MSK gait Flashcards
(31 cards)
what happens when initial contact goes right?
hip: flexed, add, ER
knee: ext, tibia ER
ankle: DF or neutral
foot: supinated
what happens when loading response goes right?
hip: flexes, then IR
knee: flexed, tibia IR
ankle: moves to PF
foot: STJ moves to pronation
what happens when midstance goes right?
hip: neutral; IR to ER
knee: neutral
ankle: soleus eccen controls tibial advance
foot: STJ starts to re-supiante
what happens when terminal stance goes right?
hip: ext, abd, ER
knee: ext, tibia ER
ankle: DF
foot: 1st MTP maximally extends - windlass
what happens when early swing goes right?
hip: neutral
knee: flexed
ankle: PF
foot: MTP maximally extended
what happens when late swing goes right?
hip: neutral to flexion/add
knee: flex to ext
ankle: PF to neutral
foot: STJ supinated
what is antalgic gait?
deviation in weight acceptance and SLS
shortened stance phase on affected side
rapid/short swing phase contralaterally
how to treat and assess antalgic?
identify and address source of pain
what is trendelenburg gait?
deviation in SLS
hip abd weakness
unaffected hip drops when affected leg in stance
uncomp: stance leg in add
comp: stance leg in neutral by shifting trunk
how to treat and assess trendelenburg?
assess: tren test
treat: address hypertone in TFL, strengthen glute med, work pelvic control in SLS
Glute max or gluteal lurch gait
deviation in SLS
myopathic
trunk in ext during stance to take demand off glutes
uni or bilateral
how to treat and assess glute max?
assess: MMT - knee flexion, foot to ceiling
treat: strengthen glute max, core stabilization
what is vaulting gait?
SLS deviation on contralateral side
swing leg advances through PF of stance and pelvic elevation of unaffected side
leads to fatigue
what can vaulting gait be attributed to?
leg length discrepancy
knee pain
quad/hams weakness
lack of ankle DF
how to assess and treat vaulting?
what is functionally lengthening the leg?
address length of PFs
mobs for knee flexion and ankle DF
AAROm for knee flexion
quad strengthening
circumduction and hip hiking gait
deviation in limb advancement
unable to clear advancing leg enough to clear
circ: circular motion during swing phase
hip hike: elevate pelvis on involved side to clear
how to assess and treat circ and hip hike?
is one limb longer and why?
heel lift if over 1 cm
mobs for hip and knee flexion, and ankle DF
strengthen hip/knee flexors and DF
stretch hip/knee ext and PFs
steppage and equinus gait
deviation in limb advancement
step: abnormally high steps, toe-heel contact
eq: no heel contact
how to assess and treat step/eq gait?
DF strength and PF length
MRS
treat lumbar spine if needed
dec tone in PF
calf stretching
DF strengthening
what leads to insuff hip flex during weight acceptance?
weak hip flexors
insuff hip flexion ROM
what leads to insuff hip ex during weight acceptance?
in suff hip ex ROM
hip flexion contracture
what leads to hyperextension in SLS?
PF contracture
weak quads
what leads to exaggerated knee flexion in SLS?
knee flexion contracture
hip flexion contracture
what leads to insuff knee flexion in limb advancement?
knee joint effusion
insuff knee flexion ROM
