You Searched For: Gait deviations in Trans Tibial Prosthetic Patients

Study 90 Prosthetic gait deviations flashcards from Natalie S. on StudyBlue.

Quantifying prosthetic gait deviation using simple …

2 Transtibial; 3 Transfemoral Gait Deviations; 4 Both Transfermoral and Transtibial .
We offer custom transtibial or below knee prosthetics that will get patients active and moving.

Graining limb exercises can help prevent occurrence of prosthetic gait deviations [3]

Common prosthetic gait deviations; 23

I may be exaggerating a little, but hopefully you get the point I am trying to make” (Dr Derek Gibbons DC).
Functional Rehab and Adherence
Excessive toe out
Too much external rotation of prosthetic foot relative to line of progression
Individual may also have excessive external rotation of hip
Toe lever of foot is shortened individual passes over forefoot section of foot too quickly
Gait Deviation Trans-tibial Amputation
Asymmetry in Step Length
Akin to that seen in stroke patients
Result of asymmetry in trunk progression and forward foot placement

Delayed Progression
Occurs between mid stance and terminal stance
Characterised by hesitation or delay in the forward progression of the prosthesis as it advances over the midfoot
Not necessarily related to knee instability
Gait Deviation Trans-tibial Amputation
Haynes RB, McDonald H, Garg AX, and Montague P (2002) "Interventions for helping patients to follow prescriptions for medications," Cochrane Database Systemic Review
Haynes RB, Yao X, Degani A, Kripalani S, Garg A, and McDonald AP, (2005) Interventions to enhance medication adherence.

Gait Deviations Relating To A Transtibial Prosthesis

Gait Deviation Trans Femoral Amputation
Gait Deviation Trans-tibial Amputation
Excessive Valgus
Medial shift of knee near midstance
Places undue pressure on bony projection at head of fibula and transected head of tibia
Can be caused by insufficient medial displacement of the foot relative to the socket, inversion of the foot or poor integrity of MCL

Excessive Varus
Lateral shift of knee near midstance
Places undue pressure on proximal-medial and distal-lateral aspects of the residual limb
Caused by too much instep of prosthetic foot, if medial-lateral dimension of the socket is excessive, also seen in patients with hypermobile lateral/collateral ligaments
Drop Off
Occurs in late stance as the individual is progressing form single leg support to double leg support
Weight bearing for prosthetic side is prematurely and abruptly shortened resulting in sudden knee flexion

Excess abduction or adduction of prosthetic socket
Foot should roll over evenly on the floor during stance phase
If individual is walking on lateral side of foot abduction of the socket occurs
If the individual is walking on the medial side of the foot adduction of the socket occurs
Related factor is the degree of inversion or eversion at the ankle
Gait Deviation Trans-tibial Amputation
“AMPUTATION OF A MAJOR extremity is a life-altering event that greatly affects a person’s ability to perform many functions needed for independent living.

24/09/2013 · Transcript of Amputee Gait Deviation. Throughout the swing phase circumduction occurs as the prosthesis follows a laterally curved line as it swings