Term
what do joint moments come from? |
|
Definition
internal and external forces |
|
|
Term
what causes external forces? |
|
Definition
gravity and ground reaction force |
|
|
Term
why do we generate internal forces? |
|
Definition
|
|
Term
|
Definition
cyclical/repeatable, bipedal/symmetrical, variable speeds, stable vertical position during stance |
|
|
Term
|
Definition
the time between something happening and when it happens again |
|
|
Term
what is convention for gait cycle? |
|
Definition
foot contact (initial contact/heel strike) to the same foot contact |
|
|
Term
|
Definition
motions without regard to force |
|
|
Term
|
Definition
forces that cause motion (ground reaction forces, moments) |
|
|
Term
|
Definition
one side's hitting the ground to same side's hitting ground (gait) |
|
|
Term
|
Definition
from right heel strike to left heel strike |
|
|
Term
which is longer, stride or step? |
|
Definition
|
|
Term
|
Definition
how far apart your feet are while you're walking |
|
|
Term
if you feel unbalanced, what will your step width be like? |
|
Definition
|
|
Term
what is a normal toe out angle? |
|
Definition
|
|
Term
what does temporal descriptions mean |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
how long you're standing on one foot |
|
|
Term
|
Definition
time it takes to get from one step to the next |
|
|
Term
what temporal descriptions are inverses? |
|
Definition
|
|
Term
|
Definition
time it takes to get from one stride to the next |
|
|
Term
how are stride and step time related? |
|
Definition
stride time = twice step time if step time symmetrical |
|
|
Term
|
Definition
how long it took someone to move and how far they went |
|
|
Term
what temporal description consists of both temporal and spatial measures? |
|
Definition
|
|
Term
|
Definition
steps/unit time (minutes) |
|
|
Term
what is normal cadence for men |
|
Definition
|
|
Term
what is normal cadence for women |
|
Definition
|
|
Term
how is cadence related to energy expenditure |
|
Definition
slower or faster gait requires more energy |
|
|
Term
what is the most funcitonal measure of someone's walking ability |
|
Definition
|
|
Term
how is speed measured in PT? |
|
Definition
6 min walk or 10 meter walk |
|
|
Term
what can you do to increase walking speed |
|
Definition
longer strides or steps, increase the cadence |
|
|
Term
what can you do to decrease walking speed |
|
Definition
shorten strides or steps, decrease cadence |
|
|
Term
what description do I need to add when documenting walking speed? |
|
Definition
|
|
Term
how much of stride is in stance phase? |
|
Definition
|
|
Term
how much of stride is in swing phase? |
|
Definition
|
|
Term
define single limb support |
|
Definition
period when only 1 foot is on ground |
|
|
Term
define double limb support |
|
Definition
period when both feet are on the ground at the same time |
|
|
Term
how does double limb support change with increased speed? |
|
Definition
DLS decreases with increased speed |
|
|
Term
how does single limb support relate to swing time of other foot? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
body weight is transferred to "new" stance limb |
|
|
Term
what do phases of gait cycle do? |
|
Definition
identify the functional significance of the events within a gait cycle |
|
|
Term
what are the 2 different terminologies of subdivisions of gait? |
|
Definition
traditional, rancho los amigos |
|
|
Term
what is traditional heel contact in RLA |
|
Definition
|
|
Term
what is traditional foot flat in RLA |
|
Definition
|
|
Term
what is traditional mid-stance in RLA |
|
Definition
|
|
Term
what is traditional heel off in rla |
|
Definition
|
|
Term
what is traditional toe off in RLA |
|
Definition
|
|
Term
what is traditional early swing in RLA |
|
Definition
|
|
Term
what is traditional mid swing in RLA? |
|
Definition
|
|
Term
what is traditional late swing in RLA? |
|
Definition
|
|
Term
what are the gait phases in order for Rancho Los Amigos |
|
Definition
Initial Contact, Loading Response, Mid-Stance, Terminal Stance, Pre-Swing, Initial Swing, Mid Swing, Terminal Swing |
|
|
Term
what is the phase of weight acceptance? |
|
Definition
initial contact and loading response (mostly loading response) |
|
|
Term
what are the phases of single limb support? |
|
Definition
mid stance, terminal stance |
|
|
Term
what are the stance phases |
|
Definition
initial contact, loading response, mid stance, terminal stance, pre-swing |
|
|
Term
what are the phases of limb advancement |
|
Definition
pre-swing, initial swing, mid-swing, terminal swing |
|
|
Term
what are the phases of swing |
|
Definition
initial swing, mid-swing, terminal swing |
|
|
Term
how can gait be analyzed quantitatively |
|
Definition
kinematics, kinetics, EMG |
|
|
Term
what can be used to measure the kinetics of gait? |
|
Definition
|
|
Term
what forces does a force plate measure? |
|
Definition
anterior/posterior, medial/lateral, vertial |
|
|
Term
what is a vertical ground reaction force? |
|
Definition
once you put your foot on the ground, the ground pushes back at you with the same force that you push down onto it |
|
|
Term
why does a typical vertical GRF graph have 2 humps? |
|
Definition
1st when you step down and 2nd when you push off |
|
|
Term
describe anterior-posterior GRF |
|
Definition
when I 1st step down, I push forward and the ground pushes back at me to slow me down (braking force.) when Ipush off, I push back into ground and it pushes me forward (propulsion force) |
|
|
Term
what is the initial anterior-posterior GRF |
|
Definition
posteriorly directed braking force |
|
|
Term
what is the second GRF force |
|
Definition
anteriorly directed propulsion force |
|
|
Term
what is the medial-lateral component of GRF? |
|
Definition
very small: when you land, you land on the lateral side of your foot so the ground pushes you in a medial direction. |
|
|
Term
what makes a larger medial-lateral GRF component? |
|
Definition
|
|
Term
what is center of pressure? |
|
Definition
point where COG goes through foot; moves forward through foot as we go through stance |
|
|
Term
how does pelvis motion increase with walking? |
|
Definition
motion increases with faster walking speeds to increase step length |
|
|
Term
describe hip flexion/extension in walking |
|
Definition
as I land, hip is in flexion. As I go over foot, hip moves to extension. Then hip flexes again for swing. |
|
|
Term
where does hip flexion begin? |
|
Definition
pre-swing, to prepare to lift foot off ground |
|
|
Term
at initial contact, what is the degree of hip flexion? |
|
Definition
|
|
Term
if I'm walking at a constant speed, how are braking and propulsion related? |
|
Definition
|
|
Term
if my propulsive impulse is greater than my braking impulse, what is happening? |
|
Definition
|
|
Term
if my braking impulse is greater than my propulsion impulse, what is happening? |
|
Definition
|
|
Term
when do we get the most knee flexion and why? |
|
Definition
swing: get foot off ground and keep you from tripping |
|
|
Term
how much knee flexion do I have at initial contac? |
|
Definition
|
|
Term
as I accept weight onto my leg (loading response), how does knee flex/ext change? |
|
Definition
|
|
Term
what controls knee flexion during loading response |
|
Definition
eccentric control from quads |
|
|
Term
how much does my knee flex during loading response |
|
Definition
|
|
Term
what happens to knee as I get to midstance? |
|
Definition
|
|
Term
what happens to knee as I get to terminal stance? |
|
Definition
|
|
Term
when is peak knee flexion |
|
Definition
|
|
Term
how much does knee flex in swing |
|
Definition
|
|
Term
why does knee flex in swing? |
|
Definition
shorten limb to help with toe clearance |
|
|
Term
what is PF/DF of ankle at initial contact? |
|
Definition
|
|
Term
what happens at ankle following initial contact |
|
Definition
|
|
Term
what controls plantarflexion to lower foot to ground after initial contact? |
|
Definition
eccentric Tibialis anterior contraction slowly lowers foot and minimizes foot slap |
|
|
Term
what is the next ankle movement after plantarflexion lowers foot to ground |
|
Definition
dorsiflexion as tibia moves anteriorly over foot |
|
|
Term
once tibia moves over foot, what is the ankle movement |
|
Definition
plantarflexion to push off (pre-swing) |
|
|
Term
what is the ankle angle in swing? |
|
Definition
dorsiflexion to improve toe clearance |
|
|
Term
hip position at initial contact |
|
Definition
|
|
Term
knee position at initial contact |
|
Definition
nearly extended (5 deg flexion) |
|
|
Term
ankle position at initial contact |
|
Definition
|
|
Term
where is GRF at hip in initial contact |
|
Definition
|
|
Term
external force of hip at initial contact |
|
Definition
|
|
Term
internal moment of hip at initial contact |
|
Definition
|
|
Term
where is GRF at knee in initial contact |
|
Definition
|
|
Term
what is external moment of knee at initial contact |
|
Definition
|
|
Term
what is internal moment of knee at initial contact? |
|
Definition
|
|
Term
where is GRF of ankle at initial contact |
|
Definition
|
|
Term
what is external moment of knee at initial contact? |
|
Definition
|
|
Term
what is internal moment of ankle at initial contact |
|
Definition
|
|
Term
what is leg doing in initial contact? |
|
Definition
reaching out for the ground |
|
|
Term
what is leg doing in loading response? |
|
Definition
|
|
Term
what are the critical events of loading response? |
|
Definition
hip stability, controlled knee flexion, ankle PF/heel rocker |
|
|
Term
position of hip in loading response |
|
Definition
|
|
Term
position of knee in loading response |
|
Definition
|
|
Term
position of ankle in loading response |
|
Definition
plantarflexed 10 deg, STJ pronation |
|
|
Term
why is ankle plantarflexed in loading response |
|
Definition
to bring foot down to the ground |
|
|
Term
why is the knee flexed in loading response |
|
Definition
|
|
Term
where is GRF of hip in loading response? |
|
Definition
|
|
Term
external moment of hip at loading response? |
|
Definition
|
|
Term
internal moment of hip at loading response |
|
Definition
|
|
Term
what provides internal extension moment for hip at loading response? |
|
Definition
|
|
Term
what muscles provide stability of hip in loading response? |
|
Definition
|
|
Term
|
Definition
|
|
Term
where is GRF of knee in loading response? |
|
Definition
|
|
Term
what is the external moment of the knee in loading resposne? |
|
Definition
|
|
Term
what is the internal moment of the knee in loading response? |
|
Definition
|
|
Term
what muscles are working in knee during loading response? |
|
Definition
quads are working eccentrically |
|
|
Term
where is LOG at ankle in loading response? |
|
Definition
|
|
Term
what is the external moment of the ankle in loading response? |
|
Definition
|
|
Term
what is the internal moment of the ankle in loading response? |
|
Definition
|
|
Term
describe what is happening at ankle in loading response |
|
Definition
lowering foot down into plantarflexion from neutral |
|
|
Term
what muscle is working and how in ankle during loading response? |
|
Definition
tibialis anterior working eccentrically to lower foot into plantarflexxion |
|
|
Term
where is the 1st heel rocker? |
|
Definition
|
|
Term
what is the name of the 1st rocker |
|
Definition
|
|
Term
what happens in the heel rocker |
|
Definition
brining foot down and rocking forward on the heel |
|
|
Term
describe LOG at hip from beginning to end of loading response |
|
Definition
|
|
Term
describe LOG at knee from beginning to end of loading response |
|
Definition
starts anterior, ends posterior |
|
|
Term
describe LOG at ankle from beginning to end of loading response |
|
Definition
|
|
Term
what is the leg doing during midstance? |
|
Definition
limb extends to allow easy passage of swing limb |
|
|
Term
what is the critical event of midstance? |
|
Definition
controlled tibial advancement |
|
|
Term
what does the hip do in midstance? |
|
Definition
extends to neutral, 5 deg adductec |
|
|
Term
what does knee do in midstance? |
|
Definition
|
|
Term
what does ankle do in midstance? |
|
Definition
|
|
Term
where does GRF go at hip in midstance? |
|
Definition
starts anterior, goes posterior |
|
|
Term
what is external moment of hip in midstance? |
|
Definition
|
|
Term
what is internal moment of hip in midstance |
|
Definition
|
|
Term
what muscles are working in hip in midstance |
|
Definition
nothing really. Glutes can turn off now that we're in extension |
|
|
Term
where is GRF at knee in midstance |
|
Definition
moves from posterior to anterior |
|
|
Term
what is external moment at knees in midstance? |
|
Definition
|
|
Term
what is internal moment at knees in midstance |
|
Definition
|
|
Term
what muscles are being used in midstance at knee |
|
Definition
nothing really. Quads can turn off as we go into extension |
|
|
Term
|
Definition
starts posterior, goes anterior |
|
|
Term
what is the external moment at ankle in midstance? |
|
Definition
|
|
Term
what is the internal moment at ankle in midstance? |
|
Definition
|
|
Term
what muscles are working at ankle in midstance? |
|
Definition
|
|
Term
where is our LOG at the end of loading response? |
|
Definition
anterior to hip, posterior to knee and ankle |
|
|
Term
where is the LOG at the end of midstance? |
|
Definition
posterior to hip, anterior to knee and ankle |
|
|
Term
what rocker occurs in midstance? |
|
Definition
|
|
Term
what is the ankle rocker? |
|
Definition
tibia moving anteriorly on the foot to dorsiflex ankle |
|
|
Term
in what phase do all joints have a change in LOG? |
|
Definition
|
|
Term
what is happening in terminal stance |
|
Definition
limb is preparing for swing phase |
|
|
Term
what is the critical event of terminal stance? |
|
Definition
|
|
Term
what is the position of the hip in terminal stance? |
|
Definition
|
|
Term
what is the position of the knee in terminal stance |
|
Definition
|
|
Term
what is the position of the ankle in terminal stance? |
|
Definition
goes to neutral with STJ supination |
|
|
Term
what makes the STJ supinate? |
|
Definition
|
|
Term
where is GRF at hip in all of terminal stance? |
|
Definition
|
|
Term
what is the external moment at hip in terminal stance? |
|
Definition
|
|
Term
what is the internal moment at hip in terminal stance? |
|
Definition
|
|
Term
what muscles are active at the hip in terminal stance? |
|
Definition
eccentric action of hip flexors |
|
|
Term
where is the GRF at the knee for all of terminal stance? |
|
Definition
|
|
Term
external moment of knee at terminal stance |
|
Definition
|
|
Term
internal moment of knee in terminal stance |
|
Definition
|
|
Term
where is GRF at ankle in terminal stance? |
|
Definition
|
|
Term
external moment of ankle at terminal stance? |
|
Definition
|
|
Term
internal moment of ankle at terminal stance? |
|
Definition
|
|
Term
what muscles are active at ankle in terminal stance? |
|
Definition
triceps surae eccentric control of dorsiflexion then concentric plantarflexion |
|
|
Term
what is the final rocker? |
|
Definition
|
|
Term
when does forefoot rocker occur? |
|
Definition
|
|
Term
|
Definition
start to bring foot up and get a metatarsal break |
|
|
Term
how does GRF move in terminal stance? |
|
Definition
stays posterior at hip and stays anterior at knee and ankle |
|
|
Term
what is happening in preswing? |
|
Definition
limb is beginning to flex for swing but foot is still on floor |
|
|
Term
what are the critical events of terminal stance? |
|
Definition
passive knee flexion, weight shift |
|
|
Term
how does hip move in terminal stance? |
|
Definition
|
|
Term
position of knee in terminal stance |
|
Definition
|
|
Term
positoin of ankle in terminal stance |
|
Definition
|
|
Term
|
Definition
|
|
Term
hip external moment in preswing |
|
Definition
|
|
Term
hip internal moment in preswing |
|
Definition
|
|
Term
hip muscle actions in preswing |
|
Definition
hip flexors active, concentric |
|
|
Term
|
Definition
|
|
Term
knee external moment in preswing |
|
Definition
|
|
Term
knee internal moment in preswing |
|
Definition
|
|
Term
knee muscle movement in preswing |
|
Definition
|
|
Term
|
Definition
|
|
Term
ankle external moment preswing |
|
Definition
|
|
Term
ankle internal moment in preswing |
|
Definition
|
|
Term
ankle muscle movement/action in preswin |
|
Definition
gastrocs concentric pushoff |
|
|
Term
summarize line of gravity in preswing |
|
Definition
still posterior to ankle, still anterior to ankle. Posterior to knee |
|
|
Term
what happens in initial swing |
|
Definition
limb begins to move forward |
|
|
Term
critical events of initial swing |
|
Definition
hip flexion, knee flexion. Thigh advances |
|
|
Term
positoin of hip in initial swing |
|
Definition
|
|
Term
position of knee in initial swing |
|
Definition
|
|
Term
position of ankle in initial swing |
|
Definition
|
|
Term
critical events of midswing |
|
Definition
hip flexion, knee extends to 30 deg flexion, ankle DF to neutral |
|
|
Term
positition of hip in midswing |
|
Definition
|
|
Term
position of knee in midswing |
|
Definition
|
|
Term
position of ankle in midswing |
|
Definition
|
|
Term
critical events of terminal swing |
|
Definition
knee extension, hip/knee deceleration, ankle DF |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
what muscles act on knee in terminal swing |
|
Definition
some quads for extension, hamstrings for deceleration |
|
|
Term
what is total excursion of pelvis in frontal plane during walking? |
|
Definition
|
|
Term
as we land and go into loading response, what muscles are active and why? |
|
Definition
glutes, quads: internal hip and knee extension moments |
|
|
Term
in midstance, why are quads active |
|
Definition
|
|
Term
when is glute max active in gait? |
|
Definition
when LOG is anterior, in early stance |
|
|
Term
when are hip flexors active in gait? |
|
Definition
end of stance to bring femur forward and flex knee |
|
|
Term
when is glute med active in gait? |
|
Definition
early in stance to stabilize frontal plane and prevent adduction |
|
|
Term
when are quads active in gait? |
|
Definition
eccentric control of knee flexion in loading response |
|
|
Term
when is rectus active in gait |
|
Definition
extend knee and flex hip. Works same as vasti. Also see activity at end of stance beginning with swing as it flexes hip and brings femur forward |
|
|
Term
when are hamstrings active |
|
Definition
start towards end of swing to slow foot down. Stabilize during beginning of stance |
|
|
Term
when is TA active in gait |
|
Definition
beginning of stance gives eccentric control of PF to lower foot to ground. Works again at beginning of swing to pull foot back up |
|
|
Term
when are gastroc/soleus active in gait |
|
Definition
through much of stance to control tibial progression (tibia moving anteriorly) and provide strong pushoff |
|
|
Term
when are both feet on the ground? |
|
Definition
initial contact/loading response |
|
|