Orthotic Gait Deviations Flashcards
Why might you see lateral trunk bending (toward the orthotic)
Weak or tight abductors Short leg Poor balance KAFO too high medially Insufficient toe lift Hip pain
Why might you see vaulting or circumduction
Locked knee
Excessive plantar flexion
Weak hip flexors or dorsiflexors
Why might you see anterior trunk bending
Inadequate knee lock
weak quads
Hip and knee flexion contracture
Why might you see posterior trunk bend
Inadequate hip lock
Weak glute max
Knee ankylosis
Why might you see hyper extended knee
Loose knee ligaments, extensor spasticity, pes Equinus, inadequate plantar flexion or knee lock, calf band too deep, weak quads
Why might you see foot slap
Inadequate dorsiflexion assist, Inadequate plantarflexion stop, weak dorsiflexion
Why might you see knee instability
Week quads, insufficient Knee lock, knee pain, inadequate dorsiflexion stop or knee lock, knee or hip flexion contracture
Why might you see toe first
Extensor spasticity Pes equinus Short leg Inadequate dorsiflexion assist Inadequate plantar flexion stop Inadequate heel lift Heel pain
Why might you see flat foot
Inadequate longitudinal arch support
Pes planus
Why might you see pronation
Transverse plane malalignment Weak invertors Pes valgus Spasticity Genu valgum
Why might you see supination
Transverse plane malalignment
Weak evertors
Pes varus
Genu varum
Why might you see excessive stance width
abduction contracture Poor balance Sound limb too short KAFO too high medially HKAFO excessive abduction Knee locked
