Prosthetic Gait Deviations Flashcards
1
Q
Transfemoral - circumduction
A
- long prosthesis
- locked knee
- small/loose socket
- inadequate suspension
- foot PF
- abduction contracture
- poor knee control
2
Q
TF - abducted gait
A
- crotch or medial wall discomfort
- long prosthesis
- low lateral wal or malalignment
- tight hip abductors
3
Q
TF - vaulting
A
- prosthesis too long
- inadequate suspension
- socket too small
- prosthetic foot set in too much PF
- too little knee flexion
4
Q
TF - lateral trunk bending in stance
A
- low lateral wall
- short prosthesis
- high medial wall
- weak abductors
- abductor contracture
- hip pain
- short amputation limb
5
Q
TF- forward flexion in stance
A
- unstable knee
- short ambulatory aids
- hip flexion contracture
6
Q
TF - lumbar lordosis in stance
A
- insufficient support from ant or post wall
- painful ischial WB
- hip flexion contracture
- weak hip extensors or abdominals
7
Q
TF- high heel rise
A
- inadequate knee friction
- too little tension in the extension aid
8
Q
TF - terminal swing impact
A
- insufficient knee friction or too much tension in extension aid
- patient fears knee will buckle
- forceful hip flexion
9
Q
TF - swing phase whips
A
- socket is rotated
- knee bolt is rotated
- foot is malaligned
10
Q
TF - foot rotation at heel strike
A
- foot is malaligned
- stiff heel cushion
- PF bumper is too soft
11
Q
TF - uneven step length
A
- socket discomfort
- poor alignment
- hip flexion contracture
- hip instability
12
Q
TF - foot slap
A
-heel cushion or PF bumper too soft
13
Q
TT - excessive knee flexion
A
- socket aligned too far forward or tilted anteriorly
- PF bumper is too hard and limits PF
- high heel shoes
- knee flexion contracture
- weak quads
14
Q
TT - inadequate knee flexion
A
- socket too far back or tilted posteriorly
- PF bumper or heel cushion is too soft
- low heel shoes
- anteriodistal discomfort
- weak quads
15
Q
TT - lateral thrust
A
-foot inset too much