NPTE: Gait Teaching And Coaching 2023.

NPTE: Gait Teaching And Coaching verse pelvis rotation occurs where and how much?? - ANSWER on the side of the unsupported or swing extremity. mean rotation is 4deg. weight bearing rotates 4 deg for a total of 8 deg step length - ANSWER heel strike L to heel strike R strike - ANSWER heel strike L to heel strike L common gait deviations: stance phase-- lateral trunk bending - ANSWER result of weak glut med Will see beding to the same side as the weakness (Trendelenburg) or with pain in the hip common gait deviations: stance phase-- backwards trunk lean - ANSWER result of weak glut max Have difficulty going up stairs or ramps common gait deviations: stance phase-- forward trunk lean - ANSWER result of weak quads (decreased flexor movement at the knee), hip and knee flexion contracture common gait deviations: stance phase-- excessive hip flexion - ANSWER result of weak hip extensors and/or tight hip/knee flexors. common gait deviations: stance phase-- limited hip extension - ANSWER result of tight or spastic hip flexors common gait deviations: stance phase-- limited hip flexion - ANSWER result of weak hip flexors or tight extensors. Common gait deviations: stance phase: abnormal synergistic activity (stroke) - ANSWER excessive hip ADDuction combined with hip and knee extension, PF Scissoring Common gait deviation: stance phase -- antalgic gait - ANSWER Abbreviated stance time on the painful limb Uninvolved limb has a shortened step length since it must bear weight sooner than normal common gait deviations: stance phase-- excessive knee flexion - ANSWER result of weak quads, knee flex contracture, Difficulty going *down* stairs or ramps common gait deviations: stance phase-- knee hyperextension - ANSWER result of weak quadriceps, plantar flexion contracture or extensor spasticity. common gait deviations: stance phase-- toe strike - ANSWER the result of weak dorsiflexors, spastic or tight plantarflexors, shortened leg, painful heel, or positive support reflex common gait deviations: stance phase-- foot slap - ANSWER result of weak dorsiflexors or hypotonia, compensated for with steppage gait common gait deviations: stance phase-- foot flat - ANSWER result of weak dorsiflexors, limited ROM, immature gait pattern common gait deviations: stance phase-- excessive dorsiflexion with uncontrolled forward motion of the tibia - ANSWER result of weak plantar flexors. common gait deviations: stance phase-- excessive plantar flexion (equinus gait) - ANSWER result of spasticity or contracture of plantar flexors