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Rolf > Pathological Gait > Flashcards

Pathological Gait Flashcards

1
Q

What are some mechanisms underlying pathological gait?

A 
Deformity
Muscle weakness
Sensory loss
Pain
Impaired motor control
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2
Q

What is ankylosis?

A

Bony rigidity

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3
Q

What are the types of contracture?

A

Elastic-Yields to forceful manual stretch

Rigid-Resists all stretch

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4
Q

What MMT grade do you need for typical gait?

A

3+/5 (25% of normal strength)
3/5 (15% of normal strength)
4/5 (40% of normal strength)

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5
Q

What sense is most important with walking?

A

Proprioception loss

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6
Q

What is spasticity?

A

Overreaction to stretch

obstructs eccentric muscle action

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7
Q

What does a plantar flexor contracture affect?

A 
Loading response
heel rocker and ankle rocker
Reduces BOS (on toes)
Increases vertical motion of COM
Inhibit foot clearance
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8
Q

PF contracture during IC, LR, MSt, TSt, and Swing?

A

IC-low heel contact, or forefoot contact
LR-Flexible foot will drop rapidly, rigid forefoot
MSt - Pre-mature heel rise, knee hyperextension, trunk flexion
TSt- ability to roll over forefoot, excessive heel rise
Swing-foot can strike the ground too early, or have excessive hip and knee flexion

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9
Q

What happens with ankle DF weakness?

A

Foot falls in uncontrolled manner

If you lose just tib ant, you’ll have some DF with some eversion

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10
Q

What can cause knee flexion in stance?

A 
Knee flexion contracture
Soleus weakness
Inappropriate Hamstring
Ankle PF
Pain
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11
Q

What can cause knee flexion during swing?

A

Quad weakness

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12
Q

What happens with knee flexion contracture?

A

Decreased SL stance stability
Shorter steps
Excessive DF and stability (increase demand on Quads)

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13
Q

What can cause excessive extension at the knee?

A 
QF weakness
QF spasticity
Hip flexor weakness
Pain
Excessive PF
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14
Q

If there’s spasticity in Quads what happens during LR, Swing?

A

LR-know knee flexion for shock absorber

Swing-inhibits flexion

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15
Q

What can cause varus or valgus at the knee?

A

Congenital
Trauma
OA
RA

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16
Q

What happens with excessive hip flexion?

A 
Hip flexion contracture
ITB contracture
Hip flexor spasticity
Pain
Voluntary (low back or hip problems)
Pass-retract
17
Q

What are some compensations for rigid hip flexor contracture?

A

Lumbar lordosis

Quad’s kick on more during MSt

18
Q

What happens if you ipsilateral adductor spasticity?

A 
Pelvic drop (trendeleberg)
Trunk Lean (contralateral way)
Scissoring during swing

Rolf (45 decks)

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