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Gait Deviations Kinesiology
Gait Deviations PTA
21
Health Care
Undergraduate 2
06/23/2013

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Cards

Term
Antalgic gait
Definition
antalgic gait a limp adopted so as to avoid pain on weight-bearing structures, characterized by a very short stance phase.
Term
Festinating gait
Definition
festinating gait a gait in which the patient involuntarily moves with short, accelerating steps, often on tiptoe, as in parkinsonism.
Term
Waddling gait
Definition
weight-bearing hip is not stabilized; it bulges outward w/ea step, while the opp side of the pelvis drops, resulting in alternating lateral trunk movements; due to gluteus medius muscle weakness, and seen with MD+
Term
Knee buckling
Definition
knee collapses into flexion during stance phase; often occurs at heel strike secondary to weakness in the quadriceps and/or hip extensors (stance)
Term
Genu recurvatum
Definition
hyperextension for the knee during stance phase; often occurs at midstance secondary to weakness in the hip extensors or fear of knee buckling and falling
Term
Decreased stance time
Definition
short stance time on the weight bearing lower extremity; often occurs during stance phase secondary to weak hip extensors, weak knee extensors, pain, or fear of falling.
Term
Trendelenburg gait
Definition
the swing side pelvis may drop or the trunk may laterally flex towards the stance lower extremity; a classic sign of gluteus medius weakness on the stance phase LE
Term
weakness of the tibialis anterior at heel strike results in the foot slapping down to the floor instead of a controlled movement from dorsiflexion to plantarflexion at foot flat.
Definition
foot slap
Term
Poor weight shift
Definition
weakness, instability and fear of falling may result in a poor weight shift towards the stance phase lower extremity
Term
Decreased step length
Definition
common gait problem associated with a decreased stance time on the opposite lower extremity. The two problems are commonly called “limping" (swing)
Term
inability to clear the toe of the swing phase lower extremity; common cause is weakness of the ankle dorsiflexors
Definition
Toe drag
Term
Steppage gait
Definition
excessive hip and knee flexion on the swing phase lower extremity; common cause is weakness of the knee flexors and/or ankle dorsiflexors
Term
Terminal knee extension
Definition
the tibia slaps rapidly into full extension during the late swing (deceleration) phase of the swing phase due to poor eccentric control by the hamstrings to slow down the forward moving tibia
Term
excessive use of the quadratus lumborum to assist swing
Definition
Hip hiking
Term
what deviation assists with clearing the swing phase lower extremity?
Definition
Lateral trunk flexion over the stance phase lower extremity
Term
Vaulting
Definition
plantar flexion on the stance phase lower extremity to assist swing on the swing phase side
Term
Excessive trunk extension is when?
Definition
trunk extension promotes advancement of the swing phase lower extremity
Term
Circumduction
Definition
Use of lateral and medial hip rotation and hip adductors to assist swing of the swing lower extremity. Lower extremity swings forward in a circular pattern.
Term
Pelvic retraction
Definition
common problems secondary to lower extremity weakness of the hip flexors, knee flexors or ankle dorsiflexors.
Term
genu recuvatum
Definition
continual hyperextension of knee during gait (deviation)
Term
trendelenberg
Definition
1-pelvis leans opposite of weak side
2-compensated: trunk & pelvis lean to same side that is weak
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