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68 Cards in this Set

  • Front
  • Back
what is the stance phase?
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
what is the swing phase?
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.
heel strike
instant that heel touches the ground

stance phase
foot flat
entire foot makes contact with the ground

stance phase
midstance
entire bodyweight is directly over the stance limb

stance phase
heel off
heel of stance limb leaves the ground

stance phase
toe off
only toe of stance limb remains on the ground

stance phase
acceleration
toe off is complete and the reference limb swings until positioned under the body

swing phase
midswing
swing limb is directly under the body

swing phase
deceleration
swing limb begins to extend and ends just prior to heel strike

swing phase
initial contact
foot touches the ground

RLA Stance phase
loading response
period of time between initial contact and the beginning of the swing phase

RLA Stance phase
midstance
point when the other foot is off the floor until the body is directly under the stance limb

RLA stance phase
terminal stance
when stance limbs heel rises and ends when the other foot touches the ground

RLA stance phase
pre swing
begins when the other foot touches the ground and ends when the stance foot reaches toe off

RLA stance phase
initial swing
begins when stance leg lifts from the floor and ends when maximal knee flexion during swing

RLA swing phase
terminal swing
begins when the tibia is perpendicular to the ground and ends when the foot touches the ground

RLA swing phase
tibialis anterior
just after heel strike

eccentric lowering of the foot into PF
gastroc - soleus
late stance phase

concentric raising of the heel during toe off
quadriceps
1st single leg support during stance phase

2nd just before toe off to innate swing phase
hamstring
last part of swing phase

deceleration of unsupported limb
hip flexion req.
0-35'
hip ext req.
0-10'
knee ext req.
0'
knee flex req.
0-60 '
ankle dorsiflexion req.
0-10 '
ankle plantar flexion req.
0-20'
definition of gait cycle
anything that happens between heel and heel
definition of base of support
distance measured between the midpoints of heel contact of the L foot and R foot during consecutive steps in gait
average step width for an adult is what
2-4 " ( 5-10cm)
definition of step length
distance measured between R heel and L heel strike
what is the average step length?
13-16 "
definition of stride length?
distance between R heel strike and the following R heel strike
what is the average stride length?
26-32 "
definition of cadence?
number of steps a person will walk over a period of time
cadence average ?
110-120 steps/min
definition of walking velocity
rate of linear forward motion of the body
what is the equation for velocity
walking velocity = distance/time
definition of single limb phase
only one foot is on the ground and occurs twice during a single gait cycle
definition of double limb phase
both feet are on the ground at the same time

time of double limb support increases as the speed of gait decreases
definition of degree of toe out
each foots line of progression and a line of intersecting the center of the heel and second toe
what is the average toe out
7'
what is the purpose of pelvic rot. during gait
maintains balance, regulate speed
what is the average pelvic rotation
8', 4' forward and 4' backward
definition of arm swing during gait
helps maintain balance , can be altered by UE injury, trunk rot. problem, or LE limitation
what is COG during gait
COG moves vertically and horizontally displaced equally around 2" each
antalgic gait
painful gait, avoid weight bearing on involved side because of pain
ataxia
drunken sailor, jerky unsteady movements
circumduction
circular pattern formed to advance LE
double step
alternate steps are of different length or different rate
equine
high steps
festinating gait
starts slow, increases and may continue until pt reaches an objective
parkinsonian gait
shuffling gait, everything is flexed
scissoring
legs cross midline when advance
spastic gait
stiff movement, toes catch and drag, LE adducted , hip and knee joints slightly flexed

UMN lesion
foot drop
results from inability to clear foot during swing because DF weakness
trendelinburg gait
gluteus medius wekaness

sign is the pelvic drop

lurch goes toward affected side
vaulting
uninvolved stance LE elevates at pelvis and PF to allow the involved LE to swing and advance
crouch gait
lumbar lordosis , anterior pelvic tilt, hip and knee flexion, ankle DF.

exaggerated arm swing
rocking horse gait
glute max weakness, hip tends to go into flexion during stance without good stabilization by hip ext.

excessive forward and backward shifting
quad weakness
inabiltity to extend knee during stance
hamstring weakness
both stance and swing affected

stance : genu recurvartum

swing: knee slaps into ext, during deceleration
foot slap
foot slaps ground during heel strike

weak DF
waddling gait
shoulders behind hips, no trunk rotation, excessive lateral WS to advance LE
muscles must be short enough to provide
stability
muscles must be long enough to provide
mobility
elongate a muscle in which direction
opposite of its action
if the pt is in acute pain , what do you do?
stop tx