Shared Flashcard Set

Details

Gait OMM
muscles involved, swing and stance phases
46
Medical
Graduate
02/20/2012

Additional Medical Flashcards

 


 

Cards

Term
What two phases of walking are you in double stance?
Definition

Loading Response

Preswing

Term
What are the Phases of stance?
Definition

Initial Contact, Loading Response, Midstance, Terminal Stance, Preswing

 

I Like My Tea Pre-Sweetened

Term
What are the phases of Swing?
Definition

Initial Swing, Midswing, Terminal Swing

 

In My Teapot

Term
What percentage of the gait cycle are you in stance?
Definition
60%
Term
What percentage of the Gait cycle are you in swing?
Definition
40%
Term
Trendelenburg Gait is due to weakness of what muscle?
Definition
Gluteus Medius
Term
Steppage Gait is due to weakness of what muscle?
Definition
Dorsiflexors
Term
Scissoring Gait is due to spasticity of what muscles?
Definition
Adductors
Term
Pronation of the foot causes 
Definition

Flattened arch due to weakness of tibialis posterior

Genu Valgum

Anterior placement of greater trochanter

Anterior sacral torsion due to pull from piriformis

Term
Supination of the foot causes
Definition

High arch due to inversion sprain

Posterior fibular head

Pulls on hamstrings, causing posterior innominate

Pulls on opposite quadratus lumborum which attaches to 12th rib

Term
Walking
Definition
Locomotion using two alternating limbs for both propulsion and support
Term
Step
Definition
Portion of gait beginning with the initial contact of one foot and eding with the initial contact of the other foot
Term
Stride
Definition
Portion of gait beginning with the initial contact of one foot and ending with the initial contact of the same foot (2 steps)
Term
Stance
Definition
Portion of gait where foot is in contact with the ground
Term
Double-Stance (double support)
Definition
portion of gait where both feet are in contact with the ground
Term
Swing
Definition
Portion of gait where foot is off the ground
Term
Cadence
Definition
Number of steps in a given time (usually 1 min)
Term
What is normal cadence?
Definition
120 steps per minute
Term
Walking Speed
Definition

Distance travelled in a given time (usually 1 min)

 

(Stride Length x cadence) / 120

Term
what is the avg walking speed?
Definition
1.4 m/s or 3 mph
Term
Base of support (stride width, walking base)
Definition
Distance between the feet during gait, measured either at the back of the heel or at the center of the ankle mortise
Term
What is the normal base of support?
Definition
8 cm
Term
Base of support nears zero when?
Definition
Tandem Walking
Term
Center of Gravity
Definition
5 cm anterior to S2 vertebra
Term
Falling
Definition
Center of Gravity > Base of Support
Term
What percentage of your gait cycle is in double stance?
Definition
20%
Term
Initial Contact
Definition
The moment when the heel first hits the floor
Term
What are the actions occuring in initial contact?
Definition

Hip flexed

Knee Extended

Ankle Neutral

Term
Loading response
Definition
weight is being transferred to limb as foot rolls into full contact with the floor
Term
Midstance
Definition
Body is advancing forward and ends when the heel lifts off the ground
Term
Actions in Midstance
Definition
Ankle dorsiflexes while hip and knee extend
Term
Terminal Stance
Definition
Body continues to advance over the forefoot while the other limb is in terminal swing. Begins when heel lifts off the ground, ends when other limb has initial contact.
Term
Actions in Terminal Stance
Definition
Ankle is being pushed further into dorsiflexion
Term
Preswing
Definition
Weight is transferring to other limb which is in loading response
Term
When one leg is in Preswing what phase is the other limb in?
Definition
Loading Response
Term
Actions in Preswing
Definition
Ankle shifts to plantar flexion
Term
Initial Swing
Definition
Begins as toe comes off floor, ends as foot is directly next to other foot
Term
Actions in Initial Swing
Definition
Hip and Knee flexing to accelerate limb forward
Term
Midswing
Definition
Begins as foot is directly next to other foot, ends when tibia is vertical
Term
Actions in Midswing
Definition

Hip continues to flex

Knee begins to extend

Ankle is dorsiflexing

Term
Terminal Swing
Definition
Begins when tibia is vertical, ends with initial contact of the foot
Term
Actions in Terminal Swing
Definition

Ankle is dorsiflexed passively

Limb decelerates

Term
What occurs in Trendelenburg Gait?
Definition
COG shifts over affected hip to prevent falling 
Term
What is characteristic of Steppage Gait?
Definition
Slapping sound of foot hitting the floor because foot cannot clear the floor properly and increased knee and hip flexion are used to compensate
Term
What patients tend to have scissoring gait?
Definition

Cerebral Palsy

Stroke

Upper motor Neuron injury

Term
Describe characteristic findings in scissoring gait
Definition

Base of support is decreased to almost zero

Patients are prone to falling

During swing phase, limb is pulled across midline

Supporting users have an ad free experience!