Orthotic Gait Deviations Flashcards
Leaning toward the orthotic side during stance
KAFO medial upright too high Insufficient shoe lift Hip pain Short leg Poor balance
Lateral Trunk Bending
during swing, leg swings in an arc to the side
Swing leg compensates with elevation of the pelvis and plantar flexion of the stance leg
Locked knee
Excessive plantar flexion
Weak flexors or dorsiflexors
Circumduction/Vaulting
Patient leans forward during stance
Inadequate knee lock
Weak quadriceps
Hip or knee flexion contracture
Anterior Trunk Bending
Patient leans backward during stance
Inadequate hip lock
Weak glutes
Knee ankylosis
Posterior Trunk Bending
Excessive extension during stance
Inadequate knee lock
Poor fit of calf band
Loose knee ligaments or extensor spasticity
Pes equinus
Hyperextended Knee
Excessive knee flexion during stance
Inadequate dorsiflexion stops
Inadequate knee lock
Knee and/or hip flexion contracture
Insufficient knee lock
Knee Instability
Foot hits the ground during early stance
Inadequate dorsiflexor assist
Inadequate plantarflexion stops
Weak dorsiflexors
Foot Slap
On toes posture during stance
Inadequate dorsiflexor assist
Inadequate plantarflexion stops
Inadequate heel lift
Pes equinus
Toes First
Contact with entire foot
Inadequate longitudinal arch support
Pes planus
Flat Foot
Excessive medial foot contact during stance
Transverse plan mal-alignment Weak invertors Pes valgus Spasticity Genu valgum
Pronation
Excessive lateral foot contact during stance
Transverse plan mal-alignment
Weak evertors
Pes varus
Genu varum
Supination
Pt stands or walks with a wide BOS
KAFO height of medial upright too high HKAFO hip joint aligned in excessive abduction Knee is locked Abduction contracture Poor balance Sound limb too short
Excessive Stance Width
