Gait Deviations Associated with Lower Leg and Foot Pain Syndromes: Difference between revisions
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* Foot may cross midline | * Foot may cross midline | ||
* Slow walking cadence, less than 120 steps/min; slow running cadence, less than 180 steps/min. | * Slow walking cadence, less than 120 steps/min; slow running cadence, less than 180 steps/min. | ||
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|Toe out | |||
|During walking when viewed from front or behind, the foot is 5-10 degrees out form the line of progression. | |||
* It is common to see two of the lateral toes when viewed from behind. | |||
|Greater than 10 degrees of toe out relative to the line of progression. | |||
* When viewed from behind during ambulation, more than two of the lateral toes are visible. | |||
* There is an asymmetry in the degree of toe out between the person's lower extremities. | |||
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* Laterally oriented patella | |||
* Popliteal skin crease is oblique from superomedial to anterolateral | |||
* '''When viewed from behind, medial malleolus is visible but the lateral malleolus is not''' | |||
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|Toe in | |||
|During walking when viewed from behind, should not be able to view the big toe. | |||
|The big toe is visible during walking when viewed from behind. | |||
* Or when there is an asymmetry in the degree of toe in between the person's lower extremities. | |||
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* Popliteal skin crease is oblique from superolateral to inferomedial | |||
* Medially oriented patella | |||
* When viewed from behind, medial malleolus is visible but the lateral malleolus is not | |||
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* Forefoot pain | * Forefoot pain | ||
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|Stride length too long | |||
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* Back pain | |||
* Anterior groin pain | |||
* Acetabular labral injury | |||
* Anterior and or lateral knee pain | |||
* IT band syndrome | |||
* Patellofemoral arthralgia | |||
* Medial tibial stress syndrome | |||
* Stress fractures | |||
* Achilles pain | |||
* Plantar heel pain syndrome | |||
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|Toe out | |||
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Revision as of 05:13, 27 May 2022
Top Contributors - Stacy Schiurring, Jess Bell, Kim Jackson and Lucinda hampton
Introduction[edit | edit source]
This article discusses gait deviations associated with pain syndromes in the lower leg and foot. While this information focuses on certain regions of the body, remember that the human body functions within a kinetic chain. No one movement is ever completely isolated and is without effect on another.
For a review of the gait cycle, please review this article. For an overview of gait deviations, please review this article. To review common gait terminology and definitions, please review this article.
Gait Deviations[edit | edit source]
Gait Deviation | Expected Movement Pattern | Deviant Movement Pattern | Secondary Signs Associated with Deviant Movement |
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Late heel off or prolonged heel contact | The heel of the trailing foot lifts off the ground just prior to the contact of the leading foot. | The heel of the trailing foot stays on the ground beyond the moment of the leading foot heel strike.
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Early heel off or premature heel rise | (Same as above) | The heel of the trailing foot leaves the ground just prior to the leading foot heel strike.
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Stride length too long | During walking when viewed from the side, the linear distance from the foot strike to the person's centre of mass is relatively short. | During walking when viewed from the side, the linear distance from the foot strike to the person's centre of mass is too long. |
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Toe out | During walking when viewed from front or behind, the foot is 5-10 degrees out form the line of progression.
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Greater than 10 degrees of toe out relative to the line of progression.
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Toe in | During walking when viewed from behind, should not be able to view the big toe. | The big toe is visible during walking when viewed from behind.
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Pain Syndromes Associated with Gait Deviations[edit | edit source]
Gait Deviation | Associated Pain
and Pain Syndromes |
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Late heel off or prolonged heel contact |
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Early heel off or premature heel rise |
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Stride length too long |
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Toe out |
Resources[edit | edit source]
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- numbered list
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