Gait scenario 5

• Poor eccentric control of knee extensors resulting in giving way on stairs decent and problems with kerbs

  • Main Analysis Findings:
  • quads weakness - especially in stance phase
  • need 15 degrees knee extension in stance phase
  • impaired heel strike, stance phase, deceleration

  
• Poor eccentric control of knee extensors resulting in giving way on stairs decent and problems with kerbs

  • Further tests/investigations you would like to do
  • quads strength test
  • quads rom test
  • timed up and go - related to quads?
• Poor eccentric control of knee extensors resulting in giving way on stairs decent and problems with kerbs

  • A suitable outcome measure
  • quads strength
  • dynamic gait index - tests the ability of the participant to maintain walking balance while responding to different task demands, through various dynamic conditions.
• Poor eccentric control of knee extensors resulting in giving way on stairs decent and problems with kerbs

  • Justification for selection of treatment
  • heel strikes from elevation as it works eccentric control of quads whilst being less weightbearing
• Poor eccentric control of knee extensors resulting in giving way on stairs decent and problems with kerbs

  • Justification of approaches to facilitated learning
  • refer to scenario 1
• Poor eccentric control of knee extensors resulting in giving way on stairs decent and problems with kerbs

  • progression
  • add weight on affected leg
  • increase height of elevation
  • start to place whole foot onto floor after heel strike
  • add multiple stairs