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Gait - where is PF the most important

Terminal stance
Steppage gait - Excessive hip & knee flexion - result of what?

Weak DF (e.g., diabetic neuropathy of fibular nerve)
Stance Phase - Antalgic gait (painful gait) - describe - 2
- Stance time - short on painful limb
- Step length - shortened on uninvolved side
Sitting activities promote what for gait?

Hip ABD on therapy ball
Pushing backward on rolling stool promotes what for gait?

Knee extension
Weakness of hip extensors - @ what phase? What compensation?
- Heel strike
- Backward lean of trunk
Tibia advancement – midstance to heel-off

Eccentric contraction of PF
Backward trunk lean – weak what?

Hip extensors
Full DF can lead to what @ knee?

Knee buckling
What AFO can be used to control for a buckling knee? - 1

DF
What AFO component can be used to control for knee hyperextension or recurvatum?

PF stop @ 5 deg
DF or PF of ankle jt is associated w/knee flexion in order to maintain COG?

DF
DF or PF of ankle jt is associated w/knee extension in order to maintain COG?

PF
Orthotic causes for foot drop @ initial contact + toe drag @ swing - 2
- Inadequate DF assist
- Inadequate PF stop
Toes first @ initial contact - 3 orthotic + 4 anatomical
- Inadequate heel lift
- Inadequate DF assist
- Inadequate PF stop
- Heel pain
- Extensor spasticity
- Pes equinus
- Short leg
Excessive knee flexion @ initial contact - 4 orthotic + 2 anatomical + 1 compensation
- Inadequate knee lock or weak quads
- Inadequate DF stop
- PF stop
- Short contralateral leg - Inadequate shoe lift
- Knee &/or hip flexion contracture
- Knee pain
- Compensation - Forward trunk bending
Hyperextended knee @ initial contact - 3 orthotic + 5 anatomical
- Inadequate PF stop
- Inadequate knee lock
- Pes equinus uncompensated by contralateral shoe lift
- Weak quads
- Lax knee ligaments
- Extensor synergy
- Short contralateral leg
- Contralateral knee/hip flexion contracture
Forward trunk lean @ initial contact - 1 orthotic + 2 anatomical
- Inadequate knee lock
- Quad weakness
- Hip/knee flexion contracture
Backward trunk lean @ initial contact - 1 orthotic + 2 anatomical
- Inadequate hip lock or knee lock
- Knee ankylosis
- Weak gluteus max on stance leg
Wide walking base + Lateral trunk lean toward stance leg @ initial contact - 3 orthotic + 3 anatomical
- KAFO height of medial upright too high
- HKAFO hip jt aligned in excessive ABD
- Insufficient shoe lift
- ABD contracture
- Poor balance
- Sound limb (contralateral) is too short
Delayed/absent transfer of weight over forefoot @ late stance - 2 orthotic + 2 anatomical
- PF stop
- Inadequate DF stop
- Pes calcaneus
- Forefoot pain
Circumduction/vaulting/hip hiking @ swing - 3 orthotic + 3 anatomical
- Knee lock
- Inadequate DF - Weak DF; Inadequate DF assist
- Excessive PF (inadequate PF stop, PF contracture)
- Weak hip flexors
- Pes equinus
- Short contralateral leg
BKA - Excessive knee flexion @ initial contact - 3
- Insufficient PF
- Stiff heel cushion
- Socket too far anterior
BKA - Insufficient knee flexion @ initial contact - 3
- Excessive PF
- Soft heel cushion
- Socket too far posterior
BKA - Lateral/Medial thrust at midstance - foot how?
- Lateral - Foot is inset too much
- Medial - Foot is outset too much
BKA - early knee flexion @ late stance - 4
- Insufficient PF
- Socket too anterior
- Socket excessively flexed
- DF stop too soft
BKA - delayed knee flexion @ late stance - 4
- Excessive PF
- Socket too posterior
- Socket not flexed enough
- DF stop too stiff
BKA - pain on ant distal stump - gait deviation - 1

Lack of knee flexion in early stance (locking relieves pressure)
BKA - prosthetic foot set too far posteriorly - gait deviation - 1

Rapid & excessive knee flexion in early stance
BKA - weak quads - gait deviation - 1

Lack of knee flexion in early stance
AKA - ABD gait - 5
- Long prosthesis
- Med wall too high
- Lat wall not ADD enough
- ABD contracture (esp for shorter AKAs)
- Anatomical - laterodistal pain
AKA - Circumduction/Vaulting/Hip hiking - causes - 6
- Long prosthesis
- Locked knee
- Inadequate suspension
- Foot PF
- ABD contracture
- Poor knee control
AKA - Lateral trunk bending during stance - causes - 6
- Short prosthesis
- Lat wall not ADD enough
- High medial wall
- Weak glut med
- ABD contracture
- Short amputation limb
AKA - Forward flexion during stance - causes - 3
- Unstable knee unit
- Short ambulatory aids
- Hip flexion contracture
AKA - Lumbar lordosis during stance - causes - 5
- Inadequate socket flexion
- Painful ischial WB
- Hip flexion contracture
- Weak hip extensors or abdominals
- Socket not tilted enough post
Heel off - medial/lateral whip - ?????
AKA - foot ER on heel strike - 3
- Not compressing/WB on cushioned heel to get a controlled PF
- Stiff heel cushion
- Poor socket - prosth rotating on residual limb
AKA - Terminal swing impact - causes - 3
- Insufficient knee friction
- Taut extension aid
- Forceful hip flexion
AKA - Uneven step length - causes - 4
- Socket discomfort
- Insufficient socket flexion
- Hip flexion contracture
- Hip instability
Hip hiking (QL action) - result of?

Extensor spasticity of swing leg
Stance Phase - Pronation - causes - 4
- Weak invertors
- Spasticity
- Pes valgus
- Genu valgum
Foot flat to mid stance - hip IR/ER - 3
- Spasticity/weakness of IR/ER
- IR - Excessive forward rotation of opposite pelvis
- ER - Excessive backward rotation of opposite pelvis

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Gait

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Gait

Updated

2016-10-03T03:28:46Z

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