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NPTE: Gait Deviations - Prosthetic and Amputee Causes (scorebuilder 2008)

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Gait Deviation
Prosthetic Cause
Amputee Cause
Abducted Gait   show • Abduction contracture • Improper training • Adductor roll • Weak hip flexors and adductors • Pain over lateral residual limb  
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show • Prosthesis may be too long • Too much friction in the knee • Socket is too small • Excessive plantar flexion of prosthetic foot   • Abduction contracture • Improper training • Weak hip flexors • Lacks confidence to flex the knee • Painful anterior distal stump • Inability to initiate prosthetic knee flexion  
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Excessive knee flexion during stance   show • Knee flexion contracture • Hip flexion contracture • Pain anteriorly in residual limb • Decrease in quadriceps strength • Poor balance  
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Vaulting   show • Residual limb discomfort • Improper training • Fear of stubbing toe • Short residual limb • Painful hip/residual limb  
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Rotation of Forefoot at Heel Strike   show • Poor muscle control • Improper training • Weak medial rotators • Short residual limb  
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Forward trunk flexion   show • Hip flexion contracture • Weak hip extensors • Pain with ischial weight bearing • Inability to initiate prosthetic knee flexion  
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show • Excessive rotation of the knee • Tight fitting socket • Valgus in the prosthetic knee • Improper alignment of toe break   • Improper training • Weak hip rotators • Knee instability  
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Lateral Bending   • Prosthesis may be too short • Improperly shaped lateral wall • High Medial Wall • Prosthesis aligned in abduction   show
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