Reasons for Abnormal Gait Patterns

Question 1

Knee hyperextension

Answer 1

joint laxity
weak hammy
plantarf contracture

Question 2

Foot drop

Answer 2

ant tib weak

Question 3

Foot slap

Answer 3

lack of eccentric control

Question 4

Steppage gait pattern

Answer 4

cannot clear foot, compensate with hiking up hip

Question 5

Trendelenburg

Answer 5

hip drop, weak glut med

Question 6

Anteriot pelvic tilt

Answer 6

tight hip flexors, stretched out hammy

Question 7

Posterior pevlic tilt

Answer 7

tight hammy, stretched hip flexors

Question 8

Compensated trendelenburg

Answer 8

leaning towards side with weak glut med

Question 9

Vaulting

Answer 9

cannot clear foot, lifting themselves higher to comp

Question 9

Antalgic gait

Answer 9

painful, limping

Question 10

Shuffle

why

Answer 10

common in Parkinson’s, dementia, weakness or fear

Question 11

Hip external rotation or internal rotation

Answer 11

this may just be how they walk, or weak IR (er) weak ER (ir)

Question 12

Hip circumduction causes

Answer 12

weak tib anterior, hip flexors

Question 13

Festinating gait

Answer 13

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)

Question 14

Leg length difference

what might they do?

Answer 14

can occur after surgery, may just have a longer limb, they may vault or circumduct

Question 15

Limited ROM

Answer 15

need to look at each joint to make a decision

Question 16

Listing is?

caused by (4)?

Answer 16

vearing to one side while walking, balance/ vertigo issues, vestibular or visual issues

Question 17

Posterior Lurch

causes (2)?

Answer 17

trunk leans posteriorly with hyperextended hip, motor control problem or weakness

Question 18

Waddling

cause?

Answer 18

swaying from side to side, muscular dystrophy (weakness and loss of muscle mass)

Question 19

Ataxia

Answer 19

without coordination

Question 20

Cerebellar ataxic gait

Answer 20

long step then short step then right then lean to left (uncoordinated) problem with cerebellum

Question 21

Sensory ataxic gait

Answer 21

lack of control / feedback, they do not know where their foot / leg is in space

Question 21

Choreiform

Answer 21

CP / Huntington’s , unpredictable gait (irregular, jerky, involuntary)

Question 22

Hemiplegic, the leg is …

Answer 22

leg is held stiffly and circumducted

Question 22

Tone / spasticity

Answer 22

extensor tone in the leg while arm is flexed position - strong PF tone

Question 23

Scissoring gait

cause

common in

Answer 23

both or one leg crossing the midline, tightened or tone of adductors, CP