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Prosthetics > Prosthetic Gait Training > Flashcards

Prosthetic Gait Training Flashcards

1
Q 
Normal Prosthetic gait is determined by 
_ of amputation
technical capabilities of _ components
_ of muscles of involved LE
_ of hip and knee on involved side
A

level of amputation
technical capabilities of prosthetic components
strength of muscles of involved LE
ROM of hip and knee on involved side

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2
Q

At IC, knee extension should be _ degrees TT; _ degrees TF

a. 0-5; 0
b. 5-10; 5
c. 15; 0
d. 10-15; 0-5

A

0-5;0

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3
Q

At IC, the prosthetic side should not be (abducted/adducted)

A

abducted

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4
Q

At IC, the sound side should not be too (abducted/adducted)

A

adducted

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5
Q

TF amputees will have the ability to flex their knee at loading response (true/false)

A

false

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6
Q

Rotational components may be added to the prosthetic to absorb impact at what phase is this addressing

A

loading response

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7
Q

Events including: controlled tibial advancement, maintain lateral hip stability, maintain erect trunk should be achieved at what phase of gait?

a. IC
b. LR
c. MStance
d. TStance

A

Midstance

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8
Q

Patients with an inability to maintain body weight over prosthesis during _ will result in _

A

midstance

lateral lean of the trunk

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9
Q

At what phase is there decreased prosthetic stance time?

a. IC
b. LR
c. MStance
d. TStance

A

Mstance

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10
Q

Events of this phase of gait include: weight shift over met heads, neutral ankle, heel off, maintain lateral hip stability, body falling to contralateral limb

a. IC
b. LR
c. MStance
d. TStance

A

Terminal stance

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11
Q

At Terminal stance hip _ activity is increased

A

extensor

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12
Q

Events of this phase: knee flexion to 40 degrees, all motions are passive, transitional period of double-limb support during which time the limb is rapidly unloaded and prepared for swing

a. Initial swing
b. Mstance
c. Tstance
d. Preswing

A

pre swing

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13
Q

During pre-swing, amputees frequently _ the prosthetic limb in preparation for swing

A

kick

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14
Q

Events during this phase: knee flexion to 60 degrees, hip flexion to 15 degrees, lift the limb from the floor

a. Initial swing
b. Mstance
c. Tstance
d. Preswing

A

initial swing

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15
Q

During initial swing, most patients have limited _

A

forward pelvic rotation

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16
Q

decreased forward _ _ leads to decreased knee _ which results in poor _ _

A

pelvic progression
flexion
ground clearanace

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17
Q

During this phase: ankle DF to neutral, hip flexion to 25 degrees, knee extends to 25 degrees of knee flexion

a. Initial swing
b. Mswing
c. Tswing
d. Preswing

A

mid swing

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18
Q

During this phase: full knee extension to create step length, deceleration of thigh for heel contact

a. Initial swing
b. Mswing
c. Tswing
d. Preswing

A

terminal swing

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19
Q

Does the prosthetic or sound side limb usually have a longer step length?

A

prosthetic

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20
Q

Transtibial gait deviation: Amputee cause for Excessive knee flexion

a. weak hip flexors or knee flexion contracture
b. weak hip abductors or hip flexion contracture
c. poor muscle control or weak quads
d. weak quads or knee flexion contracture

A

weak quads

knee flexion contracture

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21
Q

TT Excessive knee flexion due to the prosthetic can be caused by all of the following EXCEPT

a. heel cushion or bumper too stiff
b. foot too far posterior
c. plantarflexed foot
d. patient wears higher heeled shoes

A

plantarflexed foot

caused by dorsiflexed foot

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22
Q

TT Decreased knee flexion caused by the prosthesis includes all of the following EXCEPT

a. heel cushion or bumper too soft
b. excessive PF of foot
c. foot too far posterior
d. patient wears lower heel shoes

A

foot too far posterior

foot will be too far anterior

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23
Q

TT Amputee cause for early phase decreased knee flexion

A

weak quads
anterior distal discomfort
increased quads muscle tone

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24
Q 
TT Amputee cause for late phase stance decreased knee flexion
increased _ tone 
knee joint _
poor pelvic _ 
_ proprioception/sensation
A

increased quad tone
knee joint pain
poor pelvic control
decreased proprioception/sensation

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25
Q

TT Prosthetic causes for increased lateral knee thrust

  • increased foot _
  • increased (abducted/adducted) socket
  • wide _ socket dimension
A

inset
abducted
M/L

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26
Q

TT Amputee cause for increased lateral knee thrust

A

ligamentous laxity

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27
Q

TT Prosthetic causes for increased medial knee thrust
increased foot _
increased (abducted/adducted) gait

A

outset

abducted

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28
Q

TT Amputee causes for increased medial knee thrust
ligamentous _
weak hip _

A

laxity

abductors

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29
Q

Increased lateral trunk lean seen in a TT amputee can be caused by the prosthesis being too long (true/false)

A

FALSE

too short

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30
Q

TT increased lateral trunk lean amputee causes include all of the following EXCEPT

a. weak hip abductors
b. balance deficits
c. ipsilateral hip pain
d. weak quads

A

weak quads

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31
Q

TT Prosthetic cause for abducted gait
the prosthesis is too (short/long)
excessive foot _

A

long

outset

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32
Q

TT abucted gait amputee causes include all of the following EXCEPT

a. weak hip abductors
b. feeling of insecurity
c. balance disturbance
d. habit

A

weak hip abductors

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33
Q

TT Excessive knee flexion drop off prosthesis causes include all of the following EXCEPT

a. DF of the foot
b. bumper too stiff
c. foot too far posterior
d. toe lever too short

A

bumper too stiff

bumper would be too soft potentially

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34
Q

TT excessive knee flexion amputee cause:

a. hip flexion contracture
b. knee flexion contracture
c. plantarflexion contracture
d. a and b

A

hip or knee flexion contracture

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35
Q

TT if the patient is vaulting the prosthesis cause could be

  • prosthesis too (long/short)
  • _ suspension
A

long

inadequate suspension

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36
Q

TT vaulting amputee cause could be due to

A

habit
poor pelvic/hip control and weakness
inadequate knee flexion

37
Q

TT Vaulting occurs on the (prosthesis/sound) limb

A

swing side of prosthesis

38
Q

TT rotation of prosthesis caused by the heel response is too _

A

hard

39
Q

TT rotation of prosthesis amputee causes
weak _
poor _
decreased _

A

weak hip rotators
poor pelvic control
decreased weight bearing

40
Q

If a TT amputee is showing toe drag, the prosthesis cause could be
too (short/long)
inadequate _

A

prosthesis too long

inadequate suspension

41
Q

TT amputee cause for toe drag

A

inadequate hip/pelvic control due to weakness

incorrect sock ply

42
Q

TT decreased step length of contralateral limb prosthetic causes
improperly _ with discomfort

A

fitting socket

43
Q

TT amputee causes of decreased step length on the contralateral limb include all of the following EXCEPT

a. habit
b. weak hip abductors
c. hip or knee flexion contracture
d. restrictive AD

A

weak hip abductors

44
Q

TF increased lateral trunk bending prosthetic causes include all of the following EXCEPT

a. prosthesis too long
b. too little lateral wall adduction
c. medial wall too high
d. excessive outset foot

A

prosthesis too long

it would be too short

45
Q

TF increased lateral trunk bending amputee cause by all of the following EXCEPT

a. weak hip abductors
b. short residual limb
c. adductor roll
d. fear or habit

A

fear or habit

46
Q

TF abducted gait prosthetic causes including all of the following EXCEPT

a. prosthesis too long
b. lateral wall too high
c. too little lateral wall adduction
d. foot outset too much

A

lateral wall too high

medial wall would be high

47
Q

Abducted gait can be caused by the prosthesis being too (short/long)

A

long

48
Q

TF abducted gait amputee causes include all of the following EXCEPT

a. adductor roll
b. fear or habit
c. socket too tight
d. hip abduction contracture

A

socket too tight

socket would be too loose with instability

49
Q

TF circumducted gait prosthesis causes include all of the following EXCEPT

a. too much DF of foot
b. inadequate suspension
c. insufficient knee flexion
d. prosthesis too long

A

too much DF of foot

PF would cause

50
Q

TF circumducted gait amputee causes include all of the following EXCEPT

a. hip abductor contracture
b. too loose of a socket
c. improper sock ply
d. weak hip flexors

A

too loose of a socket

51
Q

TF medial or lateral whips prosthesis caused by

A

malrotation of knee unit

improperly fitting socket

52
Q

medial whip causes excessive (ER/IR) of knee axis

A

ER

53
Q

lateral whip causes excessive (ER/IR) of knee axis

A

IR

54
Q

TF Rotation of foot and heel strike prosthetic causes
(soft/stiff) heel cushion
alignment in excessive toe (in/out)
too (tight/loose) socket fit

A

stiff
out
loose

55
Q

TF Rotation of foot and heel strike amputee causes

  • too vigorous (flex/ext) of residual limb
  • poor residual limb _
  • insufficient _ through prosthesis
A

extension
muscle control
weight bearing

56
Q

Excessive heel rise prosthetic cause could be due to

A

insufficient resistance to knee flexion

inadequate extension aid

57
Q

Amputee cause for excessive heel rise

A

too forceful hip flexion

58
Q

Terminal impact prosthetic cause due to
insufficient knee _
extension bumper in knee joint _ or _

A

friction

absent or worn

59
Q

Terminal impact amputee causes

A

forceful hip flexion followed by forceful hip extension

may be trying to feel for when the heel goes down

60
Q

Foot slap prosthetic cause can be due to

a. too much DF
b. PF bumper too soft
c. PF bumper too stiff
d. too much PF

A

PF bumper too soft

61
Q

Improperly fitted socket causing pain can create what type of deviation

a. foot slap
b. abducted gait
c. uneven step length
d. lateral trunk lean

A

uneven step length

62
Q

An improperly shaped socket can cause what type of gait deviation

a. vaulting
b. lateral hip thrust
c. uneven step length
d. increased lumbar lordosis

A

increased lumbar lordosis

63
Q 
Increased lumbar lordosis amputee causes include 
hip _ contracture 
weak hip _ 
weak _ 
_
A

flexor
extensors
abdominals
habit

64
Q

What is the most common reason for increased lumbar lordosis?

a. weak hip extensors
b. hip flexor contracture
c. weak abdominals
d. improperly shaped socket

A

hip flexor contracture

65
Q

TF vaulting prosthetic causes include all of the following EXCEPT

a. inadequate suspension
b. excessive friction in knee
c. too much PF
d. short prosthesis

A

short prosthesis

long prosthesis would create vaulting

66
Q

Amputees can create a vaulting gait pattern to _ momentum using _ with excessive _

A

increase
sound side
plantarflexion

67
Q

Vaulting can be due to amputee

a. weak hip abductors
b. weak hip extensors
c. weak hip flexors
d. weak glutes

A

weak hip flexors

68
Q

Vaulting can be due to amputee fear of

A

stubbing prosthetic toe

69
Q

Delayed pelvic rotation is due to amputee having poor

A

poor muscle coordination

70
Q

Fixing _ will fix other gait deviations

A

delayed pelvic rotation

71
Q

the prosthesis is too (short/long) if there is a lateral hip thrust

A

short

72
Q

Amputee causing lateral hip thrust include all of the following EXCEPT

a. weak hip abductors
b. poor muscle control
c. weak hip flexors
d. short residual limb

A

weak hip flexors

73
Q

Alignment of the prosthesis is too far (anterior/posterior) if there is limited knee flexion

A

posterior

74
Q

Limited knee flexion in a TF amputee is caused by
weak _ _
(short/long) residual limb
inadequate timing of _

A

weak hip flexors
short residual limb
inadequate timing of the pelvis

75
Q 
Knee instability prosthetic causes 
- heel response too (soft/stiff) into PF
- excessive (PF/DF) of foot 
_ contracture 
knee joint too far (anterior/posterior) to TKA line
A

too stiff
excessive DF
hip flexion contracture
anterior to TKA line

76
Q

Knee instability amputee causes include all of the following except

a. fear
b. poor muscle control
c. hip flexion contracture
d. delayed/decreased weight bearing

A

fear

77
Q

If there is foot drag the prosthesis is too (short/long)

A

long

78
Q

Foot drag caused by the amputee can be because of

A

poor coordination
weak hip or knee flexors
improperly donning

79
Q

an amputee can have an uneven arm swing if their prosthesis

A

poorly fits causing pain

80
Q

Uneven arm swing can be caused by

A

poor balance/proprioceptive changes
fear and insecurity
poor training/habit

81
Q

Excessive pistoning can be caused by

A

not seated in socket
inadequate suspension
inadequate sock ply
large flabby residual limb

82
Q

Pelvic rise/hip hike can be caused by the prosthesis

  • foot alignment in excessive (PF/DF)
  • knee too far (posterior/anterior) to TKA line
  • prosthesis too (short/long)
  • _ knee
A

PF
posterior
long
manual locking

83
Q

Pelvic rise/hip hike can be combined with _ gait devation

A

circumduction

84
Q

The patient is forcefully flexing the hip then forcefully extending the hip this gait deviation is

A

terminal impact

85
Q

an increased lumbar lordotic curve can be due to not enough socket (flexion/extension)

A

flexion

86
Q

delayed pelvic rotation is due to

A

poor muscle coordination

87
Q

poor balance/proprioceptive changes can cause this type of gait

A

uneven arm swing

88
Q

if the patients is walking with an abducted gait the socket could be too (tight/loose)

A

loose

Prosthetics (12 decks)

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