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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