week 6 Flashcards
Functions of the Lower Extremity (LE)
Enable an upright posture
Maintain equilibrium
Maintain stand and sitting balance
Provide support for the weight of the body
Promote locomotion (gait)
Shock absorption during walking and running
Assist in pushing up off the ground
Role of Occupational Therapy and the LE
Transfer training
Standing and sitting balance
Safety
Use of adaptive equipment
Transitional movements
ADL and IADL
Motions of the Pelvis
appendicular skeleton.
influences posture, sitting balance, and establishes stability for reaching with the upper
extremity (UE).
influences
posture and curvature of the spine in standing, provides stabilization needed for standing balance, and enables mobility to allow for movement of the LE as in gait.
Motions of the Pelvis
Anterior pelvic tilt
Posterior pelvic tilt
Right and left lateral tilt
Right and left forward or backward rotation
Motions of the Hip
Hip flexion
Hip extension/Hyperextension
Hip abduction
Hip adduction
Hip external rotation
Hip internal rotation
Motions of the Knee:
Knee flexion
Knee extension
Motions of the Ankle:
Dorsiflexion
Plantarflexion
Inversion
Eversion
Observational gait analysis can
Reflect distance traveled
Identify the absence or presence of common characteristics of gait
Ensure safety, prevent injury, reinforce carryover of physical
therapy treatment, and facilitate progress toward
Gait patterns have been broken down into common components
called the gait cycle.
Two phases
Stance phase
Swing phase
The phases of the stance phase (Rancho Los Amigos terminology)
- Initial Contact (Heel strike)
- Loading Response (Foot flat)
- Midstance
- Terminal Stance (Heel off)
- Preswing (Toe off)
Stance Phase
The leg is in contact with the ground
Accounts for 60% of the gait cycle
The traditional phases of the swing phase include
- Initial Swing (Acceleration)
- Midswing
- Terminal Swing (Deceleration)
Swing Phase
Occurs when the foot leaves the ground but before it comes in
contact with the ground again
Accounts for 40% of the gait cycle
Occupation-Based Mobility:
The Visual Observation of Gait
Single support describes the part of the gait cycle when only one leg is in contact with the ground.
Double support describes when both legs are in contact with the ground during ambulation
Common Problems of the Lower Extremity
Foot drop is a common disorder in neurological conditions
neurological damage