mechanics and pathomechanics of gait for lower extremity
TRANSCRIPT
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