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Neuro > Neuro Gait training > Flashcards

Neuro Gait training Flashcards

1
Q

(true/false) gait deviations rarely occur in isolation

A

true

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2
Q

Description: uncontrolled foot flat after initial contact which results in an audible slapping sound

A

foot slap

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3
Q

What are the causes of foot slap?

A

Weak dorsiflexors
Sensory deficits
Motor control

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4
Q

Description: Knee buckling or mild flexion thrust during the LOADING response

A

uncontrolled knee FLX

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5
Q

What causes uncontrolled knee FLX during the loading response?

A

Weak quadriceps
Inadequate plantar flexion ROM during loading response
Excessive hamstring activity
Knee flexion contracture

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6
Q

Description: Knee buckling or mild flexion thrust during LATE STANCE

A

uncontrolled knee FLX

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7
Q

What causes uncontrolled knee FLX during the late stance phase?

A

WEak quads
Weak PF
excessive Hamstring activity

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8
Q

What causes knee HyperEXT/recurvatum?

A

Weak quadriceps
Plantar flexion contracture
Plantar flexion spasticity
Poor motor control

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9
Q

What causes flexed trunk and hips during gait?

A

Weak quadriceps
Weak hip and trunk extensors
Hip flexor spasticity
Rectus femoris spasticity
Hip flexion contracture

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10
Q

What causes excessive trunk and hip EXT during gait?

A

Hamstring spasticity
Gluteal spasticity
Trunk extensor spasticity
Gluteal weakness
Ataxia
Poor motor planning

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11
Q

What causes hip ER at late stance/preswing?

A

Hip flexion contracture
Hip flexion spasticity
Weak hip flexors

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12
Q

Why does lateral trunk lean occur?

A

Compensation for weak ipsilateral abductors

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13
Q

Description: The ankle remains in a plantar flexed posture throughout swing and stance. May also be accompanied by varus position.

A

equinus/eqinovarus

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14
Q

What causes equinus/equinovarus?

A

Plantar flexion contracture
Spasticity of gastroc, soleus or posterior tibialis

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15
Q

Description: The swing limb knee remains in extension during swing phase.

A

stiff knee

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16
Q

What causes stiff knee?

A

Gluteal spasticity
Hamstring spasticity
Overactivity of the rectus femoris (RF)

17
Q

What are compensatory strategies of stiff knee?

A

hip hiking
lateral trunk lean
sound side vaulting

18
Q

Description: Patient walks with a very narrow base of support often crossing midline with one or both limbs.

A

scissoring

19
Q

What are the causes of scissoring?

A

Spasticity of the adductors
Weakness of the abductors

20
Q

What are the causes of initial contact with the forefoot?

A

Leg length discrepancy
PF contracture
PF spasticity
Flaccidity of DF
Painful heel

21
Q

What are the characteristics of neurological weakness/paresis?

A
  • decreased force generation
  • decreased firing rate
  • decreased # of motor units
  • altered motor recruitment
22
Q

(true/false) Neurologic gait (common with stroke and cerebral palsy) can cause coactivation of flexors and extensors leading to deviations

A

true

23
Q

______ inputs are triggers for initiation of swing

A

proprioceptive

24
Q

Neuroplasticity recovery occurs within the first ____ months.

A

6 months

25
Q

definition: The ability of the spinal cord to produce rhythmic flexor and extensor movement without supraspinal involvement

A

central pattern generators

26
Q

(true/false) Interaction of sensory information derived from moving limbs essential to locomotion

A

true

27
Q

Recovery is task (independent/dependent)

A

dependent

–> movement should be as close to normal as possible

28
Q

Is neuro treadmill training the same as ground walking?

A

no, due to the ability to control the speed and incline

29
Q

What are the benefits of neuro treadmill training?

A
  • WB foot is carried posteriorly by the belt
  • facilitates hip EXT
  • can control incline and speed
30
Q

It takes (less/more) energy to walk with a neurologic impairment

A

more

Neuro (45 decks)

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