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Flashcards in Walking And Gait Deck (15):
0

Name the stages of the stance phase of walking

Heel strike
Loading response
Midstance
Terminal stance
Pre-swing

1

Mechanical goals of heel strike? Muscles which carry these out?

Lower forefoot to the ground - anterior muscles of the leg
Continue deceleration - gluteus maximus
Preserve longitudinal arch of the foot - intrinsic muscles and long tendons of the foot eg flexor digitorum brevis and tibialis anterior

2

Mechanical goals of loading response and muscles which carry these out?

Accept weight - quadriceps
Decelerate mass (slow dorsiflexion) - soleus and gastrocnemius
Stabilise pelvis - gluteus medius and minimus; tensor fasciae latae
Preserve longitudinal arch of the foot - intrinsic muscles and long tendons of the foot

3

Mechanical goals of mid stance and muscles which do this?

Stabilise the knee - quads
Control dorsiflexion - soleus and gastrocnemius
Stabilise pelvis - gluteus maximus and minimus; tensor fasciae latae
Preserve longitudinal arch of the foot ...

4

Mechanical goals and muscles involved in terminal stance?

Accelerate mass - soleus and gastrocnemius
Stabilise pelvis - hip abductors as before
Preserve arches of foot and fix forefoot - intrinsic muscles of the foot and long tendons of foot

5

Mechanical goals and muscles involved in pre-swing?

Accelerate mass - long flexors of digits eg flexor hallucis longus and flexor digitorum longus
Preserve arches of foot - intrinsic muscles and long tendons of foot
Decelerate thigh and prepare for swing - iliopsoas and rectus femoris

6

Name the stages of the swing phase of walking

Initial swing
Midswing
Terminal swing

7

Mechanical goals of initial swing and muscles involved?

Accelerate thigh - iliopsoas and rectus femoris
Clear foot - ankle dorsiflexors

8

Mechanical goals and muscles involved in midswing?

Clear foot - ankle dorsiflexors

9

Mechanical goals and muscles involved in terminal swing?

Decelerate thigh - gluteus maximus and hamstrings
Decelerate leg - knee flexors - hamstrings
Position foot - ankle dorsiflexors
Extend knee to place floor - quadriceps

10

What is the Trendelenburg sign and what does it mean?

When the pelvis drops on the raised limb
Abductor muscles on the standing limb are greatly weakened or paralysed

11

What is seen in the Trendelenburg gait during walking?

As the pelvis drops to one side, the trunk lurches to the opposite side (side with the planted foot) in an effort to maintain a steady pelvic gait

12

What does foot drop suggest damage to?

Common or deep fibular nerve damage

13

What is seen in foot drop?

Foot cannot be dorsi flexed and drags along the ground during the swing phase. To try to dorsiflex the foot, the patient may evert the foot in a sudden motion called an eversion flick

14

What is an antalgic gait due to?

Patients suffering from long standing joint problems. They develop a gait that reduces pain.