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Musculoskeletal

Amputation and Prosthetics: Gait Deviations

QuestionAnswer
Lateral Bending (Prosthetic causes) Prosthesis too short; improperly shaped lateral wall; high medial wall; prosthesis aligned in abduction
Lateral Bending (Amputee causes) Poor balance; abduction contracture; improper training; short residual limb; weak hip abductors on prosthetic side; hypersensitive and painful residual limb
Abducted gait (Prosthetic causes) Prosthesis too long; high medial wall; poorly shaped lateral wall; prosthesis positioned in abduction; inadequate suspension, excessive knee friction
Abducted gait (Amputee causes) Abduction contracture; improper training; adductor roll; weak hip flexors and adductors; pain over lateral residual limb
Circumducted gait (Prosthetic causes) Prosthesis too long; excessive friction in knee; socket too small, excessive plantar flexion of prosthetic foot
Circumducted gait (Amputee causes) Abduction contracture; improper training; weak hip flexors; lacks confidence to flex the knee; painful anterior distal residual limb; inability to initiate prosthetic knee flexion
Excessive knee flexion during stance (Prosthetic causes) Socket set forward in relation to foot; foot set in excessive dorsiflexion; stiff heel; prosthesis too long
Excessive knee flexion during stance (Amputee causes) Knee flexion contracture; hip flexion contracture; pain anteriorly in residual limb; decrease in quad strength; poor balance
Vaulting (Prosthetic causes) Prosthesis too long; inadequate socket suspension; excessive alignment stability; foot in excessive plantar flexion
Vaulting (Amputee causes) Residual limb discomfort; improper training; fear of stubbing toe; short residual limb, painful hip/residual limb
Rotation of Forefoot at Heel Strike (Prosthetic causes) Excessive toe-out built in; loose fitting socket; inadequate suspension; rigid SACH heel cushion
Rotation of Forefoot at Heel Strike (Amputee causes) Poor muscle control; improper training; weak medial rotators; short residual limb
Forward Trunk Flexion (Prosthetic causes) Socket too big; poor suspension; knee instability
Forward Trunk Flexion (Amputee causes) Hip flexion contracture; weak hip extensors; pain w/ ischial weight bearing; inability to initiate prosthetic knee flexion
Medial or Lateral Whip (Prosthetic causes) Excessive rotation of the knee; tight socket fit; valgus in the prosthetic knee; improper alignment of toe break
Medial or Lateral Whip (Amputee causes) Improper training; weak hip rotators; knee instability
Created by: glopez111
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