Gait Flashcards

1
Q

Key phases of the gait cycle for 1 leg

A
  • Initial contact
  • Stance phase
  • Swing phase
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2
Q

Stride vs step

A
  • Stride = initial contact to initial contact (same foot)
  • Step = contact of one foot to contact of other (half a stride)
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3
Q

Different double limb stances of the gait cycle

A
  • Initial double limb stance
  • Terminal double limb stance (after 1 step)
  • Double limb stance (after 1 stride)
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4
Q

Functions of the stance phase

A
  • Shock absorption
  • Stability
  • Propulsion
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5
Q

Functions of the swing phase

A
  • Ground clearance
  • Step length
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6
Q

Sub-phases of the gait cycle

A
  • Stance:
    > Initial contact
    > Loading response
    > Mid-stance
    > Terminal stance
    > Pre-swing
  • Swing:
    > Initial swing
    > Mid-swing
    > Terminal swing
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7
Q

Events of the gait cycle

A
  • Stance:
    > Initial contact
    > Opposite toe off
    > Heel rise
    > Opposite initial contact
  • Swing:
    > Toe off
    > Feet adjacent
    > Tibia verticle
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8
Q

4 rockers of gait

A
  • Ankle rocker
  • Heel rocker
  • Forefoot rocker
  • Toe rockers
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9
Q

Main shock absorber in the gait cycle

A

Knee

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10
Q

What is energy expended on in the gait cycle?

A
  • Centre of mass control
  • Selective muscular control
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11
Q

6 major displacements in the gait cycle

A
  • Pelvic rotation
  • Pelvic tilt
  • Stance knee flexion
  • Foot and ankle mechanisms
  • Tibiofemoral angle
  • Pelvic lateral displacement
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12
Q

Which muscles provide stability of the pelvis in the stance phase?

A

Tensor fascia lata

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13
Q

Which muscles provide hip flexion in the stance phase?

A
  • Iliacus
  • Psoas major
  • Sartorius
  • Rectus femoris
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14
Q

Which muscles provide hip extension in the stance phase?

A
  • Semitendinosus
  • Biceps femoris
  • Gluteus maximus
  • Adductor magnus
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15
Q

Which muscles provide knee flexion in the stance phase?

A
  • Rectus femoris
  • Vastus lateralis
  • Vastus medialis
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16
Q

Which muscles provide ankle plantarflexion in the stance phase?

A
  • Gastrocnemius
  • Soleus
17
Q

Which muscles provide ankle dorsiflexion in the stance phase?

A
  • Tibialis anterior
  • Extensor digitorum longus
  • Gastrocnemius
  • Soleus
18
Q

Which muscles provide stability of the pelvis in the swing phase?

A

Tensor fascia lata

19
Q

Which muscles provide hip flexion in the swing phase?

A
  • Semitendinosus
  • Biceps femoris
20
Q

Which muscles provide knee flexion in the swing phase?

A

Sartorius

21
Q

Which muscles provide knee extension in the swing phase?

A
  • Rectus femoris
  • Vastus lateralis
  • Vastus medialis
22
Q

Which muscles provide ankle plantarflexion in the swing phase?

A
  • Gastrocnemius
  • Soleus
23
Q

Which muscles provide ankle dorsiflexion in the swing phase?

A
  • Tibialis anterior
  • Extensor digitorum longus
24
Q

What influences gait?

A
  • Bony skeleton
  • Muscle function
  • Other soft tissues
  • Other organ systems
  • Trauma
  • Pain
  • Inflammation
  • Congenital anomaly
  • Neurological function
  • Weakness
  • Psychology
25
Q

Normal gait patterns

A
  • Bow leg
  • Toe walking
  • Pes planus
  • Metatarsus adductus
  • Knock knee
  • In-toe
  • Out-toe
26
Q

Abnormal gait patterns (and what causes them)

A
  • Antalgic (pain)
  • Circumduction (long leg)
  • Spasticity/scissoring (neurological)
  • Trendelenburg (weakness)
  • High stepping (weakness)
  • Ataxic (cerebellar)
  • Clumsy (dyspraxia)
  • Crouch gait (cerebral palsy)
  • Bizarre (psychogenic)
27
Q

What is antalgic gait?

A

Short stance phase compared to swing phase (limp)

28
Q

What is circumduction gait?

A

Leg kept straight and swung around sideways instead of bending and moving forwards

29
Q

What is spastic gait?

A

Walking with one stiff leg

30
Q

What is ataxic gait?

A

Unstable, wobbling, almost falling over

31
Q

What causes altered gait in infants/toddlers?

A
  • Developmental dysplasia of hip (DDH)
  • Toddler’s fracture
  • Non-accidental injury
  • Septic arthritis
  • Acute myositis
32
Q

What causes altered gait in children?

A
  • Reactive/inflammatory arthritis
  • Perthes disease
  • Traction apophysitis
  • Discitis
  • Intra-abdominal pathology
33
Q

What causes altered gait in adolescents?

A
  • Slipped upper femoral epiphysis (SUFE)
  • Osteochondritis dissecans
  • Stress fractures
  • Overuse syndromes
  • Bony tumours