Flashcards in Gait Deviations Deck (15)
What are some causes of medial whip?
Px: ER of knee, tight socket, mis-aligned toe break
Amp: gait habit, ER or flexion of hip at toe-off
What are some causes of lateral whip?
Px: IR of knee, loose socket, mis-aligned toe break
Amp: gait habit, IR of hip at toe off
What are some causes of abducted gait?
Px: prosthesis too long, medial wall too high, insufficient femoral stability, induced medial whip
Amp: abduction contracture, poor gait habit, insecure
What are some causes of circumducted gait?
Px: long prosthesis, excessive knee friction, excessive knee stability
Amp: lack of confidence in flexing knee, adbduction contracture, weak hip flexors, habit
What are some causes of vaulting?
Px: long prosthesis, poor suspension, excessive plantarflexion, excessive knee resistance or stability
Amp:gait habit, fear of catching toe, weak or improper hip flexors on residual limb
What are some causes of heel rise?
Px: inadequate extension aid, insufficient knee friction, improper knee selection
Amp: excessive use of hip flexors to initiate swing, overpowering knee unit
What are some causes of knee instability?
Px: excessive dorsiflexion, knee unstable, insufficient socket flexion, mal-alignment of foot
Amp: weak hip extensors, hip flexion contracture
What are some causes of short prosthetic step?
Px: socket pain, weak extension aid, unstable knee, excessive dorsiflexion, poor suspension
Amp: patient insecurity or poor balance, weak hip
What are some cause of long prosthetic step?
Px: excessive plantarflexion of foot, insufficient initial socket flexion,long toe lever arm
Amp: flexion contracture, patient insecurity, pain on sound side
Which is more common, long or short prosthetic step?
What are some causes of lateral shift?
Px: prosthetic foot too far inset, excessive socket abduction
Amp: weak hip abductors, narrow gait base
What are some causes of lateral trunk bend?
Px: foot too far outset, ineffective plantarflexion, excessive knee friction
Amp:inadequate balance, abduction contracture, short residual limb, habit
What are some causes of toe drag?
Px: long prosthesis, excessive plantarflexion, excessive knee friction
Amp: weak hip abductors on sound side, poor posture, poor gait habits
What causes excessive valgus?
foot too far medially