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GAIT Before Mid Specialized

The document discusses common prosthetic deviations and their causes, including poor alignment, inadequate socket fit, and weak residual limb muscles, which can lead to instability and increased energy costs during gait. It outlines specific gait deviations for transtibial and transfemoral prostheses, detailing potential causes and patient experiences. Additionally, it highlights patient-related and prosthetic-related factors that contribute to these deviations.

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Abdulrhman Elshrbiny
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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27 views2 pages

GAIT Before Mid Specialized

The document discusses common prosthetic deviations and their causes, including poor alignment, inadequate socket fit, and weak residual limb muscles, which can lead to instability and increased energy costs during gait. It outlines specific gait deviations for transtibial and transfemoral prostheses, detailing potential causes and patient experiences. Additionally, it highlights patient-related and prosthetic-related factors that contribute to these deviations.

Uploaded by

Abdulrhman Elshrbiny
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Gait Sections Before Mid ‫الحاجات الي علينا منها‬

 Prosthetic Deviations
 Why Do Prosthetic Deviations Occur?
• Poor prosthetic alignment
• Inadequate socket fit
• Weak residual limb muscles
 Impact on Gait: Instability - Increased energy cost - Skin irritation & pain
 Common Gait Deviations in Prostheses
 Transtibial Prostheses:
 Excessive Knee Flexion in Early Stance - Causes: Stiff heel cushion, high socket, weak
quadriceps
 Delayed Heel Rise in Late Stance - Causes: Soft heel cushion, excessive dorsiflexion
 Vaulting (Rising on Opposite Foot) - Causes: Long prosthesis, inadequate knee flexion
 Transfemoral Prostheses:
 Circumduction Gait Causes: Long prosthesis, inadequate knee flexion
 Medial/Lateral Whip Causes: Poor socket fit, malalignment
 Excessive Lumbar Lordosis Causes: Insufficient hip extension, improper socket fit
 Patient-Related Causes: Muscle Weakness - Contracture - Pain - Length of the
Residual Limb - Pressure Wounds - Shear Injuries
 Prosthetic-Related Causes: Malalignment - Poor Fit - Type of Prosthetic
 Transtibial Gait Deviations
1. Absent/Reduced Knee Flexion
 How: Insufficient knee flexion during loading response or hyperextension
 Patient Report: Feels like walking up a hill
 Potential Causes:
• Socket set in too much extension
• Hard heel cushion
• Excessive flexion damping in prosthetic knee
• Too much plantar flexion at the ankle
• Reduced confidence or ability to control prosthetic knee flexion
• Weak quadriceps
2. Excessive Knee Flexion
 How: Increased knee flexion at heel strike/midstance
 Patient Report: Feels like knee is unstable or walking downhill
 Potential Causes:
• Socket set in too much flexion
• Inadequate flexion damping in prosthetic knee
• Flexion contracture of the knee or hamstring tightness
3. Foot External Rotation
 How: External rotation of prosthetic foot at heel strike
 Potential Causes:
• Socket Rotation
• Hip External Rotator Dominance
• Weak Hip Internal Rotators
• Prosthetic Foot Stiffness
4. Knee Instability
 How: Slow progression through stance phase, jerky/hesitant knee flexion during
heel strike to foot flat
 Potential Causes:
• Weak quadriceps
• Deconditioning
• Too much dorsiflexion or anterior translation of the socket over the foot

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