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orthotic gait deviations

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Question
Answer
Lateral trunk bending: patient leans towards the orthotic side during stance   KAFO medial upright is too high; insuficient shoe lift; hip pain, weak or tight abductors on the ortotic side, short leg, poor balance  
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Circumdation and vaulting   locked knee, excessive plantar flexion, weak hip flexors or dorsiflexors,  
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Anterior trunk bemding   inadequate knee lock, weak Quadriceps, hip or knee flexion contracture  
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Posterior trunk bending   inadequate hip lock, , weak gluteus max, knee ankylosis  
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Hypextended knee during stance   inadequate plantar flexion stop, inadequate knee lock, calf band too deep, weak Quadriceps, loose knee ligaments, extensors spastisity, pes equinus  
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knee instability ( excessive knee flexion during stance)   inadequate DF stop, inadequate knee lock, knee or hip flexion contracture, weak quadriceps, knee pain  
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foot slap during early stance   inadequate DF assist, Excessive PF stop, weak DF  
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Toes first during stance   inadequate DF assist, PF stop excessive, inadequate heel lift, heel pain, PFspastisity, pes equinus, short leg  
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Flat foot   inadequate longitudinal support, pes planus  
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Pronation   ransverse plane malaligment, weak invertors, pes valgus, spastisity, genu valgum  
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Supination   transvrse plane malaligment, weak everters, pes varus, genu varum,  
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Excessive stance width   KAFO hight of medial upright too high, HKAFO hip joint aligned in excessive abduction, knee is locked, abduction contractures, poor balance, sound limb too short  
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Created by: kasia1
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