Phases Of Gait Flashcards
Gait separated into 2 phases
Stance (foot in contact w/ground) and Swing (foot not in contact w/ground)
% Stance vs Swing
60% stance and 40% swing
Stance phase separated into 2 support phases
Double and single limb support
DLS time vs SLS time - normal and change in walking speed
Normal DLS time = 10% at the beginning and end of stance phase (20% total)
DLS time decreases w/increased walking speed and disappears with running
Gait cycle definition
Time from a gait event on one leg to the same gait event on the same leg (eg. RT IC to RT IC)
Stride v Step lengths
Stride = distance from IC on one leg to IC on same leg
Step = distance from IC on one leg to IC on other leg
Cadence definition
steps per unit time
Line of progression definition
Line parallel to direction of motion
Where is CoG relative to base of support in static equillibrium
CoG is within BOS
CoP of feet is used to manipulate location of CoG
Base of support definition, normal BOS
Area bound by feet (or other gait aids in contact with ground)
Normal BOS walking = 2-4” between center of heels
Normal BOS standing = shoulder width
Foot progression angle definition, normal
Long axis of foot relative to LOP
Normal = 5-7˚ (F less than M)
4 general goals of gait/locomotion
Propulsion
Stance stability
Shock absorption
Energy conservation
6 determinants of gait (Inman)
Pelvic rotation & tilt (obliquity)
Knee flexion in stance
Foot mechanisms (rockers)
Knee and ankle interaction
Lateral displacement of pelvis
5 prerequisites of gait (Perry)
Stability in stance
Clearance in swing
Preposition foot in TS
Adequate step length
Energy conservation
7 principles of gait (Gard & Fatone)
Gait initiation and termination
Balance and upright posture
Stability of stance limb
Execution of stepping motino
Forward progression / propulsion
Shock absorption
Energy conservation
3 rockers of gait
*4th
1st = heel rocker
2nd = ankle rocker
3rd = forefoot rocker
4th = toe rocker
1st rocker definition, action
PF during LR controlled by eccentric ankle DF
2nd rocker definition, action
DF from MS to TS
Forward progression of shank relative to foot controlled by eccentric PF
3rd rocker definition, action
PF in PreSw via concentric PF
MTPJ extension
4th rocker definition, action
PF in PreSw via passive recoil of PF muscles
Phases of gait (Perry) for stance phase
Initial contact
Loading response
Midstance
Terminal stance
Preswing
Phases of gait (Perry) for swing phase
Initial swing
Mid swing
Terminal swing
Weight acceptance is made up of which phases
IC and LR
Stance limb progression is made up of which phases
MS and TS
Swing advancement is made up of which phases
PreSw, initial/mid/terminal swing
Goals/function - IC
Position foot for ground contact
Transfer weight to stance limb
Stable load bearing
Shock absorption
Goals/function - LR
Shock absorption
Completely transfer weight
Begin SLS
Limb stabilization
Maintain smooth progression
What is the primary means for shock absorption in LR
Knee flexion
Goals/function - MS
Maintain forward momentum/progression
Stable weight bearing
Goals/function - TS
Allow mass to progress over foot
Provide forward acceleration for adequate step length
Prepare for opposite foot to contact ground
Stable weight bearing
Goals/function - PreSw
Prepare limb for swing phase
Aid in transferring load to opposite limb
Continued floor contact to assist w/balance as body weight is transferred to opposite limb
Goals/function - Initial swing
Prepare for swing phase clearance and limb advancement
Actions facilitate progression and allow for variable cadence
Motions occurring in initial swing
Continued PF (inertia) followed by rapid DF
Continued knee flexion
Hip flexion for clearance
Pelvic obliquity for shock absorption
Goals/function - Mid swing
Limb advancement
Floor clearance
Motions occurring in mid swing
Continued DF for clearance
Maintain knee flexion for clearance (~40˚ required)
Continue hip flexion for clearance
Goals/function - Terminal swing
Complete step length
Preposition in preparation for initial contact
Motions occurring in terminal swing
Knee and ankle neutral
Hip flexed
When is CoM at highest and lowest points
CoM highest in MS
CoM lowest at IC/LR