Excessive Ankle Dorsal Flexion-calcaneal gait
- Stance Phase
- Primary causes- weakness of PF
- Secondary causes- excessive knee flexion due to hams. Contracture/spasticity
-as a compensation for forefoot pain
-with an aim to shorten the step-length of opposite limb
- Consequences – in LR & mid-stance inc demand on quads.
-dec shock absorption demands of LR
- In terminal stance –heel rise is compromised
-Body wt will not advance to fore-foot due to
lack of tibial control
-pt is not prepared for effective terminal stance
-momentum for next step is lost
- Swing phase
- Excessive DF is unusual
Characterized by
- Dec step-length of c/l limb
- Stride –length is shortened
- Dec limb stability
- E.g. crouch gait in cp
- Pts with weak quads walk with knee HE if they can.
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