Normal and Pathological Gait Flashcards

1
Q

how many steps does an adult take on average a day

A

5000 steps

- 4km per day

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2
Q

what are features of human gait

A

bipedal
reciprocating
upright
terrestrial

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3
Q

what are functional requirements of gait

A

shock absorption
stability
propulsion
energy conservation

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4
Q

why do we need shock absorption during gait

A

prevent damage to joints

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5
Q

what stability is required during gait

A

joint stability
- prevent bucking of joints against gravity

global stability
- keep centre of mass within base of support (speed, step length, foot position)

foot clearance
- prevent stumbling (knee flexion, ankle dorsal flexion)

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6
Q

what are four gait factors that affect stability

A

step width
step length
cadence
speed

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7
Q

what parts of gait require energy

A

(gait is inherently efficient)

step to step transition

swinging leg through

balance control

aberrant movement and muscle activation

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8
Q

what is normal toe clearance in walking

A

around 1.2 +/- 0.4cm

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9
Q

what is the stride length equal too

A

right step length + left step length

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10
Q

can stride length be asymmetrical ?

A

no - always symmetrical

step lengths can be asymmetrical however

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11
Q

how is stride time calculated

A

inverse of cadence

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12
Q

what is a stride defined as

A

initial contact of one foot until the next initial contact of the same foot

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13
Q

how long is the stance phase of the gait cycle and the swing phase

A

stance - 60%

swing - 40%

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14
Q

what is double support during the gait cycle

A

period when both feet are in contact with the ground

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15
Q

what is a stride composed of

A

2 x DS + 2 x SS

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16
Q

what are the phases of the gait cycle

A
initial contact
loading response 
mid stance
terminal stance
pre swing 
initial swing 
mid swing 
terminal swing
17
Q

what is the most common model for clinical gait analysis

A

divide body into “rigid” segments connected by pin joints with 3 degrees of freedom

then need motion capture

then can calculate joint angles

18
Q

what is Newton’s 1st law

A

if the net force on an object is zero, then the objects remains in rest (i.e. velocity of the object is constant)

19
Q

what is Newton’s 2nd law

A

force = mass x acceleration

20
Q

what is Newton’s 3rd law

A

every action has an equal and opposite reaction

21
Q

what does the GRF related to

A

the acceleration of the COM

22
Q

what is the vertical force related to

A

vertical acceleration of the COM

23
Q

what is the anterior-posteror force related to

A

forward acceleration of the COM

24
Q

what is the medial-lateral force related to

A

medial acceleration of the COM

25
what are the factors of kinetics
forces moments powers
26
what is moments and the equation for it
turning effect about a point M = F x d
27
what is the equation for power
Power = moment x angular velocity
28
what is power generation
internal moment and angular velocity in the same direction
29
what is power absorption
internal moment and angular velocity in opposite directions
30
how can net moments be estimated
from GRF magnitude and orientation relative to anatomical joint centres