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NPTE Study: MSK > Prosthetics: Gait Deviations > Flashcards

Prosthetics: Gait Deviations Flashcards

1
Q

Lateral bending: prosthesis causes (socket)

A
  • Improperly shaped lateral wall

- High medial wall

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2
Q

Lateral bending: prosthesis causes

Alignment/length

A
  • Prosthesis too short

- Aligned in abduction

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3
Q

Lateral bending: amputee causes

A
  • Poor balance
  • Abduction contracture
  • Improper training
  • Short residual limb
  • Weak hip abductors on prosthetic side
  • Hypersensitive and painful residual limb
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4
Q

Abducted gait: prosthetic causes

Socket

A
  • high medial wall
  • poorly shaped lateral wall
  • inadequate suspension
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5
Q

Abducted gait: prosthetic causes

Length/positioning

A

Prosthesis too long

Positioned in abduction

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6
Q

Abducted gait: prosthetic causes

Componentry

A

Excessive knee friction

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7
Q

Abducted gait: amputee causes

A
  • Abduction contracture
  • Improper training
  • Adductor roll
  • Weak hip flexors and adductors
  • Pain over lateral residual limb
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8
Q

Circumducted gait: prosthetic causes

Length

A

Too long

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9
Q

Circumducted gait: prosthetic causes

Knee/foot componentry

A

Excessive knee friction

Excessive plantarflexion

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10
Q

Circumducted gait: prosthetic causes

Socket

A

Too small

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11
Q

Circumducted gait: amputee causes

A
  • abduction contracture
  • improper training
  • weak hip flexors
  • lacks confidence to flex the knee
  • painful anterior distal limb
  • inability to initiate prosthetic knee flexion
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12
Q

Excessive knee flexion during stance: prosthetic causes

Socket

A

Set forward in relation to foot

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13
Q

Excessive knee flexion during stance: prosthetic causes

Foot

A

Excessive dorsiflexors

Stiff heel

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14
Q

Excessive knee flexion during stance: prosthetic causes

Length

A

Prosthesis too long

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15
Q

Excessive knee flexion during stance: amputee causes

Contractures

A

Hip flexion contracture

Knee flexion contracture

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16
Q

Excessive knee flexion during stance: amputee causes

Other than contractures

A

Anterior pain in RL
Decreased quad strength
Poor balance

17
Q

Vaulting: Prosthetic causes

Socket

A

Inadequate socket suspension

18
Q

Vaulting: Prosthetic causes

Length

A

Prosthesis too long

19
Q

Vaulting: Prosthetic causes

Alignment

A

Excessive alignment stability

20
Q

Vaulting: Prosthetic causes

Foot

A

Excessive PF

21
Q

Vaulting: amputee causes

A
  • RL discomfort
  • improper training
  • fear of stubbing toe
  • short RL
  • painful hip/RL
22
Q

Rotation of forefoot at heel strike: prosthetic causes

Socket

A

Loose-fitting socket

Inadequate suspension

23
Q

Rotation of forefoot at heel strike: prosthetic causes

Foot

A

Excessive toe-out built in

Rigid SACH heel cushion

24
Q

Rotation of forefoot at heel strike: amputee causes

A
  • Poor muscle control
  • Improper training
  • weak hip IR
  • Short RL
25
Q

Forward trunk flexion: prosthetic causes

Socket

A

Socket too big

Poor suspension

26
Q

Forward trunk flexion: prosthetic causes

Knee

A

Knee instability

27
Q

Forward trunk flexion: amputee causes

Weakness

A

Weak hip extensors

28
Q

Forward trunk flexion: amputee causes

Contracture

A

Hip flexion contracture

29
Q

Forward trunk flexion: amputee causes

Other than contracture/weakness

A

Pain with ischial WB

Inability to initiate prosthetic knee flexion

30
Q

Medial or lateral whip: prosthetic causes

Knee

A

Excessive rotation of the knee

Valgus in prosthetic knee

31
Q

Medial or lateral whip: prosthetic causes

Foot

A

Improper alignment of toe break

32
Q

Medial or lateral whip: prosthetic causes

Socket

A

Tight socket fit

33
Q

Medial or lateral whip: amputee causes

A

Improper training
Weak hip rotators
Knee instability

NPTE Study: MSK (46 decks)

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