PCE > Gait Deviations > Flashcards

Gait Deviations Flashcards

(42 cards)

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1
Q

What causes trendelburg gait (lateral trunk bending)

A

Weak gluteus medius (bending to the same side as weakness)

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2
Q

What causes forward trunk lean

A

Weak quadriceps / hip and knee flexion contractures

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3
Q

What causes backward lean

A

Weak gluteus Maximus

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4
Q

What causes antalgic gate

A

Involved side has a shortened stance phase which creates an uneven gait pattern. Uninvolved leg has a shortened step length because it has to bear weight sooner than normal.

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5
Q

What causes circumduction gate

A

Weak hip & knee flexors

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6
Q

What causes hip hiking

A

Weak hip and knee flexors / extensor spasticity

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7
Q

What causes steppage gait

A

Weak dorsiflexors

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8
Q

What causes excessive knee flexion

A

Knee flexion contracture / weak quads

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9
Q

What causes knee hyperextension

A

Weak quads / plantar flexor contracture / extensor spasticity

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10
Q

What causes foot drop

A

Weak dorsiflexors

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11
Q

What are the prosthetic causes of excessive knee flexion during gait

A
  1. High shoe heel
  2. Insufficient plantarflexion
  3. Stiff heel cushion
  4. Socket too anterior
  5. Socket too flexed
  6. Cuff tabs posterior
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12
Q

What are the prosthetic causes of insufficient knee flexion during gait

A
  1. Low shoe heel
  2. Excessive PF
  3. Heel cushion too soft
  4. Socket too posterior
  5. Socket in sufficiently flexed
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13
Q

What are the anatomical causes of insufficient knee flexion during gait

A

Extensor spasticity, arthritis, anterior distal pain, weak quads

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14
Q

What are gait deviations that may be seen during early stance

A

Excessive & insufficient knee flexion

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15
Q

What are gait deviations that may be seen during mid stance

A

Lateral & medial thrust

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16
Q

What are the prosthetic causes of lateral thrust during gait

A

Excessive foot inset

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17
Q

What are the prosthetic causes of medial thrust during gait

Study These Flashcards
A

Excessive foot outset

18
Q

What are gait devitations that may be seen during late stance

Study These Flashcards
A

Early & delayed knee flexion

19
Q

What are the prosthetic causes of early knee flexion (drop off) during gait

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A
  1. High shoe heel
  2. Keel too short
  3. Insufficient PF
  4. Socket too anterior
  5. Socket too flexed
  6. DF stop too soft
  7. Cuff tabs posterior
20
Q

What are the prosthetic causes of delayed knee flexion during gait

Study These Flashcards
A
  1. Low shoe heel
  2. Keel too long
  3. Excessive PF
  4. DF stop too stiff
  5. Socket too posterior
  6. Socket insufficiently flexed
21
Q

What are the prosthetic causes of abduction stance during gait

Study These Flashcards
A
  1. Long prosthesis
  2. Abducted hip joint
  3. Inadequate lateral wall adduc.
  4. Sharp or high med. wall
22
Q

What are the prosthetic causes of circumduction (swing) during gait

Study These Flashcards
A
  1. Long prosthesis
  2. Locked knee unit
  3. Loose friction
  4. Inadequate suspension
  5. Small socket
  6. Loose socket
  7. Foot plantarflexed
23
Q

What are the prosthetic causes of lateral bend stance during gait

Study These Flashcards
A

Short prosthesis, inadequate lateral wall adduction, sharp or high medial wall

24
Q

What are the prosthetic causes of forward flexion stance during gait

Study These Flashcards
A

Unstable knee unit / short walker or crutches

25
What are the prosthetic causes of lordosis stance during gait
Inadequate socket flexion
26
What are the prosthetic causes of medial or lateral whip (heel off) during gait
Knee bolt externally or internally rotated, prosthesis donned in malrotation
27
What are the prosthetic causes of foot rotation at heel contact during gait
Stiff heel cushion and malrotated foot
28
What are the prosthetic causes of high heel rise (early swing) during gait
Inadequate friction and slack extension aid
29
What are the prosthetic causes of terminal impact (late swing) during gait
Inadequate friction and taut extension aid
30
What are the prosthetic causes of vault (swing) during gait
1. Long prosthesis 2. Locked knee unit 3. Loose friction 4. Inadequate suspension 5. Small socket 6. Loose socket 7. Foot plantarflexed
31
What are the prosthetic causes of hip hike (swing) in gait deviations
1. Long prosthesis 2. Locked knee unit 3. Loose friction 4. Inadequate suspension 5. Small socket 6. Loose socket 7. Foot plantarflexed
32
What are the prosthetic causes of uneven step lengths during gait
Uncomfortable socket and insufficient socket flexion
33
What are the anatomical causes of abduction stance during gait
1. Abduction contracture 2. Weak abductors 3. Lateral distal pain 4. Adductor redundancy instability
34
What are the anatomical causes of circumduction swing during gait
Abduction contracture and poor knee control
35
What are the anatomical causes of lateral bend stance during gait
1. Abduction contracture 2. Weak abductors 3. Hip pain 4. Instability 5. Short amputation limb
36
What are the anatomical causes of forward flexion stance during gait
Instability
37
What are the anatomical causes of lordosis stance during gait
Hip flexion contracture and weak extensors
38
What are the anatomical causes of medial or lateral whip (heel off) during gait
Sliding friction unit, fast pace
39
What are the anatomical causes of terminal impact (late swing) during gait
Forceful hip flexion
40
What are the anatomical causes of vault (swing) during gait
Sliding friction unit, fast pace
41
What are the anatomical causes of hip hike (swing) during gait
Weak DF, PF spasticity, pes equines, weak hip flexors
42
What are the anatomical causes of uneven step length during gait
Hip flexion contracture and instability
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