Scribd
Upload
712 views10 pages

Gait Deviations in Orthotics & Prosthetics

This document discusses common gait deviations seen in below-knee and above-knee amputees and their potential causes. For below-knee amputees, excessive or insufficient knee flexion in early stance, lateral thrusting of the prosthesis, and early or delayed knee flexion in late stance are addressed. For above-knee amputees, lateral trunk bending, a wide walking base, circumduction/vaulting, swing phase whips, foot slap, foot rotation at heel strike, uneven heel rise, terminal knee impact, and exaggerated lordosis are covered. Potential causes of each deviation are provided, including issues related to the socket, alignment, and residual limb strength/flexibility.

Uploaded by

Julia Salvio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
712 views10 pages

Gait Deviations in Orthotics & Prosthetics

This document discusses common gait deviations seen in below-knee and above-knee amputees and their potential causes. For below-knee amputees, excessive or insufficient knee flexion in early stance, lateral thrusting of the prosthesis, and early or delayed knee flexion in late stance are addressed. For above-knee amputees, lateral trunk bending, a wide walking base, circumduction/vaulting, swing phase whips, foot slap, foot rotation at heel strike, uneven heel rise, terminal knee impact, and exaggerated lordosis are covered. Potential causes of each deviation are provided, including issues related to the socket, alignment, and residual limb strength/flexibility.

Uploaded by

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

Gait Deviations in

Orthotics & Prosthetics


GAIT DEVIATIONS OF THE
BELOW KNEE AMPUTEE
1.) Excessive knee flexion
in early stance
 Excessive dorsiflexion of the foot
 To stiff heel cushion

 Excessive anterior displacement of the


socket over the foot
 Flexion contracture or cuff tabs too posterior
GAIT DEVIATIONS OF THE
BELOW KNEE AMPUTEE
2. Insufficient or
Absent knee flexion in early stance
 Excessive plantarflexion of the foot
 Too soft heel cushion
 Excessive posterior displacement of the
socket over the foot
 Weakness of the quadriceps
 Anterodistal discomfort
 Habit
GAIT DEVIATIONS OF THE
BELOW KNEE AMPUTEE
3. Lateral thrusting of the prosthesis
 Excessive medial displacement of the foot
 Abducted socket

4. Early knee flexion in late stance


 Excessive anterior displacement of the socket
 Excessive posterior displacement of the toe break
 Excessive dorsiflexion of the foot
 Too soft dorsiflexion bumper
GAIT DEVIATIONS OF THE
BELOW KNEE AMPUTEE
5. Delayed Knee flexion in late stance
 Excessive posterior displacement of
the socket
 Excessive anterior displacement of the
toe break
 Excessive plantarflexion of the foot
 Too hard dorsiflexion bumper
GAIT DEVIATIONS OF THE
ABOVE KNEE AMPUTEE
1. Lateral Trunk Bending
 Weak hip abductors
 Abducted socket
 Pain on the distal aspect of the stump
 Insufficient support from the lateral
socket brim
 Short Prosthesis
 Contracted hip abductors
GAIT DEVIATIONS OF THE
ABOVE KNEE AMPUTEE
2. Wide Walking base
 Pain on the crotch area
 Contracted hip abductors
 Prosthesis is too long
 Shank aligned in VALgus position
GAIT DEVIATIONS OF THE
ABOVE KNEE AMPUTEE
3. Circumduction / Vaulting
 Too long prosthesis
 Decreased knee flexion secondary to
insecurity, manual knee lock, excessive
friction
 Too small socket
 Foot set in plantarflexion
GAIT DEVIATIONS OF THE
ABOVE KNEE AMPUTEE
4. Swing Phase Whips
 Improper alignment of the knee bolts
on the transverse plane
 Flabby musculature
5. Foot Slap
 Too soft plantarflexion bumper
6. Foot rotation at heel strike
 Too hard heel cushion or plantarflexion
bumper
GAIT DEVIATIONS OF THE
ABOVE KNEE AMPUTEE
7. Uneven Heel Rise
 Increased heel rise
 Decreased heel rise
8. Terminal Knee Impact
 Too tight extension aid
 Excessive friction on the prosthetic knee
 Absent/worn extension bumper
9. Exaggerated Lordosis
 Weak abdominals and hip extensor muscles
 Hip flexion contracture
 Insufficient support from the anterior socket brim

Gait Deviations in Orthotics & Prosthetics
GAIT DEVIATIONS OF THE BELOW KNEE AMPUTEE 1.) Excessive knee flexion in early stance Excessive dorsiflexion of the foot T
GAIT DEVIATIONS OF THE BELOW KNEE AMPUTEE 2. Insufficient or Absent knee flexion in early stance  Excessive plantarflexion
GAIT DEVIATIONS OF THE BELOW KNEE AMPUTEE 3. Lateral thrusting of the prosthesis  Excessive medial displacement of the foot
GAIT DEVIATIONS OF THE BELOW KNEE AMPUTEE 5. Delayed Knee flexion in late stance  Excessive posterior displacement of the
GAIT DEVIATIONS OF THE ABOVE KNEE AMPUTEE 1. Lateral Trunk Bending  Weak hip abductors  Abducted socket  Pain on the dist
GAIT DEVIATIONS OF THE ABOVE KNEE AMPUTEE 2. Wide Walking base  Pain on the crotch area  Contracted hip abductors  Prost
GAIT DEVIATIONS OF THE ABOVE KNEE AMPUTEE 3. Circumduction / Vaulting  Too long prosthesis  Decreased knee flexion seconda
GAIT DEVIATIONS OF THE ABOVE KNEE AMPUTEE 4. Swing Phase Whips  Improper alignment of the knee bolts on the transverse pla
GAIT DEVIATIONS OF THE ABOVE KNEE AMPUTEE 7. Uneven Heel Rise  Increased heel rise  Decreased heel rise 8. Terminal Knee I

You might also like