Ther ex principals and gait Flashcards
progression rules: (10)
bilateral to unilateral slow to fast stable to unstable BOS single plane to multi-directional single joint to multi joint simple to complex basic to task specific address joints above and below body weight before external resistance sagittal before frontal before transverse
If someone has, decreased stance phase of affected limb, decreased swing of unaffected limb, short step length and decreased cadence what basic gait do they have?
antalgic gait pattern
what is anthrogenic gait?
stiff knee or hip “think arthritis”
what happens with anthrogenic gait?
excessive PF, circumduction, trying not to bend knee or hip much
what does psoatic limp look like?
stiff hip, inc. lateral rotation, flexion and adduction of hip
what pathology goes with psoatic limp?
legg calve perthes disease
what does short leg gait look like?
lateral shift to affected side
What does TKA gait look like?
short step length, dec. ROM at knee
what does THA gait look like?
trunk forward, trendelenburg
6 determinants of gait?
lateral pelvic shift lateral pelvic tilt lateral pelvic rotation DF knee flexion heel rise (PF pushoff)
8 phases of gait cycle
initial contact load response mid stance terminal stance pre-swing initial swing mid swing terminal swing
when are u at your tallest vertical point?
mid stance
when is there most hip extension
terminal stance
when is there most knee flexion?
initial swing
stance phase makes up___%, and swing phase makes up ___%
60% stance, 40% swing
one gait cycle?
R IC to R IC, or L IC to L IC
one stride length?
R heel to R heel in foot prints
step length?
R heel to L heel in foot prints
IC has how many degrees of hip flexion?
20-35
IC has how much knee flexion?
0-5 degrees
IC has how much DF?
ankle is neutral
when is foot flat achieved?
during loading response phase
How much hip flexion during load response?
20 degrees
how much knee flexion during load response?
15 degrees
how much PF during load response?
0-5 degrees
how much hip flexion during mid stance?
trick question, there is none, hip is neutral to slight extension during mid stance
how much knee flxn during mid stance?
0-5 degrees
how much PF during mid stance?
trick! none, 0-5 degrees DF though!
terminal stance, how much hip extension?
20 degrees
how much knee flexion during term. stance?
0-5 degrees
how much DF during term. stance?
10 degrees!
how much hip ext. during pre swing?
10 degrees
how much knee flexion during pre swing?
45 degrees
how much PF during pre swing?
20 degrees
what happens in pre-swing that doesn’t happen in any other gait phase?
MTP extension! –70 degrees! whoa!
How much hip extension in initial swing?
trick! none! 15 degrees hip flxn tho!
how much knee flex during initial swing?
60 degrees! thats the MAX during gait!
how much PF in initial swing?
5 degrees
how much hip flex during mid-swing?
25 degrees
how much knee flex during mid swing?
25 degrees
how much PF during mid swing?
trick! none! no DF or PF in mid swing, tibia is vertical and ankle is neutral
how much hip flex during terminal swing?
20 degrees
how much knee flex during terminal swing?
0-5 degrees
how much DF during term swing?
none! ankle neutral in prep for heel strike.
