Podcast
Questions and Answers
Why is the early detection of gait deviations important?
Why is the early detection of gait deviations important?
- To evaluate overall mobility and balance.
- To identify potential musculoskeletal problems. (correct)
- To assess progress and effectiveness of interventions.
- To develop targeted treatment strategies.
A patient exhibits hyper-sensitivity and impaired proprioception. Which category of etiology of gait deviations does this fall under?
A patient exhibits hyper-sensitivity and impaired proprioception. Which category of etiology of gait deviations does this fall under?
- Motor Control Impairments
- Pain or Discomfort
- Musculoskeletal Impairments
- Sensation Impairments (correct)
Before initiating a detailed observation of a patient's gait, what is a crucial step to ensure accurate assessment?
Before initiating a detailed observation of a patient's gait, what is a crucial step to ensure accurate assessment?
- Entering the evaluation expecting to find a deviation.
- Establishing a reference extremity. (correct)
- Always observing the gait with footwear only.
- Ignoring the patient's natural gait.
During gait analysis, you notice a patient exhibits rapid ankle plantarflexion during the loading response. According to the 'Identifying/Documenting Gait Deviations' model, which aspect does this observation address?
During gait analysis, you notice a patient exhibits rapid ankle plantarflexion during the loading response. According to the 'Identifying/Documenting Gait Deviations' model, which aspect does this observation address?
A patient is experiencing foot slap during the loading response of gait. Which impairment is most likely causing this deviation?
A patient is experiencing foot slap during the loading response of gait. Which impairment is most likely causing this deviation?
When documenting gait deviations, why is it important to note when the deviation occurs (e.g., swing or stance phase)?
When documenting gait deviations, why is it important to note when the deviation occurs (e.g., swing or stance phase)?
Which assessment is MOST directly related to evaluating the range of motion during gait analysis?
Which assessment is MOST directly related to evaluating the range of motion during gait analysis?
During the swing phase of gait, if the ankle remains plantarflexed, which gait deviation is observed?
During the swing phase of gait, if the ankle remains plantarflexed, which gait deviation is observed?
Which gait deviation is characterized by rapid plantarflexion at the start of the stance phase?
Which gait deviation is characterized by rapid plantarflexion at the start of the stance phase?
Raising up on the toes of the contralateral limb to clear the reference limb in swing is BEST described as which gait deviation?
Raising up on the toes of the contralateral limb to clear the reference limb in swing is BEST described as which gait deviation?
Which of the following BEST describes hip circumduction gait?
Which of the following BEST describes hip circumduction gait?
Which of the following is a defining characteristic of Trendelenburg gait?
Which of the following is a defining characteristic of Trendelenburg gait?
What is the primary characteristic of a waddling gait pattern?
What is the primary characteristic of a waddling gait pattern?
A patient has a noticeable limp due to pain in their right lower extremity, which they try to minimize by reducing weight-bearing on that side. Which gait pattern are they exhibiting?
A patient has a noticeable limp due to pain in their right lower extremity, which they try to minimize by reducing weight-bearing on that side. Which gait pattern are they exhibiting?
Why is it important to document gait deviations on both sides of the body during an assessment?
Why is it important to document gait deviations on both sides of the body during an assessment?
Flashcards
CLO 2 Objective
CLO 2 Objective
Analyze typical movement patterns and basic functional activities across the lifespan in varying environments.
Objective 7.1
Objective 7.1
Using Rancho Los Amigos (RLA) terms to analyze typical gait.
Early Detection (Gait)
Early Detection (Gait)
The identification of potential musculoskeletal problems by observing someone's walking.
Functional Assessment (Gait).
Functional Assessment (Gait).
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Intervention Planning (Gait)
Intervention Planning (Gait)
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Outcome Measurement (Gait)
Outcome Measurement (Gait)
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Foot Drop
Foot Drop
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Foot Slap
Foot Slap
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Vaulting (Gait)
Vaulting (Gait)
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Hip Circumduction Gait
Hip Circumduction Gait
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Trendelenburg Gait
Trendelenburg Gait
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Waddling Gait
Waddling Gait
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Antalgic Gait
Antalgic Gait
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Study Notes
- It's important to analyze typical movement patterns and functional activities across the lifespan
- Key to analyze typical gait using Rancho Los Amigos (RLA) observational gait analysis terms
- Necessary to describe gait aberrations using parameters of gait and RLA terminology
Why Study Gait Deviations
- Early detection of gait deviations can identify potential musculoskeletal problems
- A functional assessment evaluates overall mobility and balance
- Intervention planning develops targeted treatment strategies
- Outcome measurement assesses progress and effectiveness of interventions
Etiology of Gait Deviations
- Musculoskeletal impairments include joint contracture/arthrodesis, body malalignments (bony), and weakness
- Motor control impairments relate to motor planning and coordination
- Sensation impairments involve hyper- or hyposensitivity and impaired proprioception
- Pain or discomfort results from injury or disease
Rules for Gait Analysis
- Deviations can be a cause and/or compensation
- Gait deviations may indicate pathology
Identifying/Documenting Gait Deviations
- Avoid entering an evaluation expecting to find a deviation
- Always observe gait with and without footwear
- Establish a reference extremity before evaluation
- Organize the observation
- Make sure the patient walks naturally
- Pay attention to the environment
- Position for the best view of gait and joints in AP and lateral directions
- Document when the deviation happens, noting swing/stance phase, and sub-phase
- Describe exactly what the deviation looks like
- Add results on 3 functional tasks of gait: Weight acceptance, SLS, Swing leg advancement
- Hypothesize possible impairments causing the gait deviation
- Assess joint flexibility using range of motion exercises
- Evaluate ability to execute anti-gravity movement and tone by assessing muscle strength
- Muscle length tests for tightness and contractures
- Evaluate static and dynamic balance
Common Gait Deviations
- Foot Drop occurs when the ankle remains plantarflexed during the swing phase, caused by weak dorsiflexors or pes equinus
- Foot Slap has rapid plantarflexion at the start of the stance phase making a slapping sound, is linked to ankle dorsiflexor weakness
- Vaulting involves raising up on the toes of the contralateral limb to clear the reference limb in swing, and is linked to leg length discrepancy
- Hip Circumduction is movement of the swing limb away from midline, into abduction, and then back to midline
- Trendelenburg Gait involves pelvic tilt to the unaffected side during the stance phase on the affected side, caused by hip abductor weakness
- Waddling Gait has excessive sway from side to side, resembling a duck's waddle, caused by bilateral hip abductor weakness
- Antalgic Gait is a limp caused by pain in the lower extremity
- It's important to always document deviations on both sides
- Deviations impact both up and down the chain
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