Orthotic Gait Deviation Flashcards

1
Q

Circumduction

A
  • during swing
  • causes: locked knee, excessive plantar flexion, weak hip flexors or DF –> all can also cause vaulting
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2
Q

Lateral trunk bending

A
  • patient leans to orthotic side during stance
  • possible causes: KAFO medial upright too high; insufficient shoe lift, hip pain, weak or tight abductors on orthotic side, short leg, foot balance
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3
Q

anterior trunk bending

A
  • patient leans forward during stance
  • causes: inadequate knee lock, weak quads, hip or knee flexion contracture
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4
Q

posterior trunk bending

A
  • pt leans backward during stance
  • causes: inadequate hip lock, weak glute max, knee ankylosis
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5
Q

hyperextended knee

A
  • excessive extension during stance
  • causes: inadequate PF stop; inadequate knee lock, poor fit of calf band (too deep), weak quads, loose knee ligaments or extensor stability, pes equinus
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6
Q

knee instability

A
  • excessive knee flexion during stance
  • causes: inadequate DF stop, inadequate knee lock, knee and/or hip flex contracture, weak quads; knee pain
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7
Q

foot slap

A
  • causes: inadequate DF assist, inadequate PF stop, weak DF
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8
Q

on toes during stance

A

causes: inadequate heel lift, inadequate DF assist, heel pain, extensor spasticity, short leg, pes equinus

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9
Q

flat foot

A

-inadequate longitudinal arch support
- pes Plans

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10
Q

pronation

A

causes: transverse plane malalignment; weak inverters, pes valgus, spasticity, genu valgum

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11
Q

supination

A

transverse plane malalignment, weak evertors, pes varus, genu varum

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12
Q

excessive stance width

A
  • KAFO height of medial upright too high
  • HKAFO hip joint aligned in excessive abduction
  • knee is locked
  • abduction contracture
  • poo balance
  • sound limb too short
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13
Q
A
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