1 - Biomechanics - Gait Analysis

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Gait analysis is the quantitative study of human locomotion. It involves understanding how muscles, bones, and joints work together during walking and other movements.

Tasks in gait analysis include observing pelvic rotation, pelvic obliquity, knee flexion in stance phase, ankle mechanism, foot mechanism, and lateral body displacement.

Gait analysis is studied by scientists to better understand typical movement patterns, by physicians to assist in treatment decisions like surgery or orthotics, and in sport biomechanics to improve performance and understand injury mechanisms.

BIOMECHANICS:

GAIT ANALYSIS
TAKEN FROM
SHIMAA ESSA, PHYSICAL THERAPIST AT NASR CITY HEALTH INSURANCE HOSPITAL

ZAHRINA MARDINA S.T, M.SC., INTERNATIONAL UNIVERSITY LIAISON INDONESIA

ALFIAN PRAMUDITA PUTRA, S.T., M.SC


BIOMEDICAL ENGINEERING
FACULTY OF SCIENCE AND TECHNOLOGY
UNIVERSITAS AIRLANGGA
GAIT ANALYSIS

• The quantitative study of human locomotion


TASKS IN GAIT ANALYSIS
WHY IS GAIT ANALYSIS STUDIED?
• Scientists seek a better understanding of how typically developing ambulators
use muscle contractions about articulating joints to accomplish functional tasks,
such as level walking and stair climbing.
• Physicians seek a better understanding of a typical movement patterns to
assist in treatment decision making such as surgery or orthotic prescription.
• In sport biomechanics, athletes and coach study gait analysis to improve
performance and injury mechanism
EXAMPLE OF CLINICAL PATHOLOGIES INCLUDES
GAIT CYCLE IN THE TREATMENT

• Amputation • Muscular dystrophy


• Cerebral palsy • Myelodysplasia
• Degenerative joint disease • Rheumatoid arthritis
• Joint pain • Spinal cord injury
• Joint replacement • Stroke
• Poliomyelitis • Traumatic brain injury
• Multiple sclerosis
TYPE OF MOVEMENT
TYPES OF MOVEMENTS (CONT’D)
THESE FORCES PRODUCED VIA:
COMPRESSION OF TWO ARTICULAR SURFACES
JOINT CONTACT FORCES
GAIT
➢Utilizes minimal energy to move. Walking is a
highly-coordinated process involving
• Central Nervous System
• Brain
• Spinal cord
• Peripheral nerves
• Musculoskeletal System
• Muscles
• Bones & Joints
GAIT CYCLE
PHASES OF GAIT CYCLE
DETERMINATION OF GAIT
• What do we observe?
• Pelvic Rotation
• Pelvic Obliquity
• Knee flexion in stance phase
• Ankle mechanism
• Foot mechanism
• Lateral displacement of body
DETERMINATION OF GAIT
• Pelvic Rotation and Pelvic Obliquity
DETERMINANTS OF GAIT
Knee Flexion in
Stance Phase
ABNORMAL GAIT PATTERNS

• Anterior trunk bending


• Posterior trunk bending
• Lateral trunk bending
• Increased lumbar lordosis
• Circumduction
• Steppage
ABNORMAL GAIT PATTERNS
Anterior trunk bending
ABNORMAL GAIT PATTERNS
Posterior trunk bending
ABNORMAL GAIT PATTERNS
Increased lumbar lordosis
INCREASED LUMBAR LORDOSIS

Circumduction
ABNORMAL GAIT PATTERNS

Steppage
SENSORS USED IN GAIT ANALYSIS
• Accelerometer : measure acceleration along its sensitive axis
• Gyroscope : angular velocity sensor
• Magnetoresistive sensor : estimate changes in the orientation of a body
• Flexible goniometer : measure the relative rotation between two human body
segments
• Electromagnetic Tracking System
• Sensing Fabric
• Force Sensor
• Sensor for electromyography
METHODS OF GAIT ANALYSIS
• Few methods used
• Visual gait analysis
• Timing the gait cycle
• Direct motion measurement system
• Electrogoniometers
• Electromyography
• Combined kinetic/kinematic system
VISUAL GAIT CYCLE
➢Depends on the skill of observer
➢Subject should be observed from different sides to
observe gait abnormalities
➢Minimum length to be walked = ~10-12 m
➢Compare range of motion at joints during
walking with those observed on examination plinth
➢Cameras may be used
ELECTROGONIOMETERS
➢Makes continuous measurements of the angle of a joint
➢Potentiometer devices
• Variable resistor
• Turning of central spindle
• Change in electrical resistance
• Measures joint angle
• Body is connected to one limb
• Spindle is connected to the connecting limb
TRIAXIAL GONIOMETERS ON HIP, KNEE AND ANKLE
ELECTROMYOGRAPHY
➢Measures electrical activity of contracting muscle
➢Main methods
• Surface electrodes
• Fine-wire electrodes
• Needle electrodes
➢Helps in timing muscle activation
➢But cannot measure strength of contraction
ELECTROMYOGRAPHY
COMBINED KINETIC / KINEMATIC SYSTEMS
GAIT ABNORMALITIES
• Equinas : Walking on the toe
• Drop Foot :
• Antalgic :
• Trendelenburg : Hip Drop
• Short Leg : Different length of two legs
• Spina Bifida
• Cerebral Palsy

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