Pathological Gait

Question 1

What gait deviations would you expect to see when pt has impaired coordination?

Answer 1

variable foot placement
impaired sequencing

Question 2

What gait deviations would you expect to see when the pt has impaired sensation?

Answer 2

variable foot placement

Question 3

What gait deviations would you expect to see with a pt who has a perceptual disorder?

Answer 3

bumping into obstacles
asymmetrical drama (pusher’s)

Question 4

What gait deviations would you expect to see with a pt who has a cognitive disorder?

Answer 4

unable to modify movement based on environment

Question 5

What are potential foot and ankle gate deviations?

Answer 5

inadequate dorsiflexion in swing
IC with forefoot
medial/lateral instability in midstance

Question 6

What are potential impairments that could cause foot and ankle deviations?

Answer 6

decreased ROM
plantarflexor tone
decreased proprioception

Question 7

What are common gait deviations at the knee?

Answer 7

inadequate knee flexion in swing
hyperextension in stance
excessive knee flexion in stance

Question 8

Impairments that could cause gait deviations at the knee?

Answer 8

extension synergy pattern
severe extensor tone

Question 9

What are two options to improve foot and ankle position during gait?

Answer 9

Functional electrical stimulation
Bracing-LE Orthosis