Neuro Gait training Flashcards
(true/false) gait deviations rarely occur in isolation
true
Description: uncontrolled foot flat after initial contact which results in an audible slapping sound
foot slap
What are the causes of foot slap?
Weak dorsiflexors
Sensory deficits
Motor control
Description: Knee buckling or mild flexion thrust during the LOADING response
uncontrolled knee FLX
What causes uncontrolled knee FLX during the loading response?
Weak quadriceps
Inadequate plantar flexion ROM during loading response
Excessive hamstring activity
Knee flexion contracture
Description: Knee buckling or mild flexion thrust during LATE STANCE
uncontrolled knee FLX
What causes uncontrolled knee FLX during the late stance phase?
WEak quads
Weak PF
excessive Hamstring activity
What causes knee HyperEXT/recurvatum?
Weak quadriceps
Plantar flexion contracture
Plantar flexion spasticity
Poor motor control
What causes flexed trunk and hips during gait?
Weak quadriceps
Weak hip and trunk extensors
Hip flexor spasticity
Rectus femoris spasticity
Hip flexion contracture
What causes excessive trunk and hip EXT during gait?
Hamstring spasticity
Gluteal spasticity
Trunk extensor spasticity
Gluteal weakness
Ataxia
Poor motor planning
What causes hip ER at late stance/preswing?
Hip flexion contracture
Hip flexion spasticity
Weak hip flexors
Why does lateral trunk lean occur?
Compensation for weak ipsilateral abductors
Description: The ankle remains in a plantar flexed posture throughout swing and stance. May also be accompanied by varus position.
equinus/eqinovarus
What causes equinus/equinovarus?
Plantar flexion contracture
Spasticity of gastroc, soleus or posterior tibialis
Description: The swing limb knee remains in extension during swing phase.
stiff knee
What causes stiff knee?
Gluteal spasticity
Hamstring spasticity
Overactivity of the rectus femoris (RF)
What are compensatory strategies of stiff knee?
hip hiking
lateral trunk lean
sound side vaulting
Description: Patient walks with a very narrow base of support often crossing midline with one or both limbs.
scissoring
What are the causes of scissoring?
Spasticity of the adductors
Weakness of the abductors
What are the causes of initial contact with the forefoot?
Leg length discrepancy
PF contracture
PF spasticity
Flaccidity of DF
Painful heel
What are the characteristics of neurological weakness/paresis?
- decreased force generation
- decreased firing rate
- decreased # of motor units
- altered motor recruitment
(true/false) Neurologic gait (common with stroke and cerebral palsy) can cause coactivation of flexors and extensors leading to deviations
true
______ inputs are triggers for initiation of swing
proprioceptive
Neuroplasticity recovery occurs within the first ____ months.
6 months
