Orthotic Gait Deviations Flashcards
1
Q
Lateral Trunk Bending
A
- KAFO medial upright too high
- Insufficient shoe lift
- Hip pain
- Weak or tight ABD on orthotic side
- Short leg
- Poor balance
2
Q
Circumduction
A
- Locked knee
- Excessive PF
- Weak hip flexors or DF
- These can also cause vaulting
3
Q
Anterior Trunk Bending
A
- Inadequate knee lock
- Weak quad
- Hip or knee flexion contracture
4
Q
Posterior Trunk Bending
A
- Inadequate hip lock
- Weak glut max
- Knee ankylosis
5
Q
Hyperextended Knee
A
- Inadequate PF stop
- Inadequate knee lock
- Poor fit of calf band (too deep)
- Weak quad
- Loose knee ligaments or extensor spasticity
- Pes equinus
6
Q
Knee Instability
A
- Inadequate DF stop
- Inadequate knee lock
- Knee and/or hip flexion contracture
- Weak quad or insufficient knee lock
- Knee pain
7
Q
Foot Slap
A
- Inadequate DF assist
- Inadequate PF stop
- Weak DF
8
Q
Toes First
A
- Inadequate DF assist
- Inadequate PF stop
- Inadequate heel lift
- Heel pain, extensor spasticity
- Pes equinus
- Short leg
9
Q
Flat Foot
A
- Inadequate longitudinal arch support
- Pes planus
10
Q
Pronation
A
- Transverse plane malalignment
- Weak invertors
- Pes valgus
- Spasticity
- Genu valgum
11
Q
Supination
A
- Transverse plane malalignment
- Weak evertors
- Pes varus
- Genu Varum
12
Q
Excessive Stance Width
Wide BOS
A
- KAFO height of medial upright too high
- HKAFO hip joint aligned in excessive ABD
- Knee is locked
- ABD contracture
- Poor balance
- Sound limb is too short