Mrs Ogle’s gait pattern is most affected during stance phase. She has a lack of dorsiflexion of her left ankle throughout and increased left knee flexion during most of the stance phases. She has an overall decreased step length which is greatest on her left. Her left heel does not make contact with the floor. These observed deviations indicate that Mrs Ogle has a lack of left dorsiflexion range at her ankle.
1.0 Stance phase
1.1 Initial contact to loading response
Mrs Ogle’s heel should be the first thing to contact the floor (heel strike).1 From initial contact to loading response her hip should be in about 20 of flexion, her knee should move from five degrees to 15 of flexion and her ankle should move from neutral to five degrees of plantarflexion.1 …show more content…
Her hip and knee however don’t move through much range meaning they do not gain any momentum.
2.0 Swing phase
Throughout swing phase Mrs Ogle’s hip and knee move through normal ranges. Her ankle how ever does not achieve the neutral position that it should. Due to the lack of momentum from the pre-swing phase increase muscle work from the hip flexors is essential to swing the leg through. As her ankle is in 10 of plantarflexion the swing phase finishes prematurely as her forefoot contacts the floor decreasing her step length.
Mrs Ogle is exhibiting decreased dorsiflexion as a primary impairment throughout the gait cycle. The deviations from normal observed at her hip and knee are secondary to this primary impairment. It is likely that they decreased dorsiflexion is caused by tightness/contracture of the plantarflexors or a joint pathology that does not allow the ankle to move into
1.0 Stance phase
1.1 Initial contact to loading response
Mrs Ogle’s heel should be the first thing to contact the floor (heel strike).1 From initial contact to loading response her hip should be in about 20 of flexion, her knee should move from five degrees to 15 of flexion and her ankle should move from neutral to five degrees of plantarflexion.1 …show more content…
Her hip and knee however don’t move through much range meaning they do not gain any momentum.
2.0 Swing phase
Throughout swing phase Mrs Ogle’s hip and knee move through normal ranges. Her ankle how ever does not achieve the neutral position that it should. Due to the lack of momentum from the pre-swing phase increase muscle work from the hip flexors is essential to swing the leg through. As her ankle is in 10 of plantarflexion the swing phase finishes prematurely as her forefoot contacts the floor decreasing her step length.
Mrs Ogle is exhibiting decreased dorsiflexion as a primary impairment throughout the gait cycle. The deviations from normal observed at her hip and knee are secondary to this primary impairment. It is likely that they decreased dorsiflexion is caused by tightness/contracture of the plantarflexors or a joint pathology that does not allow the ankle to move into