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