Gait Cycle: Stance and Swing Phases
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Questions and Answers

Define gait.

Bipedal locomotion as there is an alternating action between two lower extremities (one on the ground (stance, the other in (swing). It is a result of a series of rhythmic alternating movement of arms, legs and trunk that create forward movement of the body.

What percentage of the gait cycle is spent in the stance phase?

  • 20%
  • 40%
  • 80%
  • 60% (correct)

Which of the following is the first phase of the stance phase?

  • Loading response
  • Initial contact (correct)
  • Terminal stance
  • Midstance

When does the Loading Response phase occur in the Gait Cycle?

<p>2-10% GC (B)</p> Signup and view all the answers

When does the Midstance phase occur in the Gait Cycle?

<p>10-30% GC (A)</p> Signup and view all the answers

When does the Terminal Stance phase occur in the Gait Cycle?

<p>30-50% GC (D)</p> Signup and view all the answers

When does the Preswing phase occur in the Gait Cycle?

<p>50-60% GC (B)</p> Signup and view all the answers

When does the initial swing phase occur in the Gait Cycle?

<p>60-73% GC (A)</p> Signup and view all the answers

In the initial contact phase the hip is [blank], the knee is [blank] and the ankle is [blank]

<p>flexed / extended / dorsiflexed to neutral (A)</p> Signup and view all the answers

During the loading response, body weight is transferred onto the forward limb and the knee is [blank] for shock absorption

<p>flexed</p> Signup and view all the answers

In midstance, the limb advances over the stationary foot by [blank]

<p>ankle dorsiflexion (ankle rocker)</p> Signup and view all the answers

During terminal stance, the heel [blank] and the limb advances over the forefoot rocker.

<p>rises</p> Signup and view all the answers

During the pre-swing phase, the reference limb responds with increased ankle [blank], greater knee [blank] and loss of hip [blank]

<p>plantar flexion / flexion / extension</p> Signup and view all the answers

In initial swing, the foot is lifted and the limb is advanced by hip [blank]and increased knee [blank]

<p>flexion / flexion</p> Signup and view all the answers

Match the definition to 'Foot Angle'

<p>The angle between the foot's longitudinal axis and the direction of walking.</p> Signup and view all the answers

Match the definition to 'Step Length'

<p>The distance between the heel strike of one foot and the heel strike of the opposite foot.</p> Signup and view all the answers

Match the definition to 'Stride Width'

<p>The lateral distance between the midpoints of the two feet during walking.</p> Signup and view all the answers

Define 'Cadence'

<p>The number of steps taken per minute</p> Signup and view all the answers

Define 'Speed' with respect to gait

<p>The distance covered per unit of time during walking or running.</p> Signup and view all the answers

Flashcards

Gait

Bipedal locomotion involving alternating movements of the lower extremities.

Gait Cycle

The period from heel contact of one foot to the next heel contact of the same foot.

Stance Phase

The weight-bearing phase of the gait cycle, from initial contact to preswing (60% of the gait cycle).

Swing Phase

The non-weight-bearing phase of the gait cycle, when the foot is off the ground (40% of the gait cycle).

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Initial Contact (IC)

The moment the foot makes initial contact with the ground (0-2% of gait cycle).

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Loading Response (LR)

The period from initial contact until the opposite foot lifts off the ground (0-10%).

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Midstance (MSt)

The period from when the opposite foot lifts off the ground until the body weight is aligned over the stance foot.

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Terminal Stance (TSt)

The period from midstance until the opposite foot makes initial contact with the ground.

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Preswing (PS)

The final phase of stance, from when the opposite foot makes contact until the stance foot lifts off the ground.

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Initial Swing (IS)

From toe-off to maximum knee flexion.

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Midswing (MSw)

From maximum knee flexion to vertical tibia.

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Terminal Swing (TSw)

From vertical tibia to just prior to initial contact.

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Kinematics

Measurement of motion, without regard to forces.

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Kinetics

Study of forces that cause motion.

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Stride Length

Distance covered during one gait cycle.

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Step Length

Distance between heel strike of one foot and heel strike of the OTHER foot.

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Stride Width

Distance between the two feet.

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Foot Angle

Angle of the foot relative to the line of progression.

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Cadence

Number of steps per minute.

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Speed

Rate of motion; distance/time.

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Study Notes

  • Gait analysis is the study of bipedal locomotion involving alternating actions between the lower extremities.
  • The motion is a rhythmic series of arm, leg, and trunk movements that propel the body forward.

Gait Cycle

  • The gait cycle is from the heel contact of one foot to the next heel contact of the same foot.
  • The gait cycle comprises two phases: stance and swing.
  • Stance phase: supporting/weight-bearing phase, from initial contact until preswing.
  • Swing phase: foot leaves the ground until just before initial contact.
  • Stance makes up 60% of the gait cycle.
  • Swing makes up 40% of the gait cycle.

Stance Sub-Phases

  • Initial Contact (IC): 2% of the gait cycle.
  • Loading Response (LR): 2-10% of the gait cycle.
  • Midstance (MSt): 10-30% of the gait cycle.
  • Terminal Stance (TSt): 30-50% of the gait cycle.
  • Preswing (PS): 50-60% of the gait cycle.

Swing Sub-Phases

  • Initial Swing (IS): Acceleration phase, 60-73% of the gait cycle.
  • Miswing (MSw): 73-87% of the gait cycle.
  • Terminal Swing (TSw): Deceleration phase, 87-100% of the gait cycle.

Intervals of Gait

  • Initial Double Limb Stance: 10%.
  • Single Limb Stance: 40%.
  • Terminal Double Limb Stance: 10%.
  • Swing: 40%.

Functional Division of the Body

  • During walking, the upper body acts as a passenger unit situated on a locomotor system.
  • Locomotor functions = propulsion, stance stability, shock absorption, and energy conservation.
  • Passenger unit components: head, neck, arms,trunk, and pelvis (HAT unit).
  • The HAT unit's center of gravity is just anterior to the tenth thoracic vertebra (T10).
  • In an average man (184 cm) this point is ~33 cm above the hip joint.
  • The locomotor system = pelvis to both lower extremities with 11 joints involved.

Kinematics

  • Distance and time variables, measurement of joint angles, determinants of gait.

Kinetics

  • External and internal forces.

Distance Variable Definitions

  • Step length = distance between heel strike of one foot and heel strike of the opposite foot.
  • Stride length = distance covered by the same foot from one heel strike to the next heel strike of the same foot.
  • Stride width = lateral distance between midpoints of the feet during walking.
  • Foot angle = angle between the foot's longitudinal axis and the direction of walking.

Time Variable Definitions

  • Step: movement from one foot strike to the next.
  • Stride: one full gait cycle (two steps).
  • Stance = the phase when the foot is in contact with the ground.
  • Swing = when the foot is off the ground.
  • Single limb support: when only one foot is on the ground.
  • Double limb support: when both feet are in contact with the ground.
  • Cadence: the number of steps taken per minute = ~113 steps/min.
  • Speed determined by distance covered per unit of time during walking/running = ~1.2 m/sec or ~82 m/min.

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Description

Gait analysis examines bipedal movement, focusing on leg actions that propel the body. The gait cycle includes two main phases: stance, where the foot is on the ground supporting weight, and swing, where the foot is off the ground.

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