Pediatric Gate
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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| 0-9 months | learn to become upright, walking w/support, wide BOS, genu varum
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| 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
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| 18-24 months | increased strength, legs are straight no genu varum, independ.walk; decreased BOS, arms low, heel-toe, ant/post movement
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| 3-5 years | genu valgus is normal, center of mass at lower thoracic, heel strike, balance refined, arm swing
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| Mature Stage | reflexive arm swing, narrow BOS, relaxed gait, minimal vertical lift, heel-toe contact
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| Development of Gait | children will stand & walk 9-15 months
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| Mature gait pattern develops by | 3.5-5 years
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| Walking is initially controlled by | central pattern generator (CPG)
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| 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.
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| spinal processes capable of producing | rhythmic control of one limb, w/or w/o sensory input & descending control, adaptable & plastic
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| CPG's | initially automatic, can learn to control & become voluntary (breathing, chewing, swallowing, stepping)-need to survive
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| 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
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| Teaching Gait | Stimulate CPG/s, terminal knee & hip extension, repetition, control ankle medial/lateral, move the feet
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| When to start gait | 7-12 months
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| Level I | walks without limitations
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| Level II | walks with limitations
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| Level III | walks using a hand-held mobility device
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| Level IV | self-mobility w/limitations; may use powered mobility
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| Level V | transported in a manual wheelchair
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Created by:
jklincoln
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