Term
|
Definition
| number of steps per minute |
|
|
Term
|
Definition
distance from heel strike of one foot
to
heel strike of the OPPOSITE foot |
|
|
Term
|
Definition
| the amount of time used for a single step |
|
|
Term
|
Definition
distance from heel strike of one foot
to
heel strike of the SAME foot |
|
|
Term
|
Definition
amount of time used for one stride.
same as gait cycle duration |
|
|
Term
|
Definition
| cadence times step length |
|
|
Term
|
Definition
| full weight bearing or 100% of weight can be placed on the extremity (no restriction) |
|
|
Term
|
Definition
| non-weight bearing; no weight is permitted and the foot or hand is held off surface to avoid contact |
|
|
Term
|
Definition
partial weight bearing; more than non-weight bearing but less than full.
Is usually established as a percentage |
|
|
Term
|
Definition
| toe touch weight bearing; the toe or foot is placed on the floor for proprioception and balance but no weight is permitted through that extremity |
|
|
Term
|
Definition
| weight bearing as tolerate; patient is allowed to place as much weight as they can through the extremity but not that it causes pain. The amount of weight is dictated by pain level |
|
|
Term
Four Point
(Gait pattern) |
|
Definition
| slow, safe gait where balance is unsteady or where there is bilateral lower extremity involvement. Bilateral device is used (i.e. 2 crutches) |
|
|
Term
|
Definition
| requires more balance than four point. Faster gait than four point and more natural. Bilateral device used (R crutch) |
|
|
Term
Three Point
(Gait Pattern) |
|
Definition
| requires strength, coordination and balance. Used where there is no weight bearing on one extremeity. That extremity is not in conatce with the floor. bilateral device used (i.e. crutch with 1 foot off groun) |
|
|
Term
Modified Three Point
(Gait Pattern) |
|
Definition
| more stable than three point and slower. Does not require as much upper extremity strength. Used where there is anything more than no weight bearing in the involved extremity (foot can touch the ground) |
|
|
Term
|
Definition
| requires strength, skill, balance and endurance. Used where there is bilateral lower extremity involvement but no weight bearing restriction. Pt. may require bracing to use extremities. Bilateral device used (children) |
|
|
Term
Swing Through
(Gait Pattern)
|
|
Definition
| very rapid gait, difficult to use in crowds or confined spaces. requires all things listed in the swing to gait patter. Bilateral device used |
|
|
Term
|
Definition
| with the arm along the pt. side the highest point of the can handle should be at the level of the greater trochanter, or ulnar styloid process. With hand on cane ther eshould be approx. 20-25 degrees of elbow flexion. |
|
|
Term
|
Definition
| basically the same landmarks as for the cane. |
|
|
Term
| Measuring FOREARM CRUTCHES |
|
Definition
| also known as Lofstrand or Canadian crutches. Same as walker and cane except cuff on forearm should be 1-1.5 inches inferior to the elbow |
|
|
Term
| Measuring AUXILLARY CRUTCHES |
|
Definition
| w/ pt. standing, tip of crutch should be 2 inches lateral to foot and 4-6 inches forward from the toe of the shoe. Should be able to place 2 finger widths comfortable between axilla and top of axillary pad. Handpiece should be adjusted so that the pt. has about 20-25 or 30 degrees of elbow flexion with hand on handpiece. |
|
|
Term
| Stairclimbing - ASCENDING |
|
Definition
| non-involved extremity steps up first, then involved extremity and assistive device to that same step. Same pattern as going backwards on the level surface |
|
|
Term
| Stairclimbing - DESCENDING |
|
Definition
| assistive device goes down on step first, then involved extremity, then non-involved extremity. Same pattern as going forward on the level surface |
|
|
Term
ROM for Normal Gait:
Hip Flexion |
|
Definition
|
|
Term
ROM for Normal Gait:
Hip extension |
|
Definition
|
|
Term
ROM for Normal Gait:
Knee Flexion |
|
Definition
|
|
Term
ROM for Normal Gait:
Hip Extension |
|
Definition
|
|
Term
ROM for Normal Gait:
Ankle Dorsiflexion |
|
Definition
|
|
Term
ROM for Normal Gait:
Ankle Plantarflexion |
|
Definition
|
|
Term
|
Definition
| abnormal gait pattern; a protective pattern in which the LE step length is decreased in order to avoic bearing weight on the involved side b/c of pain |
|
|
Term
|
Definition
| abnormal gait pattern; person demonstrates a wide base of support and movements are exaggerated, staggering and unsteady |
|
|
Term
|
Definition
| abnormal gait pattern; circular motion is used to advance the leg during the swing phase. Could be due to insufficient hip, knee or dorsiflexion or sometimes seen in amputees w/ improper fitting prosthetic |
|
|
Term
|
Definition
| abnormal gait pattern; person walks more on toes and starts off slowly and then speed continues to increase until they grasp something to help them stop. Looks as if they are pushed and chasing their COG |
|
|
Term
|
Definition
| abnormal gait pattern; legs cross midline when they are advanced |
|
|
Term
|
Definition
| abnormal gait pattern; excessive lateral trunk flexion and weight shifting over stance leg due to gluteus medius weakness |
|
|
Term
|
Definition
| abnormal gait pattern; elevation of the pelvis and plantar flexion of the stance leg in order to advance the swing leg |
|
|
Term
|
Definition
| abnormal gait pattern; hip and knee flexion to excessive heights in order to lift the foot and toes usually from dorsiflexion weakness. The foot will slap as it makes contact with the ground. |
|
|
