Transfemoral Prosthetic Gait Deviations Flashcards
1
Q
Circumduction
A
- Long prosthesis
- Locked knee
- Small or loose socket
- Inadequate suspension
- Foot plantar flexed
- ABD contracture
- Poor knee control
2
Q
ABD Gait
A
- Crotch/Medial wall discomfort
- Long prosthesis
- Low lateral wall or malalignment
- Tight hip ABD’s
3
Q
Vaulting
A
- Prosthesis too long
- Inadequate suspension
- Socket too small
- Prosthetic foot set in too much PF
- Too little knee flexion
4
Q
Lateral Trunk Bending during Stance
A
- Low lateral wall
- Short prosthesis
- High medial wall
- Weak ABD’s
- ABD contracture
- Hip pain
- Short amputation limb
5
Q
Forward Flexion during Stance
A
- Unstable knee unit
- Short ambulatory aids
- Hip flexion contracture
6
Q
Lumbar Lordosis during Stance
A
- Insufficient support from anterior to posterior walls
- Painful ischial weight bearing
- Hip flexion contracture
- Weak hip extensors or abdominals
7
Q
High Heel Rise
A
- Inadequate knee friction
- Too little tension in the extension aid
8
Q
Terminal Swing Impact
A
- Insufficient knee friction or too much tension in the extension aid
- Pt fears that the knee will buckle
- Forceful hip flexion
9
Q
Swing Phase Whips
A
- Socket is rotated
- Knee bolt is rotated
- Foot is malaligned
10
Q
Foot Rotation at Heel Strike
A
- Foot is maligned
- Stiff heel cushion
- PF bumper is stiff
11
Q
Foot Slap
A
- Heel cushion or PF bumper is too soft
12
Q
Uneven Step Length
A
- Socket discomfort or poor alignment
- Hip flexion contracture or hip instability
