Biomechanics of Gait and Abnormalities
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Questions and Answers

What is a characteristic of hemiplegic gait?

  • Circular arm movements
  • Exaggerated trunk movements
  • Rapid toe movements
  • Circumduction gait (correct)
  • Which condition is associated with spastic paralysis leading to scissors gait?

  • Cerebral palsy (correct)
  • Parkinson's disease
  • Ankle joint sprain
  • Peripheral nerve injury
  • What type of gait is characterized by a forward lurch?

  • Parkinsonian gait
  • Dorsiflexors gait (correct)
  • Quadriceps gait
  • Talipes gait
  • Which of the following describes features of equinus gait?

    <p>Walking on toes with a decreased weight-bearing phase</p> Signup and view all the answers

    What gait pattern is often referred to as neurogenic or spastic gait?

    <p>Scissors gait</p> Signup and view all the answers

    What is the percentage of the gait cycle where the reference limb is in contact with the ground?

    <p>60%</p> Signup and view all the answers

    Which of the following gait phases accounts for a higher percentage in a standard gait cycle?

    <p>Stance phase</p> Signup and view all the answers

    What is the normal value range for step width measured between the medial sides of the feet?

    <p>2-4 inches</p> Signup and view all the answers

    What does the Fick angle measure?

    <p>The angle of toe out</p> Signup and view all the answers

    Which gait characteristic is NOT indicative of increased speed?

    <p>Increased Fick angle</p> Signup and view all the answers

    In kinematic gait analysis, which aspect is primarily measured?

    <p>The distance and time of motion</p> Signup and view all the answers

    What does a larger base of support (BOS) contribute to in gait stability?

    <p>Greater stability</p> Signup and view all the answers

    What is the normal stride length from heel strike to heel strike of the same foot?

    <p>56 inches</p> Signup and view all the answers

    What is the normal range for lateral pelvic shift during running?

    <p>2.5-5 cm</p> Signup and view all the answers

    During running, the pelvis experiences a forward rotation of how many degrees during the swing phase?

    <p>4 degrees</p> Signup and view all the answers

    What is the normal vertical displacement of the pelvis during running?

    <blockquote> <p>5 cm</p> </blockquote> Signup and view all the answers

    What is the normal cadence for running in males?

    <p>111 steps/min</p> Signup and view all the answers

    Which gait terminology corresponds with 'heel strike' in the RLA model?

    <p>Initial Contact</p> Signup and view all the answers

    What is the minimum normal walking speed noted in the provided content?

    <p>3 mph</p> Signup and view all the answers

    Which determinant of gait involves knee flexion during the stance phase?

    <p>Early knee flexion during early stance</p> Signup and view all the answers

    What does the term 'walking velocity' refer to?

    <p>Rate of displacement with direction</p> Signup and view all the answers

    What is the normal range for step time during walking?

    <p>1.0-1.5 seconds</p> Signup and view all the answers

    Which phase occurs first in the RLA model of gait terminology?

    <p>Initial Contact</p> Signup and view all the answers

    In an antalgic gait due to left hip osteoarthritis, where does the body weight shift?

    <p>On the C/L side</p> Signup and view all the answers

    What is a characteristic of ataxic gait?

    <p>Irregular and jerky walking pattern</p> Signup and view all the answers

    What compensatory mechanism occurs with hip ankylosis during gait?

    <p>C/L limb excessive plantarflexion</p> Signup and view all the answers

    Which of the following gait deviations is characterized by a backward lurch during heel strike?

    <p>Gluteus Maximus Gait</p> Signup and view all the answers

    In which gait is a Trendelenburg sign present?

    <p>Gluteus Medius Gait</p> Signup and view all the answers

    What is the primary cause of arthrogenic gait?

    <p>Joint stiffness</p> Signup and view all the answers

    What compensatory strategy is likely seen in a patient with a significant limb length discrepancy?

    <p>Hip hiking</p> Signup and view all the answers

    Which feature characterizes plantarflexion contracture gait?

    <p>Toe walking</p> Signup and view all the answers

    What phase of the running gait cycle is characterized by double limb support?

    <p>Stance phase</p> Signup and view all the answers

    What type of gait is characterized by a self-protective mechanism?

    <p>Antalgic Gait</p> Signup and view all the answers

    At what age does a mature gait pattern typically emerge in children?

    <p>7 years</p> Signup and view all the answers

    According to Newton's 3rd law of motion, what occurs when a body applies a force to the ground?

    <p>An equal and opposite force is exerted by the ground.</p> Signup and view all the answers

    What is the function of the center of pressure during gait?

    <p>It is the point of concentration of resultant force.</p> Signup and view all the answers

    During heel strike, where is the ground reaction force relative to the ankle?

    <p>Posterior to the ankle.</p> Signup and view all the answers

    Where is the center of gravity located in relation to S2?

    <p>Slightly anterior to S2.</p> Signup and view all the answers

    What type of torque is produced by gravitational forces acting on the body?

    <p>External torque.</p> Signup and view all the answers

    What muscle group is primarily active from heel strike to foot flat?

    <p>Dorsiflexors.</p> Signup and view all the answers

    What is the role of the knee extensors during the gait cycle?

    <p>To extend the knee from heel strike to foot flat.</p> Signup and view all the answers

    During midstance, where is the ground reaction force in relation to the ankle?

    <p>Anterior to the ankle.</p> Signup and view all the answers

    Which phase of the gait cycle primarily involves hip flexor activity?

    <p>Mid swing.</p> Signup and view all the answers

    Study Notes

    Biomechanics of Gait and Gait Abnormalities

    • Gait is the normal progression of the body's movement
    • Includes walking, running, and stair climbing/gait
    • Gait cycle: time interval from heel strike to heel strike of the same foot
    • Phases: stance (60%) and swing (40%)
      • Stance (CKC): reference limb is in contact with the ground
      • Swing (OKC): reference limb is off the ground
    • Periods of Gait
      • Single limb support (80%): less stable
      • Double limb support (20%): more stable
    • Criteria for stability
      • Large base of support (BOS)
      • Center of gravity (COG) within BOS
      • Lower COG
    • Gait analysis involves kinematic (describes motion) and kinetic (analyzes forces) analysis
      • Kinematic gait analysis includes spatial (distance) and temporal (time) components
        • Spatial parameters include step width (2-4 inches/5-10 cm), step length (14-16 inches/28 inches), stride length (56 inches), Fick angle (7 degrees), lateral pelvic shift (2.5-5 cm), vertical pelvic shift (>5 cm), and pelvic rotation (8 degrees)
        • Temporal parameters include cadence (90-120 steps/minute for adults), walking speed (3 mph), and walking velocity (3 mph with direction)
      • Step time and stride time are temporal components measured during the gait cycle
    • Gait deviations include antalgic gait, ataxic gait, arthrogenic gait, contracture gait, short leg gait, and various other types based on specific joint pathologies (e.g., hip flexion contracture, weak hip flexors, weak hip extensors, weak quadriceps)
      • Antalgic gait is a painful gait to protect a painful area
      • Ataxic gait is a jerky, weaving gait caused by poor muscle coordination due to nervous problems
      • Arthrogenic gait is caused by stiffness in hip or knee joints
      • Contracture gait results from joint contracture, which causes limited range of motion
    • Gait analysis involves studying the ground reaction force (GRF), center of gravity (COG), center of pressure, and torque
      • Ground reaction force is the opposing force to the forces applied to the ground (Equal in magnitude but opposite in direction.)
      • Center of gravity is the point of balance for the body
      • Center of pressure is the area of the foot that is in contact with the ground
      • Torque is the rotational effect acting on the joints, caused by the external forces (GRF, gravity), and internal force (muscles)
    • Pediatric gait milestones, including the emergence of reciprocal arm swing by 18 months, and knee flexion by 2 years.
    • Various other gait deviations, such as gluteus maximus, gluteus medius, and different types of gait relating to spinal pathologies, like lumbar spine, are covered.

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    Related Documents

    Gait Analysis PDF

    Description

    This quiz explores the fundamentals of gait mechanics, including the phases of gait and the analysis of gait abnormalities. Understand the kinematic and kinetic dimensions of movement, and learn the criteria for stability during various walking and running actions.

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