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BOARDS: Functional Training, Equipment, and Technologies > Gait > Flashcards

Flashcards in Gait Deck (22):
1

Name the phases of gait.

heel strike
foot flat
mid stance
heel off
toe off
initial swing/mid swing/terminal swing

2

Double limb support occurs during what phases?

DL support occurs: (sides are for example)
- during R heel strike until R foot flat
- after R foot flat contact through R toe off
- then again during R heel strike to R foot flat

3

What muscles are active during heel strike?

knee extensors to control knee flexion with shock of hitting ground

DFs to control quick lowering of foot

4

What muscle group is active during foot flat to midstance? Why?

PFs are active to eccentrically control anterior translation of tibia

5

T/F: Midstance is a period of single-limb support.

true: all weight is supported by stance limb is the criteria of midstance

6

What muscles are active in midstance?

hip/knee/ankle extensors
hip abductors to stabilize

7

When does peak activity of plantar flexors occur?

after flat foot contact during push off

8

When does the first period of DL support occur?

after initial contact through loading response

9

When does the second period of DL support occur?

preswing (right after toe off)

10

What muscle group causes the forward acceleration of the limb during early swing?

quads

11

T/F: Hamstrings activate in late swing.

true to decelerate the limb to prepare for IC

12

T/F: An increased cadence would also have a increased DL support time.

false, sorter step length actually decreases the duration of period of double support

13

A patient with weak glutes will demonstrate what common gait deviations? What other issues might they have difficulties with that you'll want to assess?

backwards trunk lean
- difficulty going up stairs or ramps

14

A patient with an antalgic gait due to pain on the R will demonstrate a decreased stance time on what leg? What about step length?

decreased stance time on R
decreased step length on L

15

A patient with weak knee extensors due to stroke may have difficulty with walking, as well as what other functional activities?

walking down stairs
walking down a ramp
- may see forward trunk bending to compensate

16

A patient with calcaneus gait will demonstrate what gait deviations?

excessive forward translation of the tibia, aka increased DF with stance and loading leading to crouched gait likely
- due to weak PFs

17

If a patient demonstrates insufficient forward pelvic rotation, what muscles might be affected?

looking for stiff pelvis, pelvic retraction
- weak abdominal muscles or hip flexor muscles

* see this in stroke

18

A patient with circumduction for swing phase is likely deficient in what muscles?

hip/knee flexors

19

Why might a patient be hip hiking?

weak hip/knee flexors on that side
spastic extensors on that side

20

Why might a patient exhibit a steppage gait?

they can't DF so they need to flex more in other areas to clear the foot
- think stroke, think diabetic neuropathy of deep peroneal nerve

21

What might abnormal synergistic movement in a patient with stroke look like when they attempt to execute swing phase?

excessive hip/knee flexion with hip abduction

22

Spasticity of the posterior tibilais muscle can result in what foot position?

equinovarus