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Walking Gait (MOORE)

QuestionAnswer
Heel Strike Initial Contact Ankle dorsiflexors (eccentric contraction) - Tibialis Anterior; Hip Extensors - Gluteus Max (deceleration) ; Intrinsic muscles of foot and long tendons - Flexor digitorum brevis and tibialis; Posterior - Preserve longitudinal arch of foot
Loading response foot flat Ankle plantar flexors - triceps sure - decelerate mass; Hip abductors - glute med, min, TFL - Stabilise pelvis; Intrinsic muscles of foot etc. flexor digitorum brevis, tib post - longitudinal arch;
Mid Stance knee extensors - quadriceps - stabilise knee; Ankle Plantarflexors - Eccentric - triceps sure - control dorsiflexion - preserve momentum; Hip Abductors - stabilise Intrinsic muscles of foot etc. flexor digitorum brevis, tib post - longitudinal arch
Terminal stance heel off Concentric plantar flexors - triceps sure - accelerate mass; Hip abductors stabilise hip; Preserve arches of foot and fix forefoot - adductor hallucis and tibialis post and long flexors of digit;
Preswing toe off Long flexors of digits - flexor hallucis long, flexor digitorum long - accelerate mass; Preserve arches of foot and fix forefoot - same as terminal stance; decelerate thigh, prepare swing - hip flexor eccentric - illiopsoas rectus femoris
Initial Swing Flexor of hip - concentric - illipsoas rectus femurs; Clear foot - dorsiflexors tibialis anterior;
Mid swing Clear foot - dorsiflexors - tibialis anterior;
Terminal swing Decelerate thigh - hip extensors - eccentric gluteus max and hamstrings; Decelerate leg - knee flexors - eccentric hamstrings; dorsiflexors tibialis anterior - position foot; Extend knee to place foot - prepare for contact - knee extensors - quads;
Trendelenberg Gait Contralateral pelvic drop - move obvious in runners abductors of stance leg weak causes swing pelvis to drop - superior gluteal nerve
Antalgic Gait Reduced stance time on injured limb so contralateral limb moves through swing phase quickly. Caused by pain
Cerebellar Gait Ataxic gait - balance overall issue struggling to keep COG in base of support - abnormal uncoordinated movements
High steppage gait Drop foot - flexing knee; common cause - Tibialis anterior - not related to spasticity.
Waddling gait Flat foot, bilateral weakness of abductors - discheens muscle dystrophy - pregnancy.
Gluteus Maximus Gait Over extension in hip during mid stance - lurching gait with posterior leaning. - inferior gluteal nerve
Scissoring Gait spastic Cerebral palsy - upper motor neuron lesion
Created by: Sophie17