Hical GaitAnalysis

Loading Mid- Terminal Prc Initial Mid Termina

Oact Response Stance Stance Swing Swing Swing Swing
(LR) (MST) (TST) (PS) (ISW) (MSW) (TSW

Thc phaSCS Of the gait cycle shown with the corresponding bo

On 1or sagittal plane motion.

Double Double
Suppon Support
(10%) (10%)
Stance
-(60%). Swing
(40%)
10% 30% S0% 70% 85%
Loading Midstance Terninal Initial
eponse Stance
|Preswing Swing
Toc
Midswing Terminal
Swing
Off
Sride
(100)
 C LR MST TST PS
la support) (double suppc

T5 Pelvic Drop

Hip Abductors
 (

Staie hecB srike

Gait phases
Foot lat
mid stance loxdng respos
mid stee
heel off
ioe oti
preswng
swing acceleration
mid swing iniial swng
mid swing
deceleration
terminal swing
62% - stance
38% -swing

eficient walking depends on

stance phase stability
Y stride length
fioor clearance
physiological cost index =hw-hris
hw-heart rate whiie
each 25m or 82 ft. walking(bis/min) ie average iiom die icat aic ai iùe
vHiol
hr-heart rate at rest (bts/nin)
S- average speed (mmin (or) tUmin)
tüis gives an index with units of
Stallard and Rose 1980). heart beats per nieter waiked
licgiegor i979,
EARLY AMBULATON SKiLLS
increased cadence
decreased siep iengin
wide step width
decreased swing phase
leaning forward at hips for
andstay high against gravitymomentum and arms held high tor stabilits
foot surike miid knee iiexion
iack oi pusn ojT in stance
inereased
phase
hip Ilexion and phase
ahduction ,decreased dorsiexien in swny
CRITICAL FOR GAIT
LENGTH OF TIME OF SINGLELÌMB
V
ADEQUATE STEP STANCE
Rhythimical steppingLENGTH
Ability toiotity and adapt
compoñeuis oi gut
Suflicient foot clearance in swing
Approprite pre-positioning of fout in swing phase
Energy expendiiure
Muscular activity -combination of
Conractions of vat'ioüs muscles fo isnrnetric,
slablly,
cuncentrir :tnd cee*ndrie
respectively acceie'aivi anç decieaiion
 NORMAL ELECTROMYOGRAPHIC DATA
0 10 20 30 40 50 60 10 80 90 100
IL1OPSOAS
IUACUS

SARTO RIUS

GRACILIS
RECTUS FEMORIS

ADDUCTOR LONGUS
ADDUCTOR BREVIS
ADDUCTOR MAGNUS
VASTUS INTERMEDIUS
VASTUS LATERALIS
VASTUS MEDIALIS
TENSOR FASCIAE LATAE
GLUTEUS MAXIMUS
SEMITENDINOSUS
SEMIMEMBRANOSUS
GLUTEUS MEDIUS
GLUTEUS MINIMUS
L. H. BICEPS FEMORIS

S. H. BICEPS FEMORIS

TIBIALIS ANTERI9R
EXTENSOR DIGITORUM LONGUS
EXTENS OR HALLUCIS LONGUS

GASTROCNEMIUS
SOLEUS

POPLITEUS
FLEXOR DIGITORUM LONGUS

FLEX OR HALLUCIS LONGUS

TIBIALIS POSTERIOR

PERONEUS LONGUS

PERONEUS BREVIS
0 10 20 30 40 50 60 70 80 90 1p0

Erom: hutson L, Soderberg G: NG - Use and Interpretation in Gait.

Chanter 22. In Gait Ana lysis - Theory and Applications. Craik R, Oatis C (eds),
St. Louis, Mosby-Year Inc, 1995. **developed by Sutherland D et al at
Shriners Hospital of San Francisco