Reasons for Abnormal Gait Patterns Flashcards
Knee hyperextension
joint laxity
weak hammy
plantarf contracture
Foot drop
ant tib weak
Foot slap
lack of eccentric control
Steppage gait pattern
cannot clear foot, compensate with hiking up hip
Trendelenburg
hip drop, weak glut med
Anteriot pelvic tilt
tight hip flexors, stretched out hammy
Posterior pevlic tilt
tight hammy, stretched hip flexors
Compensated trendelenburg
leaning towards side with weak glut med
Vaulting
cannot clear foot, lifting themselves higher to comp
Antalgic gait
painful, limping
Shuffle
why
common in Parkinson’s, dementia, weakness or fear
Hip external rotation or internal rotation
this may just be how they walk, or weak IR (er) weak ER (ir)
Hip circumduction causes
weak tib anterior, hip flexors
Festinating gait
Specific to Parkinson’s - when they get distracted it is hard for them to get out of the gait pattern (freezing in the gait pattern)
Leg length difference
what might they do?
can occur after surgery, may just have a longer limb, they may vault or circumduct
Limited ROM
need to look at each joint to make a decision
Listing is?
caused by (4)?
vearing to one side while walking, balance/ vertigo issues, vestibular or visual issues
Posterior Lurch
causes (2)?
trunk leans posteriorly with hyperextended hip, motor control problem or weakness
Waddling
cause?
swaying from side to side, muscular dystrophy (weakness and loss of muscle mass)
Ataxia
without coordination
Cerebellar ataxic gait
long step then short step then right then lean to left (uncoordinated) problem with cerebellum
Sensory ataxic gait
lack of control / feedback, they do not know where their foot / leg is in space
Choreiform
CP / Huntington’s , unpredictable gait (irregular, jerky, involuntary)
Hemiplegic, the leg is …
leg is held stiffly and circumducted
Tone / spasticity
extensor tone in the leg while arm is flexed position - strong PF tone
Scissoring gait
cause
common in
both or one leg crossing the midline, tightened or tone of adductors, CP
