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
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2
Q

Circumduction

A
  • Locked knee
  • Excessive PF
  • Weak hip flexors or DF
  • These can also cause vaulting
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3
Q

Anterior Trunk Bending

A
  • Inadequate knee lock
  • Weak quad
  • Hip or knee flexion contracture
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4
Q

Posterior Trunk Bending

A
  • Inadequate hip lock
  • Weak glut max
  • Knee ankylosis
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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
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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
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7
Q

Foot Slap

A
  • Inadequate DF assist
  • Inadequate PF stop
  • Weak DF
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8
Q

Toes First

A
  • Inadequate DF assist
  • Inadequate PF stop
  • Inadequate heel lift
  • Heel pain, extensor spasticity
  • Pes equinus
  • Short leg
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9
Q

Flat Foot

A
  • Inadequate longitudinal arch support

- Pes planus

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10
Q

Pronation

A
  • Transverse plane malalignment
  • Weak invertors
  • 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

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
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