Ms2 Flashcards

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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
Q

Adolph

A

Stresses the role of peripheral, biome gal factors and the role of experience .

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26
Q

Walking hands held

A

8-10 mos

27
Q

Initial phase of gait

A

3-6 mos after walking onset

Control balance

28
Q

Gait 2nd phase

A

3-5 years

Locomotor pattern is refined

29
Q

Gait maturation

A

22 wks after ind walking

Heel strike and reciprocal arm swing

30
Q

Baby gait

A

70 stance

30 swing

31
Q

1st days of walking

A
No push off stage
Step width is wide
Arms in high guard
Propels by leaning forward at trunk
Very short swing phase
32
Q

Toddler

A

Ind ambulation but not mature
Inconsistency
Increase in walking speed
Decrease in cadence (bigger steps)

33
Q

1st year walking

A
Increased step freq
Absent arm swing
Flexed knee in stance
Ankle plantar flexion 
Increased hip flexion
Decreased limb stance
34
Q

2 year old

A

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
Q

3 yo gait

A
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
Q

4-6

A

Balance and posture disequilibrium
Normal propulsion
6 yo heel to toe gait

37
Q

7 yo

A

Mature
COM slightly higher
Heel position is neutral

38
Q

Motor milestone

A
Head control
Rolling
Sit
Creep
Walk
Run
Gallop
Hop
Skip
39
Q

Fast walk

A

18-19 mos

40
Q

Early running stages

A

2 yo
Limited hip ext (up to 3yo)
Flatfoot
Arms in middle guard

41
Q

Advanced stage running

A

Peaks at
14-15 females
17 boys

42
Q

Galloping

A

4yo 43%

6.5yo most all are proficient

43
Q

Hopping

A

4yo 33%

6.5yo proficient

44
Q

Skipping

A

4yo 14% can skip

45
Q

Young old

A

65-74

46
Q

Older old

A

75-84

47
Q

Oldest old

A

_>85

48
Q

Abnormal gait

A
Temp or spatial changes beyond expectations 
Asymmetries 
Inability to change speed or direction
Inability to dual task
Postural sway with external support
49
Q

Level of ind

A

FIM

ability to perform instrumental ADL

50
Q

Quality

A

Gait analysis
Dynamic gait index
Berg balance scale

51
Q

Endurance

A

Community >2000
6 min or 400 m
Accelerometer/pedometer

52
Q

Efficiency

A

Gait speed
Tug
Short physical performance battery SPPB

53
Q

SPPB

A

Balance, speed, chair stand ups

0-12

54
Q

Spatial

A

Step length
Stride length ~1.2
BOS
Meaningful change .25cm or .1” for step length

55
Q

Temporal

A
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
Q

Household distance

A

150’

57
Q

Community distance

A

> 300’

58
Q

Independent

A

1.24m/s

59
Q

Sedentary

A

1.1

60
Q

Disability

A

.75

61
Q

Increase fall risk

A

.7

62
Q

Increase mortality

A

.6m/s

63
Q

Recurrent falls

A

.55m/s

64
Q

Hospital

A

.35 m/s