Prosthetic Gait

Question 1

Abducted TF wide BOS with prosthesis abducted at all times - Prosthetic causes

Answer 1

Prosthesis too long
Excessive abd built into socket
High medial wall
Poor lateral wall support
Pelvic band problem

Question 2

Abducted TF wide BOS with prosthesis abducted at all times - Pt related causes

Answer 2

Abd contracture
Gait habit
Painful adductor region

Question 3

Instability of prosthetic knee - prosthetic causes

Answer 3

Knee joint too far ant to TKA line
Insufficient flexion in socket
Too much PF resistance
Too much DF

Question 4

Instability of prosthetic knee - Pt related causes

Answer 4

Hip ext weakness

Significant hip flex contracture

Question 5

Uneven heel rise TF - prosthetic causes

Answer 5

(looks like steppage gait almost)

Knee joint insufficient friction
Inadequate extension aid

Question 6

Uneven heel rise TF - pt related causes

Answer 6

Too much force being exerted to force knee into flexion

Question 7

Circumduction TF - prosthetic causes

Answer 7

Prosthesis too long
Too much knee friction/resistance
Alignment may provide too much stability

Question 8

Circumduction TF - pt related causes

Answer 8

Hip abd contracture
Lack of confidence
MM weakness
Habit gait

Question 9

Vaulting TF - prosthetic causes

Answer 9

Prosthesis too long
Knee too stiff
Inadequate socket suspension

Question 10

Vaulting TF - pt related causes

Answer 10

Gait habit
Fear of not clearing toes
Residual limb discomfort

Question 11

Lateral trunk bend TF - toward prosthetic side - prosthetic causes

Answer 11

Prosthesis too short
Inadequate lateral wall support
High medial wall
Prosthesis aligned in abduction

Question 12

Lateral trunk bend TF - toward prosthetic side - pt related causes

Answer 12

Balance deficits
Abduction contracture
Sensitive/painful residual limb
Very short residual limb decreasing lever arm stability
Gait habit

Question 13

Wide base TTA - prosthetic causes

Answer 13

Foot outset

Medial leaning pylon

Question 14

Wide base TTA - pt related causes

Answer 14

Improper weight shift

Gait habit

Question 15

Drop off TTA - prosthetic causes

Answer 15

(looks like knee gives out)

Toe lever too short
Foot placed too far post
Too much flex in socket

Question 16

Medial whip (TF) - occurs at beginning of swing phase - prosthetic causes

Answer 16

Too much ER in knee
Socket too tight
Toe break malalignment

Question 17

Medial whip (TF) - occurs at beginning of swing phase - pt related causes

Answer 17

Gait habit

Improper donning