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Integ > Optimum Gait and Deviations for Amputees > Flashcards

Optimum Gait and Deviations for Amputees Flashcards

1
Q

What percentage of gait is stance? Swing?

A

Stance: 60%
Swing: 40%

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2
Q

How many stance phases are there? swing phases?

A

Stance: 5
Swing: 3

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3
Q

Degrees of rotation in gait for hip, knee, ankle? Total?

A

Hip: 8 degrees
Knee: 6 degrees
Ankle: 7 degrees
Total: 21 degrees

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4
Q

TF/AL Gait Deviation: Knee instability (flexion)

A 
Cause:
1. Knee Center Too far Anterior
2. Excessive Resistance to Planter Flexion
3. Weak Hip Extensors
Correction:
Strengthen Hip Extensors
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5
Q

TF/AL Gait Deviation: Unequal Stride

A 
Cause:
1. Bad Gait Habit
2. No thrust
Correction:
Work on equal stride length
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6
Q

TF/AL Gait Deviation: ER of the foot

A 
Cause:
 1. Anterior Medial Brim
2. Planter Flexion too Stiff
3. R.O. M.   Limited
Correction:
Increase ROM
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7
Q

TF/AL Gait Deviation: Lateral Trunk Bending Exceeds 1” to 2” at the Head

A

Causes:

  1. Insufficient Adduction
  2. Foot out set too Far
  3. Prosthesis too Short
  4. Femur too Short
  5. Hip Pathology
  6. Weak Hip Abductors
  7. Painful Lateral Distal Femur Pressure
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8
Q

TF/AL Gait Deviation: Abducted Gait

A

Cause:

  1. Medial Wall Problems
  2. Prosthesis too Long
  3. Poor Gait Habit
  4. Lateral Distal Femur Pressure
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9
Q

TF/AL Gait Deviation: Inversion or Eversion of the foot

A

Cause:

  1. Improper Adduction or Abduction of Prosthetic Socket
  2. Loose Socket ML
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10
Q

TF/AL Gait Deviation:Pelvic Rise Hill Climbing or Vaulting

A 
Cause: 
1. Toe lever too long
2. Shoe changed by aputee to lower heel
Correction:
Instruct amputee in regards to correct heel height
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11
Q

TF/AL Gait Deviation: Drop of/ Torso lowers excessively

A

Cause:
Toe lever arm too short
Correction:
Gait training to achieve equal time on each leg and equal length of stride

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12
Q

TF/AL Gait Deviation:Excessive Lumbar Lordosis

A 
Cause:
1.  Insufficient socket Flexion
2.  Developing Hip Flexion contracture
Correction:
Stretch our contracture
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13
Q

TF/AL Gait Deviation: Circumduction of the Prosthesis

A

Causes:

  1. Medial Brim Problem
  2. Prosthesis too Long
  3. Inadequate Knee Flexion
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14
Q

TF/AL Gait Deviation: Piston Action

A

Cause: inadequate fit/suspension
Correction: Check Supension

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15
Q

TF/AL Gait Deviation: Medial Whip

A

Cause:

  1. Knee axis in excessive External Rotation
  2. Socket unstable on stump
  3. Muscular skeletal Pathology
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16
Q

TF/AL Gait Deviation: Lateral Whip

A

Cause:

  1. Knee axis in excessive Internal Rotation
  2. Socket unstable on stump
  3. Muscular skeletal Pathology
17
Q

TF/AL Gait Deviation: Vaulting on sound side

A

Cause:

  1. Prosthesis too long
  2. Prosthetic Knee too stiff
  3. Bad gait Habit
18
Q

TT/BK Gait Deviation: Excessive DF

A 
Cause:
1. Stride length too long
2. Excessive socket flexion
Correction:
Maintain equal stride length
19
Q

TT/BK Gait Deviation: Knee fully extended

A

Cause:

  1. Heel lever arm too short
  2. Heel Resistance too soft
20
Q

TT/BK Gait Deviation: Excessive/insufficient heal compression

A

Cause: Heel resistance is too soft or too firm

21
Q

TT/BK Gait Deviation: Painful anterior tibia

A

Cause: Excessive use of knee extensors
Correction: Teach pt. hamstring gait

22
Q

TT/BK Gait Deviation: Lateral trunk bend at head exceeds 1 inch

A

Cause:

  1. Hip pathology
  2. Foot outset too far
  3. Prosthesis too short
23
Q

TT/BK Gait Deviation: Wide Base

A

Cause:

  1. Foot outset too far
  2. Prosthesis too long
  3. Hip pathology
24
Q

TT/BK Gait Deviation: Inversion or eversion of the foot

A

Cause:

  1. Improper adduction or abduction
  2. Loose Socket M. L.
25
Q

TT/BK Gait Deviation: Lateral socket displacement greater than 1/2”

A

Cause:

  1. Foot outset too far
  2. Loose socket
26
Q

TT/BK Gait Deviation: Medial displacement or No lateral displacement

A

Cause:

  1. Foot outset too far
  2. Pain in peroneal area
  3. Short stump
  4. Knee pathology
27
Q

TT/BK Gait Deviation: knee goes into extension in Terminal Stance

A

Cause:

  1. Toe lever arm too long
  2. Amputee changed shoe to lower heel
  3. Insufficient socket flexion
28
Q

TT/BK Gait Deviation: Drop off, weight bearing period shortened and knee flexion accentuated

A

Cause:

Toe lever arm too short

29
Q

TT/BK Gait Deviation: Medial/Lateral Whip

A

Cause:

  1. Suspension incorrect
  2. Hip and or knee pathology

Integ (4 decks)

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