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gait
Normal gait
1) stance phase (60%)
a) initial contact
- heel strike
- heel positioned well in front of toes of trailing foot
- 30% flexion at hip
- full extension of knees
b) loading response
- foot flat on ground with 15 degrees plantar flexion
- 5-30 degrees flexion at hip
- 15 degrees flexion at knee
c) mid-stance
- foot flat; full weight on foot
- neutral at ankle
- hip neutral
- full extension at knee
d) terminal stance
- heel off ground
- prior to initial contact of leading (other) foot
- 10 degrees hyperextension of hip
- full extension at knee
e) pre-swing
- heel off ground; metatarsals in contact with ground
- 20 degrees of plantar flexion at ankle
- leading foot in contact with ground
- heel of leading foot placed well in front of toes of trailing foot
- hip neutral
- 35 degrees flexion at knee
2) swing phase (40%)
a) initial swing
- foot off ground (trailing foot)
- 60 degrees flexion at knee
- 20 degrees flexion at hip
- 10 degrees plantar flexion at angle
- opposite (lead) foot at mid-stance
b) mid-swing
- foot becomes lead foot
- opposite foot at mid-stance becomes trailing foot
- 30 degrees flexion at hip
- 30-60 degress flexion at knee
- ankle is neutral
c) terminal swing
- just prior to heel strike
- heel well foreward of trailing foot
- 30 degrees flexion at hip
- knee near fully extended
- ankle neutral
Related
balance
gait ataxia
gait evaluation
Useful
NIH Glucosamine/Chondroitin Arthritis Intervention Trial (GAIT)
Specific
high-step gait; steppage gait
magnetic gait (magnetic feet)
Trendelenberg gait
References
- Gait Syllabus, Professional Staff Association, RLAMC, Downey, CA
- Geriatric Review Syllabus, 8th edition (GRS8)
Durso SC and Sullivan GN (eds)
American Geriatrics Society, 2013
- Yogev-Seligmann G, Hausdorff JM, Giladi N.
The role of executive function and attention in gait.
Mov Disord. 2008 Feb 15;23(3):329-42; Review.
PMID: 18058946