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What are the different stages of gait
- 1. initial contact
- 2. loading response
- 3. mid stance
- 4. terminal stance
- 5. pre-swing
- 6. initial swing
- 7. mid-swing
- 8. terminal swing
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Functional task and support of initial contact
weight acceptance and double limb
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Functional task and support of loading response
weight acceptance and double limb
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Functional task and support of mid stance
single limb support and single limb
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Functional task and support of terminal stance
single limb support and single limb
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Functional task and support of pre swing
swing limb advancement and double limb
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Functional task and support of initial swing
single limb advancement and single limb
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Functional task and support of mid swing
swing limb advancement and single limb
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Functional task and support of terminal swing
swing limb advancement and single limb
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Pelvis placement during initial contact
5o forward, AT, abductors (TFL, glut med) activated
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Hip motion during initial contact
20o flexion (glut max, add mag) isometric
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Knee motion during initial contact
00 slight flexion (up to 5o) vasti eccentric HS concentric
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Ankle motion during initial contact
0o supination pre tibs (AT, EDL, EHL) eccentric
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MTP motion during initial contact
25o extension
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Opposite leg during intial contact
pre swing
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Critical events during initial contact and other info
heel first contact; @ hip, GRFV anterior (flex mvmt) @ knee GRFV anterior (extension mvmt)
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Pelvis placement during loading response
5o forward, AT, abductors (TFL, glut med) activated
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Hip motion during loading response
20o flexion with 10o add glut max isometric (primarily) HS isometric then none, abductors (TFL, glut med) activated
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Knee motion during loading response
15o flexion quads (1o vasti) eccentric, HS (slight activity in some subjects)
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Ankle motion during loading response
5o plantarflexion, pronation, pre-tibs eccentric, plantarflexors concentric (end of LR)
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MTP motion during loading response
0o
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Opposite leg during loading response
pre swing
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Critical events during loading response and other info
heel rocker, controlled knee flexion (quads), stable hip; @ hip GRFV anterior (flexion moment) and Adductor moment initiated @ knee GRFV posterior (flexion moment) @ ankle GRFV posterior (plantar flexion moment)
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Pelvis placement during mid stance
0o neutral, AT, abductors (TFL, Glut Med) activated
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Hip motion during mid stance
0o (neutral) glut max quiet by mid stance, glut med, TFL eccentric then isometric at very end of mid stance
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Knee motion during mid stance
0o (up to 5o flexion) early vasti quick concentric then none by mid stance mid/late none
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Ankle motion during mid stance
5o DF, pronation, plantarflexors eccentric
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MTP motion during mid stance
0o
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Opposite leg during mid stance
initial swing to mid swing
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Critical events of mid stance and other info
ankle rocker, controlled tibial, advancement progressive knee extension; @ hip GRFV anterior/posterior (flexion to extension moment) @ knee GRFV posterior/anterior (flexion to extension moment) @ankle GRFV anterior (dorsiflexion moment)
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Pelvis placement during terminal stance
5o backward, AT, abductors (early) isometric, then none as foot nears ground
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Hip motion during terminal stance
20o extension (apparent), glut min/med isometric, then none TFL variable (usually until midpoint of terminal stance) Add longus (activated in late terminal stance
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Knee motion during terminal stance
0o up to 5o of flexion, no quad contraction, gastroc eccentric, with quick concentric
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Ankle motion during terminal stance
10o dorsiflexion, pronation/supination, plantarflexors eccentric with quick concentric
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MTP during terminal stance
20o extension
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Opposite leg during terminal stance
terminal swing
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Critical events and other info during terminal stance
forefoot rocker, heel rise, forward body fall, trailing limb; @ Hip GRFV posterior (extension moment) @ knee anterior/postereior (extension to flexion moment) @ ankle GRFV anterior (dorsiflexion moment)
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Pelvis placement during pre swing
5o backward, PT
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Hip placement during pre swing
10o extension RF, Add Longus, and gracilis fire concentric and then eccentric
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Knee motion during pre swing
40o flexion RF eccenctic
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Ankle motion during pre swing
15o PF supination, none (pre-tibs very late) concentric
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MTP during pre swing
50o extension
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Opposite leg during pre swing
initial contact to loading response
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Critical events and other info
forefoot rocker, passive knee flexion @ knee, GRFV posterior (flexion moment)
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Pelvis placement during initial swing
5o backward, PT
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Hip motion during initial swing
15o flexion, 5o abduction, flexors concentric (illacus, gracillis, sartorius, add longus) adductors assist
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Knee motion during initial swing
60o flexion, HS (short head), sartorius, gracilis concentric
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Ankle motion during intital swing
5o PF, neutral pre tibs concentric
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MTP during initial swing
0o (relaxed)
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Opposite leg during initial swing
mid stance
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Critical events during initial swing
hip flexion to 15o knee flexion to 60o
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Pelvis placement during mid swing
0o (neutral) PT
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Hip motion during mid swing
- 25o flexion add longus, gracilis concentric
- late MSw HS eccentric
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Knee motion during mid stance
25o flexion HS (decreasing) eccentric
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Ankle motion during mid swing
0o neutral pre tibs concentric
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MTP during mid swing
0o (relaxed)
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Opposite leg during mid swing
late mid stance
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Critical events during mid swing
hip flexion to 25o ankle to 0o
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Pelvis placement during terminal swing
5o forward, AT abductors (TFL, glut med) activated
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Hip motion during terminal swing
0o flexion extensors (glut max- limited, HS) eccentric abductors activated
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Knee motion during terminal swing
0o (up to 5o flexion) vasti concentric HS eccentric
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Ankle motion during terminal swing
0o neutral to supination pre tibs concentric
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MTP motion during terminal swing
0o (relaxed)
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Opposite leg during terminal swing
terminal stance
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Critical events during terminal swing
knee extension to 0o (up to 5o) hip deceleration ankle DF for initial contact
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