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PTA Scorebuilders
Musculoskeletal: Gait Deviations, Abnormal Gait Patterns
| Question | Answer |
|---|---|
| a(n) ___ gait is characterized by a decreased stance time to avoid weight bearing on the involved side due to pain;typically associated with a rapid and shorter swing phase on uninvolved side | antalgic |
| a(n) ___ gait is characterized by staggering and unsteadiness; usually has a wide base of support and exaggerated movements | ataxic |
| a(n) ___ gait is often seen with cerebellar disease | cerebellar |
| a(n) ___ gait is characterized by a circular motion to advance the leg during swing phase; may be used to compensate for insufficient hip flexion, knee flexion, or dorsiflexion | circumduction |
| a(n) ___ gait is characterized by alternate steps of a different length or different rate | double step |
| a(n) ___ gait is characterized by high steps, usually involving excessive activity of the gastrocnemius | equine |
| a(n) ___ gait is characterized by walking on he toes as if pushed; starts slowly, increases, and may continue until person grabs an object in order to stop | festinating |
| a(n) ___ gait is characterized by abducting and circumducting the paralyzed limb | hemiplegic |
| a(n) ___ gait is characterized by increased forward flexion of the trunk and knees; a shuffling gait with short steps and possible fenistation | parkinsonian |
| a(n) ___ gait is characterized by the legs crossing midline upon advancement | scissor |
| a(n) ___ gait is characterized by stiff movement, toes seeming to drag, legs together, and slight hip and knee flexion; seen often with spastic paraplegia | spastic |
| a(n) ___ gait is characterized by the feet and toes lifting to excessive height through hip and knee flexion, and foot slap at initial contact; usually secondary to dorsiflexion weakness | steppage |
| a(n) ___ gait is characterized by a high stepping, ataxic gait where the feet slap the ground | tabetic |
| a(n) ___ gait is characterized by excessive lateral trunk flexion and weight shifting over the stance leg due to gluteus medius weakness | trendelenburg |
| a(n) ___ gait is characterized by plantar flexion of the stance leg and pelvic elevation in order to advance the swing leg | vaulting |
| foot slap can be caused by: (2) | weak dorsiflexors dorsiflexor paralysis |
| toe down instead of heel strike can be caused by: (6) | plantarflexor spasticity plantarflexor contracture weak dorsiflexors dorsiflexor paralysis leg length discrepancy hindfoot pain |
| clawing of toes can be caused by: (2) | toe flexor spasticity positive support reflex |
| heel lift during midstance can be caused by: (2) | insufficient dorsiflexor range plantarflexor spasticity |
| no toe off can be caused by: (4) | forefoot/toe pain weak plantarflexors weak toe flexors insufficient plantarflexion ROM |
| exaggerated knee flexion at contact can be caused by: (4) | weak quadriceps quadricep paralysis hamstring spasticity insufficient extension range of motion |
| knee hyperextension in stance can be caused by: (2) | weak quadriceps plantarflexor contracture |
| exaggerated knee flexion at terminal stance can be caused by: (2) | knee flexion contracture hip flexion contracture |
| insufficient knee flexion with swing can be caused by: (4) | knee effusion quadriceps extension spasticity plantarflexor spasticity insufficient flexion range of motion |
| excessive knee flexion with swing can be caused by: (2) | flexor withdrawal reflex lower extremity flexor synergy |
| insufficient hip flexion at initial contact can be caused by: (4) | weak hip flexors hip flexors paralysis hip extensor spasticity insufficient hip flexion range of motion |
| insufficient hip extension at stance can be caused by: (3) | insufficient hip extension ROM hip flexion contracture lower extremity flexor synergy |
| circumduction during swing can be caused by: (3) | weak hip flexors weak dorsiflexors weak hamstrings |
| hip hiking during swing can be caused by: (3) | weak dorsiflexors weak knee flexors extensor synergy pattern |
| exaggerated hip flexion during swing can be caused by: (2) | lower extremity flexor synergy Insufficient dorsiflexion |
Created by:
saram6450
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