Prosthetic Gait Deviations Flashcards
1
Q
Drop Off/Premature Knee Flexion in Late Stance (Transtibial)
A
- Socket is set too far forward or excessively flexed
- Dorsiflexion bumper too soft
- Excessive Dorsiflexion
- Prosthetic foot keel too soft
- Knee flexion contracture
2
Q
Circumduction
A
- Long Prosthesis
- Locked Knee
- Small/Loose Socket
- Inadequate Supsension
- Foot Plantar Flexed
- Abduction Contracture
- Poor Knee Control
3
Q
Lumbar Lordosis (Stance)
A
- Insufficient Anterior/Posterior Wall Support
- Painful Ischial Weight Bearing
- Hip Flexion Contracture
- Weak Hip Extensor/Abdominals
4
Q
Lateral Thrust at Midstance (Transtibial)
A
- Foot is Inset Too Much
5
Q
Uneven Step Length
A
- Socket Discomfort/Poor Alignment
- Hip Flexion Contracture
- Hip Instability
6
Q
Foot Rotation at Heel Strike
A
Foot Rotates Laterally at Heel Contact
- Malaligned Foot
- Stiff Heel Cusion
- Plantarflexion Bumper
7
Q
Delayed Knee Flexion During Late Stance (Transtibial)
A
Patient Feels Walking Uphill
- Socket is set too far back/lacks suffcient flexion
- Dorsiflexion bumper is too stiff/excess plantarflexion
- Prosthetic foot keel too long
8
Q
Terminal Swing Impact
A
Prosthesis comes to a sudden stop in late swing
- Insufficient Knee Friction
- Too Much Tension in Extension
- Patient Fears Knee Will Buckle
- Forceful Hip Flexion
9
Q
Swing Phase Whips
A
At Toe-Off, Heel Moves Medially/Laterally
- Rotated Socket/Knee Bolt
- Foot is Malaligned
10
Q
Inadequate Knee Flexion During Stance (Transtibial)
A
- Socket Too Far Back/Tilted Posteriorly
- Plantar Flexion Bumber/Heel Cusion Too Soft
- Low Heel Shoes
- Anteriodistal Discomfort
- Weak Quadriceps
11
Q
Vaulting
A
- Prosthesis Too Long
- Inadequate Suspension
- Socket Too Small
- Excessive Plantarflexion
- Inadequate Knee Flexion
12
Q
Foot Slap
A
- Heel Cusion
- Plantarflexion Bumper Too Soft
13
Q
Medial Thrust at Midstance (Transtibial)
A
- Foot is Outset Too Much
14
Q
Excessive Knee Flexion in Stance (Transtibial Amputuration)
A
- Socket Too Far Forward/Tilted Anteriorly
- Plantar Flexion Bumper Too Hard
- High Heel Shoes
- Knee Flexion Contracture
- Weak Quadriceps
15
Q
High Heel Rise
A
- Inadeuqate Knee Fruction
- Too Little Tension in Extension Aid
