Biomechanics of Gait
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Questions and Answers

What is a cost of jerky movements?

  • Efficient energy expenditure
  • High metabolic cost (correct)
  • Low metabolic cost
  • Slower movement velocity
  • What is the most reliable method for collecting client data in Clinical Gait Analysis?

  • Self-administered questionnaires
  • 3D motion analysis (correct)
  • Visual observation
  • 2D motion analysis
  • What happens to the force vector at mid-stance during normal gait?

  • It acts backwards and downwards
  • It acts downwards with a positive horizontal force
  • It acts upwards with no horizontal force (correct)
  • It acts forwards with a negative horizontal force
  • What is a possible cause of anterior trunk bending during gait?

    <p>Poor quad strength</p> Signup and view all the answers

    What happens to the ground reaction force (GRF) during constant velocity walking?

    <p>It remains constant</p> Signup and view all the answers

    What are the main differences between external and internal joint moments?

    <p>Internal moments are the rotational forces that occur within a joint, while external moments are the forces that act on the joint from outside.</p> Signup and view all the answers

    What is the main difference between the kinetic patterns of walking and running?

    <p>The proportion between the impact peak and active peak changes between walking and running.</p> Signup and view all the answers

    What is the primary purpose of Clinical Gait Analysis?

    <p>To identify gait deviations and guide medical treatment</p> Signup and view all the answers

    What happens to the force vector during toe-off in normal gait?

    <p>It acts upwards and forwards</p> Signup and view all the answers

    What is the primary muscular role during the braking phase of gait?

    <p>H1, K1, K2, and A1</p> Signup and view all the answers

    What is the main characteristic of the deformity category of gait disorders?

    <p>Deformity that affects mobility, resulting in altered postures and ROM.</p> Signup and view all the answers

    What is the primary sign of muscle weakness in gait?

    <p>Hesitant to initiate gait action.</p> Signup and view all the answers

    What is included in observational gait analysis?

    <p>Visual observation of gait patterns.</p> Signup and view all the answers

    What is the primary function of the quadriceps muscle during the early stance phase of gait?

    <p>To stabilize the knee joint</p> Signup and view all the answers

    What is the characteristic of the ground reaction force during mid-stance phase of gait?

    <p>Horizontal force is zero</p> Signup and view all the answers

    What is the term for the upward deceleration of the center of gravity during the gait cycle?

    <p>Weight acceptance</p> Signup and view all the answers

    What is the abnormal gait pattern characterized by a force vector acting in front of the knee?

    <p>Anterior trunk bending</p> Signup and view all the answers

    What is the phase of gait characterized by the positive vertical force and a negative horizontal force?

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

    What is the term for the horizontal force that acts in the direction of travel during toe-off?

    <p>Propulsive force</p> Signup and view all the answers

    What is the characteristic of the ground reaction force during double support phase?

    <p>Two hills of equal magnitude</p> Signup and view all the answers

    What is the function of the quadriceps muscle in mid-stance phase?

    <p>To stabilize the knee joint</p> Signup and view all the answers

    What are the 5 categories of pathological gait?

    <p>deformity, muscular weakness, sensory loss, pain and impaired neuromuscular control</p> Signup and view all the answers

    match the stage to the action

    <p>H1 = hip extensor power generation (concentric) H2 = hip flexor power absorption (eccentric) H3 = hip flexor power generation (concentric) n/a = n/a</p> Signup and view all the answers

    match the stage to the action

    <p>K1 = knee joint power absorption (eccentric) K2 = knee extensor power generation (concentric) K3 = knee extensor power absorption (eccentric) n/a = n/a</p> Signup and view all the answers

    match the stage to the action

    <p>A1 = ankle power absorption (eccentric) A2 = ankle plantar flexion power generation (concentric) n/b = n/b n/a = n/a</p> Signup and view all the answers

    Study Notes

    Gait Analysis

    • A gait cycle consists of two strides, including stance and swing phases.
    • In normal gait, the force vector acts slightly behind the knee in early stance phase.

    Ground Reaction Forces (GRF)

    Vertical Forces

    • During constant velocity walking, the vertical force graph has two hill shapes of equal magnitude.
    • F1: upward deceleration of the Centre of Gravity (COG) or weight acceptance (peak arrest).
    • F2: COG moving over the stance limb (mid stance) or push-off rate.
    • F3: upward acceleration of the COG (peak thrust) or propulsion.

    Horizontal Forces (Anterior Posterior)

    • The horizontal force graph has a dip and hill shape.
    • F4: peak braking (arrest).
    • F5: mid support (Fy = 0 BW due to change of direction).
    • F6: peak propulsion (thrust).

    Pathological Gait

    • Deformity: affects mobility, preventing sufficient mobility to attain normal postures and Range of Motion (ROM).
    • Muscle weakness: disuse muscle atrophy or neurological impairment, e.g., aging, motor neuron disorders.
    • Classic signs of muscle weakness include hesitant gait initiation and jerky movements.

    Clinical Gait Analysis

    • Collect client data to identify gait deviations and determine causes.
    • Review relevant medical data and referring notes from other health professionals.
    • 3D motion analysis is the most reliable method.

    Kinetics of Normal Healthy Walking

    • The force vector acts slightly behind the knee in early stance phase.
    • In normal gait, the force vector acts upwards and backwards during initial contact.
    • At mid stance, there is a vertical force acting upwards and no horizontal force (pure vertical force).
    • At toe off, there is a positive horizontal and vertical force acting upwards and forwards through the body.

    Kinetic Differences between Walking and Running

    • Changes in the proportion between the impact peak and active peak, with the active peak being larger in running.
    • Horizontal force curve changes with a shorter start time and increased magnitude of forces.
    • Running downhill increases the impact peak and decreases the active peak, while running uphill has the opposite effect.

    Muscular Roles

    • Swing: H3, K4, and K5 (heavy quad contribution).
    • Braking: H1, K1, K2, and A1.
    • Propulsion: H2, A2, and K3.

    Abnormalities

    • Anterior trunk bending: force vector acts in front of the knee, often due to poor quad strength.
    • Posterior trunk bending: force vector acts behind the knee and hip, often due to poor hip extensor strength.

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    Related Documents

    Description

    Understand the differences between external and internal joint moments and the kinetic differences between walking and running. Learn about the gait cycle and its various components.

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