AK gait deviations

Question 1

Toe lever arm too short

Answer 1

knee buckling

Question 2

Socket flexion for 5 degree flexion contracture

Answer 2

10 degrees

Question 3

knee rotation

Answer 3

5-7 degrees of ER for patellar alignment during swing

Question 4

Weight anterior to TKA line makes knee ___

Answer 4

stable

Question 5

Medial whip

PC

Answer 5

ER of knee, socket too tight, ER of foot

Question 6

Medial whip

AC

Answer 6

socket not on properly, ER of hip at toe off

Question 7

Lateral trunk bend

PC

Answer 7

IR of knee, socket loose

Question 8

lateral trunk bend

AC

Answer 8

habit, socket not on properly, IR of hip

Question 9

Abducted gait

PC

Answer 9

too long, instability at femur

Question 10

Abducted gait

AC

Answer 10

abduction contracture, poor gait habit, insecurity

Question 11

Circumducted gait

PC

Answer 11

too long, knee too stiff

Question 12

Circumducted gait

AC

Answer 12

lack of confidence in flexed knee, abd contracture, weak hip flexors

Question 13

vaulting

PC

Answer 13

too long, excessive foot PF, knee too stable

Question 14

vaulting

AC

Answer 14

gait, habit, fear of catching toe, weak hip flexors

Question 15

Heel rise

PC

Answer 15

too tight knee extension, insufficient knee friction, wrong knee

Question 16

Heel rise

AC

Answer 16

excessive use of hip flexors to initiate swing phase

Question 17

Knee instability

PC

Answer 17

excessive DF, TKA too far forward, foot malalignment

Question 18

Knee instability

AC

Answer 18

weak hip flexors, hip flexion contracture

Question 19

Short prosthetic step

PC

Answer 19

socket pain, weak extension aide, unstable knee, excessive DF,

Question 20

Short prosthetic step

AC

Answer 20

patient insecurity, weak hip, poor balance

Question 21

Long prosthetic step

PC

Answer 21

excessive PF, insufficient socket flexion, toe lever too long

Question 22

Long prosthetic step

AC

Answer 22

flexion contracture, patient insecurity, pain on sound side

Question 23

Lateral shift

PC

Answer 23

prosthetic foot too far in, excessive socket adduction

Question 24

Lateral shift

AC

Answer 24

weak hip abductors, narrow base of gait

Question 25

Lateral trunk bend

PC

Answer 25

foot too far out, high medial wall, aligned in abduction

Question 26

Lateral trunk bend

AC

Answer 26

inadequate balance, abduction contracture, short residual limb

Question 27

Toe drag

PC

Answer 27

long prosthesis, excessive PF, excessive knee friction

Question 28

Toe drag

AC

Answer 28

weak hip flexors, weak hip abductors on sound side, poor posture

Question 29

“walking up a hill”

Answer 29

too long

Question 30

rise and drop of effected side shoulder

Answer 30

too long

Question 31

reduced arm swing ____ side if too long

Answer 31

effected

Question 32

exaggerated arm swing on ____ side if too long

Answer 32

sound

Question 33

4 factors of gait

Answer 33

patient
prosthetic alignment
socket fit
rehab teamwork