Week 1 Flashcards
What is gait?
The manner in which a person
walks
What is a step?
From heel strike to next contralateral heel strike
What is a stride?
From heel strike to next ipsilateral heel strike
What is a cadence?
Number of steps taken per unit of time
What is speed?
Rate of linear forward motion of the body
How is step width found?
Linear distance between midpoint of heel of one foot and same point on other foot in completing a step
What and how is step length found?
The linear distance between two successive points of contact of opposite extremities. Usually measured from the point of contact on one extremity to the point of one heel strike at the other extremity
What is step duration?
The amount of time spent during a single step
How long does a stride for a normal adult last?
1 secs
What is the normal adult male cadence?
110/min
What is the normal adult female cadence?
116/min
When during cadence does the point of double limb support changes to running?
180/min
What increases walking speed up to 120 steps/ min?
Increases in both cadence and stride length
What increases walking speed for more than 120 steps/ min?
Increase in cadence
What is a person’s normal comfortable speed of gait called?
Preferred Natural Self- Selected gait
What is line of progression?
The path taken during gait
What does the degree of toe- out represent and how is it found?
The angle of foot placement. Found by measuring the angle formed by each foot’s line of progression and the line intersecting the center of heel of the 2nd toe
What is the normal angle of toe- out for men?
7 deg from the line of progression of each foot at free walking speed
How does the angle of toe out decrease?
As the speed of walking increases
One stride is = to _____
One complete gait cycle
What are the periods in a complete gait cycle?
Stance period
Swing period
62% of the gait cycle is what period?
Stance period.
When does the stance period occur?
When the reference limb is in contact with the ground
What part of the gait cycle is the swing period and when does it occur?
38%, which occurs when the reference limb is off the ground
What are the functional tasks of gait required for walking and what phase are they in?
- Weight Acceptance: Stance
- Single Limb Support: Stance
- Swing Limb Advancement: Swing
What is the 1st and most challenging task in the gait cycle and why?
Weight acceptance. It is the most difficult, because it has 3 requirements
What are the requirements of weight acceptance?
- Preservation of forward progression
- Initial limb stability
- Shock absorption
What is the challenge of weight acceptance?
The abrupt transfer of body weight unto a limb that has just finished swinging forward and has an unstable alignment
What accomplishments are needed for
Single Limb Support?
Stability and forward progression
What accomplishments are needed for
Swing Limb Advancement?
Foot clearance and limb advancement
What are the phases of the gait cycle, what period and functional task do they fall under?
- Initial Contact: Stance: Weight acceptance
- Loading Response: Stance: Weight acceptance
- Mid Stance: Stance: Single Limb
Support - Terminal Stance: Stance: Single Limb
Support - Pre Swing: Swing: Swing Limb
Advancement - Initial Swing: Swing: Swing Limb
Advancement - Mid Swing: Swing: Swing Limb
Advancement - Terminal Swing: Swing: Swing Limb
Advancement
What is initial contact?
Moment when the foot contacts the ground and the immediate reaction to the onset of body weight transfer. 0%
What are the critical events that occur during initial contact?
- Heel first contact
- Initiation of heel rocker
- Impact Deceleration
What is loading response?
Period of double limb support, where weight rapidly transferred onto
outstretched limb as foot contact transitions from the heel to flat on the floor. 0-12%
What are the critical events that occur during loading response?
- Progression of heel rocker
- Restrained ankle plantar flexion
- Restrained knee flexion
- Sustained hip flexion
What is mid stance?
1st half of single limb support, where the body progresses over a single, stable limb with a stationary foot until the weight of the body is aligned over the forefoot of the reference limb. 12-31%
What are the critical events that occur during mid stance?
- Ankle rocker
- Restrained ankle dorsiflexion
- Restrained knee extension
- Frontal plane hip stabilization
What is Terminal Stance (TSt)?
2nd half of single limb support, where the body moves ahead of limb and weight is transferred to forefoot and the heel of the stance limb begins to rise off the ground. 31-50%
What are the critical events of Terminal Stance (TSt)?
- Initiation of forefoot rocker
- Controlled ankle dorsiflexion with heel rise
- Trailing limb posture
- Free forward fall of the body
What is Pre-Swing (PSw)?
Rapid unloading of limb occurs as weight is transferred to contralateral limb. Begins with initial contact of the contralateral limb and progresses until toe off of the reference limb. 2nd period of double limb support. 50-62%
What are the critical events of Pre-Swing (PSw)?
- Adequate knee flexion
* Adequate ankle plantar flexion
What is Initial Swing (ISw)?
Thigh begins to advance as the foot comes up off the floor and ends when the reference foot opposite of the stance foot. 62-75%
What are the critical events of Initial Swing (ISw)?
- Adequate knee flexion
* Adequate hip flexion
What is Mid-Swing (MSw)?
Thigh continues to advance as the knee begins to extend and the foot clears the ground. Concludes when the tibia of the swinging limb aligns vertically. 75-87%
What are the critical events of Mid-Swing (MSw)?
- Adequate hip flexion
* Adequate ankle dorsiflexion
What is Terminal Swing (TSw)?
Knee extends as the limb prepares for contact with the ground. 87-100%
What are the critical events of Terminal Swing (TSw)?
- Deceleration and inhibition of hip flexion
- Deceleration at the knee
- Adequate knee extension
- Adequate ankle dorsiflexion
What happens in the other limb while the reference limb is going through Initial contact and loading response?
Pre-Swing
What happens in the other limb while the reference limb is going through Mid-Stance?
- Initial swing
- 1st half of Mid- swing
What happens in the other limb while the reference limb is going through terminal-Stance?
- 2nd half of mid swing
- Terminal Swing
What happens in the other limb while the reference limb is going through Pre-Swing?
- Initial Contact
- Loading Response
What happens in the other limb while the reference limb is going through Initial Swing and 1st half of mid- swing?
Mid stance
What happens in the other limb while the reference limb is going through the 2nd half of mid- swing and terminal swing?
Terminal stance
What biomechanical factors should we
consider during gait?
- Range of Motion
- Torque Demands
- Muscle Activity
- Functional Significance
Which are the kinematic variables of the biomechanical factors we should consider during gait?
Range of Motion
Which are the kinetic variables of the biomechanical factors we should consider during gait?
- Torque Demands
- Muscle Actions
What creates the torque demands at the
joints during gait?
- External torque
- Gravitational torque
- Intersegmental torque
- Muscle torque
What creates the external torque?
Vertical ground reaction force vector
What are kinematics?
A set of concepts that allows us to describe the motion of the body and or its segments, without regard to the forces causing the movement described
What are kinetics?
A set of concepts that deals with forces that produce, stop and modify motions of either the body as a whole or the individual body segments
What is the 1st peak in vertical ground reaction force equal to in the gait cycle?
Weight acceptance, when the body’s downward velocity is being slowed. (Loading response)
What is the 2nd peak in vertical ground reaction force equal to in the gait cycle?
Push off, which shows that the body’s CoM is being accelerated upward to increase its upward velocity. (Terminal stance)
Where is the vertical ground reaction force vector found?
Just anterior to the knee joint
How do anteroposterior ground reaction
forces vary during the 1st half of the stance phase of gait?
The ground reaction force is directed posteriorly against the foot that is initially contacting the ground and prevents the foot from moving forward. Mx magnitude is 20% of boy weight
When is the anteroposterior ground reaction
forces neutral during the stance phase of gait?
Mid stance
How do anteroposterior ground reaction
forces vary during the 2nd half of the stance phase of gait?
The vector is directed anteriorly against the foot, enabling the person to push off
What is the center of pressure?
The single point on the foot which the resultant surface pressure may be considered to the acting. The starting point for the ground reaction force vector
What is the progression of center of pressure during barefoot walking?
Starts at the posterolateral edge of the heel at the beginning of the stance phase. Moves in a linear and medial manner through the mid foot area all the way to the 1st and 2nd toes during light stance
What creates the intersegmental torque?
A result from the angular accelerations and angular velocities of other segments of the system
What creates the muscle torque?
The combined action of all MSK elements acting on the joint
What muscle torques combine in successful gait?
Hip and knees(net extensor torque) at the beginning and progresses to ankle plantar flexors(net flexor torque)
What are the induced torques?
- External
- Gravitational
- Intersegmental
What are the reactionary torques?
• Muscle torque
How are torques balanced for success in gait?
Induced and reactionary torques must be balanced
During Initial Contact, what is happening
at the ankle joint in regards to ROM?
Neutral position
During Initial Contact, what is happening
at the ankle joint in regards to Torque
Demand?
Plantar flexion torque
During Initial Contact, what is happening
at the ankle joint in regards to muscle
action?
Isometric contraction of pre-tibial muscles
During Initial Contact, what is happening
at the ankle joint in regards to functional
significance?
Foot correctly positioned for heel rocker action in LR
During Initial Contact, what is happening
at the knee joint in regards to ROM?
Positioned in neutral to 5 degrees flexed
During Initial Contact, what is happening
at the knee joint in regards to Torque
Demand?
Brief extension torque
During Initial Contact, what is happening
at the knee joint in regards to muscle
action?
- Quadriceps prep for next phase
* Hamstrings counter extension torque
During Initial Contact, what is happening
at the knee joint in regards to functional
significance?
Extension torque stabilizes the knee
During Initial Contact, what is happening
at the hip joint in regards to ROM?
• Flexed 20 degrees
During Initial Contact, what is happening
at the hip joint in regards to Torque
Demand?
Rapid, high intensity flexion torque begins
During Initial Contact, what is happening
at the hip joint in regards to muscle
action?
- All hip extensors active
* Semimembranosis and bicep femoris long head activity wanes
During Initial Contact, what is happening
at the hip joint in regards to functional
significance?
Hip in position of forward reach
During Initial Contact, what is happening
with the pelvis?
In 5 degrees of forward rotation in the horizontal plane
During Loading Response, what is
happening at the ankle joint in regards to ROM?
5 degrees of rapid plantar flexion
During Loading Response, what is
happening at the ankle joint in regards to torque demand?
Plantar flexion torque forces foot
to floor then diminishes
During Loading Response, what is
happening at the ankle joint in regards to muscle action?
- Pretibials contract eccentrically
* Soleus and gastrocnemius act to control tibial advancement
During Loading Response, what is
happening at the ankle joint in regards to functional significance?
- Heel rocker action created
- Momentum carried forward
- Knee flexion initiated
What does the heel rocker action
provide?
Facilitates forward progression
of the entire stance limb
During Loading Response, what is
happening at the subtalar joint in regards to ROM?
- Calcaneus everts 5 degrees
* Subtalar joint pronates
During Loading Response, what is
happening at the subtalar joint in regards to torque demand?
Eversion torque
During Loading Response, what is
happening at the subtalar joint in regards to muscle action?
Both anterior and posterior tibialis muscles contract eccentrically
During Loading Response, what is
happening at the subtalar joint in regards to functional significance?
• Assists shock absorption
• Induces IR of tibia which reduces
rotatory stress on ankle