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The Gait Cycle

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Question
Answer
What is the hip flexion requirement for normal gait?   0-30 degrees  
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What is the hip extension requirement for normal gait?   0-15 degrees  
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What is the knee flexion requirement for normal gait?   0-60 degrees  
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What is the knee extension requirement for normal gait?   0 degrees  
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What is the ankle dorsiflexion requirement for normal gait?   0-10 degrees  
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What is the ankle plantarflexion requirement for normal gait?   0-20 degrees  
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What are the muscle activation patterns at initial contact (heel strike)?   Quadriceps(prepares for loading responce) & ankle dorsiflexors, Hamstrings- to extend the hip and prepare for loading responces  
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What are the muscle activation patterns at the loading response (foot flat)?   pretibial eccentric contraction, , Quadriceps eccentrically to absorb the shock, Hamstrings to extend the hip, Hip ABD stabilize the pelvis in the frontal plane  
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what are the muscle activation patterns at midstance?   ankle plantarflexors & hip abductors to stabilize the pelvis, hip extensors control forward trunk movement  
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What are the muscle activation patterns at terminal stance (heel off)?   ankle plantarflexors (concentric), hip adductors, erector spinae  
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What are the muscle activation patterns at preswing (toe off)?   rectus fermoris acts to restrain rapid knee flexion, momentum enables the femor to fall forward aided by th adductor longus and rectus femoris  
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What are the muscle activation patterns at initial swing (acceleration)?   pretibial initiate DF, knee flexors, hip flexors, and hip adductors,  
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What are the muscle activation patterns at midswing?   pretibial mm, Knee Ext. by momentum and gravity,hip flexors, and hamstrings begin to fire  
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What are the muscle activation patterns at terminal swing (deceleration)?   pretibials, Quads concentricly to ensure the full knee extension, Hamstrings active eccentricaly to decelerate, Gluteus max and Add. longus prepare the leg for the WB  
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What is the average BOS of an adult?   2-4 inches  
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What is the cadence for an average adult?   110-120 steps/min  
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What is the average degree of toe out for an adult?   7 degrees  
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How much does the pelvis rotate during the gait cycle?   8 degrees (4 degrees forward with the swing leg and 4 degrees backward with the stance leg, to maintain the balance thorax moves towards the opposite side. Helps to regulate speed of walking  
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What are the energy costs of walking?   Oxygen rate (comfortable pace): 12ml/kg x min & 5.5 kcal/min (level surfaces, depending on surface and body weight)  
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What increases energy costs of walking?   age, abnormal gait, use of assistive devices  
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When is the peak activity of the tibialis anterior during the gait cycle?   After initial contact (heel strike): Responsible for eccentric plantarflexion  
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When is the peak activity of the gastroc-soleus group during the gait cycle?   During late stance phase: Responsible for plantar flexion during toe off  
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When is the peak activity of the quadriceps during the gait cycle?   During periods of single support in stance phase and before toe off to initiate swing phase  
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When is the peak activity of the hamstrings during the gait cycle?   During late swing phase: Responsible for decelerating the unsupported limb  
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How much lateral pelvic shift (PELVIS LIST) occurs during the gait cycle and which muscle group controls it?   side to side movement of the pelvis, necessery to center the weight of the body over the stance leg,2.5-5 cm and facilitate function of hip adductors. Necessary for balance and control lateral movement of COG  
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What effect does increased cadence have on the gait cycle?   shorter step length, decreased duration of double support (running occurs when double support disappears, at about 180 steps/min)  
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what mm works together to shorten the stance limb in midstance (control the rise of COG)   Knee Flex, DF, and subtaler pronators  
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what mm works together to lengthen the stance limb   Knee Ext. PF, and subtalar supinators  
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how much is the vertical displacement of COG   less or equal to 5 cm total motion 2'  
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what is the horizontal displacement of COG   2.5 - 5 cm total motion  
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where is the COG   5 cm antrior to the S2 vertebrae  
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what is the normal stride length   70-82 cm  
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Vertical Pelvis Shift   keeps the COG from moving up and down more than 5 cm during normal gait , the High point occurs at midstance and the low point during initial contact  
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Torque on ankle at initial contact   Ground contact posterior to the ankle joint center creates a planter flexion torque  
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Torque on knee at initial contact   A brief extension torque occurs  
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Torque on hip at initial contact   A rapid, high intensity flexion torque begins  
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Torque on ankle at loading response   Planter flexion torque quickly forces the foot to the floor, and then diminishes in late loading response  
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Torque on knee at loading response   A flexion torque is caused by the heel rocker action and the position of the body behind the foot  
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Torque on hip at loading response   A high intensity flexion torque is present(second highest during gait cycle) and an adduction torque begins  
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Torque on ankle during mid stance   A markedly increasing dorsiflexion torque occurs  
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Torque on knee during mid stance   the forward momentum created by the contralateral swing limb produces an extension torque.  
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Torque on the hip during mid stance   The contralateral swing limb moves the body past the stance limb leading to a change from a flexion to an extension torque. The adduction torque continues.  
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