Gait Flashcards
(53 cards)
1
Q
Initial Swing - Hip
A
20* flexion
2
Q
Midswing - hip
A
20-30* flexion
3
Q
Terminal Swing - hip
A
30* flexion
4
Q
Initial contact - hip
A
30* flexion
5
Q
Loading response - hip
A
30* flexion
6
Q
Midstance - hip
A
extending to neutral
7
Q
Terminal stance - hip
A
10* hyperextension
8
Q
Pre-Swing - hip
A
Neutral extension
9
Q
Initial Swing - knee
A
60* flexion
10
Q
Midswing - knee
A
60-30* flexion
11
Q
Terminal swing - knee
A
0* extension
12
Q
Initial contact - knee
A
Full extension
13
Q
Loading response - knee
A
15* flexion
14
Q
Midstance - knee
A
extending to neutral
15
Q
Terminal Stance - knee
A
full extension
16
Q
Pre-swing - knee
A
35* flexion
17
Q
Initial swing - ankle
A
10* PF
18
Q
Midswing - ankle
A
neutral
19
Q
Terminal swing - ankle
A
neutral
20
Q
Initial contact - ankle
A
neutral, heel strike
21
Q
Loading Response - ankle
A
15* PF
22
Q
Midstance - ankle
A
10* DF
23
Q
Terminal stance - ankle
A
Neutral
24
Q
Pre-swing - ankle
A
20* PF
25
Hip Flexion ROM Requirements
0-30
26
Hip Extension ROM Requirements
0-10
27
Knee flexion ROM requirements
0-60
28
Knee extension ROM requirements
0 degrees
29
Ankle DF ROM requirements
0-10
30
Ankle PF ROM requirements
0-20
31
Antalgic
a protective gait pattern where the stance time is decreased to avoid weight bearing on the involved side due to pain.
32
Ataxic
staggering and unsteadiness with a wide base of support and exaggerated movements
33
Cerebellar
A staggering gait pattern seen in cerebellar disease
34
Circumduction
circular motion to advance the leg during swing phase; this may be used to compensate for insufficient hip or knee flexion or dorsiflexion
35
Double step
Alternate steps are of a different length or at a different rate
36
Equine
high steps, usually involving excessive activity of the gastrocnemius
37
Festinating
patient walks on toes as though pushed. Starts slowly and increases, continuing until the pt grasps an object in order to stop
38
Hemiplegic
patient abducts the paralyzed limb, swing it around, and bring it forward so the foot comes to the ground in front of them.
39
Parkinsonian
increased forward flexion of the trunk and knees; gait is shuffling with quick and small stress festinating may occur
40
Scissor
the legs cross midline upon advancement
41
Spastic
stiff movement, toes seeming to catch and drag, legs together, and hip and knee joints slightly flexed. Commonly seen in spastic paraplegia
42
Steppage
feet and toes are lifted through hip and knee flexion to excessive heights secondary to DF weakness. Foot will slap at initial contact with the ground.
43
Tabetic
a high stepping ataxic gait pattern in which the feet slap the ground
44
Trendelenburg
a gait pattern that denotes glute med weakness; excessive lateral trunk flexion and weight shifting over the stance leg
45
Vaulting
swing leg advances by compensating through the combination of elevation of the pelvis and plantar flexion of the stance leg
46
Toeing-out
retroversion of the neck of the femur or tight hip external rotators - causing excessive hip ER
47
Toeing-in
excessive femoral anteversion or spasticity of the hip adductors causing excessive hip IR
48
Backward trunk lean during loading response
weak hip extensors - moves the line of gravity of the trunk behind the hip and reduces the need for hip extension torque
49
Forward bending of the trunk during mid and terminal stance
used to compensate for lack of hip extension
50
Excessive lumbar lordosis in terminal stance
lack of hip extension
51
Hip posterior tilt during initial swing
abdominals are used during initial swing to advance the swing
52
Forward bending of the trunk during loading response
weak quads - brings the line of gravity anterior to the axis of rotation to reduce need for knee extension
53
Forward bending of the trunk during mid and terminal stance
move weight of body over stance foot due to lack of dorsiflexion
