1 / 28

Gait Training - I

Gait Training - I. Mazyad Alotaibi. Normal Gait & Abnormal Gait. 60%. 40%. Abnormal gait. Inadequate Dorsi -flexion control Insufficient Push-off Abnormal walking base Internal or external limb rotation Excessive medial or lateral foot contact Vaulting. Stance phase Antalgic gait

robertcmiller
Download Presentation

Gait Training - I

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Gait Training - I MazyadAlotaibi

  2. Normal Gait & Abnormal Gait

  3. 60% 40%

  4. Abnormal gait • Inadequate Dorsi-flexion control • Insufficient Push-off • Abnormal walking base • Internal or external limb rotation • Excessive medial or lateral foot contact • Vaulting • Stance phase • Antalgic gait • Lateral trunk bending • Anterior trunk bending • Posterior trunk bending • Lordosis • Hyperextended knee • Excessive knee flexion • Excessive Genu Valgum or Varum

  5. Swing phase • Circumduction • Hip hiking • Internal or external limb rotation • Inadequate Dorsiflexion control • Abnormal walking base

  6. Antalgic gait • Pain in stance phase : knee, hip, foot pain

  7. Lateral trunk bending • Hip abductor weakness • Hip dislocation, coxa vara, slipped capital femoral epiphysis • Hip pain • Involved limb relatively shorter • Compensation for abducted gait

  8. Trendelenberg gait • Gluteus Medius Gait

  9. Anterior Trunk Bending • Quadriceps weakness combined with weakness of gluteus maximus, gastrocnemius, or both Pushing backward with the hand/ lateral rotation

  10. Posterior Trunk Bending • Gluteus Maximus (Lurch) Gait • Hip-extensor weakness • Knee ankylosis, spasticity or orthotic knee lock • Hip-extensor spasticity

  11. Hyper-extended knee • Quadriceps weakness • Capsular ligament laxity • Quadriceps spasticity • Plantar-flexion contracture or spasticity • Compensation for contralateral limb shortening (hip-flexion or knee-flexion contracture)

  12. Excessive knee flexion • Knee-flexion or hip-flexion contracture • Knee-flexor spasticity • Uncompensated quadriceps weakness • Ankle ankylosis • Plantar-flexor weakness • Involved limb relatively longer

  13. Steppage gait • - Ankle dorsiflexor weakness : compensate by exaggerated hip and knee flexion Foot drop / dragging

  14. Slap foot • Ankle dorsiflexor weakness : early stance phase

  15. Insufficient Push-Off • Flat foot gait • Plantar-flexor weakness • Rupture of the Archilles tendon or the triceps surae • Metatarsal pain, hallux rigidus

  16. Internal or External Limb Rotation • Internal rotation • Biceps femoris weakness • spasticity • External rotation • Quadriceps weakness • Inner hamstring weakness • Spasticity

  17. Abnormal walking base • Wide Base (> 4 inch) • Hip-abduction contracture • Instability due to fear, proprioceptive deficit, cerebellar problem • Narrow base (< 2 inch) • Spasticity • Genu varum • Genu valgum

  18. Vaulting • Swing-phase limb is relatively longer

  19. Hip hiking • Increased ipsilateral length: • hip -flexor or dorsiflexor weakness • hip, knee, ankle ankylosis or spasticity • insufficient hip or knee flexion • Contralateral shortness

  20. Circumduction • Spasticity • Hip flexor weakness • Hamstring paralysis • Knee or ankle ankylosis / orthotic knee lock • Dorsiflexor weakness • Plantar-flexion contracture

  21. Scissor gait • In spastic CP with spasticity of adductor m.

  22. Crouched Gait • Excessive flexion of hip and knee due to spasticity, muscle tightness or contracture • Spastic CP

  23. Parkinsonian gait • Trunk ,head ,neck forward and knee flexed • wide base ,small shuffling step • trend to fall forward and to increase speed (festination)

  24. Hemiplegic gait • Abnormal arm swing : adduction with flexion at shoulder ,elbow ,wrist and fingers • extensor synergy of lower limb: leg extension ,adduction and hip IR ,knee extension ,ankle and foot plantarflexion and inversion.

More Related