Prosthetic Gait Deviations - DONE ENTERING Flashcards
What causes prosthetic gait deviation Lateral Bending?
Prosthesis too short
Bad lateral wall
High medial wall
Pros aligned in abduction
Stump too short Weak abductors Hypersensitive stump Abductor contracture Bad training Bad balance
Prosthetic gait deviation: what causes abducted gait?
Prosthesis too long High medial wall Bad lateral wall Pros positioned in abduction Inadequate suspension Excessive knee friction Abduction contracture Bad training Adductor roll Weak hip flexors and adductors High pain in limb
Prosthetic gait deviation: what causes CIRCUMDUCTED gait?
Pros too long
Excessive knee friction
Socket too small
Excessive PF
Abduction contracture Bad training Weak hip flexors Lacks confidence to flex knee Painful anterior distal stump Inability to initiate pros knee flex
Prosthetic gait deviation: what causes excessive knee flexion in stance?
Socket set forward relative to foot
Too much DF
Stiff heel
Pros too long
Knee flex contracture Hip flex contracture Pain in ant stump Less quad strength Bad balance
Prosthetic gait deviation: what causes vaulting?
Pros too long
Inadequate socket suspension
Excessive alignment stability
Excessive PF
Residual limb discomfort Bad training Fear of stubbing toe Short stump Painful hip
Prosthetic gait deviation: what causes rotation of forefoot at heel strike?
Excessive toe-out built in
Loose fitting socket
Inadequate suspension
Rigid SACH heel cushion
Poor muscle control
Bad training
Weak medial rotators
Short stump
Prosthetic gait deviation: what causes forward trunk flexion?
Socket too big
Poor suspension
Knee instability
Hip flex contracture
Weak hip extensors
Pain with ischial weight bearing
Inability to initiate pros knee flexion
Prosthetic gait deviation: what causes medial or lateral whip?
Excessive rotation of the knee
Tight socket fit
Valgus in the pros knee
Improper alignment of toe break
Improper training
Weak hip rotators
Knee instability
