Gait

Question 1

Plantarflexion deformity

Answer 1

Limited dorsiflexion

Toe drag, increased hip and knee flexion

Question 2

Rigid neutral ankle

Answer 2

Brings hips and knee forward in loading response

Question 3

Knee extension deformity

Answer 3

Limited knee flexion

Excessive DF in preswing, toe drag in initial swing

Question 4

Knee flexion deformity

Answer 4

Limited knee extension

Excessive DF

Question 5

Hip flexion deformity

Answer 5

Limited hip extension

Forward trunk, circumduction

Question 6

Mimics hip flexion deformity?

Answer 6

IT band contracture

Question 7

Hip extension deformity

Answer 7

Limited hip flexion

Posterior tilt, excessive knee flexion

Question 8

Pelvic drop

Answer 8

Trunk deviates to the side of glut med weakness

Question 9

Antalgic gait patterns (4)

Answer 9

Stance phase of affected limb is shorter
Swing phase of unaffected limb is shorter
Shorter step length of uninvolved limb
Decreased cadence and walking velocity

Question 10

Natural resting position of

1. ankle
2. hip
3. knee

Answer 10

15 deg
30 deg
30-40 deg

Question 11

Soleus weakness

Answer 11

Failure to stabilize tibia, results in sustained knee flexion

Question 12

Quad weakness

Answer 12

Knee hyperextension

Question 13

Gait grades

Answer 13

4: normal gait
3: obvious pain with jogging, apparently normal gait
2: antalgic or normal gait with slow walking, more pain with higher walking speeds
1: extreme difficulty walking and/or WBing, obvious pain with slow walking speed