Page: 14 (Gaits)

Question 1

Walking with the thigh in flexion, abduction and external rotation is characteristic of?

a. ) Psoas gait
b. ) Parkinson’s disease
c. ) The swing phase
d. ) The stance phase

Answer 1

a.) Psoas gait

Question 2

Which of the following gaits occurs with a lesion of the Common Peroneal Nerve?

a. ) Stamping gait
b. ) Steppage gait
c. ) Myopathic gait
d. ) Circumduction gait

Answer 2

b.) Steppage gait

Question 3

During gait analysis, your patient manifests a gluteus maximus lurch. Which neurologic level is impaired?

a. ) L3
b. ) L4
c. ) L5
d. ) S1

Answer 3

d.) S1

Question 4

A patient that has a lesion located in the basal ganglia (Substantia nigra), would present with which one of the following gaits?

a. ) Steppage gait
b. ) Waddling gait
c. ) Festinating gait
d) . Stamping gait

Answer 4

c.) Festinating gait (aka: “Propulsion gait” or “ Shuffling gait”)

Question 5

Which of the following gaits occurs in Cerebral Palsy?

a. ) Scissor gait
b. ) Shuffling gait
c. ) Waddling gait
d. ) Spastic gait

Answer 5

a.) Scissor gait

Question 6

Which of the following gaits occurs in UMNL?

a. ) Scissor gait
b. ) Shuffling gait
c. ) Waddling gait
d. ) Spastic gait

Answer 6

d.) Spastic gait

Question 7

Which of the following gaits occurs in Muscular Dystrophy?

a. ) Festinating gait
b. ) Slappage gait
c. ) Hemiplegic gait
d. ) Waddling gait

Answer 7

d.) Waddling gait

Question 8

Which of the following gaits occurs with a lesion of the L4 nerve?

a. ) Stamping gait
b. ) Steppage gait
c. ) Myopathic gait
d. ) Circumduction gait

Answer 8

b.) Steppage gait

Question 9

During gait analysis, your patient manifests a drastic weak gluteus medius lurch. Which gait is characteristic of this?

a. ) Circumduction gait
b. ) Trendelenburg gait
c. ) Shuffling gait
d. ) Waddling gait

Answer 9

b.) Trendelenburg gait

Question 10

Which of the following gaits occurs with paresis of the tibialias anterior?

a. ) Stamping gait
b. ) Steppage gait
c. ) Myopathic gait
d. ) Circumduction gait

Answer 10

b.) Steppage gait

Question 11

Which of the following gaits occurs in Posterior column disease?

a. ) Festinating gait
b. ) Slappage gait
c. ) Hemiplegic gait
d. ) Waddling gait

Answer 11

b. ) Slappage gait (aka: “Sensory ataxia”)

- Difficulty walking in the dark.

Question 12

Which of the following gaits is associated with a patients knee’s crossing the midline while walking?

a. ) Scissor gait
b. ) Shuffling gait
c. ) Waddling gait
d. ) Spastic gait

Answer 12

a.) Scissor gait

Question 13

Which of the following gaits utilized to avoid provoking pain?

a. ) Sensory ataxia
b. ) Propulsion gait
c. ) Antalgic gait
d. ) Waddling gait

Answer 13

c.) Antalgic gait

Question 14

Which of the following gaits is characteristic of a stroke?

a. ) Stamping gait
b. ) Steppage gait
c. ) Myopathic gait
d. ) Circumduction gait

Answer 14

d.) Circumduction gait (aka: “Spastic hemiplegic”)

Question 15

Which of the following gaits is characteristic of having foot drop?

a. ) Stamping gait
b. ) Steppage gait
c. ) Myopathic gait
d. ) Circumduction gait

Answer 15

b.) Steppage gait

Question 16

Which of the following gaits does a patient have with a forward leaning posture and small shuffling steps?

a. ) Slappage gait
b. ) Hemiplegic gait
c. ) Propulsion gait
d. ) Steppage gait

Answer 16

c.) Propulsion gait (aka: “Festinating gait” or “Shuffling gait”)

Question 17

Which of the following gaits is associated with a WIDE base and the Cerebellum?

a. ) Slappage gait
b. ) Hemiplegic gait
c. ) Propulsion gait
d. ) Motor ataxic gait

Answer 17

d.) Motor ataxic gait (aka: “Drunken gait”)

Question 18

ACCELERATION of the thigh is the action of the _____ and _____?

Answer 18

iliopsoas

rectus femoris

Question 19

DECELERATION is accomplished by the _____?

Answer 19

hamstrings

Question 20

HEEL STRIKE fires the _____, which _____ contract?

Answer 20

tibialis anterior

concentrically

Question 21

FOOT FLAT fires the _____?

Answer 21

gastrocnemius

Question 22

TOE OFF fires the _____, which _____ contract?

Answer 22

quadriceps

eccentrically

Question 23

During heel strike phase of a normal gait, which muscle is contracted?

a. ) Tibialis anterior
b. ) Gastrocnemius
c. ) Peroneus brevis
d. ) Extensor Hallicus longus

Answer 23

a.) Tibialis anterior

Question 24

Which of the following muscles is the most active during the terminal swing phase of gait?

a. ) Quadriceps
b. ) Hamstrings
c. ) Psoas
d. ) Gluteals

Answer 24

a.) Quadriceps

Question 25

A patient with Gluteus Maximus weakness will present with what type of gait?

a. ) Extensor lurch
b. ) Steppage
c. ) Circumduction
d. ) Trendelenburg

Answer 25

a.) Extensor lurch

Question 26

60% of a normal GAIT is what phase?

a. ) Swing phase
b. ) Stance phase

Answer 26

b.) Stance phase

Question 27

40% of a normal GAIT is what phase?

a. ) Swing phase
b. ) Stance phase

Answer 27

a.) Swing phase