PATHOLOGIC GAIT/GAIT

DISORDERS

Abdul Haseeb
Ortho-Prosthetist
Coordinator BSP&O
Khyber medical University

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GAIT CYCLE
The gait cycle is a repetitive pattern involving steps and stride.
Gait cycle is a Series of rhythmical , alternating movements of the
trunk & limbs which result in the forward progression of the center
of gravity.
COG:The center of gravity (COG) of an object is the point at which
weight is evenly dispersed and all sides are in balance. A
human's center of gravity can change as he/she takes on different
positions, but in many other objects, it's a fixed location.
HUMAN CENTRE OF GRAVITY: 2nd Sacral Vertebrae

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PHASES
WHAT IS GAIT
DEVIATION
Any gait characteristic that differs from the normal pattern.
Unsymmetrical gait
Possible Causes:
-Reduced Range of Motion ROM
-Muscular weakness
-Fear / insecurity
-Habit
-Prosthetic

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 TRENDELENBURG GAIT
A trendelenburg gait is characterized by trunk
shift over the affected hip during stance and away
during the swing phase of gait.
It is due to the weakness of Hip Abductors muscles.
(Gluteus medius and Maximus)
it is best visualized from behind or in front of the

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patient, During gait.
pelvis tilts downwards instead of upwards on the
non-weight bearing extremity.
It can also be tested in standing on one limb, the
pelvic drop on the other side will shows abductors
weakness of extended side.
 ANTALGIC GAIT
An antalgic gait is a gait that
develops as a way to
avoid pain while walking.
It is a form of gait
abnormality where the stance phase

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of gait is abnormally shortened
relative to the swing phase.
It is a good indication of weight-
bearing pain.
 HEMIPLEGIC GAIT
Hemiplegic gait includes impaired
natural swing at the hip and knee with leg
circumduction.
The pelvis is often tilted upward on the
involved side to permit adequate

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circumduction.
With ambulation, the leg moves forward
and then swings back toward the midline
in a circular movement.
 CROUCH GAIT
Crouch gait is defined as excessive ankle
dorsiflexion, knee and hip flexion during the
stance phase.
This gait disorder is common among patients with
cerebral palsy.
Causes: Muscle weakness and spasticity, joint

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contractures, bony deformities, and motor control
deficits, in addition to changes in muscle
extension capacities that result from
a crouched posture, are all interacting factors that
may contribute to crouch gait.
 SCISSOR GAIT
A scissoring gait is characterized by the knees and thighs pressed
together or crossing each other while walking.
It’s caused by high muscle tone (spasticity) in the hip adductors.
The hip adductors are the muscles responsible for bringing the
thighs together. Because these muscles remain contracted,
internal hip rotation occurs and the upper half of the legs cannot
separate while walking.

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LATERAL TRUNK
BENDING
Bending the trunk towards the side of the
supporting limb during the stance phase is known
as lateral trunk bending.
Involved limb relatively shorter
Hip pain

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ANY QUESTION?

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