Mechanics and Pathomechanics of Gait for Lower Extremity

Mechanics and Pathomechanics of Gait for Lower Extremity Orthoses

TERMS USED

• ORTHOSES• PROSTHESIS• GAIT• STEP LENGTH• STRIDE LENGTH

SAMPLE ORTHOSIS

PROSTHESIS

FILM SHOWING

• VIDEO 1• VIDEO 2

• AT THE DESKTOP

WHAT DO WE NEED IN ORDER TO WALK?

• MUSCLE STRENGTH• NORMAL ROM • BALANCE

WHAT IS GAIT?

• Described as a series of rhythmical alternating movements of the limbs and trunk which results in forward progression of the COG

WALKING/GAIT

• AUTOMATIC THING WE DO• LEARN TO WALK IS IMPORTANT• 2 PHASES OF WALKING– STANCE PHASE 60 PERCENT– SWING PHASE 40 PERCENT

• STANCE

• SWING

• Video3

EVALUATION OF GAIT• 1. We need to observe the patient to walk

• 2. Watch the COG

• 3. Lateral shift

• Pelvic rotation

Trendelenberg test

COMMON GAIT PROBLEMS

• Weak ankle dorsiflexor TA: DRAG AND FOOT SLAP

• Weak Gluteus medius

• Weak Gluteus maximus

• Weak Quadriceps

• Ataxic gait (Video at desktop)

• ANALYSIS TIME Q and A? video 001exam

TREATMENT• Strength training• Treadmill training• Aquatic therapy• Taping• NES• FES