Gait Abnormality Analysis

Gait Abnormality Analysis

The observed subject was a female who got into a drunk driving accident and suffered a broken pelvis and ankle. She now has gait abnormality. I will study her behaviour during the phases of the motion cycle during movement to evaluate her gait abnormality. During the loading response (heel contact) and flat Foot, which is the double stance period, the weight is transferred onto the front Foot for shock absorption, forward progression, and weight-bearing. The back Foot is in the pre-swing phase. The subject’s right shoulder should be slightly extended, Pelvis rotated left, the hips flexed and slightly rotated, the Knee slightly flexed, and the toe and Foot should be neutral. For this subject, an abnormality is observed in the following areas: forward/ back lean on both sides, unequal arm swing and shoulder rotation on the left side, anterior pelvic tilt on both sides, abnormal pronation on the left side, and foot slap on the right side. The following areas contain none abnormality: circumduction of the Pelvis, hip extension, and toe off.

During midstance/ single limb interval, the front and back foot exchange positions. And the bodyweight is shifted onto another foot. The right shoulder should Right Shoulder is in neutral, the Pelvis in neutral rotation, the Hip in neutral, the Knee fully extended, the ankle is relatively neutral, the Foot is pronated, and the Toes in neutral. the observed subject displayed abnormities in the following areas: forward or back lean on both sides, unequal arm swing on the left side, unequal shoulder rotation on the left side, anterior pelvic tilt on both sides, collateral drop on the left side, lack of hip extension on the left side, knee Varus on the right side, inadequate flexion of the Knee on the left side, abnormal pronation of the Foot on the right side, and lack of dorsiflexion on the right side. The following areas have no abnormalities: circumduction of the Pelvis and toe off.

During terminal stance/ heel off, the Foot in the back now rises and the phase ends when the other Foot’s heel hits the ground. The body weight is beyond the front Foot now. During this phase, the Right Shoulder is slightly flexed, Pelvis is neutral to right, Hip is extended and internally rotated, Knee is fully extended, ankle is dorsiflexed, Foot is slightly supinated, and Toes are neutral. The observed subject presents abnormalities in the following areas: forward and back lean on both side, unequal arm swing and shoulder rotation on the left side, circumduction on the both sides, collateral drop on the left side, lack of hip extension on the left side, knee Varus on the right side, inadequate knee flexion on the left side, toe position and abnormal pronation on the left side. Lack of abnormality is observed in the flowing areas: circumduction, midfoot and forefoot contact, and inadequate toe-off.

During the toe off phase/ the second double stance, the Foot in the front gets in contact with the ground and the other one gets into toe off. In this phase, the subject has the following abnormalities: forward and back lean on both side, unequal arm swing and shoulder rotation on the left side, circumduction on the both sides, collateral drop on the left side, lack of hip extension on the left side, knee Varus on the right side, inadequate knee flexion on the left side, toe position, abnormal pronation on the left side, and inadequate toe off on the right side. Lack of abnormality is observed in midfoot or forefoot contact. Lack of dorsiflexion, and foot slap.

The initial swing starts when the Foot at the front is lifted from the floor and ends when it is swinging opposite the other one. Foot drop is most probably in this position and the other leg is supporting. The observations that should be made during this phase are: Right Shoulder is flexed, Spine is rotated left, Pelvis is rotated right – Left Foot is in stance phase, Hip is slightly extended and internally rotated, Knee is slightly flexed, ankle is fully plantar flexed, Foot is supinated, and Toes are slightly flexed. The subject exhibits abnormalities in the flowing areas: circumduction of the Pelvis and lack of dorsiflexion. Lack of abnormality is present in the contralateral drop, lack of hip extension, knee Varus, toe position, midfoot or forefoot contact, abnormal pronation, inadequate toe off, and foot slap.

During the mid-swing, the Foot previously in the early swing goes to the front of the body. The other leg is in midstance. The following observations should be made: Shoulder is neutral, Spine is neutral, Pelvis is neutral, Hip is neutral, Knee is flexed 60-90°, ankle is plantar flexed to neutral, Foot is neutral, and Toes are slightly extended. The subject had the flowing abnormalities: circumduction on the right Pelvis and lack of dorsiflexion on the right side. Lack of abnormalities was present in the following areas: contralateral drop, lack of hip extension, knee Varus, toe position, midfoot or forefoot contact, abnormal pronation, inadequate toe off, and foot slap.

During the terminal stance, the Foot previously in midswing touched the floor and limb advancement is completed at the end of this phase. The following observations should be made: Right Shoulder is extended, Spine is rotated right, Pelvis is rotated left, Hip is flexed and externally rotated, Knee is fully extended, ankle is fully dorsiflexed, Foot is neutral, and Toes are slightly extended. There are no recorded abnormalities in the terminal stance. Lack of abnormalities was present in the following areas: contralateral drop, lack of hip extension, knee Varus, toe position, midfoot or forefoot contact, abnormal pronation, inadequate toe off, and foot slap.