Walking and Gait Disorders Flashcards
What are the 3 arches of the foot?
Transverse Arch
Medial Longitudinal Arch
Lateral Longitudinal Arch
What does a normal footprint look like?
Normal!
What are the two phases of the gait cycle?
Stance Phase (60%) Swing Phase (40%) This happens on each leg, but for simplicity, we're only following the path of one.
Stance Phase
Weight Bearing
Stance Phase - Components
Controlled Plantarflexion Hip Extension Continued Knee Extension Continued Hip Extension Continued Plantarflexion
Swing Phase
Non-Weight Bearing
Pelvis Stabilization & Ankle Dorsiflexion throughout
Swing Phase - Components
Pelvis Stabilization Hip Flexion Ankle Dorsiflexion Knee Flexion = Gravity, apparently Knee Flexion Continued All of the Above Knee Extension Continued Stabilization of Pelvis & Dorsiflexion
Gait Disorders - General Causes
Diseases of peripheral nervous system
Intervertebral Disc Herniation
Trauma
Arthritis
Gait Disorders - Specific Conditions
Slap Gait, Steppage Gait (Foot Drop)
Quadriceps Gait
Gluteus Maximus Lurch
Iliopsoas Gait
Slap Gait, Steppage Gait (Foot Drop)
All from weakness, paralysis of ankle dorsiflexors Deep fibular (peroneal) nerve - Sciatic or common peroneal nerves too
Quadriceps Gait
Damage to femoral nerve
Unable to extend knee
Gluteus Maximus Lurch
Inferior Gluteal Nerve damage
Unable to extend at hip,
Trunk falls forward
Iliopsoas Gait
Ventral Rami of L1, L2, L3 compromise the Iliopsoas
Abductors used to clear the ground
What’s the point of all these cross sections?
To give you a different way to visualize the spatial relationships between 3D shapes that intertwine in complicated ways!
Let’s follow the path of the cephalic and basilic veins!
Yay!