Gait scenario 4
Cards (6)
- Reduced weightbearing on one leg during stance phase post injury resulting in reduced contralateral step length. Overall reduced weight transfer onto affected leg
- Main Analysis Findings
- reduced step length (length from heel strike to next heel strike) of unaffected side
- weakened weightbearing muscles - quads and hamstrings
- a lot of GRF occurs at the beginning of stance phase as thats when knee deals with a lot of force - lack grf = lack step length
- Reduced weightbearing on one leg during stance phase post injury resulting in reduced contralateral step length. Overall reduced weight transfer onto affected leg
- Further tests/investigations you would like to do:
- 6 minute walk test - distance walked in 6 minutes
- quads and hamstrings strength
- is pain a limiting factor
- Reduced weightbearing on one leg during stance phase post injury resulting in reduced contralateral step length. Overall reduced weight transfer onto affected leg
- A suitable outcome measure:
- 6MWT
- Quads and hamstring strength
- VAS
- Reduced weightbearing on one leg during stance phase post injury resulting in reduced contralateral step length. Overall reduced weight transfer onto affected leg
- Justification for selection of treatment:
- markers placed on the ground - must reach the length of the marker, improving step length
- Reduced weightbearing on one leg during stance phase post injury resulting in reduced contralateral step length. Overall reduced weight transfer onto affected leg
- Justification of approaches to facilitated learning:
- refer to scenario 1
- cues - imagine stepping over gap
- Reduced weightbearing on one leg during stance phase post injury resulting in reduced contralateral step length. Overall reduced weight transfer onto affected leg
- Progression:
- increase length between markers - increases step length
- removes safety bars
- add weight onto leg
- full gait cycle - from part practice to whole practice
- add turns
- vary step length - varied practice