INTRODUCTION TO GAIT ANALYSIS DATA
|
|
- Martin Wilcox
- 6 years ago
- Views:
Transcription
1 INTRODUCTION TO GAIT ANALYSIS DATA 1. Phases of gait a. Stance (% gc) i. Loading response (10%) ii. Mid- and terminal stance (%) iii. Pre-swing (10%) b. Swing (% gc) i. Initial swing ii. Mid-swing iii. Terminal-swing 2. Data collected a. Kinematics 3-D joint motion of pelvis, hips, knees and ankles i. Allows assessment of motion in 3 planes: 1. Sagittal flexion/extension 2. Coronal ab/adduction 3. Transverse rotation Knee Flexion/ension D e g re e s 10 0 % gc Normal Left Right b. Kinetics ernal joint net moments and powers i. Information about factors producing or controlling motion 1. Describes joints response to external moments a. Power absorption eccentric contraction b. power generation concentric contraction ii. Provides additional information to use with kinematics and electromyography in explaining gait deviations iii. Helpful for evaluating effectiveness of treatment interventions, bracing and assistive devices, for example: DF PF eration PF DF orption Motion Moment Power
2 c. Electromyography (EMG) i. Muscle timing during gait cycle 1. Surface EMG for large, superficial muscles or muscle groups 2. Fine wire EMG for specific muscles or deep muscles such as posterior tibialis ii. Needed to determine appropriateness of muscle for transfer Raw EMG Processed EMG INTERPRETATION PROCESS: 1. ress patient s/family s concerns, each of MDs proposed interventions 2. Observe child walking, note stability in stance, clearance in swing, etc. 3. List of impairments on static exam a. ROM limitations, bony deformities, b. Strength and control limitations, c. Tone abnormalities 4. Examine kinematics and kinetics a. Note primary deviations b. Compare barefoot to braced or other conditions, note differences 5. Examine EMG a. Note areas of abnormal timing especially helpful for stiff knee (rectus femoris) and foot deformities (AT, PT) 6. Summary list of each gait problem/functional problem, probable cause(s) and recommended interventions Problem Cause ervention 1. a. b. c. a. b. c. 2. a. b. c. a. b. c.
3 NAME: Case #1 AGE: 6.5 yrs. DIAGNOSIS: Cerebral palsy, diplegia PREVIOUS SURGERIES: None GAIT HISTORY: wears hinged AFOs bilaterally. does not use any assistive devices. falls 5 times per day. The primary concerns of the patient and family are: Toe walking, in-toeing and crouch bilaterally. functions at a GMFCS level of 1. FMS at 6 at 5 meters, 6 at meters, 6 at 0 meters. RANGE OF MOTION: Left Right Hip flexion wnl wnl Hip extension 0 0 Hip abduction, knee extended 25 Hip abduction, knee flexed 65 Hip internal rotation (prone) Hip external rotation (prone) Popliteal angle (with opposite hip extended) 45 Knee extension 15, hyperextension 10, hyperextension iflexion, knee flexed inverted; 25 neutral 10 inverted; 15 neutral iflexion, knee extended 0 inverted; 10 neutral 0 inverted; 0 neutral Forefoot inversion 45 Forefoot eversion Hindfoot inversion Hindfoot eversion Femoral anteversion Transmalleolar angle 10, ernal 10, ernal Transmalleolar angle, sitting 15, ernal 15, ernal Hindfoot-thigh angle 10, ernal 10, ernal Thigh-foot angle 0 0 Forefoot adductus flexibility Corrects past neutral Corrects past neutral SELECTIVITY/STRENGTH ** selectivity graded 0 = no selective control, 1 = partial selective control, 2 = full selective control. Strength rated on traditional 5 grade scale, in mass pattern when unable to isolate movement. NT = not tested. Left Right Selectivity Strength Selectivity Strength Hip flexor NT 4 / 5 NT 4 / 5 Hip extensor 0 / 2 3 / 5 0 / 2 3+ / 5 Hip abductor NT 2+ / 5 NT 2+ / 5 Knee flexor 1 / 2 4 / 5 1 / 2 4- / 5 Knee extensor 0 / 2 4+ / 5 0 / 2 4+ / 5 iflexor 1 / 2 3 / 5 0 / 2 3 / 5 tarflexor 1 / 2 1+ / 5 0 / 2 1 / 5 NEUROLOGICAL SIGNS. Rated according to the modified Ashworth scale (please see key below). Spasticity: Left Right Hip adductors 1 0 Hamstrings 0 1 Quadriceps 0 0 Duncan-Ely (rectus test) Negative Negative tarflexors 1+ knee flexed; 2 knee extended 1 knee flexed; 2 knee extended erior tibialis 0 0
4 Barefoot with no assistive device Braced with no assistive device Pelvis T ilt Pelvis T ilt D own % Gait C ycle - - Hip Flexion/ension Hip Ab /uction Hip Flexion/ension Hip Ab/uction - % Gait C ycle Knee Flexion/ension Knee / Knee Flexion/ension Knee / % Gait C ycle Ankle i/tar Ankle i/tar D ors - - % Gait C ycle Right Left Normal Right Left Normal Left side Right side
5 NAME: Case #2 AGE: 9 yrs DIAGNOSIS: Myelomeningocele REASON FOR REFERRAL: Gait analysis to determine the need for bilateral TDRO, left FDRO, bilateral psoas recessions and bilateral hamstring lengthenings, and to evaluate gait in KAFOs locked vs. unlocked. GAIT HISTORY: wears KAFOs bilaterally. walks independently. falls 2-3x daily at school, when running and playing. has FMS ratings of 6 for 5 meters, 5 for meters, and 5 for 0 meters. PHYSICAL THERAPY EVALUATION Leg lengths: left = 62.5 cm, right = 62.5 cm, measured ASIS to medial malleolus. RANGE OF MOTION: Left Right Hip extension Hip abduction, knee extended Hip internal rotation (prone) Hip external rotation (prone) Popliteal angle (with opposite hip extended) Knee extension u varum (In supine) iflexion, knee flexed 0 inverted; 10 neutral 25 inverted; neutral iflexion, knee extended -5 inverted; 0 neutral inverted; neutral Transmalleolar angle 10, ernal 15, ernal Hindfoot-thigh angle 5, ernal 10, ernal Thigh-foot angle 5, ernal 5, ernal SELECTIVITY/STRENGTH ** Strength rated on traditional 5 grade scale. Left Right 8/23/13 8/23/13 Hip flexor 4+ / 5 4+ / 5 Hip extensor Gluteals 3- /5, hamstrings 4/5 Gluteals 4-/5, hamstrings 4/5 Hip abductor 4- / 5 4- / 5 Hip adductors 5/5 5/5 Knee flexor Medial 4+/5, lateral 4/5 Medial 4/5, lateral 3+/5 Knee extensor 3+ / 5 at end range 5 / 5 at end range iflexor 5 / 5 5 / 5 tarflexor 2+ / 5 2+ / 5 Ankle inversion 2- / 5 2- / 5 Ankle eversion 4+ / 5 4+ / 5
6 Pelvis Tilt Pelvis Tilt Hip Flexion/ension Hip Ad/uction 90 Hip Flexion/ension Hip Ad/uction Knee Flexion/ension Knee us/gus 80 Knee Flexion/ension Knee us/gus Ankle i/tarflexion Ankle i/tarflexion - - Barefoot KAFOs unlocked Pelvis Tilt Pelvis Tilt 90 Hip Flexion/ension Hip Ad/uction 90 Hip Flexion/ension Hip Ad/uction Knee Flexion/ension Knee us/gus 80 Knee Flexion/ension Knee us/gus Ankle i/tarflexion Ankle i/tarflexion - - KAFOs, left locked KAFOs, both locked
7 Average Sagittal e Kinetics Hip Flexion/ension Knee Flexion/ension Ankle i/tarf lexion Average Sagittal e Kinetics Hip Flexion/ension Knee Flexion/ension Ankle i/tarf lexion - - Hip Flex/ Moment Knee Flex/ Moment Ankle i/ Moment Hip Flex/ Moment Knee Flex/ Moment Ankle i/ Moment % Gait Cylce % Gait Cylce Hip Power Knee Power Ankle Power Hip Power Knee Power Ankle Power Barefoot KAFOs unlocked Average Sagittal e Kinetics Average Sagittal e Kinetics Hip Flexion/ension Knee Flexion/ension Ankle i/tarf lexion Hip Flexion/ension Knee Flexion/ension Ankle i/tarf lexion - - Hip Flex/ Moment Knee Flex/ Moment Ankle i/ Moment Hip Flex/ Moment Knee Flex/ Moment Ankle i/ Moment % Gait Cylce % Gait Cylce Hip Power Knee Power Ankle Power Hip Power Knee Power Ankle Power KAFOs, left locked KAFOs, both locked
8 KAFOs with both knees unlocked Velocity (m/min) 66.0 (91.0%N) Cadence (steps/min) (92.1%N) Stride length (m) 1.2 (99.2%N) Step length (m) Left Right Gait cycle time (s) 1.1 (108.0%N) Double limb stance (%gc) 19.2 (95.8%N) (initial + terminal) Single limb stance (%gc) Left Right.0 (100.0%N) 41.3 (103.3%N) KAFOs with left locked, right unlocked Velocity (m/min) 62.4 (86.1%N) Cadence (steps/min) 11 (93.4%N) Stride length (m) 1.1 (92.1%N) Step length (m) Left Right Gait cycle time (s) 1.1 (106.0%N) Double limb stance (%gc).8 (103.8%N) (initial + terminal) Single limb stance (%gc) Left Right 36.6 (91.5%N) 42.3 (105.8%N) KAFOs with both knees locked Velocity (m/min) 36.6 (.5%N) Cadence (steps/min) 92.8 (76.7%N) Stride length (m) 0.8 (66.3%N) Step length (m) Left Right Gait cycle time (s) 1.3 (1.0%N) Double limb stance (%gc) 26.2 (1.8%N) (initial + terminal) Single limb stance (%gc) Left Right 35.2 (88.0%N) 38.3 (95.8%N) * gc = gait cycle %N = % normal for age
video Outline Pre-requisites of Typical Gait Case Studies Case 1 L5 Myelomeningocele Case 1 L5 Myelomeningocele
Outline Evaluation of Orthosis Function in Children with Neuromuscular Disorders Using Motion Analysis Outcomes Terminology Methods Typically developing Case examples variety of pathologies Sylvia Õunpuu,
More informationvideo Purpose Pathological Gait Objectives: Primary, Secondary and Compensatory Gait Deviations in CP AACPDM IC #3 1
s in CP Disclosure Information AACPDM 71st Annual Meeting September 13-16, 2017 Speaker Names: Sylvia Ounpuu, MSc and Kristan Pierz, MD Differentiating Between, Secondary and Compensatory Mechanisms in
More informationPurpose. Outline. Angle definition. Objectives:
Disclosure Information AACPDM 69 th Annual Meeting October 21-24, 2015 Speaker Names: Sylvia Õunpuu, MSc and Kristan Pierz, MD Gait Analysis Data Interpretation: Understanding Kinematic Relationships Within
More informationBrian Snyder MD/PhD Children s Hospital Harvard Medical School
Brian Snyder MD/PhD Children s Hospital Harvard Medical School Observe patient s gait pattern as walk into room Systematic musculoskeletal exam (range of motion, joint alignment while standing) Neurologic
More informationNormal and Abnormal Gait
Normal and Abnormal Gait Adrielle Fry, MD EvergreenHealth, Division of Sport and Spine University of Washington Board Review Course March 6, 2017 What are we going to cover? Definitions and key concepts
More informationNormal Gait and Dynamic Function purpose of the foot in ambulation. Normal Gait and Dynamic Function purpose of the foot in ambulation
Normal Gait and Dynamic Function purpose of the foot in ambulation Edward P. Mulligan, PT, DPT, OCS, SCS, ATC Assistant Professor; Residency Chair UT Southwestern School of Health Professions Department
More informationANNEXURE II. Consent Form
ANNEXURE II Consent Form I, voluntarily agree to participate in the research work entitled Gait Pattern in Post Stroke Hemiparetic Patients: Analysis and Correction. All my questions have been satisfactorily
More informationObjectives. Motion Analysis in Understanding Gait Pathology in Charcot-Marie-Tooth Disease
Motion Analysis in Understanding Gait Pathology in Charcot-Marie-Tooth Disease Sylvia Õunpuu, MSc and Kristan Pierz, MD Center for Motion Analysis Division of Orthopaedics Connecticut Children s Medical
More informationGait. Kinesiology RHS 341 Lecture 12 Dr. Einas Al-Eisa
Gait Kinesiology RHS 341 Lecture 12 Dr. Einas Al-Eisa Definitions Locomotion = the act of moving from one place to the other Gait = the manner of walking Definitions Walking = a smooth, highly coordinated,
More informationEDUCATION COURSES. Stride. Initial Swing (high knee) Mid stance Toe off Mid swing Initial contact
EDUCATION COURSES RUNNING ANALYSIS Our purpose is performance enhancement. Improving speed and acceleration is the key to success in most ground-based sports. The ability to run from 0-5-10-20m as fast
More information1. Hip flexion Muscles: Iliopsoas (psoas major + iliacus)
Chap. 5 Testing the muscles of the Lower Extremity Part I. Manual Muscle Testing of the hip joint muscles 1. Hip flexion Muscles: Iliopsoas (psoas major + iliacus) Rectus femoris Sartorius Tensor fascia
More informationFoot mechanics & implications on training, posture and movement
Foot mechanics & implications on training, posture and movement Three Arches Three Arches These arches are not reciprocal. When the foot pronates ALL arches should fall. If the medial arch falls and the
More informationAssessments SIMPLY GAIT. Posture and Gait. Observing Posture and Gait. Postural Assessment. Postural Assessment 6/28/2016
Assessments 2 SIMPLY GAIT Understanding movement Evaluations of factors that help therapist form professional judgments Include health, palpatory, range of motion, postural, and gait assessments Assessments
More informationGait Analysis at Your Fingertips:
Gait Analysis at Your Fingertips: Enhancing Observational Gait Analysis Using Mobile Device Technology and the Edinburgh Visual Gait Scale Jon R. Davids, MD; Shriners Hospitals for Children Northern California;
More informationThe Starting Point. Prosthetic Alignment in the Transtibial Amputee. Outline. COM Motion in the Coronal Plane
Prosthetic Alignment in the Transtibial Amputee The Starting Point David C. Morgenroth, MD, Department of Rehabilitation Medicine University of Washington VAPSHCS Outline COM Motion in the Coronal Plane
More informationWALKING AIDS AND GAIT TRAINING
WALKING AIDS AND GAIT TRAINING By:Dr. Chaman Lal B.S.PT, DPT, Dip. in sports Injuries, MPPS(PAK), PG in Clinical Electroneurophysiology (AKUH), Registered.EEGT (USA), Member of ABRET, AANEM & ASET (USA).
More informationThe DAFO Guide to Brace Selection
The DAFO Guide to Brace Selection Cascade Dafo believes... better mobility gives children a wider range of experiences, more success in the activities they choose, and ultimately more control over their
More informationGAIT ANALYSIS IN CEREBRAL PALSY USING VICON SYSTEM
Proceedings in Manufacturing Systems, Volume 7, Issue 2, 2012 ISSN 2067-9238 GAIT ANALYSIS IN CEREBRAL PALSY USING VICON SYSTEM Raluca Dana TUGUI 1,*, Dinu ANTONESCU 2, Mircea Iulian NISTOR 3, Doina BUCUR
More informationRunning Gait Mechanics. Walking vs Running. Ankle Joint Complex Sagittal Plane. As speed increases, when has walking ended and running begun?
Running Gait Mechanics Walking vs Running As speed increases, when has walking ended and running begun? Ankle Joint Complex Sagittal Plane 1 Ankle Joint Complex Sagittal Plane Pos. @FS 5 o DF Absorption
More informationC-Brace Orthotronic Mobility System
C-Brace Orthotronic Mobility System You ll always remember your first step Information for practitioners C-Brace Orthotics reinvented Until now, you and your patients with conditions like incomplete spinal
More informationPalacký Univerzity in Olomouc Faculty of Physical Culture
Project: Sophisticated biomechanic diagnostics of human movement Registration number: CZ.1.07/2.3.00/09.0209 Palacký Univerzity in Olomouc Faculty of Physical Culture Tento projekt je spolufinancován Evropským
More informationSeptember 2014 AACPDM 68 th Annual Meeting San Diego, CA 1. Some Guidance. 1. Discuss typical alignment and functional goals in orthotic prescription.
1. Discuss typical alignment and functional goals in orthotic prescription. 2. Review some available literature guiding orthotic prescription. beliefs vs. evidence and patient vs. the laboratory 3. Explore
More informationSupplementary Figure S1
Supplementary Figure S1: Anterior and posterior views of the marker set used in the running gait trials. Forty-six markers were attached to the subject (15 markers on each leg, 4 markers on each arm, and
More informationPositive running posture sums up the right technique for top speed
Positive running, a model for high speed running Frans Bosch positive running posture sums up the right technique for top speed building blocks in running: Pelvic rotation for- and backward and hamstring
More informationAxis of rotation is always perpendicular to the plane of movement
Sports scientists and medical practitioners use formal terms to describe directionality, joint movement, and muscle movement. These universal terms let us use fewer words when describing movement, teaching,
More informationBASIC ORTHOPEDIC ASSESSMENT Muscle and Joint Testing
BASIC ORTHOPEDIC ASSESSMENT Muscle and Joint Testing The following tests are for the purpose of determining relative shortening, restriction or bind of muscle tissues. In this context the term bind in
More informationNormal Gait. Definitions. Definitions Analysis of Stance Phase Analysis of Swing Phase Additional Determinants of Gait Abnormal Gait.
Normal Gait Definitions Analysis of Stance Phase Analysis of Swing Phase Additional Determinants of Gait Abnormal Gait Muscular Weakness/Paralysis Joint/Muscle ROM Limitation Neurologic Involvement Pain
More informationSection Section 4. Muscles and Movements Dr. Larry Van Such.
Section 4 25 Section 4 Muscles and Movements Section 4 26 HIP ABDUCTORS Gluteus Medius Gluteus Minimus Tensor Fascia Lata Gluteus Maximus Figure 4-1. Hip Abductors. The hip abductors are a group of four
More informationSecondary gait compensations in individuals without neuromuscular involvement following a unilateral imposed equinus constraint
Gait and Posture 20 (2004) 238 244 Secondary gait compensations in individuals without neuromuscular involvement following a unilateral imposed equinus constraint Michael J. Goodman a, Jason L. Menown
More informationRunning injuries - what are the most important factors
Created as a free resource by Clinical Edge Based on Physio Edge podcast 59 with Greg Lehman, Tom Goom and Dr Christian Barton Get your free trial of online Physio education at Why do runners get injured?
More informationHuman Gait. 1 Exceptions include frogs and toads, who have biped gait, though it is unlike human gait
Human Gait Kinesiology, as well as motion picture photography of human subjects at rest and in motion, is required for a detailed study and application of the knowledge of human gait. For an average clinician
More informationSample Biomechanical Report
Sample Biomechanical Report To identify the root cause of an injury, and thus determine the optimal treatment for that injury, many pieces of your injury puzzle must be considered. At the Running Injury
More informationSpasticity in gait. Wessex ACPIN Spasticity Presentation Alison Clarke
Spasticity in gait Clinicians recognise spasticity but the elements of spasticity contributing to gait patterns are often difficult to identify: Variability of muscle tone Observation/recording General
More informationDesign and Evaluation of a Variable Resistance Orthotic Knee Joint
Design and Evaluation of a Variable Resistance Orthotic Knee Joint Andrew Herbert-Copley Thesis submitted to the faculty of graduate and postdoctoral studies in partial fulfillment of the requirements
More informationGait Lab Testing and Treatment Planning in Brain Injury Grant E. Myers, PT, DPT, CSCS. Gait Lab Testing and Treatment Planning in Brain Injury
Gait Lab Testing and Treatment Planning in Brain Injury What do we associate this technology with? Movies Avatar Grant Myers PT, DPT, CSCS, CMP Gait Laboratory Services Scripps Memorial Hospital Encinitas
More informationDynamic Warm up. the age of the athlete current physical condition and prior exercise experience
Dynamic Warm up 10-20 minutes May be dependent on: the age of the athlete current physical condition and prior exercise experience Prepares the body for the demands of a work out or practice Increases
More informationAthlete Profiling. Injury Prevention
Athlete Profiling Injury Prevention Fraser McKinney Physiotherapist Special interest in: Basketball Athletics Race Walking Research Performance markers (screening / HR assessments / biomechanics) Athlete
More informationThe Lateralized Foot & Ankle Pattern and the Pronated Left Chest
The Lateralized Foot & Ankle Pattern and the Pronated Left Chest Presented by: James Anderson, MPT, PRC Director of Affiliate Programs, Faculty & Board of Certification Postural Restoration Institute Pronate
More informationUSA Track & Field Heptathlon Summit- November
USA Track & Field Heptathlon Summit- November 1994 1 I. Technical considerations in the sprint hurdles Practical Biomechanics For the 100m Hurdles By Gary Winckler University of Illinois A. General flow
More informationNormal and Pathological Gait
Normal and Pathological Gait Introduction Human gait locomotion Bipedal, biphasic forward propulsion of centre of gravity of the human body, in which there are alternate sinuous movements of different
More informationKinetic chain checkpoints
Kinetic chain checkpoints Observations: Foot/ankle Knee Lumbo-Pelvic-Hip-Complex (LPHC) Shoulder and Cervical Spine (upper body) Each joint region has a specific and optimal motion based on its structure
More information12/4/2010 3:10 / 3:40
Running Assessment Workshop Anthony Luke MD, MPH, CAQ (Sport Med) UCSF PCSM Conference 2010 Running boom in the 70 s and 90 s Men then women % of women runners Wheelchair Evolution 26.2 miles 42.195 km
More informationThe Problem. An Innovative Approach to the Injured Runner. Dosage. Mechanics. Structure! Postural Observations. Lower Quarter Assessment
The Problem An Innovative Approach to the Injured Runner Irene S. Davis, PhD, PT, FAPTA, FACSM Director, Spaulding National Running Center Harvard Medical School Healthy People 2020 Initiative 76% runners
More informationA bit of background. Session Schedule 3:00-3:10: Introduction & session overview. Overarching research theme: CPTA
A Cognitive-Biomechanical Perspective for the Management of Common Chronic Musculoskeletal Conditions Skulpan Asavasopon, PT, PhD Loma Linda University Christopher M. Powers, PT, PhD, FAPTA University
More informationWalkOn product range. Dynamic Ankle-Foot Orthoses. Information for specialist dealers
WalkOn product range Dynamic Ankle-Foot Orthoses Information for specialist dealers WalkOn Flex WalkOn WalkOn Trimable WalkOn Reaction WalkOn Reaction plus One range Many different applications The WalkOn
More informationRunning Injuries in Adolescents Jeffrey Shilt, M.D. Part 1 Page 1
Running Injuries in Adolescents Jeffrey Shilt, M.D. Chief Surgical Officer, The Woodlands, Texas Children's Hospital Associate Professor, Orthopedic and Scoliosis Surgery, Baylor College of Medicine Part
More informationComparison of Kinematics and Kinetics During Drop and Drop Jump Performance
schouweiler, hess UW-L Journal of Undergraduate Research XIII (21) Comparison of Kinematics and Kinetics During Drop and Drop Jump Performance Ryan Schouweiler, Karina Hess Faculty Sponsor: Thomas Kernozek,
More informationTransformation of nonfunctional spinal circuits into functional states after the loss of brain input
Transformation of nonfunctional spinal circuits into functional states after the loss of brain input G. Courtine, Y. P. Gerasimenko, R. van den Brand, A. Yew, P. Musienko, H. Zhong, B. Song, Y. Ao, R.
More informationC-Brace Reimbursement Guide
Reimbursement Guide Information for practitioners and payers Product Information Effective September 24, 2018 The The is the first microprocessor stance and swing phase controlled orthosis (SSCO ). This
More information10/22/15. Walking vs Running. Normal Running Mechanics. Treadmill vs. Overground Are they the same? Importance of Gait Analysis.
2 angle (deg) 1/22/1 Normal Running Mechanics Walking vs Running Irene Davis, PhD, PT, FACSM, FAPTA, FASB Director, Spaulding National Running Center Walking Periods of DOUBLE SUPPORT Running Periods of
More information+ t1 t2 moment-time curves
Part 6 - Angular Kinematics / Angular Impulse 1. While jumping over a hurdle, an athlete s hip angle was measured to be 2.41 radians. Within 0.15 seconds, the hurdler s hip angle changed to be 3.29 radians.
More informationTHREE-DIMENSIONAL ANALYSIS OF KINEMATIC AND KINETIC COORDINATION OF THE LOWER LIMB JOINTS DURING STAIR ASCENT AND DESCENT
BIOMEDICAL ENGINEERING- APPLICATIONS, BASIS & COMMUNICATIONS 101 101_ THREE-DIMENSIONAL ANALYSIS OF KINEMATIC AND KINETIC COORDINATION OF THE LOWER LIMB JOINTS DURING STAIR ASCENT AND DESCENT HSIU-CHEN
More informationStroke Guide A Concept for the Orthotic Treatment of the Lower Extremity following a Cerebral Vascular Accident. 3 rd edition
Stroke Guide A Concept for the Orthotic Treatment of the Lower Extremity following a Cerebral Vascular Accident 3 rd edition Introduction According to the WHO, nearly 15 million people suffer a stroke
More informationMuscle force redistributes segmental power for body progression during walking
Gait and Posture 19 (2004) 194 205 Muscle force redistributes segmental power for body progression during walking R.R. Neptune a,b,, F.E. Zajac b,c,d, S.A. Kautz b,e,f,g a Department of Mechanical Engineering,
More information10/24/2016. The Puzzle of Pain NMT and the Dynamic Foot Judith DeLany, LMT. Judith DeLany, LMT. NMTCenter.com. NMTCenter.com
The Puzzle of Pain NMT and the Dynamic Foot Judith DeLany, LMT NMTCenter.com Judith DeLany, LMT NMTCenter.com Define gait cycle and its periods Consider key elements in gait Discuss foot design Consequences
More informationASSESMENT Introduction REPORTS Running Reports Walking Reports Written Report
ASSESMENT REPORTS Introduction Left panel Avatar Playback Right Panel Patient Gait Parameters Report Tab Click on parameter to view avatar at that point in time 2 Introduction Software will compare gait
More informationLumbar Decompression Surgery: Correction of foot drop
Lumbar Decompression Surgery: Correction of foot drop By Rebecca Marshall Specialist Physiotherapist FES service Mobility and Specialised Rehabilitation Centre Sheffield December 2017 Talk Content History/clinical
More informationAEROBIC GYMNASTICS Code of Points APPENDIX II Guide to Judging Execution and Difficulty
FÉDÉRATION INTERNATIONALE DE GYMNASTIQUE FONDÉE EN 1881 AEROBIC GYMNASTICS Code of Points 2009 2012 DRAFT OCTOBER 2008 APPENDIX II Guide to Judging Execution and Difficulty Page 1 of 80 INTRODUCTION This
More informationCONTENTS. Foreword... xi. Introduction How to Use This Book Lower Extremity Strengthening- Hip Extension and Abduction...
CONTENTS Foreword... xi Introduction... 1 How to Use This Book... 2 Hip Extension and Abduction... 3-27 Hip Extension Extension-Sidelying... 4 Bridging-Supine... 5 Kneeling (at Ball)... 6 Kneeling (at
More informationIncreasing ankle push-off work with a powered prosthesis does not necessarily reduce metabolic rate for transtibial amputees
Supplementary Materials Increasing ankle push-off work with a powered prosthesis does not necessarily reduce metabolic rate for transtibial amputees Roberto E. Quesada, Joshua M. Caputo,, and Steven H.
More informationLa Gait Analysis grandezze dinamiche e casi clinici. Manuela Galli, DEIB, POLITECNICO DI MILANO
La Gait Analysis grandezze dinamiche e casi clinici. Manuela Galli, DEIB, POLITECNICO DI MILANO Programma 3. La valutazione del cammino Gait analysis 3.1. Obiettivi della valutazione quantitativa del cammino
More informationThe importance of swing-phase initial conditions in stiff-knee gait
ARTICLE IN PRESS Journal of Biomechanics 36 (2003) 1111 1116 The importance of swing-phase initial conditions in stiff-knee gait Saryn R. Goldberg a, Sylvia *Ounpuu b, Scott L. Delp a, * a Mechanical Engineering
More informationWORKBOOK/MUSTANG. Featuring: The R82 Next Step Development Plan. mustang. R82 Education
WORKBOOK/MUSTANG Featuring: The R82 Next Step Development Plan mustang R82 Education CLINICAL WORK BOOK/MUSTANG PAGE 2 PAGE 3 What is Mustang? Mustang is a highly adaptable walking aid for children and
More informationFoot Biomechanics Getting Back to the Base
Foot Biomechanics Getting Back to the Base Christopher J. Mehallo, D.O. Rothman Institute Orthopaedics Objectives Understand basic foot biomechanics during walking and running Understand common sports
More informationBiomechanical Analysis of Race Walking Compared to Normal Walking and Running Gait
University of Kentucky UKnowledge Theses and Dissertations--Kinesiology and Health Promotion Kinesiology and Health Promotion 2015 Biomechanical Analysis of Race Walking Compared to Normal Walking and
More informationC-Brace Reimbursement Guide
C-Brace Reimbursement Guide Information for practitioners and payers Product Information The C-Brace The C-Brace is the first microprocessor stance and swing phase controlled orthosis (SSCO). This highly
More informationUvA-DARE (Digital Academic Repository) Hip and groin pain in athletes Tak, I.J.R. Link to publication
UvA-DARE (Digital Academic Repository) Hip and groin pain in athletes Tak, I.J.R. Link to publication Citation for published version (APA): Tak, I. J. R. (2017). Hip and groin pain in athletes: Morphology,
More informationLouisiana Physical Therapy Association 2015 Fall Meeting. Functional Gait Training for the Neurologically Impaired Client
Louisiana Physical Therapy Association 2015 Fall Meeting Functional Gait Training for the Neurologically Impaired Client Lecture: Normal Human Gait Nicky Schmidt, PT, NDTA TM Instructor Saturday, September
More informationA7HLE71CO PHYSICAL THERAPY
I A7HLE71CO Runner's Video Gait Analysis Matthew Wolin, 12/4/2018 Footwear: Altra Torin 3.0 Treadmill speed: 7.0 mph VGA Analyst: Chris Jensen, PT, MPT, OCS, CKPT POSTERIOR VIEW FINDINGS: (mid-stance)..
More informationRifton Pacer Gait Trainers A Sample Letter of Medical Necessity: School-based Therapy with Adolescents
Rifton Pacer Gait Trainers A Sample Letter of Medical Necessity: School-based Therapy with Adolescents 2018 Rifton Equipment EVERY REASONABLE EFFORT HAS BEEN MADE TO VERIFY THE ACCURACY OF THE INFORMATION.
More informationGiovanni Alfonso Borelli Father of Biomechanics
Giovanni Alfonso Borelli Father of Biomechanics 1608-1679 Peter Guy BSc DCh Private practice Whitby and Peterborough Professor Chiropody Faculty Michener Institute of Education at UHN Advisory Board Member
More informationA Biomechanical Assessment of Gait Patterns and Risk of Associated Overuse Conditions among Mature Female Runners.
A Biomechanical Assessment of Gait Patterns and Risk of Associated Overuse Conditions among Mature Female Runners. Submitted by Kim Louise Lilley to the University of Exeter as a thesis for the degree
More informationPARTNER With all partner stretches: communicate with partner and use caution!!
- warm up prior to stretching - isolate the muscle group to be stretched - move slowly and smoothly into stretch - use proper mechanics and correct alignment - breathe normal - slowly come out of stretch
More informationthreshold Development of the Clinical Hypothesis Dosage Mechanics Structure History Mechanics Structure Experience
Development of the Clinical Hypothesis threshold Dosage Experience Case Study LQ Exam Left Right 25 yr old national field hockey player Right PFJ pain 2 o to overtraining Unable to run at all without pain
More informationSwing Phase Lock. Plan of treatment. Jos Deckers. basko.com. Basko Healthcare
Swing Phase Lock Plan of treatment Jos Deckers Pieter Lieftinckweg 16 Tel.: +31 (0) 75-613 15 13 E-mail: verkoop@basko.com Basko Healthcare 1505 HX Zaandam Fax: +31 (0) 75-612 63 73 Internet: www.basko.com
More informationAnkle biomechanics demonstrates excessive and prolonged time to peak rearfoot eversion (see Foot Complex graph). We would not necessarily expect
Case Study #1 The first case study is a runner presenting with bilateral shin splints with pain and tenderness along the medial aspect of the tibia. The symptoms have increased significantly over the last
More informationThe new C-Brace. Physiotherapy training guideline. Information for therapists and technicians
The new C-Brace Physiotherapy training guideline Information for therapists and technicians Table of contents The C-Brace restores a feeling of safety so I can walk on uneven terrain again. Introduction
More informationCoaching the Triple Jump Boo Schexnayder
I. Understanding the Event A. The Run and Its Purpose B. Hip Undulation and the Phases C. Making the Connection II. III. IV. The Approach Run A. Phases B. Technical Features 1. Posture 2. Progressive Body
More informationClinical view on ambulation in patients with Spinal Cord Injury
Clinical view on ambulation in patients with Spinal Cord Injury Sasa Moslavac Spinal Unit, Special Medical Rehabilitation Hospital, Varazdinske Toplice,, Croatia 1 Spinal Cord Injury (SCI) to walk again
More informationDoes Ski Width Influence Muscle Action in an Elite Skier? A Case Study. Montana State University Movement Science Laboratory Bozeman, MT 59717
Does Ski Width Influence Muscle Action in an Elite Skier? A Case Study John G. Seifert 1, Heidi Nunnikhoven 1, Cory Snyder 1, Ronald Kipp 2 1 Montana State University Movement Science Laboratory Bozeman,
More informationCase Study: Chronic Plantar Heel Pain/Plantar Fasciopathy. CASE STUDY PRESENTATION by Resonance Podiatry and Gait Labs
Case Study: Chronic Plantar Heel Pain/Plantar Fasciopathy CASE STUDY PRESENTATION by Resonance Podiatry and Gait Labs THE PATIENT 43yo female, professional netball umpire 6 month history right plantar
More informationGait analysis through sound
Invited article Niigata Journal of Health and Welfare Vol. 15, No. 1 Gait analysis through sound Kaoru Abe Graduate School of Health and Welfare, Niigata University of Health and Welfare, Niigata, Japan
More informationKinematic and kinetic factors that correlate with improved knee flexion following treatment for stiff-knee gait
ARTICLE IN PRESS Journal of Biomechanics 39 (2006) 689 698 www.elsevier.com/locate/jbiomech www.jbiomech.com Kinematic and kinetic factors that correlate with improved knee flexion following treatment
More informationThe technique of reciprocal walking using the hip guidance orthosis (hgo) with crutches
The technique of reciprocal walking using the hip guidance orthosis (hgo) with crutches P. B. BUTLER, R. E. MAJOR and J. H. PATRICK Orthotic Research and Locomotor Assessment Unit, The Robert Jones and
More informationUse of cluster analysis for gait pattern classification of patients in the early and late recovery phases following stroke
Gait and Posture 18 (2003) 114/125 www.elsevier.com/locate/gaitpost Use of cluster analysis for gait pattern classification of patients in the early and late recovery phases following stroke Sara Mulroy
More informationGCD Variables. Steps and Strides. Walking Speed. Cadence. Stride Length
Variables Steps and Strides Each time a leg goes forward, it makes a step the right leg moves forward to make a right step and then the left leg moved forward for a left step. When a right and left step
More informationTELEMETERING ELECTROMYOGRAPHY OF MUSCLES USED
TELEMETERING ELECTROMYOGRAPHY OF MUSCLES USED IN WALKING UP AND DOWN STAIRS J. JOSEPH and RICHARD WATSON, LONDON, ENGLAND From the Departmeizt of Analomi, Gui s Hospital Medical School, Loizdon The interactions
More informationCoaching the Hurdles
Coaching the Hurdles Monica Gary, Sprints & Hurdles Coach Purdue University Important components to consider in hurdle training: a. Rhythm for the hurdler is the primary concern for the coach -short rhythm
More informationEFFECTS OF SPEED AND INCLINE ON LOWER EXTREMITY KINEMATICS DURING TREADMILL JOGGING IN HEALTHY SUBJECTS
BIOMEDICAL ENGINEERING- EFFECTS OF SPEED AND INCLINE ON LOWER EXTREMITY KINEMATICS DURING TREADMILL JOGGING IN HEALTHY SUBJECTS 73 LAN-YUEN GUO 1, FONG-CHIN SU 2, CHICH-HAUNG YANG 3, SHU-HUI WANG 3, JYH-JONG
More informationSpinal Cord Injury (SCI) and Gait Training
Spinal Cord Injury (SCI) and Gait Training A resource for individuals with spinal cord injury and their supporters This presentation is based on SCI Model Systems research and was developed with support
More informationSpastic Paretic Stiff-Legged Gait Joint Kinetics
Authors: D. Casey Kerrigan, MD, MS Mark E. Karvosky, MA Patrick O. Riley, PhD Affiliations: From the Department of Physical Medicine and Rehabilitation (DCK, POR), Harvard Medical School, and Spaulding
More informationTHE ANKLE-HIP TRANSVERSE PLANE COUPLING DURING THE STANCE PHASE OF NORMAL WALKING
THE ANKLE-HIP TRANSVERSE PLANE COUPLING DURING THE STANCE PHASE OF NORMAL WALKING Thales R. Souza, Rafael Z. Pinto, Renato G. Trede, Nadja C. Pereira, Renata N. Kirkwood and Sérgio T. Fonseca. Movement
More informationKICKBIKE Your key to optimum sports performance
KICKBIKE Your key to optimum sports performance Efficient Running is essential to optimum performance of most sports we play. Whether we want to maximize our speed, maximize our endurance, or both, an
More informationBiomechanics and the Rules of Race Walking. Brian Hanley
Biomechanics and the Rules of Race Walking Brian Hanley Biomechanics and the Rules of Race Walking Brian Hanley b.hanley@leedsmet.ac.uk www.evaa.ch The rules and judging Judging is probably the most contentious
More informationA Functional Approach to Improving Ankle Dorsiflexion. Knock on Effects
Keith Thornhill PT A Functional Approach to Improving Ankle Dorsiflexion Today's article is a guest post from Keith Thornhill, current team physiotherapist at Munster Rugby (Ireland). In my experience
More informationGLOSSARY abdominal muscles alley oop anatomical reference planes abduct abductors anatomy absorption angulation adduct adductors anterior
GLOSSARY 0 abdominal muscles The muscles covering that part of the body between the chest and the pelvis and enclosing the stomach, intestines, liver, spleen and pancreas abduct To pull away from the midline
More informationResearch Article Gait Patterns in Hemiplegic Patients with Equinus Foot Deformity
BioMed Research International, Article ID 939316, 7 pages http://dx.doi.org/10.1155/2014/939316 Research Article Gait Patterns in Hemiplegic Patients with Equinus Foot Deformity M. Manca, 1 G. Ferraresi,
More informationBiomechanical analysis of gait termination in year old youth at preferred and fast walking speeds
Brigham Young University BYU ScholarsArchive All Faculty Publications 2016-10 Biomechanical analysis of gait termination in 11 17 year old youth at preferred and fast walking speeds Sarah T. Ridge Brigham
More informationACL Base Strength Program Day 1
ACL Base Strength Program Day 1 Welcome to the Cratos ACL prevention program. This program was written by Physical Therapist and Athletic Trainer, Tasha Mulligan, to serve as a pre-season base strength
More informationRoutine For: Total Knee Arthroplasty (All)
TOTAL KNEE - 1 Ankle Pump TOTAL HIP - 1 Quad Set Bend ankles up and down, alternating feet. Slowly tighten muscles on thigh of straight leg while counting out loud to. with other leg. TOTAL HIP - 2 Gluteal
More information