NPTE: Gait Deviations - Prosthetic and Amputee Causes (scorebuilder 2008)
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Abducted Gait | • Prosthesis may be too long • High medial wall • Poorly shaped lateral wall • Prosthesis positioned in abduction • Inadequate suspension • Excessive knee friction | • Abduction contracture
• Improper training
• Adductor roll
• Weak hip flexors and adductors
• Pain over lateral residual limb
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| Circumducted Gait | • 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 | • Socket set forward in relation to foot • Foot sett in excessive dorsiflexion • Stiff heel • Prosthesis is too long | • Knee flexion contracture
• Hip flexion contracture
• Pain anteriorly in residual limb
• Decrease in quadriceps strength
• Poor balance
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| Vaulting | • Prosthesis may be too long • Inadequate socket suspension • Excessive alignment stability • Foot in excess plantar flexion | • 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 | • Excessive toe-out built in • Loose fitting socket • Inadequate suspension • Rigid SACH heel cushion | • Poor muscle control
• Improper training
• Weak medial rotators
• Short residual limb
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| Forward trunk flexion | • Socket is too big • Poor suspension • Knee instability | • Hip flexion contracture
• Weak hip extensors
• Pain with ischial weight bearing
• Inability to initiate prosthetic knee flexion
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| Medial or Lateral whip | • 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 | • Poor balance
• Abduction contracture
• Improper training
• Short residual limb
• Weak hip abductors on prosthetic side
• Hypersensitive and painful residual limb
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