Normal Gait Flashcards
ROM at hip needed for normal gait
Stance: 0-30 hip flexion, 0-10-20 hyperextension
Swing: 20-30 hip flexion
ROM at knee needed for normal gait
Stance: 0-40 knee flexion
Swing: 0-60 knee flexion
ROM at ankle needed for normal gait
Stance: 0-10 DF, 0-20 PF
Swing: 0-20 DF
Pretibial muscle activity in gait
Pretibial Muscles
Anterior tibialis, extensor digitorum longus, extensor hallucis longus
Prior to and during heel strike: eccentric contraction – Lowers foot to the ground
Prior to and during swing:
Concentric contraction – Dorsiflexion, clear toes off ground
Calf muscle activity in gait
Calf Muscles
Gastrocnemius, Soleus (Flexor digitorum longus, flexor hallucis longus, posterior tibialis)
Mid stance:
Eccentric contraction – Control of tibia over the foot
Heel off:
Concentric contraction – Ankle plantarflexion
Quadriceps muscle activity in gait
Quadriceps
Vastus medialis/lateralis/intermedius, rectus femoris
Heel Strike
Quadriceps femoris contracts eccentrically – Control rapid knee flexion and to prevent buckling
Pre Swing phase
Eccentric contraction – Slow down leg (tibia)
Hamstrings muscle activity in gait
Hamstrings
Biceps, Semitendinosus, Semimembranosus
Before Heel strike
Eccentric contraction – Protects knee from hyperextension
Swing phase
Concentric contraction – Knee flexion
Hip abductors muscle activity in gait
Hip Abductors
Gluteus medius, Gluteus minimus, Tensor fascia lata
Stance phase
Eccentric contraction – Stabilize pelvis
Hip adductors muscle activity in gait
Hip Adductors
Adductor longus/brevis, Gracilis, Adductor magnus (horizontal and
vertical heads)
Early and late stance
Concentric contraction – Stabilize pelvis
Gait question tip
In STANCE only:
WEAK muscles act like MAGNETS and the trunk leans towards the weak muscles