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Peds Gait

Pediatric Gate

QuestionAnswer
0-9 months learn to become upright, walking w/support, wide BOS, genu varum
9-18 months center of mass is closer to head & trunk, balance is dependent on the head, independent walking.Wide BOS full foot contact,more steps/minute
18-24 months increased strength, legs are straight no genu varum, independ.walk; decreased BOS, arms low, heel-toe, ant/post movement
3-5 years genu valgus is normal, center of mass at lower thoracic, heel strike, balance refined, arm swing
Mature Stage reflexive arm swing, narrow BOS, relaxed gait, minimal vertical lift, heel-toe contact
Development of Gait children will stand & walk 9-15 months
Mature gait pattern develops by 3.5-5 years
Walking is initially controlled by central pattern generator (CPG)
Central Pattern Generators (you need to survive) set of muscle commands which are structured before a movement begins & which is sent to the muscle w/the correct timing so that the entire sequence is carried out in the absence of peripheral feedback.
spinal processes capable of producing rhythmic control of one limb, w/or w/o sensory input & descending control, adaptable & plastic
CPG's initially automatic, can learn to control & become voluntary (breathing, chewing, swallowing, stepping)-need to survive
Predictors of Walking independent sitting by 2 years old, weight bear on hands while in prone by 18 months, level 1,2,3 on GMFCS by 2 years old will walk
Teaching Gait Stimulate CPG/s, terminal knee & hip extension, repetition, control ankle medial/lateral, move the feet
When to start gait 7-12 months
Level I walks without limitations
Level II walks with limitations
Level III walks using a hand-held mobility device
Level IV self-mobility w/limitations; may use powered mobility
Level V transported in a manual wheelchair
Created by: jklincoln