Prosthetic gait Flashcards
instant the foot hits the ground. Heel strike
initial contact
entire foot is in contact w/ ground. Flat foot
loading response
body is directly over WB leg. SLS
mid stance
wt shifted to opposite limb. Heel off
terminal stance
knee of WB limb flexes and prepares for swing phase. Toe off
pre-swing
hip and knee flexion initiate to pull non WB limb off ground. Acceleration
initial swing
non WB limb advances to where the limb passes directly beneath body.
Mid-swing
limb decelerates and in a position of extension preparing for initial contact. Deceleration
Terminal swing
prosthetic gait progression (3)
- static balance
- dynamic balance
- gait
caused by: short prosthesis, short residual limb, weak hip ABD, poor balance
lateral bending
caused by: long prosthesis, ABD contracture, weak hip ABD or ADD
ABD gait
caused by: long prosthesis, small socket, excessive PF, ABD contracture, weak hip flex, straight knee
circumducted gait
caused by: long prosthesis, excessive DF, stiff heel, hip/knee flex contracture, poor quad strength
excessive knee flexion at stance
caused by: long prosthesis, poor suspension, excessive PF, Fear of stubbing toe
vaulting
caused by: excessive toe out built in, loose socket, rigid foot, weak medial rotators, short residual limb
forefoot rotation at heel strike