Prosthetic Gait Deviations Flashcards

1
Q

Transfemoral - circumduction

A
  • long prosthesis
  • locked knee
  • small/loose socket
  • inadequate suspension
  • foot PF
  • abduction contracture
  • poor knee control
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2
Q

TF - abducted gait

A
  • crotch or medial wall discomfort
  • long prosthesis
  • low lateral wal or malalignment
  • tight hip abductors
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3
Q

TF - vaulting

A
  • prosthesis too long
  • inadequate suspension
  • socket too small
  • prosthetic foot set in too much PF
  • too little knee flexion
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4
Q

TF - lateral trunk bending in stance

A
  • low lateral wall
  • short prosthesis
  • high medial wall
  • weak abductors
  • abductor contracture
  • hip pain
  • short amputation limb
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5
Q

TF- forward flexion in stance

A
  • unstable knee
  • short ambulatory aids
  • hip flexion contracture
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6
Q

TF - lumbar lordosis in stance

A
  • insufficient support from ant or post wall
  • painful ischial WB
  • hip flexion contracture
  • weak hip extensors or abdominals
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7
Q

TF- high heel rise

A
  • inadequate knee friction

- too little tension in the extension aid

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8
Q

TF - terminal swing impact

A
  • insufficient knee friction or too much tension in extension aid
  • patient fears knee will buckle
  • forceful hip flexion
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9
Q

TF - swing phase whips

A
  • socket is rotated
  • knee bolt is rotated
  • foot is malaligned
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10
Q

TF - foot rotation at heel strike

A
  • foot is malaligned
  • stiff heel cushion
  • PF bumper is too soft
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11
Q

TF - uneven step length

A
  • socket discomfort
  • poor alignment
  • hip flexion contracture
  • hip instability
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12
Q

TF - foot slap

A

-heel cushion or PF bumper too soft

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13
Q

TT - excessive knee flexion

A
  • socket aligned too far forward or tilted anteriorly
  • PF bumper is too hard and limits PF
  • high heel shoes
  • knee flexion contracture
  • weak quads
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14
Q

TT - inadequate knee flexion

A
  • socket too far back or tilted posteriorly
  • PF bumper or heel cushion is too soft
  • low heel shoes
  • anteriodistal discomfort
  • weak quads
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15
Q

TT - lateral thrust

A

-foot inset too much

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16
Q

TT - medial thrust

A

-foot outset too much

17
Q

TT - dropoff or premature knee flxion in late stance

A
  • socket is too far forward or excessively flexed
  • DF bumper is too soft
  • prosthetic foot keel too short
  • knee flexion contracture
18
Q

TT - delayed knee flexion in late stance

A
  • “walking uphill”
  • socket is too far back or lacks sufficient flexion
  • DF bumper is too stiff - excess PF
  • prosthetic foot keel is too long