Gait interventions + deviations

Interventions?

Resistive gait training, step-ups, balance board, ball rolling under sound limb, side-stepping

• Goal specific things as well

Lateral Trunk Bend

• Causes

• Poor balance, abduction contracture, painful residual limb, residual limb too short, habit pattern, weak abductors

Abducted Gait

• Causes

• Abduction contracture, knee control insecurity, adductor tissue redundancy, habit pattern (pain)

Circumduction

• Causes

• Abduction contracture, lack of confidence in knee control, habit pattern (prosthesis too long)

Vaulting (PF on non-residual limb)

• Causes

• Residual limb discomfort, fear of catching prosthetic toe, habit

Rotation of prosthetic foot on heel strike (mainly outward)

• Causes

• Too much hip extension effort, poor muscle control, poor weight shift

Uneven Timing (longer step with prosthesis)

• Causes

• Weak muscles of residual limb, poor balance, insecurity, residual limb pain

Hard Heel Strike

• Causes

• Insecurity with prosthetic knee

Instability of prosthetic knee

• Hip extensor weakness, hip flexion contracture

Lateral whip (heel at toe off)

• Habit pattern/alignment issue

Medial whip (heel at toe off)

• Habit pattern/alignment issue