Session 7-Gait Flashcards

1
Q

What is gait?

A

Mechanism by which body is transported using coordinated movements of the major lower limb joints

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2
Q

What are the five attributes of gait?

A

1) stability in stance
2) foot clearance in swing
3) pre-positioning for initial contact
4) adequate step length
5) energy conservation

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3
Q

What does the gait cycle describe?

A

Period of time from initial contact to next initial contact on the same side

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4
Q

What makes up 60% of the gait cycle?

A

Stance phase

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5
Q

What makes up 40% of the gait cycle?

A

Swing phase

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6
Q

What is double support?

A

Both feet on the ground at the same time

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7
Q

What is double float?

A

Overlapping swing phase - neither foot is in contact with the ground

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8
Q

What are the five stages of the stance phase?

A

1) initial contact (heel strike)
2) loading response
3) mid-stance (foot flat)
4) terminal stance (heel off)
5) pre-swing (toe off)

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9
Q

What are the three stages of the swing phase?

A

1) initial swing
2) mid-swing
3) terminal swing

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10
Q

Define stride

A

Distance from initial contact of one foot to initial contact of same foot

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11
Q

Define step

A

Distance from initial contact of right foot to initial contact of left foot

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12
Q

Define cadence

A

Steps per minute

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13
Q

What do kinematics describe?

A

Motion:

  • joint angles
  • displacements
  • velocities
  • accelerations
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14
Q

What do kinetics describe?

A

Things that cause motion:

  • forces
  • moments
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15
Q

How many rockers are in the stance phase?

A

3

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16
Q

What are the different ways in which muscles work in kinetics?

A
  • concentric (shortening)
  • eccentric (lengthening)
  • isometric (same length)
17
Q

Why is energy conservation important?

A

1) minimise excursion of centre of gravity
2) control momentum
3) transfer energy between body segments
4) phasic muscle action

18
Q

Describe the characteristics of antalgic gait

A
  • painful leg
  • short stance phase for affected leg
  • lack body weight shift to affected leg
  • short swing phase in unaffected leg
  • uneven
19
Q

What can cause a hemiplegic gait?

A

Hemi-brain injury:

  • stroke
  • cerebral palsy
  • trauma
20
Q

Describe hemiplegic gait

A
  • flexed upper limb
  • extended lower limb
  • short step in unaffected leg
  • circumduction in affected leg
21
Q

What can cause a diplegic gait?

A

Neuromuscular disorders: cerebral palsy

22
Q

Describe diplegic gait

A
  • scissoring
  • tight muscle groups: psoas/adductors/calf/hamstrings
  • ankle plantarflexed
  • forefoot initial contact
23
Q

What can cause high steppage gait?

A

Foot drop in sciatica, common peroneal nerve palsy, neuromuscular disorders

24
Q

Describe high steppage gait

A
  • toes hanging down
  • excessive hip flexion on affected side
  • foot slap
25
Q

Describe Parkinsonian gait

A
  • shuffling/short step
  • forward flexed
  • no arm swing
  • festinant