Gait Flashcards

1
Q

What are the 4 steps of the stance phase of the gait cycle?

A

1 - Heel strike.

2 - Flat foot.

3 - Heel off.

4 - Toe off.

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2
Q

What are the three steps of the swing phase of the gait cycle?

A

*This starts after toe off and ends at heel strike.

1 - Early swing.

2 - Mid swing.

3 - Terminal swing.

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3
Q

Which structures provide stability to the hip?

A

Tenor fasciae latae (including the iliotibial band).

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4
Q

During the stance phase, which structures enable hip flexion?

A

1 - Iliacus.

2 - Psoas major.

3 - Sartorius.

4 - Rectus femoris.

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5
Q

During the stance phase, which structures enable hip extension?

For which movement of the swing phase are these muscles also necessary?

A

1 - Semitendinosus.

2 - Biceps femoris.

3 - Gluteus maximus.

4 - Adductor magnus.

  • Also necessary for hip flexion in the swing phase.
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6
Q

During the stance phase, which structures of the knee enable flexion?

For which movement of the swing phase are these muscles also necessary?

A

1 - Rectus femoris.

2 - Vastus lateralis.

3 - Vastus medialis (eccentric contraction).

  • Also necessary for knee extension in the swing phase.
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7
Q

During the stance phase, which structures of the ankle enable dorsiflexion?

For which movement of the swing phase are these muscles also necessary?

A

1 - Gastrocnemius.

2 - Soleus.

  • Also necessary for plantarflexion in the swing phase.
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8
Q

During the stance phase, which structures of the ankle enable plantarflexion?

For which movement of the swing phase are these muscles also necessary?

A

1 - Tibialis anterior.

2 - Extensor digitorum longus.

3 - Gastrocnemius.

4 - Soleus.

  • Also necessary for dorsiflexion in the swing phase.
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9
Q

What is eccentric contraction?

A

Eccentric contractions occur when a muscle opposes a stronger force and reverse its initial trajectory.

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10
Q

List 6 observations that should be made when analysing the gait cycle.

A

1 - Ankle and foot position and motion.

2 - Knee position and motion.

3 - Hip position and motion.

4 - Pelvic position and rotation.

5 - Head and trunk position and movement.

6 - Arm swing.

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11
Q

What might a short stature indicate?

A

1 - Skeletal dysplaisa.

2 - Hypophosphatemic rickets.

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12
Q

What instruments are used in a gait laboratory?

A

1 - Force platforms.

2 - Pressure sensors.

3 - Computer-assisted gait analysis.

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13
Q

List 9 abnormalities of gait patterns.

A

1 - Antalgic: pain.

2 - Circumduction: LLD.

3 - Stiff hip.

4 - Spasticity / scissoring: neurological.

5 - Trendelenburg (contralateral pelvis drop): weakness.

6 - Stepping (toe drops to the ground before heel strike): weakness.

7 - Ataxic: cerebellar.

8 - Clumsy: dyspraxia.

9 - Bizarre: psychogenic.

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14
Q

Which 5 questions are involved in a rapid clinical gait analysis?

What do these questions tell you about the pathology?

A

1 - Is there pain?

2 - Is there asymmetry?

3 - Is there scissoring or waddling? - muscle tone / strength.

4 - Is there a wide base? - imbalance.

5 - Is it bizarre? - psychosomatic.

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15
Q

List 5 age related bone and joint diagnoses for infants and toddlers.

A

1 - DDH.

2 - Congenital limb disorders.

3 - Non-accidental injury.

4 - Septic arthritis.

5 - Foreign body.

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16
Q

List 6 age related bone and joint diagnoses for children.

A

1 - Reactive arthritis.

2 - Perthes.

3 - Osgood-Schlatters (knee).

4 - Sever’s disease (heel).

5 - Kohler disease (navic).

6 - Tarsal coalition.

17
Q

List 5 age related bone and joint diagnoses for adolescents.

A

1 - SUFE.

2 - Osteochondritis dissecans.

3 - Stress fractures.

4 - Overuse syndromes.

5 - Bony tumours.

18
Q

List 3 diagnoses that might be made from an abdominal examination.

A

1 - Appendicitis.

2 - Intussusception.

3 - Psoas abscess.