問題一覧
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Defined as the manner in which a person walks
gait
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Gait is also known as
ambulation
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Types of gait
walking, running, stairs
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Refers to an individual’s capacity to move from one place to another
locomotion
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Highest functional activity
walking
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Purposes of gait
assist understanding gait charac of particular disorder, assist moving diagnosis, inform selection of interventions, evaluate effectiveness of treatment
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Fundamental unit of walking
gait cycle
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Has both spatial and temporal parameters
gait cycle
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In normal walking, gait cycle begins when the ____ of reference extremity contacts the supporting surface and ends when ____ of the same extremity contacts ground again
heel
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In some normal gaits, the heel may not be the first part of the foot to contact the ground
false
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The gait cycle may be considered to begin when some other portion of the reference limb contacts ground, and ends when the next ipsilateral contact of the same portion of the foot with the ground
true
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Constitutes approximately 60% of the gait cycle
stance
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CKC
stance
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Interval in which the reference foot is in contact with the ground
stance
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OKC
swing
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Comprises approximately 40% of the gait cycle
swing
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Occurs when the reference limb is not in contact with the ground
swing
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A double gait cycle includes periods of stance and swing for both the right and left limbs
false
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Occurs at the beginning of the gait cycle as weight transfers onto the outstretched reference limb from the trailing limb
initial double limb stance
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Both points of the feet are touching the ground
initial double limb stance
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Occurs at the end of stance of body weight transfers from the trailing reference limb to the lead limb
terminal double limb stance
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Both points are still on the ground
terminal double limb stance
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Arising between the two double limb stance periods, this is the portion of the gait cycle where only one limb supports body weight
single limb support
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When this occurs, the other leg is in swing
single limb support
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Distance of the point of the heel strike of one extremity to the point of heel strike of the opposite extremity
step length
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Distance from the point of heel strike of one extremity to the next point of heel strike of the same extremity
stride length
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Equivalent to 1 gait cycle
stride length
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Number of steps taken per unit of time
cadence
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Rate of displacement
speed
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Scalar quantity that has magnitude but not direction
speed
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Distance covered over time
speed
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Pattern
rhythm
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Normal speed of gait
3mph
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Normal cadence
90-120 steps per min
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Increased cadence in females
117
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Increased cadence in males
111
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Normal step length
28 inches
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Normal stride length
56 inches
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Old terminology
heel strike, foot flat, midtance, heel off, toe off, acceleration, midswing, deceleration
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RLA
initial contact, loading response, midstance, terminal stance, preswing, initial swing, midswing, terminal swing
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Beginning of stance when heel or some other portion of foot contacts ground
initial contact
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Component of initial double limb stance
initial contact
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Body weight rapidly loads onto lead limb from trailing limb
loading response
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Hip remains stable, knee flexes to absorb shock and forefoot lowers to ground
loading response
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Immediately follows initial contact and is final component of initial double limb stance
loading response
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Ends when opposite limb lifts from ground for swing
loading response
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Trunk progresses from behind in front of ankle over single stable limb
midstance
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First half of single limb support
midstance
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Starts when contralateral foot kifts from ground for swing
midstance
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Trunk continues forward progression relative to foot
terminal stance
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Heel rises from ground and limb achieves trailing limb posture
terminal stance
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Second half single limb support
terminal stance
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Ends with contralateral initial contact
terminal stance
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Body weight rapidly unloads from reference limb anf reference limb prepares for swing during this terminal double limb stance period
preswing
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Starts with contralateral initial contact and ends at ipsilateral limb toe off
preswing
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Starts when reference foot lifts from ground
initial swing
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Hip, knee and ankle rapidly flex for clearance and advancement during this initial 1/3 of swing
initial swing
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Thigh continues advancing, knee begins to extend, and ankle achieves neutral posture during this middle 1/3 of swing
midswing
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During this final 1/3 of swing, knee achieves maximal extension and ankle remains at neutral in preparation for heel first initial contact
terminal swing
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Ends when foot contacts ground
terminal swing
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Beginning of stance when heel first contacts ground
heel strike
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Immediately follows heel strike when sole of foot contacts floor
foot flat
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Point at which body passes directly over reference extremity
midstance
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Point following heel off when reference limb’s toe is contacting ground
toe off
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Point following midstance when refernce limb’s heel leaves ground
heel off
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Beginning portion of swing from reference limb toe off to point when reference limb is directly under the body
acceleration
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Portion of swing when reference limb passes directly below body
midswing
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Extends from the end of acceleration to beginning of deceleration
midswing
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Portion of swing when reference limb is decelerating in preparation for heel strike
deceleration
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INITIAL CONTACT
0 df, full extension, 20 flexion
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LOADING RESPONSE
5 pf, 20 flexion, 20 flexion
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MIDSTANCE
5 pf, full extension, neutral
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TERMINAL STANCE
10 df, full extension, 20 hyperextension
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PRESWING
15 pf, 40 flexion, 10 hyperextension
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INITIAL SWING
5 pf, 60 flexion, 15 flexion
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MIDSWING
neutral, 25 flexion, 25 flexion
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TERMINAL SWING
neutral, full extension, 20 flexion
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Used to describe movement patterns without regard of the forces involved in producing movement
kinematic
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Used to determine the forces involved in gait
kinetic
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May include gravity, muscles, etc
kinetic
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Results are used to identify structural and activity limitations, plan an intervention and assess the outcomes
oga
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Most common OGA system used by physical therapists
RLA OGA
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Uses a recording comprising 45 descriptors of common gait deviations
RLA OGA
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Has the capability of slowing or stopping motion
digital video recording
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Spark motions and kinovea are examples
mobile software application
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Clinician has the option to overlay prior videos, integrate grids and drawings to assist with visual analysis, and calculate approximate joint angles on the videos/images for subsequent comparison
mobile software application
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Common gait deviations: initial contact
toes or forefoot contact, foot flat contact
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Common gait deviations: loading response
foot slap
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Common gait deviations: midstance or terminal stance
excess pf, excess df
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Common gait deviations: midstance
early heel rise
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Common gait deviations: terminal stance or preswing
no heel off
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Common gait deviations: stance
toe clawing
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Common gait deviations: stance or swing
excess inv or eversion
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Common gait deviations: swing
drag