Scribd
Upload
126 views21 pages

Gait Abnormalities: Albertus Johan Edy Paramestri Sekar Wikan Tamara Tyasning Mentor: Dr. Kamal Adib, SP - OT, M.Kes

Uploaded by

Albertus Johan Edy

The document discusses various aspects of gait, including normal gait parameters, gait cycles, and different types of abnormal gaits. It describes normal gait as involving stability in stance, clearance in swing, adequate step length and energy conservation. It then discusses temporal gait parameters such as stride time and cadence. Differences in gait between children and elderly are outlined. Various types of abnormal gaits are described, including those caused by weakness, spasticity, deformity, pain, and different neurological conditions such as hemiplegia, diplegia, neuropathy, myopathy, ataxia and Parkinson's disease.

Copyright:

© All Rights Reserved
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt

Gait Abnormalities: Albertus Johan Edy Paramestri Sekar Wikan Tamara Tyasning Mentor: Dr. Kamal Adib, SP - OT, M.Kes

Uploaded by

Albertus Johan Edy
126 views21 pages
The document discusses various aspects of gait, including normal gait parameters, gait cycles, and different types of abnormal gaits. It describes normal gait as involving stability in stance, clearance in swing, adequate step length and energy conservation. It then discusses temporal gait parameters such as stride time and cadence. Differences in gait between children and elderly are outlined. Various types of abnormal gaits are described, including those caused by weakness, spasticity, deformity, pain, and different neurological conditions such as hemiplegia, diplegia, neuropathy, myopathy, ataxia and Parkinson's disease.

Original Description:

Gait Abnomality

Original Title

Gait Abnormality

Copyright

© © All Rights Reserved

Available Formats

PPTX, PDF, TXT or read online from Scribd

Did you find this document useful?

Is this content inappropriate?

The document discusses various aspects of gait, including normal gait parameters, gait cycles, and different types of abnormal gaits. It describes normal gait as involving stability in stance, clearance in swing, adequate step length and energy conservation. It then discusses temporal gait parameters such as stride time and cadence. Differences in gait between children and elderly are outlined. Various types of abnormal gaits are described, including those caused by weakness, spasticity, deformity, pain, and different neurological conditions such as hemiplegia, diplegia, neuropathy, myopathy, ataxia and Parkinson's disease.

Copyright:

© All Rights Reserved
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt
126 views21 pages

Gait Abnormalities: Albertus Johan Edy Paramestri Sekar Wikan Tamara Tyasning Mentor: Dr. Kamal Adib, SP - OT, M.Kes

Uploaded by

Albertus Johan Edy
The document discusses various aspects of gait, including normal gait parameters, gait cycles, and different types of abnormal gaits. It describes normal gait as involving stability in stance, clearance in swing, adequate step length and energy conservation. It then discusses temporal gait parameters such as stride time and cadence. Differences in gait between children and elderly are outlined. Various types of abnormal gaits are described, including those caused by weakness, spasticity, deformity, pain, and different neurological conditions such as hemiplegia, diplegia, neuropathy, myopathy, ataxia and Parkinson's disease.

Copyright:

© All Rights Reserved
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt
You are on page 1/ 21

Gait Abnormalities

Albertus Johan Edy


Paramestri Sekar
Wikan Tamara Tyasning

Mentor :
dr. Kamal Adib, Sp.OT, M.Kes
Introduction

• Normal gait: stability in stance;


clearance in swing; adequate step
length; energy conservation; support
of bodyweight

• Walk  Jog  Skip  Run  Sprint

• Designed to propel a person forward,


but can also adapted for lateral
movement.

2
Introduction

3
Temporal Parameters

Stride time = duration of one gait cycle/phase

Cadence(steps/minute) = number of steps in a given time.

Speed (m/s) = stride length (m) x cadence (steps/min) / 120

4
Gait Cycle/Phase

5
Gait in Children
1. The walking base is wider

2. The stride length and speed are lower and the cycle time
shorter (higher cadence)

3. Small children have no heel strike, initial


contact being made by the flat foot

4. There is a little knee flexion during the stance phase

5. The whole leg is externally rotated during the swing phase

6. There is an absence of reciprocal arm swinging


6
Gait in Elderly
Two influences:

1. The effects of age itself

2. The effects of pathological conditions, such as OA and


parkinsonism :
• Decreased stride length
• Increase the walking base
• Increase the duration of stance phase
• Speed is reduced

7
Abnormal Gait

FORCED COMPENSATION

• WEAKNESS • CORRECT
• SPASTICITY OTHER
• DEFORMITY PROBLEM

ABNORMAL GAIT

8
Abnormal Gait
NEUROMUSCULAR

MUSCULOSKELETAL

ABNORMAL
GAIT PAINFUL DUE TO
ARTHRITIS

WEAKNESS

DROP FOOT

9
Lateral Trunk Bending

10
Trunk Bending

11
Functional Leg Length Discrepancy

12
Extensive Knee Flexion

13
Crouch Gait

• Knee flexion > 30 deg, ankle


dorsiflexion > 2SD

Reduced hip extension :


• Increased oxygen consumption
and effort
• Increased joint loads: pain and
stress fractures

14
Hemiplegic Gait

• - Unilateral weakness

• - Leg extended with plantar


flexion

• - Cirdunduction due to the


weakness of the distal muscles,
equinus foot and extension
hiperthony of the lower limb.

15
Diplegic Gait

- Spasticity of both limbs.


Affecting more lower than upper
limb.

- Stiffness of adductor muscles,


“scisor” gait.

16
Neuropathy Gait

- Equinus foot (weakness of


dorsiflexors).

- Unilateral – paralysis of the


fibularis nerve – radiculopathy
of L5.

- Bilateral – Amyotrophic Lateral


Sclesoris, Charcot-Marie-Tooth

17
Myopathic Gait
- Trendelenburg – weakness of the abductors of the hip
- Muscular dystrophy.

18
Ataxic Gait

- Abnormal, uncoordinate
movements.

- Unsteady, staggering gait


because walking is
uncoordinated and appears to
be ‘not ordered’.

19
Parkinsonian Gait

- 3 classical signais: resting


tremor, rigidity, and
bradykinesia.

- Head and neck forward, and


knee flexed.

- Slow gait with short steps.

- Difficulty in starting the


movement.
20
THANK YOU

21

You might also like