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Rancho Observational Gait Analysis:Maximizing Gait Outcomes through Targeted
Interventions for Individuals with Neurologic Impairments
Kelley Kubota, PT, MS, NCS, CBISWalt Weiss, MPT, NCS, KEMG
Rancho Los Amigos National Rehabilitation Center
American Physical Therapy AssociationCombined Sections Meeting
Anaheim, CaliforniaFebruary 16 - 17, 2016
Rancho Pathologic
Gait
Hip / Pelvis /Full Body
Hip
Rancho Observational Gait Analysis: November 19 - 20, 2016 Hip / Pelvis / Full Body
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be
copied or otherwise used without express written permission of the authors.
2
Past Retract
Pathologic Hip Video
Significance Cause?
Musculoskeletal Evaluation: Stroke
DIAGNOSIS: L thalamic infarct AGE: 37
HISTORY: R ACL injury, 20 years post
RIGHT LOWER EXTREMITY STRENGTH ROM
HIP: Flexion
Extension
Abduction
4/5 0-135
3/5 0
3/5 WNL
KNEE: Flexion
Extension
4/5 0-135
5/5 0
ANKLE: Dorsiflexion
Plantar Flexion
3-/5 0
2-/5 (standing) 0 - 45
SELECTIVITY: Patient has selective control
SENSATION: Impaired to light touch and superficial pain
HYPERTONICITY: Noted in quads and hamstrings
PROPRIOCEPTION: Intact
BALANCE: Normal
Rancho Observational Gait Analysis: November 19 - 20, 2016 Hip / Pelvis / Full Body
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be
copied or otherwise used without express written permission of the authors.
3
Pelvis / Trunk
Contralateral Drop Contralateral Pelvic Drop
Pathologic Pelvis / Trunk Video
Rancho Observational Gait Analysis: November 19 - 20, 2016 Hip / Pelvis / Full Body
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be
copied or otherwise used without express written permission of the authors.
4
Significance Cause?Deviation
Musculoskeletal Evaluation: Guillain Barre Syndrome
DIAGNOSIS: Guillain Barre Syndrome; 4 months post
LOWER
EXTREMITIES:
LEFT RIGHT
STRENGTH ROM STRENGTH ROM
HIP: Flexion
Extension
Abduction
3+ 3+
3 3
2+ 2+
KNEE: Flexion
Extension
4 3+
3 3
ANKLE: Dorsiflexion
Plantar flexion
3 -10 3 -5
4 sup
2- std
4 sup
2- std
SENSATION: Normal
PROPRIOCEPTION: Intact at hip, knee, ankle, great toe bilaterally
PAIN: No pain
Remember to link deviations!
Possible Causes for Flexed Posture
Hip Flexion ContractureMSt, TSt
Weak HipExtensorsLR, MSt, TSt
Knee FlexionContractureIC, LR, MSt, TSt
Weak CalfMSt, TSt
Rancho Observational Gait Analysis: November 19 - 20, 2016 Hip / Pelvis / Full Body
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be
copied or otherwise used without express written permission of the authors.
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Full Body Eval / Form
Musculoskeletal Evaluation: Stroke
DIAGNOSIS: 28 year old male s/p MCA infarct with hemorrhagic transformation
HISTORY: No prior medical issues
RIGHT LOWER EXTREMITY STRENGTH ROM
HIP: Flexion
Extension
Abduction
3 10-130
3
3- 0 - 30
KNEE: Extension 3- 0
ANKLE: Dorsiflexion
Plantar Flexion
0 -10
0 10 - 45
UPRIGHT MOTOR CONTROL: Flex: Moderate Hip, Weak Knee/Ankle
Ext: Mod Hip, Weak Knee/Ankle
PAIN: No pain
LEG LENGTH: No leg length discrepancy noted
VELOCITY: 48.6 m/min 59.3% normal
Questions?
Rancho Observational Gait Analysis: November 19 - 20, 2016 Hip / Pelvis / Full Body
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be
copied or otherwise used without express written permission of the authors.
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Patient Lab
Rancho Observational Gait Analysis: November 19 - 20, 2016 Hip / Pelvis / Full Body
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be
copied or otherwise used without express written permission of the authors.
