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LL Px > MT: TF Prosthetic Gait Deviation > Flashcards

MT: TF Prosthetic Gait Deviation Flashcards

1
Q

Why is uneven arm swing a problem?

A
  • Goal of arm swing: minimize energy expenditure while maximizing stability and mobility
  • what does arm swing do: reduces angular momentum of the body, improve stbaility and energy efficiency
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2
Q

Uneven arm swing prosthetic causes

A
  • poor socket fit
  • lack of suspension (fear)
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3
Q

Uneven arm swing patient causes

A
  • fear
  • poor balance
  • habit
  • lack of proper training
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4
Q

Initial Contact Gait Deviation

A
  • knee instability (sagittal)
  • step length asymmetry
  • foot slap
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5
Q

Knee instability prosthetic causes

A
  • knee to anterior
  • insufficient socket flextion (for hip ext strength)
  • too firm/high heel/shoe
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6
Q

Knee instability patient causes

A
  • weak hip extensors
  • short residual limb
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7
Q

Step length asymmetry prosthetic causes

shortened prosthetic step

A
  • painful socket
  • too short toe lever on the foot
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8
Q

Step length asymmetry patient causes

shortened prosthetic step

A
  • lack of confidence in prosthesis
  • gait habit
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9
Q

Foot slap prosthetic causes

A
  • too soft a heel cushion or plantarflexion bumper of foot
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10
Q

Foot slap patient causes

A
  • forced heel compression to ensure knee stability
  • habit
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11
Q

Loading Response Gait Deviation

A
  • external rotation of foot
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12
Q

External Rotation of Foot Prosthetic Causes

A
  • heel too firm
  • excessive toe out
  • poorly fitting socket
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13
Q

External Roation of foot Patient Causes

A
  • too tight shoe
  • too hard heel of shoe
  • incorrectly donned prosthesis
  • poor muscle control
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14
Q

Midstance Gait Deviations

A
  • Abducted Gait
  • lateral trunk bend
    *
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15
Q

Abducted Gait Prosthetic Causes

A
  • medial proximal socket pressure
  • lateral distal femur pressure
  • poorly contoured lateral wall
  • insufficient socket adduction during bench alignment
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16
Q

Abducted Gait Patient Causes

A
  • weak or contracted abductors
  • poor balance
  • gait habit
17
Q

Lateral Trunk Bend Prosthetic Causes

Compensated Trendelenburg

A
  • prosthesis too shrot
  • foot too far outset
  • insufficient socket adduction
  • medial brim pain
  • too large ML
  • poorl designed lateral wall of socket
18
Q

Lateral Trunk Bend Patient Causes

Compensated Trendelenburg

A
  • weak abductors
  • abductor contracture
  • short residuum
19
Q

Terminal Stance Gait Deviations

A
  • excessive lumbar lordosis
20
Q

Excessive Lumbar Lordosis

new to TF

A
  • insufficient socket flexion
  • hip flexion contracture
  • weak hip or ab muscles
  • short residual limb
21
Q

PreSwing Gait Deviations

A
  • Lateral Whip
  • excessive heel rise
22
Q

Lateral Whip prosthetic causes

A
  • knee axis too internally rotated
  • ill fitting socket
23
Q

Lateral Whip patient causes

A
  • incorrectly donned prosthesis
  • weak musculature
24
Q

Excessive Heel rise prosthetic causes

A
  • insufficient knee friction or resistance
25
Q

Excessive heel rise patient causes

A

excessive hip flexion force

26
Q

Midswing gait deviations

A
  • circumduction
  • vaulting
27
Q

Circumduction prosthetic causes

A
  • too long prosthesis
  • pistoning
  • plantarflexed foot
  • insufficient knee flexion
28
Q

Circumduction patient causes

A
  • lack of confidence in knee stability
  • lack of hip flexion
29
Q

Vaulting prosthetic causes

A
  • too long
  • insufficient suspension
  • too much knee flexion resistance
30
Q

Vaulting patient causes

A

habit

31
Q

Terminal Swing Gait Deviations

A
  • Terminal impact
  • Step length asymmetry (long)
32
Q

Terminal Impact Prosthetic Causes

A
  • insufficient friction/resistance
  • too strong extension assist
  • worn extension stop
33
Q

Terminal Impact Patient cause

A
  • gabit to assure knee extension
  • preference
34
Q

Step length asymmetry prosthetic causes

long prosthetic step

A

insufficient socket flexion

LL Px (26 decks)

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