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Gait

QuestionAnswer
defined as the method that we walk or ambulate from one location to another Gait
Gait is analyzed in reference to the _____ cycle Gait cycle
defined as the time from when the heel of one leg touches the ground until the time it touches the ground again GAIT CYCLE
When describing the gait cycle, we will always reference what is happening in ____ _____ only in order to avoid confusion one leg
When observing gait, always start in (how many planes) and assess each joint systematically from the ground up, or the trunk down always start in one plane
You must be able to focus on # joint in # plane and ignore the rest of the body to be able to accurately observe what is happening there one joint / one plane
There are a couple of different standards used to describe the gait cycle. We will use the ______________ ____ _______ terminology Ranchos Los Amigos (RLA) terminology
The first sub-division is.... 1) Stance phase
The second sub-division is... 2) swing phase
The stance phase represents __ % of the gait cycle and is further sub-divided into # units 60% of cycle / 5 units
Name the 5 units the stance phase is divided in. Initial contact Loading response Midstance Terminal Stance Pre-swing
Stance phase (Name unit and %) when the foot makes first contact with the ground ( in normal gait the heel strikes first) Initial Contact (0-2%)
Stance phase (Name unit and %) when the entire plantar foot is in contact with the ground (the LE is absorbing impact force from the ground) Loading Response (2-10%)
Stance phase (Name unit and %) when the COM moves over the foot on the ground Midstance (10-30%)
Stance phase (Name unit and %) when the heel breaks contact with the ground Terminal stance (30-50%)
Stance phase (Name unit and %) just prior to when the toes break contact with the ground Preswing (50-60%)
Swing phase is #% of the gait cycle and occurs when the foot .......... 40% of gait cycle / occurs when the foot leaves the ground until initial contact again
Swing phase is subdivided into 3 phases. Name them. Intial swing Mid swing Terminal swing
Swing phase (Name unit and %) The point when the foot is no longer in contact with the floor Initial Swing (60-73%)
Swing phase (Name unit and %) when the tibia is perpendicular to the ground Mid-swing (73-87%)
Swing phase (Name unit and %) when the leg is extending out just prior to initial contact Terminal swing (87-100%)
When both feet are in contact with the ground we are said to be in... Double limb Support
Both feet are in contact with the ground during roughly the first #% and the last #% of stance phase the first 10% and last 10% of stance phase
During swing phase the other limb is in.... Single leg support phase
Defined as variables that are visualized by looking at the feet as they make a pattern on the ground Spatial characteristics of gait
is defined as the distance from the initial contact of one foot to the initial contact of the other foot Step length
is defined as the distance from the initial contact of one foot to the initial contact of the same foot again Stride length
is the distance BETWEEN the two feet Step width
Temporal and Spatial Characteristics of Gait: the direction of ambulation between two points Line of progression
Temporal and Spatial Characteristics of Gait: is an angle formed between the line of progression and a line from the heel through the second and third toes Angle of progression
Temporal characteristics are variables that have to do with time such as ___________ and __________ Velocity and Cadence
is measured in meters per minute Velocity
is measured in steps per minute Cadence
Trunk/Upper Extremity Movements: What happens with the UE and LE in gait in the sagittal plane? In the sagittal plane, the opposite UE and reference lower extremity will move together
Trunk/Upper Extremity Movements: What happens with the Trunk and Pelvis in gait in the Transverse plane? In the transverse plane, the trunk counter rotates to the pelvis So when the right pelvis advances, the right shoulder is retracted and vice versa
What does the The tibialis and gastroc help w/ during Initial Contact? The tibialis and gastroc mm contract to stabilize the ankle
What does the hamstring and Quad muscles do during initial Contact? The hamstring muscles are decelerating the knee flexion from swing and the quads are firing to get ready to accept weight.
What does the Gluteus Med and Max do during Initial Contact? The gluteus medius and maximus contract to stabilize the hip
What does the tibialis anterior and the ankle inverters do during the loading response? The tibialis anterior eccentrically lowers the foot to the ground, the ankle inverters eccentrically contract to control pronation of the foot
What does the Quads and Hamstrings do during loading response? The knee moves into slight flexion, so the quadriceps are eccentrically contracting with a slight co-contraction of HS for stability
What does the Gluteus maximus do during loading response? The gluteus maximus contracts to stabilize the hip and to prevent the trunk from flexing over the weight bearing limb
In the midstance the body has transitioned into single limb support here so muscles are functioning to ______________. Stabilize
What does the gastroc and soleus do during midstance? What about the Medial and lateral ankle muscles? The gastroc/soleus are active to stabilize the ankle while eccentrically controlling limb advancement over the foot and the medial and lateral ankle muscles are contracting for stability
The quadriceps and HS mm are fairly quiet as the knee is controlled by the gastroc and momentum during which stance? Midstance
Do the rest of the muscle by making a chart. You have to understand them. Then study it
Created by: Cainta
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