Gait Evaluation and Treatment (Msq Drill 182)

1. Average stride length is:

A

28-32 inches

2. Benefits of walking include:

Longer life

Improved cardiovascular health

Immproved coordination and bone density

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3. Adequate gait requires motion of the sacrum and innominates. True or false?

True

False

4. If the step length is too short do you expend more energy?

Yes

No

5. What are the three types of muscle contraction?

Concentric - muscle actively shortening

Isometric - muscle kept at fixed length while active

Eccentric - muscle actively lengthening

Reciprocal inhibition - muscle is passivly allowing a stretch in order for a contacting muscle to do its job

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6. Stance is approximately _ % of the gait cycle.

20%

60%

Swing is 40% of the gait cycle.

Explanation

Swing is 40% of the gait cycle.

7. When the foot is not contact with the ground this is known as the

Stance phase

Swing phase

8. What is stride?

Same foot to same foot

B

9. The gait cycle is measured:

From toe off to the next toe off

From midtstance to the next midstance

From heel strike to next heel strike of the same foot

10. A positive trendelenburg indicates a a malfunctioning:

Gluteus maximus muscle

Gluteus medius muscle

Gluteus minimus

11. The cadence should always be about the same in walking. In other words we walk at a steady speed. True or false?

True

False

12. In order for the foot to adequately clear off the ground the ankle has to dorsiflex. What do the knee and hip have to do?

To extend

To flex

13. What is the period when the foot is in contact with the ground?

Swing

Stance

14. Why are the hamstrings stopping the knee?

Because the quadriceps are eccentrically flexing the knee

Because the quadriceps are concentrically extending the knee

15. Rotation of the innominates backwards continues the inertia that the muscles and the navicular bone have initiated to pull the leg forward. True or false?

True

False

16. Patients with flatfoot are at risk for:

Ankle and knee pain

Plantar fasciitis

Flattened arches

Internally rotated tibias

Loss of arch support during gait

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17. The foot should ________ at heel strike for stabilization of the foot for impact.

Pronate

Supinate

18. What bone rises up as we are roling from heel strike to toe off?

Cuboid

Navicular

Cuneiforms

19. Esophageal aperture

T10

T11

T12

20. Appropriate alignment is seen in a line that runs through the AC joint, greater trochanter, ankles and medial to the:

Lateral malleolus

Medial malleolus

21. Why does eccentric contraction occur?

For overcoming heavy loads

For safety and stabilization

For rapid muscle movements

22. Is stride the same thing as one gait cycle?

Yes

No

23. At what point will you have a little bit of pronation?

Toe off

Midstance

Heel strike

24. What does the knee do to balance the reaction force caused by the external momentum during knee loading?

The knee slightly rotates externally during stance and the pops back during swing

The knee slightly internally rotates during stance and then pops back during swing.

25. Aortic aperture:

T7

T8

T9

T12

26. Which of the following are requirements for normal gait?

Stability in stance

Preparation for initial contact - you have to know where you are in space

Adequate step length - nostructural diseases,

Energy conservation

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27. What is the average speed of gait?

1mph

2mph

3mph

4mph

5mph

28. The foot pronates at toe off. What does pronation assist in:

Pronation keeps the foot on the ground while the foot is prepating to propel

Pronation releases the foot which aids in propulsion during toe off

29. Do we lumbar side bend as part of the gait cycle?

No, lumbar sidebending is not involved in the gait cycle.

30. Increased flexion of the toes or at the metersophalangeal joint increases plantar fasica tension giving you less or more inertia?

Less inertia

More intertia

31. At heel strike is there a little bit of pronation or supination of the foot?

Pronation

Supination

32. In flat foot there is shock to the knee. what muscle groups absorbs this shock?

Hamstrings - concentric

Gastroc & soleus - eccentric

Quadriceps - eccentric

You are in flatfoot but the knee is bending and as it does so the quadriceps eccentically contact.

Explanation

You are in flatfoot but the knee is bending and as it does so the quadriceps eccentically contact.

33. Where is the vena cava aperture

T6

T8

T10

T12

34. At heel strike what muscle group slows the knee?

Quadriceps - eccentric contraction

Hamstring - eccentric contraction

Hamstrings - concentric contraction

Quadriceps concentric contraction

35. In midstance, the tibia moves forward due to the:

Eccentric contraction of the triceps surae

Concentric contraction of the triceps surae

This is when you are coming forward, to prevent you from over extending the thigh.

Explanation

This is when you are coming forward, to prevent you from over extending the thigh.

36. The average cadence is between how many steps per minute?

10-30 steps per minute

65-75 steps per minute

110-150 steps per minute

90-120 steps per minute

37.
What happens if the step length is too long?

Use more energy

Strain ligaments and muscles

Lose balance

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Gait Evaluation and Treatment (Msq Drill 182)

1. Average stride length is:

2.

What first name or nickname would you like us to use?

2. Benefits of walking include:

3. Adequate gait requires motion of the sacrum and innominates. True or false?

4. If the step length is too short do you expend more energy?

5. What are the three types of muscle contraction?

6. Stance is approximately _ % of the gait cycle.

7. When the foot is not contact with the ground this is known as the

8. What is stride?

9. The gait cycle is measured:

10. A positive trendelenburg indicates a a malfunctioning:

11. The cadence should always be about the same in walking. In other words we walk at a steady speed. True or false?

12. In order for the foot to adequately clear off the ground the ankle has to dorsiflex. What do the knee and hip have to do?

13. What is the period when the foot is in contact with the ground?

14. Why are the hamstrings stopping the knee?

15. Rotation of the innominates backwards continues the inertia that the muscles and the navicular bone have initiated to pull the leg forward. True or false?

16. Patients with flatfoot are at risk for:

17. The foot should ________ at heel strike for stabilization of the foot for impact.

18. What bone rises up as we are roling from heel strike to toe off?

19. Esophageal aperture

20. Appropriate alignment is seen in a line that runs through the AC joint, greater trochanter, ankles and medial to the:

21. Why does eccentric contraction occur?

22. Is stride the same thing as one gait cycle?

23. At what point will you have a little bit of pronation?

24. What does the knee do to balance the reaction force caused by the external momentum during knee loading?

25. Aortic aperture:

26. Which of the following are requirements for normal gait?

27. What is the average speed of gait?

28. The foot pronates at toe off. What does pronation assist in:

29. Do we lumbar side bend as part of the gait cycle?

30. Increased flexion of the toes or at the metersophalangeal joint increases plantar fasica tension giving you less or more inertia?

31. At heel strike is there a little bit of pronation or supination of the foot?

32. In flat foot there is shock to the knee. what muscle groups absorbs this shock?

33. Where is the vena cava aperture

34. At heel strike what muscle group slows the knee?

35. In midstance, the tibia moves forward due to the:

36. The average cadence is between how many steps per minute?

37. What happens if the step length is too long?

37.
What happens if the step length is too long?