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AK Gait Deviations

Stack #55564

Gait DeviationProsthetic CauseAmputee Cause
Uneven Arm Swing Poor fitting socket Poor balance
Uneven Arm Swing Poor fitting socket Fear
Uneven Arm Swing Pain/Discomfort Habit
Rotation at Heel Strike Heel/Plantarflexion bumper too hard Pt tries to extend hip too forcefully
Rotation at Heel Strike Too much toe out Poor muscle control
Rotation at Heel Strike Loose socket Soft limb
Instability of Knee Knee center anterior to TKA Weak extensors
Instability of Knee Insufficient socket flexion Flexion contracture
Instability of Knee Heel/Plantarflexion bumper too hard Weak extensors
Instability of Knee Excessive dorsiflexion of foot Flexion contracture
Vaulting Prosthesis too long Fear of stubbing toe
Vaulting Inadequate suspension Habit
Vaulting Too much knee stability Weak hip flexors
Circumducted Gait Prosthesis too long Abduction contracture
Circumducted Gait Too much knee stability Lack of confidence in flexing knee
Circumducted Gait Medial wall too high Weak hip flexors
Circumducted Gait Excessive knee friction Habit
Abducted Gait Prosthesis too long Abduction contracture
Abducted Gait Medial wall too high Habit
Abducted Gait Lateral wall not stabilizing femur Habit
Abducted Gait Pelvic band too far from body Habit
Lateral Trunk Bending Prosthesis too short Poor balance
Lateral Trunk Bending Lateral wall not stabilizing femur Abduction contracture
Lateral Trunk Bending High medial wall Limb is painful
Lateral Trunk Bending Too much abduction in socket Very short limb
Lateral Trunk Bending Ramus pressure Habit
Excessive Trunk Extension Posterior wall improperly shaped (trying to relieve pressure) Hip flexor tightness
Excessive Trunk Extension Insufficient socket flexion Weak extensors
Excessive Trunk Extension Insufficient socket flexion Weak abs
Excessive Trunk Extension Insufficient socket flexion Poor balance
Drop Off Foot too posterior none
Drop Off Excessive dorsiflexion of foot none
Drop Off Dorsiflexion bumper too soft none
Drop Off Anterior lever arm of foot too short none
Drop Off Keel too soft none
Foot Slap Heel/Plantarflexion bumper too soft Pt driving prosthesis down to ensure knee extension
Lateral Whip Internally rotated knee Socket donned incorrectly
Lateral Whip Misaligned toe break Internal rotation of hip at toe off
Lateral Whip Loose socket Habit
Medial Whip Externally rotated knee Socket not donned correctly
Medial Whip Misaligned toe break External rotation of hip at toe off
Medial Whip Tight socket Habit
Long Prosthetic Step Poor fit - pain Flexion contracture
Long Prosthetic Step Insufficient socket flexion Pt insecurity
Long Prosthetic Step Long toe lever Habit
Long Prosthetic Step Excessive plantarflexion of foot Habit
Long Sound Side Step Insufficient extension assist Weak hip flexors
Long Sound Side Step Unstable knee Pt insecurity
Long Sound Side Step Inadequate suspension Poor balance
Long Sound Side Step Excessive dorsiflexion of foot Habit
Excessive Heel Rise Insufficient friction of knee Pt powering knee too forcefully to break
Excessive Heel Rise Insufficient extension assist Pt powering knee too forcefully to break
Terminal Impact Insufficient friction of knee Pt insecurity - planting heel firmly
Terminal Impact Excessive extension assist Tight hip flexors
Created by: npoliti
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