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Gait Analysis: Foot Flat Phase

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58 Questions

What is the direction of the horizontal force at toe off?

Positive

What does the double support phase indicate on a diagram?

Walking

What is the name of the phase when the center of gravity is moving over the stance limb?

Push off rate

What is the term for the upward deceleration of the center of gravity?

Peak arrest

What is the term for the upward acceleration of the center of gravity?

Peak thrust

What is the term for the horizontal force that occurs during the change of direction?

Peak braking

What happens to the trunk during the initial swing period?

It moves through neutral towards the new supporting foot.

During the terminal swing period, what happens to the knee?

It extends rapidly, mostly passively.

What is the direction of the force vector during the initial swing period?

Forwards and upwards.

What happens to the ankle during the initial swing period?

It plantarflexes.

At the end of the first double support period, what is the position of the pelvis?

Over the stance limb

How is the hip angle measured in the sagittal plane?

As the angle between the thigh segment and the trunk segment.

During mid stance, what is the direction of the force vector?

Passing through the middle of the foot and through the knee and stance leg

What happens to the foot during the terminal swing period?

It remains in supination.

What is the movement of the tibia during ankle dorsiflexion?

Moving forwards over the foot

What is the rotation of the tibia during foot pronation?

Internal rotation

During terminal stance, what is the period from ipsilateral heel off to contralateral foot contact also called?

Push off

What is the movement of the knee during mid stance?

Reaching peak flexion and beginning extension

What is the direction of the force vector at the ankle during mid-stance?

Posterior

What is the hip's moment during terminal stance?

Flexion moment

What is the knee's moment during mid-stance?

Flexion moment

What is the ankle's power pattern during terminal swing?

Neutral

What is the hip's power pattern during initial swing?

Power generation

What is the primary function of the glute max and hamstrings during the gait cycle?

Knee joint power absorption

What can be inferred from plantar pressure during gait?

The acceleration of all body parts

What is the role of the quads during the gait cycle?

Knee extensor power generation

What is the function of muscle activity (EMG) measurement?

To provide an overall perspective of when muscles are turned on and off

What forces can the Achilles tendon experience during the gait cycle?

Up to 6-8 x body weight

What changes with increasing speed during the gait cycle?

The movement strategy

Gait is the pattern of movement that allows an animal to move across a ______ substrate.

solid

There are five types of locomotion, including crawling, walking, running, ______, and skipping.

hopping

The gait cycle consists of two main phases: the ______ phase and the swing phase.

stance

The initial contact of the foot with the ground is also known as the ______ strike.

heel

At a speed of 5m/s, the gait cycle consists of ______% stance and 70% swing.

30

Step length is the distance of the leading leg during the ______ phase.

swing

Stride velocity (m/s) = stride length (m)/ _______________ (s) = stride length (m) x stride frequency (Hz)

stride time

The term _______________ is used to describe the mechanics of the opposite limb.

contralateral

During initial contact, the foot is in a _______________ position.

supinated

During loading response, the foot starts to _______________ and tibial internal rotation occurs.

pronate

During initial contact, the knee will be _______________ and the hip will be flexed.

extended

The vertical force curve changes the most with increasing ______.

velocity

At the initial contact, the trunk is positioned _______________ the leading foot, crossing the midline towards the stance leg.

behind

During downhill running, the impact peak becomes ______ and the active peak gets smaller.

larger

The direction of the force F7 is in the ______ direction.

lateral

During uphill running, there is a more ______ active peak and greater propulsive forces.

pronounced

There is a flexion moment at the ______ joint during initial contact.

knee

During the initial swing period, the trunk moves to the _______________ side.

opposite

The hip reaches its most _______________ position during the initial swing period.

extended

During the initial swing period, the ankle is in a _______________ position.

plantarflexed

During the terminal swing period, the trunk moves from maximal displacement on the left side back toward the _______________.

midline

The hip angle is measured as the thigh segment angle minus the _______________ segment angle.

trunk

The trunk segment angle is measured from the greater trochanter of the femur bone through to the _______________ crest.

iliac

The goal of locomotion is to support the body against gravity whilst moving forward in the plane of ______.

progression

Plantar pressure indirectly reflects the accelerations of all ______ parts as we walk.

body

From triceps surae (gastroc and soleus) Propulsion Phase H2: ______ flexor power absorption (eccentric).

hip

From rectus femoris, the Knee extensor power ______ (eccentric) during the Swing Phase.

absorption

The sources of power generation for forward propulsion provides insight on the strategy of ______.

movement

Muscle Activity (EMG) gives an overall perspective of when muscles are turned ______ and off.

on

Study Notes

Gait Kinetics and Kinematics

Ground Reaction Forces

  • At mid-stance, there's a vertical force acting upwards, and horizontal force is 0.
  • At toe-off, there's a positive vertical force acting upwards and a positive horizontal force acting in the direction of travel.
  • Vertical force curve has a 2-hill shape for constant velocity walking, with both hills equal in magnitude.
  • Double support phase indicates walking, not running.

Phases of Gait Cycle

  • Initial Contact (Heel Strike)
    • Trunk: behind leading foot, crossing midline towards the stance leg
    • Hip: flexed
    • Knee: extended, starting to flex
    • Ankle: neutral
    • Foot: supinated
  • Loading Response
    • Start of the double support period
    • Body has traveled over the supporting leg
    • Force vector passes through the heel, knee, and is in front of the pelvis
    • Trunk: lowest vertical position, moving laterally towards the stance leg
    • Hip: extending
    • Knee: flexing
    • Ankle: plantarflexing
    • Foot: pronating and tibial internal rotation
  • Mid-Stance
    • Weight has shifted forwards to the middle of the foot
    • Force vector passes through the middle of the foot, knee, and stance leg
    • Only vertical force at this point
    • Trunk: highest point, peak lateral motion
    • Hip: extending
    • Knee: peak flexion, begins to extend
    • Ankle: dorsiflexing
    • Foot: supinated and tibial external rotation
  • Terminal Stance
    • Second double support phase
    • Heel leaves the ground, and propulsion and horizontal forces occur
    • Ankle: moving from negative to positive
    • Hip: extension moment
    • Knee: flexion moment
  • Initial Swing
    • Force vector passes through the last point of the toe and in the direction of forwards and upwards
    • Trunk: moving towards the new supporting foot, gaining height
    • Hip: flexing
    • Knee: flexing (mainly due to hip flexion)
    • Ankle: moving from plantarflexion to neutral or dorsiflexion
    • Foot: slightly supinated
  • Terminal Swing
    • Trunk: moving back towards the midline, losing height
    • Hip: flexing (rate of flexion decreasing)
    • Knee: rapid knee extension (mostly passive)
    • Ankle: neutral
    • Foot: remains in supination

Joint Power Patterns

  • Braking Phase
    • Hip: extensor power generation (concentric)
    • Knee: flexor power absorption (eccentric)
    • Ankle: power absorption (eccentric)
  • Propulsion Phase
    • Hip: flexor power absorption (eccentric)
    • Ankle: plantarflexion power generation (concentric)
    • Knee: extensor power absorption (eccentric)
  • Swing Phase
    • Hip: flexor power generation (concentric)
    • Knee: extensor power absorption (eccentric)
    • Knee: extensor power generation (concentric)

Gait Velocity

  • Stride velocity (m/s) = stride length (m) / stride time (s)
  • Stride velocity (m/s) = stride length (m) x stride frequency (Hz)

Key Kinematics

  • Sagittal Plane Kinematics
    • Hip angle: thigh segment angle - trunk segment angle
    • Trunk angle: from the greater trochanter of the femur bone to the iliac crest

Frontal and Transverse Plane Kinetics

  • Goal of locomotion: to support the body against gravity while moving forward in the plane of progression
  • Need full 3D motion analysis

Plantar Pressure

  • Indirectly reflects accelerations of all body parts as we walk
  • Will be unique to everyone
  • Often look at peak pressure in zones of the foot
  • Modified Arch Index (MAI) and COP Excursion Index (CPI)

Muscle Activity (EMG)

  • Gives an overall perspective of when muscles are turned on and off
  • Activity of all muscles go towards propulsion and breaking during the gait cycle
  • Achilles can experience up to 6-8 x BW in forces through it

Energy Source

  • Sources of power generation for forward propulsion provide insight into the strategy of movement
  • Hips are powerful extensors during the second half, while knee flexors are for the first
  • Movement strategy changes with increasing speed

Test your knowledge of the foot flat phase in the gait cycle, including the position of the pelvis, hip, knee, and ankle. Learn about the movement of the tibia and the force vector during this phase. Assess your understanding of human locomotion and movement.

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