Posterior and Gait

Presented By:
Samantha Nicole T. Mendoza
 A basic analysis of a
patient's gait and posture
provides information
about the body and the
capability of the
musculoskeletal system to
adjust to physical
stressors. An
understanding of normal
gait and posture is
essential for identifying
and treating
musculoskeletal pain.
 INSPECTION
POSTURE AND GAIT
ASSESSMENT PROCEDURE
Observe posture
Observe the client's posture while

standing with the feet together, noting

alignment of the head, trunk, pelvis, and
extremities. Also observe client's posture
while sitting.
NORMAL FINDINGS
Posture is erect and comfortable for age.

ABNORMAL FINDINGS
Slumped shoulders may result from poor posture
(especially while seated). Abnormal curvatures of the
spine

include lordosis, scoliosis, or kyphosis .
ASSESSMENT PROCEDURE
Observe gait
Observe the client's gait as the client enters and walks
around the room. Note:

• Base of support Weight-bearing stability

• Foot position

• Stride and length and cadence of stride

• Arm swing
• Posture
Weight Bearing stability Arm Swing
STANCE 60% SWING 40%
NORMAL FINDINGS
. able to stand on heels and toes.
Evenly distributed weight. Client
Toes point straight ahead. Equal on both sides. Posture erect,
movements coordinated and rhythmic, arms swing in opposition,
stride length appropriate.

ABNORMAL FINDINGS
Uneven
weight bearing is evident. Client cannot stand on heels
or toes. Toes point in or out. Client limps, shuffles, propels
forward, or has wide-based gait.
ASSESSMENT PROCEDURE
.
Assess for the risk of falling backward in
the older or handicapped client by
performing the "nudge test." Stand
behind
the client and put your arms

around the client while you gently nudge

the sternum.
NORMAL FINDINGS
.
Client does not fall backward.

ABNORMAL FINDINGS
Falling

backward easily is seen with

cervical spondylosis and Parkinson
disease.
 Parkinson's disease is a
brain disorder that leads
to shaking, stiffness, and
difficulty with walking,
balance, and
coordination. Parkinson's
symptoms usually begin
gradually and get worse
over time. As the disease
progresses, people may
have difficulty walking and
talking.
 .

THANK YOU!