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Abnormal Gait Patterns Shout Out Quiz Step Length Distance between heel of one foot and heel of the other Cadence Number of steps per unit time Walking Base Side-to-side distance between the line of two feet Velocity Step Length x Cadence Stance and Swing The Two Phases of Gait Stance Phase 60% of gait cycle Mid Swing When swing leg overtakes stance g leg Determinant of Gait Things that decrease COG gg gait movement during 6 How many determinants of gait are there? 8 degrees How much pelvic rotation occurs in the transverse plane during swing phase? 5 degrees How much pelvic tilt occurs in the frontal plane during swing phase? False True or False The knee should be locked in midstance True True or False The ankle should plantarflex at heel strike True True or False The ankle should move from dorsiflexion to plantarflexion at toe-off False True or False Being bowlegged makes you walk better At i Gait Ataxic G it • • • • Wide base with trunk instability Irregular lurching steps Lateral veering Seen in cerebellar disease Di l i G Diplegic Gait it • • • • Spasticity in the legs greater than the arms Hips p and knees are flexed and adducted Ankles extended and internally rotated Extremities circumducted P ki Parkinsonian i G Gait it • • • • • Rigid g g gait Steps are small and shuffling Turning g is like a statue Stooped forward Parkinson’s disease H i l i G Hemiplegic Gait it • • • • • Unilateral weakness and spasticity Arm held in flexion Leg held in extension Patient circumducts leg during swing p phase See with upper motor neuron lesion (stroke (stroke, head injury) Ch if Choreiform G Gait it • • • Hyperkinetic gait Irregular, jerky, Irregular jerky involuntary movements of both the arms and legs Basal ganglia disorder M Myopathic thi G Gait it • • • • Weak pelvic muscles Pelvis tilts towards non-weight bearing leg Waddling type gait Seen in muscular dystrophy
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