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Gait

FMA

QuestionAnswer
Gait Cycle Complete sequence of movement of one limb Repeated during walking
Stride intervole of time of one foot touched the floor to when the SAME foot touches the floor
Stride length Horizontal distance traveled during a stride
Stride Width Side-side distance between feet when walking
Step interval between the time one foot touches the floor & the other foot touches the floor
Step Length Horizontal distance between initial contact of one foot & initial contact of the other foot
Cadence steps per min
Stance Limb Weight-bearing limb Closed chain 2 of 3 tasks of gait are accomplished by the stance limb Single limb support
Swing Limb Non weight bering limb open chain 1 of 3 tasks of gait are accomplished by swing limb Limb advancement
Hip flexion 0-30
Hip extension 0-10
Knee Flexion 0-60
Knee Extension 0 (Neutral)
Ankle Dorsiflexion 0-10
Ankle Flexion 0-20
Two phase of gait Stance phase Swing Phase
Subphases of gait Initial contact
Loading Response
mid stance
terminal stance
Per swing
Initial swing
mid swing
Terminal swing
Stance Phase Initial contact
loading response
mid stance
terminal stance
per swing
Swing Phase Initial swing
Mid stance
Terminal swing
Initial Contact First sub-phase Defined as the instant the foot contacts th floor begin shifting BW over stance limb 1st time in Dubble limb support
ROM (Initial Contact)
Hip (Initial Contact) 20 degrees flexion
Knee (Initial Contact) 5 degrees flexion
Ankle (Initial Contact) 0 degrees (neutral)
Muscle activity (Initial Contact)
Hip (Initial Contact) Extensors, ABD, ADD all isometrically contracting to stabilize the hips & trunk
Knee (Initial Contact) Ext/Flx - quads & hamstrings isometrically contract to stabilize the knee Knee is slightly FLX
Ankle (Initial Contact) Dorsi flx is isometrically contracting to motion neutral
Critical events (Initial Contact Heel first contact Heel rocker
Loading Response 2nd sub-phase of gait Begins w/ foot contact & ends with opposite limb toe off Entire plantar surface contacts the floor BW contines to shift over teh stance limb
ROM ( Loading Responce )
HIP ( Loading Responce ) 20 degrees Flexion
Knee ( Loading Responce ) 15 degrees flexion
Ankle ( Loading Responce ) 5 degrees platarflexion
Muscle activity ( Loading Responce )
Hip ( Loading Responce ) Extensors, add isometrical contract to maintain hip pos ABD contract eccentrically to limit lateral pelvic tilt
Knee ( Loading Responce ) Quads contract eccentrically
Ankle ( Loading Responce ) DF contracting eccentrically Late in PF phase contracts eccentrically to control the amount of DF
Critical Events ( Loading Responce ) Hip stability Control knee FLX & control ankle PF Shock absorption
Created by: ethan maier
 

 



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