Prosthetic Gait Deviations Flashcards
Prosthetic causes of lateral bending
prosthesis too short
improperly shaped lateral wall
high medial wall
prosthesis aligned in abduction
Amputee Causes of lateral bending
poor balance abduction contracture improper training short residual limb weak hip abductors on prosthetic side hypersensitive and painful residual limb
Prosthetic causes of abducted gait
prosthesis too long high medial wall poorly shaped lateral wall prosthesis positioned in abduction inadequate suspension excessive knee friction
Amputee causes of abducted gait
abduction contracture improper training adductor roll weak hip flexors and adductors pain over lateral residual limb
Prosthetic causes of Circumducted gait
prosthesis too long
excessive knee friction
socket too small
excessive plantar flexion
Amputee causes of circumducted gait
Abduction contracture Improper training weak hip flexors lacks confidence to flex knee painful anterior distal residual limb Inability to initiate prosthetic knee flexion
Prosthetic causes of excessive knee flexion during stance
socket set forward in relation to foot
excessive dorsiflexion
stiff heel
prosthesis too long
Amputee causes of excessive knee flexion during stance
Knee flexion contracture hip flexion contracture pain anteriorly in residual limb decrease in quadriceps strength poor balance
Prosthetic causes of vaulting
prosthesis too long
inadequate socket suspension
excessive alignment stability
excessive plantar flexion
Amputee causes of vaulting
Residual limb discomfort Improper training fear of stubbing toe short residual limb painful hip/residual limb
Prosthetic causes of rotation of foot at heel strike
excessive toe-out built in
loose fitting socket
inadequate suspension
rigid SACH heel cushion
Amputee causes of rotation of foot at heel strike
poor muscle control
improper training
weak medial rotators
short residual limb
Prosthetic causes of forward trunk flexion
socket too big
poor suspension
knee instability
Amputee causes of forward trunk flexion
Hip flexion contracture
Weak hip extensors
pain with ischial weight bearing
inability to initiate prosthetic knee flexion
Prosthetic causes of medial or lateral whip
Excessive rotation of the knee
tight socket fit
valgus in prosthetic knee
improper alignment of toe break