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1) E&M > Gait Deviations (Reversed) > Flashcards

Gait Deviations (Reversed) Flashcards

1
Q

Stooped, Rigid Posture
Forward Head Posture
Forward Lean

A

Propulsive Gait

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2
Q

Short, Rapid Steps
No Arm Swing
Difficulty w/Starting, Stopping, & Turning

A

Parkinsonian Gait

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3
Q

Exaggerated Hip & Knee Flexion w/Foot Drop

A

Steppage Gait

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4
Q 
Presence means pt may have:
     Weak Dorsiflexors
     Peroneal N. Damage
     Polyneuropathy
     Polio
     MS
     L5 Disc Herniation
     GBS
A

Steppage Gait

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5
Q

Toe-Out

Wide BoS

A

Waddling Gait

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6
Q

Presence means pt could have:
Congenital Hip Dysplasia
Muscular Dystrophy
Spinal Muscular Atrophy

A

Waddling Gait

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7
Q

Wide BoS
Uncoordinated Movements
Increased Trunk Movements
Variable Foot Placement

A

Ataxic Gait

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8
Q

Presence means pt could have:
Cerebellar Disorder
Severe Sensory Deficit

A

Ataxic Gait

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9
Q 
Decreased Velocity
Decreased Stance Time on AS
Decreased Step Length on UA
Limb Instability
Difficulty w/Limb Clearance→ Toe Drag, Hip Hiking, Circumduction
Difficulty w/Limb Advancement
Synergy
A

Hemiplegic Gait

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10
Q

Decreased Stride Length
Avoidance of WB on AS
Maintains Slightly Flexed Knee
Toe Walking on AS

Stance:
     Decreased Stance Time
     Lean towards AS
     Heel Strike Avoidance
     Toe Off Avoidance

Swing:
Flexion, ER, Abduction to relax joint capsule

A

Antalgic Gait

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11
Q 
Decreased Step Length & Speed
Posterior Pelvic Tilt
Backward Lean
Excessive Forward Pelvic Rotation
Hip Hiking 
Circumduction
Voluntary knee flexion
Contralateral Vaulting
Contralateral Trunk Lean
A

Limited Hip Flexion

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12
Q 
Decreased Step Length
Anterior Pelvic Tilt
Backward Lean
Lumbar Lordosis
Excessive Knee Flexion/Massed Flexion
A

Limited Hip Extension

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13
Q

Scissoring Gait

Presence means pt could have:
Adductor Contracture
Abductor Weakness
Use of adductors as hip flexor in swing

A

Excessive Hip Adduction

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14
Q

Circumduction
Balance Issues
Leg Length Discrepancy

A

Excessive Hip Abduction

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15
Q

Backward Pelvic Rotation

Presence means pt could have:
Weak IR’s
     Overactive Glute Max
     Weak Quads
     Use of adductors as hip flexor
     Use of peroneals as  plantarflexors→ Bc pt has limited plantarflexor length
A

Excessive ER

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16
Q

Forward Pelvic Rotation

Presence means pt could have:
     Weak ER’s
     Overactive Medial Hamstrings
     Overactive adductors
     TFL & anterior GM activity
     Weak Quads
A

Excessive IR

17
Q

Generally Weak Hip

Difficulty w/foot clearance

A

Pelvic Hike

18
Q

Weak Abductors
Adductor Contracture/Spasticity
Problems w/Joint Kinesthetics

A

Uncompensated Trendelenburg

19
Q 
Limb Length Discrepancy
Scoliosis
Contralateral Abductor Weakness
Adductors Contracture
Excessive Plantarflexion
A

Compensated Trendelenburg

20
Q

Rigid Spine w/Stiff Gait

A

Limited Pelvic Rotation

21
Q

Weak Glute Max
Weak Quads
Ankle PF

A

Forward Trunk Lean

22
Q

Weak Quads
Difficulty w/toe off & possible toe drag
Excessive hip flexion

A

Limited Knee Flexion

23
Q

Weak Quads

Dynamic Retraction to maintain speed & endurance

A

Excessive Knee Extension

24
Q

Decreased Step Length
Hamstring Spasticity
Rapid advancement of Tibia due to Weak Soleus

A

Limited Knee Extension

25
Q 
Knee buckles during loading
Hyperextension during stance
Forward lurch
Maintenance of knee extension until opposite foot is fully loaded
Fast Retraction of Hip in Terminal Swing
A

Weak Quads

26
Q

Decreased Stride Length
Decreased Step Length
Decreased Velocity

Initial Contact
Low Heel Contact
Forefoot Strike Instead of Heel Strike

Loading
Decreased Knee Flexion

Midstance
     Knee Hyperextension
     Early Heel-Off (Fast)
     Forward Lean (Slow)
     Decreased Heel Rocker to Toe Off
Midswing
     Circumduction
     Lateral Trunk Lean
     Increased Hip & Knee Flexion
     Toe Drag
     Contralateral Vaulting
A

Excessive PF

27
Q 
Decreased Gait Speed
Decreased Step Length
Crouched Gait in Stance
No Heel Strike (Foot Flat)
Instability During Single Limb Support
Late Heel Off
Excessive Eversion
A

Excessive DF

28
Q

Lateral Forefoot Loading
Early Heel Off

Presence means pt could have:
     Overactive Soleus
     Plantarflexion Contracture
     Overactive Toe Flexors
     Weak Peroneals
A

Excessive Inversion (Varus)

29
Q

Excessive Dorsiflexion
Shortened Heel-on at IC

Presence means pt could have:
Weak Invertors

A

Excessive Eversion (Valgus)

1) E&M (8 decks)

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