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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

  1. Gait Syllabus, Professional Staff Association, RLAMC, Downey, CA
  2. Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
  3. 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