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Prosthetic Gait

NPTE, prosthetic gait problems, physical therapy

QuestionAnswer
Initial Contact/early stance: Excessive knee flexion BKA (Prosthetic cause) -high shoe heel -insufficient PF -stiff heel cushion -socket too far anterior -socket excessively flexed -cuff tabs too posterior
Initial Contact/early stance: Excessive knee flexion BKA (anatomic cause) -flexion contracture -weak quadriceps
Initial Contact/Early Stance: Insufficient knee flexion BKA (Prosthetic cause) -low shoe heel -excessive PF -soft heel cushion -socket too far posterior -socket insufficiently flexed
Initial Contact/Early Stance: Insufficient knee flexion BKA (anatomic cause) -extensor hyperreflexia -weak quads -anterodistal pain -arthritis
Mid Stance: Excessive lateral thrust BKA (prosthetic cause) -excessive foot inset
Mid Stance: Excessive medial thrust BKA -excessive foot outset
Late Stance: Early knee flexion:drop off BKA (prosthetic cause) -high shoe heel -insufficient PF -keel too short -DF stop too soft -socket too anterior -socket excessively flexed -cuff tabs too posterior
Late Stance: Early knee flexion:drop off BKA (anatomic cause) -flexion contracture
Late Stance: Delayed knee flexion:walking up hill BKA (prosthetic cause) -low shoe heel -excessive PF -keel too long -DF stop too stiff -socket too posterior -socket not flexed enough
Late Stance: Delayed knee flexion:walking up hill BKA (anatomic cause) -extensor hyperreflexia
Stance: ABDuction AKA (prosthetic cause) -long prosthesis -ABDucted hip joint -inadequate later wall ADDuction -sharp or high medial wall
Stance: ABDuction AKA (anatomic cause) -ABDuction contracture -weak ABDuctors -laterodistal pain -instability
Swing: Circumduction AKA (prosthetic cause) -long prosthesis -locked knee unit -loose friction -inadequate suspension -small socket -loose socket -foot PF
Swing: Circumduction AKA (anatomic cause) -ABDuction contracture -poor knee control
Early Swing: High Heel Rise AKA (prosthetic cause) -inadequate friction -slack extension aid
Late Swing: Terminal Impact AKA (prosthetic cause) -inadequate friction -taut extension aid
Late Swing: Terminal Impact AKA (anatomic cause) -Forceful hip flexion
Swing: Vaulting AKA (prosthetic cause) -long prosthesis -locked knee unit -loose friction -inadequate suspension -small socket -loose socket -foot PF
Swing:Vaulting AKA (anatomic cause) -with sliding friction unit -fast pace
Swing: Hip Hike AKA (prosthetic cause) -long prosthesis -locked knee unit -loose friction -inadequate suspension -small socket -loose socket -foot PF
Swing: Uneven step length AKA (prosthetic cause) -uncomfortable socket -insufficient socket flexion
Swing: Uneven step length AKA (anatomic cause) -hip flexion contracture -instability
Stance: Lateral bend AKA (prosthetic cause) -short prosthesis -inadequate lateral wall ADDuction -sharp or high medial wall
Stance: Lateral bend AKA (anatomic cause) -ABDuction contracture -weak ABDuctors -hip pain -instability -short amputation limb
Stance: Forward Flexion AKA (prosthetic cause) -unstable knee unit -short walker or crutches
Stance: Lordosis AKA (prosthetic cause) -inadequate socket flexion
Stance: Lordosis AKA (anatomic cause) -hip flexion contracture -weak extensors
Heel off: Medial (lateral) Whip AKA (prosthetic cause) -faulty socket contour -knee bolt externally (internally) rotated -foot malrotated -prosthesis donned in malrotation
Heel off: Medial (lateral) Whip AKA (anatomic cause) -with sliding friction unit -fast pace
Heel contact: Foot rotation AKA (prosthetic cause) -stiff heel cushion -malrotated foot
Created by: jen_p99
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