Showing posts with label TRANSTIBIAL GAIT DEVIATIONS. Show all posts
Showing posts with label TRANSTIBIAL GAIT DEVIATIONS. Show all posts

Thursday, October 20, 2016

TRANSTIBIAL GAIT DEVIATIONS





1) Excessive knee flexion from IC - midstance
  • lack of HS
  • frwd trunk flexion
  • lateral trunk flexion
  • lower cog
2) Absent/ dec knee flexion from IC - midstance
  • prolonged foot flat
  • hip abd on P Side
  • vaulting on sound side
3) Sudden early knee flexion at the end of midstance
  • prolong heel off
  • prolonged stance phase on sound side
  • arrhythmic gait pattern
4) Delayed knee flexion at end of stance
  • forward trunk lean
  • delayed toe-off on P Side
  • dec swing phase on sound side
  • sound leg leads
  • vaulting on s side
5) Excessive knee flexion prior to toe-off
  • pelvic drop, shoulder drop on P side
  • prolong stance on s side
  • arrhythmic gait pattern
6) Insufficient wt bearing during prosthetic midstance
  • prolonged stance on s side
  • shortened stance on p side
  • prosthesis abducted, cane braced, abducted against s side

TRANSFEMORAL DEVIATIONS


1) Abducted gait
  • lateral placement of prosthesis during GC
  • inc in width of BOS
  • uneven timing
  • hip-hiking
  • prolonged stance on s side
  • vaulting
  • moderate lateral lean on p side
2) Circumducted gait
  • walking base is normal on double support
  • dec knee flexion on p side
  • hip hiking on p side
  • lateral pelvic drop
  • lateral trunk bending toward p side during stance
  • unequal timing


3) Uneven heel rise – caused by knee flexion following toe-off
  • swing phase is prolonged
  • moderate trunk bending towards s side
4) foot-slap following heel contact
  • unequal rhythm
  • trunk frwd flexion on heel contact
  • prolonged stance on s leg
5) Trunk frwd flexion

  • trunk leans frwd
  • reduced step-length
  • hip-hiking
  • prosthetic knee flex reduced
  • uneven timing