond expectations Asymmetries Inability to change speed or direction Inability to dual task Postural sway with external support ```
49
Level of ind
FIM | ability to perform instrumental ADL
50
Quality
Gait analysis Dynamic gait index Berg balance scale
51
Endurance
Community >2000 6 min or 400 m Accelerometer/pedometer
52
Efficiency
Gait speed Tug Short physical performance battery SPPB
53
SPPB
Balance, speed, chair stand ups | 0-12
54
Spatial
Step length Stride length ~1.2 BOS Meaningful change .25cm or .1" for step length
55
Temporal
``` Gait speed ~1m/s (3.28'/sec) MDC small .05 lrg .1 Cadence ~105 steps/min Decrease swing/increase dls Swing .4 sec/ stance .8 sec MDC .01 sec Dls ~25% ```
56
Household distance
150'
57
Community distance
>300'
58
Independent
1.24m/s
59
Sedentary
1.1
60
Disability
.75
61
Increase fall risk
.7
62
Increase mortality
.6m/s
63
Recurrent falls
.55m/s
64
Hospital
.35 m/s