KINES: Pathologic Gait Flashcards

1
Q

aka as limping gait

A

antalgic gait

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2
Q

what is antalgic gain

A

WB avoidance on affected limb bc of pain - decreased stance phase on affected LE and inc on unaffected side

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3
Q

compare foot slap and drop

A

foot slap - during stance phase

foot drop or toe drag - swing phase

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4
Q

what is steppage gait

A

compensatory inc in hip and knee flexion

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5
Q

aka gluts medius lurch

A

trendelenburg gait

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6
Q

what is trendelenburg gait

A

pelvis drops on swinging leg - trunk lurches on stance leg to prevent drop of pelvis

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7
Q

causes of trendelenburg gait

A

weak gluts med or superior gluteal nerve affecation

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8
Q

causes of trendelenburg gait

A

weak gluts med or superior gluteal nerve affecation

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9
Q

causes of steppage gait

A

due to weak DF or deep peroneal nerve affectation

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10
Q

compare the 2 lurching gaits

A

forward or quadriceps gait - weak quads, femoral nerve affectation

backward or gluts max gait - weak gluts max, affectation of inferior gluteal nerve

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11
Q

what is genu recurvatum gait

A

hyperex of knee on stance to prevent buckling - common in midstance

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12
Q

causes of genu recurvatum gait

A

weak quads, PF contracture

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13
Q

what is crouched gait

A

flexed hip and/or knee flexion during stance - inc lumbar lordosis and dec step length

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14
Q

causes of crouched gait

A

hip or knee flexor contactures

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15
Q

gait deviations due to stiff LE or leg discrepancy

A

hip hiking
circumducting gait
vaulting

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16
Q

discuss hip hiking

A

pelvic elevation on swinging LE to allow clearance kase lengthened LE

17
Q

discuss circumducting gait

A

semi-circular swinging path of affected LE

18
Q

discuss vaulting

A

heel raise on stance LE

19
Q

what is hemiplegic gait

A

extension synergy of LE - hip EADIR and ankle PF inversion

20
Q

where is hemiplegic gait common seen

A

stroke pts w spasticity

21
Q

what is ataxic gait

A

aka wide based or drunken sailor gait

22
Q

causes of ataxic gait

A

due to abducted hip or valgus knee or balance probs due to cerebellar ataxia

23
Q

what is waddling gait

A

aka myopathic gait

exaggerated lateral trunk movements and hip elevation - penguin walk

24
Q

causes of waddling gait

A

weak proximal muscles of pelvic girdle - spinal muscular atrophy

25
what is parkinsonian gait
short shuffling gait bc difficulty in initiating walking - too much forward momentum COG falls anteriorly - flex posture to catch it
26
characteristics of parkinsonian gait
short steps, no heel strike, no arm swing, no pelvic rotation and toe first
27
what is scissoring gait
leg crosses midline for each step
28
causes of scissoring gait
seen in cerebral palsy spastic diplegia - hip adductor spasticity