Screening Gait PT 521 2025 PDF

Screening Gait  ptfaith bringing rosis Where Does Gait Fit In? Subjective & Constitutional Symptoms Cardio Screen & Neuro Screen Clinical Movement Exam Palpation, ROM, Manual Muscle Testing Special Testing...

Screening Gait  ptfaith bringing rosis Where Does Gait Fit In? Subjective & Constitutional Symptoms Cardio Screen & Neuro Screen Clinical Movement Exam Palpation, ROM, Manual Muscle Testing Special Testing  What’s Normal? Normal Gait  Initial Contact The moment when the foot contacts the ground. A Body Part Angle Muscle Hip 20° flexion Extensors Knee 5° flexion Quadriceps Ankle 0° Pretibials foot in supination hittinglateralheel  Loading Response Weight is rapidly transferred onto the outstretched limb, the first period of single-limb support. Body Part Angle Muscle Hip 20° flexion Extensors & Abductors Kee Ee Knee 15° flexion Quadriceps Ankle 5° plantar Pretibials flexion Ee  Midstance The body progresses over a single, stable limb. Body Part Angle Muscle Hip 0° Abductors Knee 5° flexion Quadriceps termeken'side (observationally initially, then no neutral) muscle activity Ankle 5° dorsiflexion Calf eccentric Terminal Stance Progression over the stance limb continues. The body moves ahead of the limb and weight is transferred onto the forefoot. Body Part Angle Muscle Hip 20° apparent None PesEating0 hyperextension Knee Full extension None (5° flexion) Ankle 10° dorsiflexion Calf eccentric  Pre-Swing The forefoot remains on the floor. The knee rapidly flexes while weight is shifted to the other limb. Body Part Angle Muscle Hip Neutral Adductors Extension TentsEichmination Knee 40° flexion Popliteus, Rectus eccentric Femoris Ankle 15° plantar Plantar flexion Flexors  Initial Swing The thigh begins to advance; the knee continues to flex and the foot clears the ground. Body Part Angle Muscle Hip 15° flexion Flexors Knee 60° flexion Flexors Ankle 5° plantar Pretibials flexion  Mid Swing The thigh continues to advance as the knee begins to extend. Foot clearance is maintained Body Part Angle Muscle Hip 25° flexion Flexors initially, then hamstringseccentric Knee From 60° to 25° Flexors eccentric flexion Ankle 0° Pretibials  Terminal Swing The knee extends; the limb prepares to contact the ground for Initial Contact. Body Part Angle Muscle Hip 20° flexion Hamstrings Knee 5° flexion to Quadriceps neutral Ankle 0° Pretibials Tibialis Anterior Peak Activity: Just after heel strike Responsible for lowering of the foot into plantar flexion. foot clearance absorb force  Gastroc/Soleus Group Peak Activity: Late stance phase Responsible for concentric raising of the heel during toe off.  Quadriceps Peak Activity: 1. In periods of single support during early stance phase. 2. Just before toe off to initiate swing phase.  Hamstrings Peak Activity: During late swing phase. Responsible for decelerating the unsupported limb.  bc canacheivethese just doesn'tmeantheyhavenormal they ROM gait Key ROM for Normal Gait Hip Flexion 0-30 degrees Hip Extension 0-15 degrees Knee Flexion 0-60 degrees Knee Extension 0 degrees Ankle Dorsiflexion 0-10 degrees Ankle Plantar Flexion 0-20 degrees Abnormal Gait Trendelenburg A gait pattern that denotes gluteus medius weakness; excessive lateral trunk flexion and weight shifting over the stance leg. doesn'tmean it is a always weak glutemed  Circumduction add don't kick on to keep in line flexion could be don'thave enough hip kneeflexion orcan'tpickup toes A gait pattern characterized by a circular motion to advance the leg during swing phase; this may be used to compensate for insufficient hip or knee flexion or ankle dorsiflexion.  Hip Hiking hike w QL The pelvis is lifted on the side of the swinging leg. Common causes Weak Hip Flexors Leg Length Discrepancy Insufficient ankle DF ROM Excessive Knee Extension Genu recurvatum Common Causes: Quadriceps weakness Plantar flexor weakness Quadriceps/PF spasticity Knee Flexor weakness  Bent Knee Gait Common Causes Knee flexion contracture post op Weak quadriceps Hip flexion contracture 1 terminal knee extension is op but thing to get back post also the hardest Inadequate Ankle Dorsiflexion Toe Drag during swing phase Weakness of DF and Toe Extensors Spasticity of PF Inadequate knee or hip flexion Inadequate Ankle Dorsiflexion Stance Phase Foot Slap – weak DF Forefoot contact – weak DF or PF contracture, compensation for heel pain Foot Flat – excessive knee flexion, weak quads Antalgic Gait more orthopedic limping A gait pattern where the involved step length is decreased in order to avoid weight bearing on the involved side usually secondary to pain. Ataxic Gait neurological problem use all neuro screen A gait pattern characterized by staggering and unsteadiness. There is usually a wide base of support and movements are exaggerated. DOCUMENT! Observation Patient presents with antalgic gait with increased stance time on right, due to left knee pain with ambulation. Patient’s gait improved with cane use on right side.