GR_Gait Deviations (Above Knee)

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12 Terms

1
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Foot rotation at heel strike

Too stiff heel cushion or PF bumper

2
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Foot Slap

Too soft PF bumper

3
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Lateral Trunk Bending

  • Prosthesis too short

  • Hip abduction contracture

  • Hip abductor weakness

  • Abducted socket

4
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Wide walking base (abducted gait)

  • Prosthesis too long

  • Hip abducted contracture

  • Abducted socket

  • High medial wall

5
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Uneven step length

  • Hip flexion contracture

  • Insufficient knee flexion

  • Fear/insecurity

6
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Swing phase whips

Medial Whip

  • Excessive ER of prosthetic knee

Lateral Whip

  • Excessive IR of prosthetic knee

7
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Exaggerated Lordosis

  • Hip flexion contracture

  • Weakness of abdominals

  • Weakness of hip extensors

  • Insufficient support from anterior wall

  • Improperly shaped posterior wall

8
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Vaulting

  • Prosthesis too long

  • Insufficient knee friction

9
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Circumducted Gait

Prosthesis too long

10
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Hip hiking

Prosthesis too long

11
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Uneven heel rise

Excessive heel rise

  • Forceful hip flexion

  • Insufficient knee friction

  • Too lose an extension aid

Insuffiencient heel rise

  • Excessive knee friction

  • Too tight an extension aid

  • Use of manual lock

12
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Terminal impact

  • Insufficient knee friction

  • Too tight an extension aid

  • Worn out extension stop

  • Fear of buckling