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antalgic gait a limp adopted so as to avoid pain on weight-bearing structures, characterized by a very short stance phase. |
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festinating gait a gait in which the patient involuntarily moves with short, accelerating steps, often on tiptoe, as in parkinsonism. |
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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+ |
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knee collapses into flexion during stance phase; often occurs at heel strike secondary to weakness in the quadriceps and/or hip extensors (stance) |
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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 |
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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. |
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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 |
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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. |
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weakness, instability and fear of falling may result in a poor weight shift towards the stance phase lower extremity |
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common gait problem associated with a decreased stance time on the opposite lower extremity. The two problems are commonly called “limping" (swing) |
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inability to clear the toe of the swing phase lower extremity; common cause is weakness of the ankle dorsiflexors |
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Definition
excessive hip and knee flexion on the swing phase lower extremity; common cause is weakness of the knee flexors and/or ankle dorsiflexors |
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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 |
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excessive use of the quadratus lumborum to assist swing |
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what deviation assists with clearing the swing phase lower extremity? |
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Definition
Lateral trunk flexion over the stance phase lower extremity |
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plantar flexion on the stance phase lower extremity to assist swing on the swing phase side |
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Excessive trunk extension is when? |
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Definition
trunk extension promotes advancement of the swing phase lower extremity |
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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. |
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common problems secondary to lower extremity weakness of the hip flexors, knee flexors or ankle dorsiflexors. |
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continual hyperextension of knee during gait (deviation) |
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Definition
1-pelvis leans opposite of weak side 2-compensated: trunk & pelvis lean to same side that is weak |
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