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describe the pronation of the lower extremity at the following joints:
pelvis:
- anterior rotation (increased lordosis)
- depression
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describe the pronation of the lower extremity at the following joints:
Hip:
- flexion
- internal rotation
- ADD
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describe the pronation of the lower extremity at the following joints:
knee:
- flexion
- tibial internal rotation
- ADD
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describe the pronation of the lower extremity at the following joints:
ankle/foot:
- talar ADD & PF
- calcanal eversion
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describe the pronation of the lower extremity at the following joints:
forefoot:
ABD
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if you landed from a jump & couldn't control the landing well, what LE position would you land into:
LE pronation
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what is the plane in which most people will have injury or other problems:
transverse/rotatory plane
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describe supination of the lower extremity at the following joints:
pelvis:
- posterior rotation (increased lordosis)
- elevation
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describe supination of the lower extremity at the following joints:
hip:
- extension
- external rotation
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describe supination of the lower extremity at the following joints:
knee:
- extension
- tibial external rotation
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describe supination of the lower extremity at the following joints:
ankle/foot:
- talar ABD & DF
- calcaneal inversion
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describe supination of the lower extremity at the following joints:
forefoot:
ADD
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the time the heel touches the ground to the time it touches ground again is called:
gait cycle
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the distance of heel strike of one foot to the same foot in one gait cycle is called:
stride length
- ~61 inches
- right foot, back to right foot
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the distance of heel strike of one foot to the other foot in the same gait cycle is called:
step length
right foot to left foot
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about 60-120 steps per minute (length will vary by speed & cadence) is called:
cadence
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the distance between midline of one foot during midstance to the other foot in midstance is called:
stride width
~3 ince
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list the components of stance phase:
- heel strike
- foot flat (loading response)
- midstance
- heel off (terminal stance)
- toe off (pre swing)
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which phase of the gait cycle occurs when the foot is not in contact with the floor:
swing phase
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list the components of swing phase:
- early swing (acceleration)
- mid swing (swing thru)
- late swing (deceleration)
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why do most people not have any problems associated with the swing phase of gait:
it is not weight bearing, not loading, and not accelerating
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which structure is the last reign that stops pronation motions of the LE:
nomrally muscles would declerate this motion, if muscles did not decelerate & there was enough force to keep you driving in the pronated direction:
ACL is the next decelerator, if force is great enough it tears
ACL is anti - pronation ligament
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list the 3 components of stance phase of which the LE is pronated:
- heel strike
- foot flat (loading response)
- midstance
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list the names of the clinical terminology for which the research term is given:
loading response:
terminal stance:
preswing:
- loading response: foot flat
- terminal stance: heel off
- preswing: toe off
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saunders traditional description of gait is described as:
sinusoidal motion of center of gravity
this movement is vertical (sagittal plane) & horizontal (frontal plane)
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efficient gait minimizes the COG movement.
describe an example using a hurdler:
- when looking at a hurdler from behind, it shouldnt look like head is bobbing up & down
- there is not alot of wasted movement
- primarly movement in the same direction
- in gait head only bobs up & down a lil bit becuase joints are flexing/extending at different points
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how is minimal movement of COG accomplished thru movement at the pelvis:
- in the frontal plane
- during walking the pelvis is goin up & down a lil bit, but not dropping a whole lot
- it is controled movement at the pelvis
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more recent descriptions of gait also describe the importance of movemnt in the transverse plane.
lack of transverse plane movement will result in what:
more frontal & sagittal plane motion
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when looking at a pt. with a gait deviation, make sure to check which 3 contributing factors:
- lack of ROM
- lack of strength
- lack of controlled strength, motor control
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if you are watching a pt. walk & there is alot of up & down movement. what should that que you into:
looking at a sagittal plane problem, (Flexion/extension)
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the knee is extended at heel strike.
it rapidly flexes to 15o at midstance, decreasing vertical displacement at the gait cycle's highest point.
why is the 15o important:
when the knee bends, it also rotates & flexes which is an unstable position
key thing to work on in rehab (post injury) is to lock/unlock in a controlled manner
- getting person to load correctly:
- requires quad strength
- Hip Internal rotation controlled by the external rotators; piriformis & deep ER's are controlling eccentrically
- when a person has knee injury, either walk with leg straight, no movment @ knee or swing leg out to the side b/c then cant bend it enough to clear
- after injury pt may be "nervous" to unlock knee from straight to bent
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trunk rotation occurs in the opposite direction of pelvic rotation.
when the L side of the pelvis rotates anteriorly, how does the trunk on the right side rotate:
forward
thats why opposite arm & opposite leg
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list the pronation segment of the gait cycle:
heel strike to midstance
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list the supination of the gait cycle:
midstance to toe off
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if a pt. could not extend the hip, what would the compensation look like:
would be the the potential result of this compensation: (2)
more motion in another plane, so might externally rotate him more (& foot too)
- results of compensationmay lead to a tight piriforms
- cant absorb shock b/c they cant internally rotate
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the glute med has 2 fxns during heel strike (HS) to midstance (MS), list the following:
lateral hip:
Hip Internal rotation:
- lateral hip: stabilization
- hip internal rotation: Eccentric, deceleration
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the glute max has 2 fxns during the stance phase of gait (HS-MS), list the following:
hip flexion:
femoral internal rotation:
- hip flexion: eccentric
- femoral internal rotation: eccentric
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list how the glute max fxns during MS - TO (toe off):
hip extension:
concentric
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the quad has 2 fxns during the stance phase of gait, list the following:
flexion:
femoral internal rotation:
- flexion: eccentrically, to control the 15 degree of knee flexion
- femoral internal rotation: ecentrically
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list the fxn of the quad during MS - TO (toe off):
extension:
extension: concentric to move the knee from the 15 degrees of flexion into extension
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how do the hamstrings fxn just prior to heel strike:
eccentric in OKC knee extension (deceleration)
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how to the hamstrings fxn from HS to MS:
hip flexion:
hip flexion: Eccentric
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how does the tibialis anterior fxn during HS to MS:
eccentrically
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how does the tibialis anterior during the MS to TO (toe off):
concentric, accelerates
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how does the tibialis posterior fxns during HS to MS:
internal rotation:
internal rotation: eccentrically controls internal rotation of tibia as it rotates on a fixed ankle
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