Gait Flashcards

1
Q

What are 4 methods to analyze gait

A

-mus as shock absorbers
-mus as accelerators
-mus as decelerations
-stabilizers

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2
Q

What phase has the greatest energy

A

Stance

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3
Q

What is newton’s 3rd law of motion

A

For every action there is an OPP and equal reaction

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4
Q

What is GRF

A

Ground produces equal and reactive force in OPP direction of step

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5
Q

What stage of gait has largest moment of GRF

A

Initial contact PF

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6
Q

What type of torque and mus activation in IC

A

PF torque

Eccentric DF and quad shock absorbers

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7
Q

Where is GRF for IC

A

Post calc

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8
Q

Where does LR GRF occur

A

Post limb and ant to hip

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9
Q

What allows deceleration during LR

A

Eccentric quads and co-contraction of HS

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10
Q

What’s another major mus that activates during LR

A

Ant tib eccentric

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11
Q

What mus iso contract during LR

A

Glute med and max to decrease falling forward

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12
Q

Where is GRF during MSt

A

Ant to ankle and knee

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13
Q

What mus are active during MSt

A

-post calf (soleus), ankle stab and ecc
-instrinsics for stab
-quads until COM over ft

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14
Q

What pos is forefoot during MSt

A

Supinated

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15
Q

What occurs during toe off

A

Post calf create large torque momentum - propulsion

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16
Q

Where is the center of pressure for toe off

A

1st MT head

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17
Q

What is center of pressure

A

Where GRF applied

18
Q

What do peripheral mechanoreceptors do

A

Detect displacement, velocity, and acceleration of skin

19
Q

What are mechanoreceptors vital for

A

Variety of purposes locomotion

20
Q

What does a longer stride length create

A

Greater forward vector (y axis)
Assists greater torque in toe off

21
Q

2 medical uses of whole body vib

A

Increase strength and decrease spasticity

22
Q

What does whole body vib help with anatomically

A

Activates mus spindle
-increase velocity
-stx mechanism

23
Q

What 2 things area important for sensory input for walking

A

Hip ext pos and loading

24
Q

Which stages of gait load to hip ext

A

-midstance
-terminal stance
-pre-swing

25
Describe the movements that allow swing initiation (load- and unload- limb)
Synch hip ext and limb unloading with simultaneous loading of other limb to promote swing initiation
26
What are 4 different task based gait training interventions
-paretic limb WB -fxnal strength -aerobic -balance
27
What is most effective when incorporated with fxnal acts
Strength
28
What is an ideal tasked based gait training program
Combo of acts (lg # of steps and fast speeds)
29
What is anticipatory postural control for
Ground walking; reactive control
30
What leads to appropriate leg activation
Leg movements in combo with loading of legs
31
What are the 3 components of the basis of central pattern generation
-flexion of swing limb -loading enhances stance or extensors -sensory input modulates gait
32
What type of sensory responds to hip ext? Why is it important? According to Sherrington
-proprioceptors -important to initiate swing
33
What happens when hip ext is prevented, according to grillner and Rossignol
Inhibit generation of flexion burst
34
What structure does vib stimulate? Which mus group?
-mus spindle -hip flexors
35
What is the preferred hip position to trigger forward swing
-ext in late stance Hip flex stx triggers swing
36
What can help elicit forward swing
PNF patterns
37
What are 4 contributions to hemi genu recavatum mechanics
-HS wk -gastroc spasticity or wk -wk quad -strong hip extension to ext femur posterior
38
What is a common gait impairment stroke pts experience
Knee hyperext
39
What is a general component of knee hyperext in hemi stoke pts
Weak LL mus
40
What component contribute to knee hyperext during midstance
PF wk
41
What needs more research to decrease knee hyperext
Gastroc strengthening