TYPES AND CAUSES OF PROSTHETIC GAIT DEVIATIONS
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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TERMINAL SWING IMPACT | insufficient knee friction, too much tension in the extension aid, pt feels that the knee will buckle, forcefull knee flexion
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FOOT ROTATION AT HEEL STRIKE | prosthetic foot is malaligned, stiff heel cushion, stiff plantar flexion bumper
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SWING PHASE WHIPS | socket is rotated, knee bolt is rotated, foot is malaligned
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FOOT SLAP | heel cushion too soft, PF bumper too soft,
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UNEVEN STEP LENGTH | socket discomfort or poor alignment, hip flexion contracture, hip instability
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HIGH HEEL RISE | inadequate knee friction, too little tension in the extension aid
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LUMBAR LORDOSIS DURING STANCE | insufficient support from anterior or posterior walls, painful ischial weight bearing, hip flexion contracture, weak hip extensors or abdominals
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FORWARD FLEXION DURING STANCE | unstable knee unit, short ambulatory aids, hip flexion contracture
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LATERAL TRUNK BENDING DURING STANCE | low lateral wall, short prosthesis, high medial wall, weak abductors, abductor contracture, hip pain, short amputation limb
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VAULTING - RISE UP ON SOUND LIMB | too long prosthesis, inadequate suspension, socket too small, prosthetic foot placed in too much PF, too little knee flexion
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ABDUCTED GAIT | crotch or medial wall discomfort, long prosthesis, low lateral wall or malalignment, tight hip abductors
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CIRCUMDUCTION | long prosthesis, locked knee, small or loose socket, inadequate suspension, foot is plantarflexed, abduction contracture, poor hip control
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