S2 L11: Common Gait Deviations Associated w/ Orthotic Device Issues Flashcards
FOREFOOT SLAPS THE GROUND
Foot Slap
Foot Slap Orthotic Causes
- Inadequate dorsiflexion assist
- Inadequate plantarflexion stop
Foot Slap Anatomical Causes
Weak dorsiflexors because cannot control lowering of foot to the ground
TIPTOE POSTURE MAY OR MAY NOT BE MAINTAINED THROUGHOUT STANCE
Toes First
Toes First Orthotic Causes
- Inadequate heel lift
- Inadequate dorsiflexion assist
- Pt’s foot is plantarflexed, hence the tiptoe position
- Inadequate plantarflexion stop
- Inadequate relief of heel pain
Toes First Anatomical Causes
- Short LE
- Pes Equinus
- Extensor Spasticity
- Heel Pain
ENTIRE FOOT CONTACTS GROUND INITIALLY (No heel strike)
FLAT FOOT CONTACT
Flat Foot Contact Orthotic Causes
- Inadequate traction from sole
- Requires walking aid (e.g., cane)
- Inadequate dorsiflexion stop
Flat Foot Contact Anatomical Causes
Poor balance and Pes Calcaneus
MEDIAL (OR LATERAL) BORDER CONTACTS FLOOR
EXCESSIVE MEDIAL (OR LATERAL) FOOT CONTACT
Excessive Medial (or Lateral) Foot Contact Orthotic Cause
Transverse Plane Malalignment
Excessive Medial (or Lateral) Foot Contact Anatomical Causes
- Weak Invertors/Evertors
- Pes Valgus/Varus
- Genu Valgum/Varum
KNEE COLLAPSES WHEN FOOT CONTACTS GROUND
EXCESSIVE KNEE FLEXION
Excessive Knee Flexion Orthotic Causes
- Inadequate knee lock
- Inadequate dorsiflexion stop
- Plantarflexion restriction (stop)
- Inadequate contralateral shoe lift
Excessive Knee Flexion Anatomical Causes
- Weak quadriceps (buckling of the knee)
- Short contralateral LE
- Knee Pain
- Knee and or hip flexion contracture
- Flexor Synergy
- Pes Calcaneus
KNEE HYPEREXTENDS AS WEIGHT IS TRANSFERRED TO LE
HYPEREXTENDED KNEE
Hyperextended Knee Orthotic Causes
- Genu recurvatum inadequately controlled by plantarflexion stop
- Excessively concave (deep) calf band
- Pes equinus uncompensated by contralateral shoe lift
- Inadequate knee lock
Hyperextended Knee Anatomical Causes
- Weak quadriceps
- Lax knee ligaments
- Extensor synergy
- Pes equinus
- Short contralateral LE
- Contralateral knee and/or hip flexion contracture
PATIENT LEANS FORWARD AS WEIGHT IS TRANSFERRED TO LE
ANTERIOR TRUNK BENDING