Locomotion

What is locomotion?

Getting from one place to another

How is it measured?

Distance, speed, assistance necessary, gait analysis

Controlled mobility/locomotion requires controlled - and - -

mobility, static stability

A wheelchair is a - - - with a - -

postural support system, mobility base

AMAP/ANAP principles for assistive devices would be what?

Least restrictive device

What are the bilateral devices?

Walker, rolling walker, rollator walker, axillary crutches, loftstrand crutches

How about unilateral?

Hemiwalker, large base quad cane, small base quad cane, cane

More stable assistive device = what?

More energy expenditure

Gait is governed by - - -

central pattern generators

Gait cycle/stride length is what to what?

HS to HS for same foot

Step length is what?

HS to HS of opposite foot

Time can be measure for what four things in gait?

Stance, single-limb support, double-limb support, swing

What is the difference between cadence and speed

Cadence is # of steps in a given time, speed is distance over time

Hemiplegic gait is -, Diplegic is -, Parkinsonian is -, Steppage gait is -, Ataxia is -, Antalgic gait is -

Circumduction, scissoring, forward lean + small step length, slapping (no dorsiflexion), lack of coordination, limp

Gait if glute max weak?

Posterior trunk lean

Gait if glute med weak?

Trendelenburg (hip drop cont, trunk shift ips)

Gait if PF weak?

Reduced push off (short step length)

Gait if quad weak?

Forward lean with knee HE (may use hand to extend)

Gait if DF weak?

Foot slap