Gait Deviations

Question 1

Posterior movement of the trunk in GAIT on initial contact/loading response is caused by what?

Answer 1

Weak hip extensors on the right

Question 2

What is the treatment needed for posterior movement of the trunk in GAIT on initial contact/loading response?

Answer 2

Eccentric strengthening of the hip extensors

Question 3

Right knee in flexion during GAIT on initial contact/loading response is caused by what two things?

Answer 3

Weak quadriceps on the right or limited knee extension ROM

Question 4

What is the treatment for the right knee in flexion during GAIT on initial contact/loading response ?

Answer 4

Quadricep strengthening on the right or stretching

Question 5

Buckling of the right knee during GAIT on initial contact/loading response is caused by what ?

Answer 5

Weak quadriceps on the right

Question 6

What is the treatment for buckling of the knee during GAIT on initial contact/loading response ?

Answer 6

Eccentric strengthening of the right quadriceps

Question 7

A right foot slap during GAIT on initial contact/loading response is caused by what ?

Answer 7

Weak dorsiflexors on the right

Question 8

What is the treatment for a right foot slap during GAIT on initial contact/loading response ?

Answer 8

Eccentric strengthening of the dorsiflexors

Question 9

Landing flat footed (decreased right heel strike) during GAIT on initial contact/loading response is caused by what four things?

Answer 9

A knee flexion contracture, limited dorsiflexion ROM on the right, and weak quadriceps or dorsiflexors on the right

Question 10

What is the treatment for landing flat footed (decreased right heel strike) during GAIT on initial contact/loading response?

Answer 10

Stretching into extension, stretching out the dorsiflexors, and strengthening the quadriceps and dorsiflexors on the right

Question 11

Genu recurvatum/extension thrust on the right during GAIT in mid stance is caused by what two things ?

Answer 11

Weak quadriceps on the right and ligament instability

Question 12

What is the treatment for genu recurvatum/extension thrust on the right during GAIT in mid stance?

Answer 12

Concentric strengthening of the quadriceps

Question 13

Varus/valgus thrust on the right knee during GAIT in mid stance is caused by what two things ?

Answer 13

Osteoarthritis and ligamentous instability

Question 14

What is the treatment for varus/valgus thrust on the right knee during GAIT in mid stance?

Answer 14

Overall strengthening and orthotics

Question 15

A right or left trendelenburg / compensated trendelenburg GAIT is named towards the side of weakness. So a left hip drop would be a (right/left) trendelenburg GAIT and a lean to the right would be a (right/left) compensated trendelenburg GAIT.

Answer 15

right; right

Question 16

A Right trendelenburg sign (drop of left side of the pelvis) and a Right compensated trendelenburg (lateral lean to the right) during GAIT in mid stance is caused by what?

Answer 16

Gluteus medius weakness

Question 17

What is the treatment for a Right trendelenburg sign (drop of left side of the pelvis) and a Right compensated trendelenburg (lateral lean to the right) during GAIT in mid stance?

Answer 17

Glute med strengthening

Question 18

Excessive Right foot pronation during GAIT in mid stance is primarily caused by what three things ?

Answer 18

A flexible foot, IR/Valgus above, LLD with a long Right lower extremity, etc.

Question 19

What is the treatment for excessive Right foot pronation during GAIT in mid stance?

Answer 19

Fix the impairment (orthotics, proximal stabilization, etc)

Question 20

Vaulting during GAIT in mid stance is primarily caused by what ?

Answer 20

A leg length discrepancy

Question 21

What is the treatment for vaulting during GAIT in mid stance ?

Answer 21

Fix the leg length discrepancy (ex: heel lift)

Question 22

Limited Right hip extension during GAIT in terminal stance is primarily caused by what three things?

Answer 22

A hip flexion contracture, hip pain, and a short Left step length

Question 23

What is the treatment for limited Right hip extension during GAIT in terminal stance?

Answer 23

Stretch the hip flexors and control pain

Question 24

Early Right heel rise during GAIT in terminal stance is primarily caused by what three things?

Answer 24

Tight plantarflexors, a knee flexion contracture, or decreased hip extension due to pain or decreased ROM

Question 25

What is the treatment for early Right heel rise during GAIT in terminal stance?

Answer 25

Stretch the plantarflexors, increase knee extension, and address pain or hip extension ROM

Question 26

No Right heel off (decreased push off) during GAIT in terminal stance is primarily caused by what two things?

Answer 26

Weak plantarflexors and limited great toe extension ROM

Question 27

What is the treatment for no Right heel off (decreased push off) during GAIT in terminal stance?

Answer 27

Concentric strengthening of the plantarflexors and increase great toe extension

Question 28

Limited hip flexion during GAIT in initial to mid swing is primarily caused by what two things?

Answer 28

Hip flexor weakness and limited hip flexion ROM

Question 29

What is the treatment for limited hip flexion during GAIT in initial to mid swing ?

Answer 29

Concentric strengthening of the hip flexors and increase hip flexion ROM.

Question 30

Exaggerated Right hip/knee flexion during GAIT in initial to mid swing is primarily caused by what two things?

Answer 30

Decreased dorsiflexion strength or ROM

Question 31

What is the treatment for exaggerated Right hip/knee flexion during GAIT in initial to mid swing?

Answer 31

Concentric strengthening of the dorsiflexors / increase dorsiflexion ROM

Question 32

Hip hiking on the Right and circumduction on the Right during GAIT in initial to mid swing is primarily caused by what four things?

Answer 32

Right leg length is too long, decreased knee flexion, decreased dorsiflexion, decreased hip flexion, and weak hip flexors

Question 33

What is the treatment for hip hiking on the Right and circumduction on the Right during GAIT in initial to mid swing?

Answer 33

Correct the leg length, improve knee flexion ROM, improve dorsiflexion ROM, improve hip flexion ROM, and strengthen the hip flexors