Adaptive Tech Gait IRA

How much hip flexion should you have during normal gait at initial contact?

20 degrees

Your patient has 5 degrees of hip flexion during initial contact. What bo would you mark on your form?

hip flexion: limited

If your patient has 35 degrees of hip flexion during initial contact, what deviations might you see at the knee and ankle?

knee: excess flexion

ankle: excess dorsiflexion

What are the normal ROMs during initial contact for the hip, knee, and ankle?

hip: 20 degrees flexion

knee: 5 degrees flexion

ankle: 0 degrees

What are the normal ROMs during gait at pre-swing for the hip, knee, and ankle

Hip: 10 degrees of apparent hyperextension

Knee: 40 degrees of flexion

Ankle: 15 degrees plantar flexion

At what phase of the gait cycle do you have the most hip extension?

terminal stance (20 degrees of apparent hyperextension)

during what period of the gait cycle is the greatest amount of knee flexion required?

initial swing (60 degrees flexion)

what moment defines the beginning of the pre-swing phase of the gait cycle?

initial contact occurs on the opposite limb

You have a patient with the following gait abnormalities: 1) lateral trunk lean to the right in mid stance and terminal stance; 2) right hip hike and lateral trunk lean to the left in initial and mid swing. These abnormalities can be explained by the following:

weakness of right hip abductors and knee flexors

Which muscles stabilize the knee at loading response

quadriceps

What gait deviation is occurring at the hip? There is visible forward and backward movement of the thigh during terminal swing

Past retract

What gait deviation is seen at the ankle during loading response? Front foot landing is uncontrolled

Foot slap