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68 Cards in this Set
- Front
- Back
what is the stance phase?
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60% of the gait cycle, when the foot is in contact with the ground, starts when the heel hits the ground and that same foot leaves the ground.
provides stability |
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what is the swing phase?
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40% of the gait cycle, starts when the toes of the LE leaves the ground and the heel of the opposite foot hits the ground.
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heel strike
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instant that heel touches the ground
stance phase |
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foot flat
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entire foot makes contact with the ground
stance phase |
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midstance
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entire bodyweight is directly over the stance limb
stance phase |
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heel off
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heel of stance limb leaves the ground
stance phase |
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toe off
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only toe of stance limb remains on the ground
stance phase |
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acceleration
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toe off is complete and the reference limb swings until positioned under the body
swing phase |
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midswing
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swing limb is directly under the body
swing phase |
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deceleration
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swing limb begins to extend and ends just prior to heel strike
swing phase |
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initial contact
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foot touches the ground
RLA Stance phase |
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loading response
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period of time between initial contact and the beginning of the swing phase
RLA Stance phase |
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midstance
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point when the other foot is off the floor until the body is directly under the stance limb
RLA stance phase |
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terminal stance
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when stance limbs heel rises and ends when the other foot touches the ground
RLA stance phase |
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pre swing
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begins when the other foot touches the ground and ends when the stance foot reaches toe off
RLA stance phase |
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initial swing
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begins when stance leg lifts from the floor and ends when maximal knee flexion during swing
RLA swing phase |
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terminal swing
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begins when the tibia is perpendicular to the ground and ends when the foot touches the ground
RLA swing phase |
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tibialis anterior
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just after heel strike
eccentric lowering of the foot into PF |
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gastroc - soleus
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late stance phase
concentric raising of the heel during toe off |
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quadriceps
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1st single leg support during stance phase
2nd just before toe off to innate swing phase |
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hamstring
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last part of swing phase
deceleration of unsupported limb |
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hip flexion req.
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0-35'
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hip ext req.
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0-10'
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knee ext req.
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0'
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knee flex req.
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0-60 '
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ankle dorsiflexion req.
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0-10 '
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ankle plantar flexion req.
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0-20'
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definition of gait cycle
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anything that happens between heel and heel
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definition of base of support
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distance measured between the midpoints of heel contact of the L foot and R foot during consecutive steps in gait
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average step width for an adult is what
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2-4 " ( 5-10cm)
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definition of step length
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distance measured between R heel and L heel strike
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what is the average step length?
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13-16 "
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definition of stride length?
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distance between R heel strike and the following R heel strike
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what is the average stride length?
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26-32 "
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definition of cadence?
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number of steps a person will walk over a period of time
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cadence average ?
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110-120 steps/min
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definition of walking velocity
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rate of linear forward motion of the body
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what is the equation for velocity
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walking velocity = distance/time
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definition of single limb phase
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only one foot is on the ground and occurs twice during a single gait cycle
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definition of double limb phase
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both feet are on the ground at the same time
time of double limb support increases as the speed of gait decreases |
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definition of degree of toe out
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each foots line of progression and a line of intersecting the center of the heel and second toe
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what is the average toe out
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7'
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what is the purpose of pelvic rot. during gait
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maintains balance, regulate speed
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what is the average pelvic rotation
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8', 4' forward and 4' backward
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definition of arm swing during gait
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helps maintain balance , can be altered by UE injury, trunk rot. problem, or LE limitation
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what is COG during gait
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COG moves vertically and horizontally displaced equally around 2" each
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antalgic gait
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painful gait, avoid weight bearing on involved side because of pain
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ataxia
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drunken sailor, jerky unsteady movements
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circumduction
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circular pattern formed to advance LE
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double step
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alternate steps are of different length or different rate
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equine
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high steps
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festinating gait
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starts slow, increases and may continue until pt reaches an objective
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parkinsonian gait
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shuffling gait, everything is flexed
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scissoring
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legs cross midline when advance
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spastic gait
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stiff movement, toes catch and drag, LE adducted , hip and knee joints slightly flexed
UMN lesion |
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foot drop
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results from inability to clear foot during swing because DF weakness
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trendelinburg gait
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gluteus medius wekaness
sign is the pelvic drop lurch goes toward affected side |
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vaulting
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uninvolved stance LE elevates at pelvis and PF to allow the involved LE to swing and advance
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crouch gait
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lumbar lordosis , anterior pelvic tilt, hip and knee flexion, ankle DF.
exaggerated arm swing |
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rocking horse gait
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glute max weakness, hip tends to go into flexion during stance without good stabilization by hip ext.
excessive forward and backward shifting |
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quad weakness
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inabiltity to extend knee during stance
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hamstring weakness
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both stance and swing affected
stance : genu recurvartum swing: knee slaps into ext, during deceleration |
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foot slap
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foot slaps ground during heel strike
weak DF |
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waddling gait
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shoulders behind hips, no trunk rotation, excessive lateral WS to advance LE
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muscles must be short enough to provide
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stability
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muscles must be long enough to provide
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mobility
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elongate a muscle in which direction
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opposite of its action
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if the pt is in acute pain , what do you do?
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stop tx
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