Gait Word Scramble
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Question | Answer |
Initial Contact Degrees and most active muscles? event? | 20 Flex: glut max, adductor magnus 5 Flex: Quadricep (con --> ecc) 0: Pretibials (ecc) Heel first contact |
Loading Response Degrees and most active muscles? Event? | 20 flex: 15 flex: Hamstrings (con) Quadricep (ecc) 5 PF: Pretibials (ecc) hip stability, knee fleixon, PF |
Mid stance Degrees and most active muscles? Event? | 0: glute med 5 flex: 5 DF: gastroc/soleus tibai advancement |
Terminal stance degrees and most active muscles? Event? | 20 hyperextension: glute med 5 flex: 10 DF: gastroc (ecc) DF w heel rise, |
Pre swing Degrees and most active muscles? Event? | 10 hyperextension: 40 flex: Quad, gracilis, sartorius (ecc) 15 PF: Passive knee flexion and ankle PF |
Initial Swing Degrees and most active muscles? Event? | 15 flex: iliacus, gracillis, sartorius 60 flex: hamstrings 5 PF: Hip and knee fleixon |
Mid Swing Degrees and most active muscles? Event? | 25 flex: 25 flex: hamstrings late (ecc) 0 : Pretibials more hip flexion and DF |
Terminal swing Degrees and most active muscles? Event? | 20 flex: 5 flex: Quad (con) hamstrings (ecc) 0: knee extension |
% of stance and swing | 60% stance 40% swing |
Possible reasons for Foot slap? | decreased DF strength/function |
Possible reasons for toes first IC? | Leg length discrepancy shortened PF weak DF painful heel |
Possible reasons for foot flat IC? | fixed DF weak DF |
Possible reasons for excessive PF in Midstance? | no ecc PF contraction (weak,flaccid) surgical over release rupture Achilles contracture |
Possible reasons for heel lift in mid stance? | PF spasticity |
Possible reasons for excessive DF in mid stance? | PF uncontrolled ecc hip or knee contractures |
Possible reasons for toe clawing in mid stance? | PF grasp not fully innervated positive supportig reflex toe flexor spasticity |
Possible reasons for no roll off in push off? | ankle and foot fixated PF r DF not working pain inforefoot |
Possible reasons for toe drag in swing? | weak DF and toe ext PF spastic decreased knee or hip flexion |
Possible reasons for foot varus in swing? | spastic invertors weak DF & EV extensor pattern |
Possible reasons for excessive knee flexion at IC? | pain in knee spastic knee flexors weak quads short contra leg |
Possible reasons for knee hyperextension in foot flat or mid stance phase? | weak quads soleus compensaiton by glut max pull spastic quads fixed PF deformity compensaiton |
Possible reasons for Excessive knee flexion with push off? | Pelvic COG too far forward rigid trunk hip/ knee flexion contracture flexion withdrawal reflex dominance of flexion synergy |
Possible reasons for excessive knee fexion wiht acceleration to mid swing? | v pre swing knee fleixon flexor withdrawl reflex dysmetria |
Possible reasons for limite dknee flexsion with acceleration to mid swing? | knee pain diminished ROM of knee extensor spastiicty circumduct hip |
Possible reasons for excessive hip flexion in heel strike? | hip/knee contracture knee flexion from weakn soleus and quadricep hypertonicity of hip flexors |
Possible reasons for limited hip flexion in heel strike? | weak hip flexors limited range of hip flexion glute max weakness |
Possible reasons for limited hip extension from foot flat to mid stance? | hip flexion contracture |
Possible reasons for IR from foot flat to mid stance? | spastic IR weak ER excessive forward rot of op pelvis |
Possible reasons for ER from foot flat to midstance? | excessive backward rot of opp pelvis |
Possible reasons for hip abd from foot flat to mid stance | contracture of glute med trunk lat lean over ipsi hip |
Possible reasons for hip adduction from foot flat to midstance? | spastic hip flexpr and adductors contra pelvic drop |
Possible reasons for circumduction in swing phase? | comp for weak hip flexors inability to shorten leg to clear |
Possible reasons for hip hike in swing phase? | lack kne or ankel flexion extensor spasticity |
Possible reasons for excessive hip flexion in swing phase? | attempt to shorten for foot drop flexion pattern |
Possible reasons for lateral trunk lean in stance phase? | weak glute on stance leg and lean over leg reduce force on painful hip |
Possible reasons for backward trunk lean in stance phase? | weak glute max on stance leg ant rot pelvis |
Possible reasons for forward trunk lean stance phase? | quad weakness hip and knee flexion contractures posteriorly rotated pelvis |
adult normal step width | 2-4 inches |
adult verticle displacement | 5 cm |
adult horizontal displacement | 2.5-5cm |
adult pelvic rot | 4 deg forward and backwards |
PF most active and at their peak when | Pre swing |
Mid swing what is the main muscle active | DFs |
When do ankle IV turn on | Terminal swing |
Average adult cadence | 110 -120 steps/min |
Average toe out deg | 7 |
two phases of DBL limb support | Pre swing initial contact into loading response |
Created by:
KelsM
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