Pediatric Gait Abnormalites Flashcards
What are Valmassey’s 5 observation sites
- Head tilt
- Shoulder and pelvis tilt
- Patellar position
- Angle of gait
- Calcaneal position
Describe the head tilt in pediatric gait evaluation
Obvious tilting of head away from midline of body:
- scoliosis
- limb length inequality
- hips dislocation
If you notice a shoulder drop in pediatric gait evaluation what should you look at next
Pelvis
Deviation from the transverse plant in pediatric gait evaluation can mean
Scoliosis
LLD
Hip dislocation
In children under 12 shoulder drop during gait evaluation is _______
Is to the shorter leg side
In older children, shoulder drip in on the _______
Long leg side due to compensation
What is the importance of patellar position in pediatrics gait evaluation
Determine the level responsible for intoeing
If the patella is “squinting” what does that mean
There is a femoral component in the adducted gait
If the fact is adducted and patella’s are straight to slightly abducted, what does that say about the deformity
Deformity is outside of the femur like internal tibial torsion, met adductus or PF 1st ray deformity
What is the angle of gai
The angle of each foot to the line of progression
Describe the angle of gait during normal development
Angle of gait is more external (hip eternal rotation)
Adducted gait is a ______ deformity
Torsional
Addicting gait at heel strike can be due to _____
Tight internal musculature
What are Valmassey’s rule of sevens
- Fat, Flat and floppy
- Calcaneus can normally be everted 5-10 degrees
- during normal development this should decrease by 1 degree per year
- subtract the child’s age by 7
- 7-4 =3 degrees of calcaneal eversion
- marked deviation requires further evaluation
Describe the gait of a 1 year old child
- abrupt
- wide base
- single support
- short step length
- increased cadence, decreased velocity
