Gait Deviations Associated with Pelvis and Knee Pain Syndromes

Original Editor - Stacy Schiurring based on the course by Damien Howell

Top Contributors - Stacy Schiurring, Kim Jackson, Lucinda hampton and Jess Bell  

Introduction[edit | edit source]

This article discusses gait deviations associated with pain syndromes in the pelvis and knee. 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.

Pain Syndromes and Gait Deviation[edit | edit source]

Gait deviations are likely related to the development and or associated with musculoskeletal pain syndromes. It is often the complaint of pain that will lead a patient to physiotherapy. It is the role of the physiotherapist to educate the patient on the etiology of their pain while treating and correcting the noted gait deviation.

Gait Deviation Definition HERE

The most commonly noted gait deviations for pain syndromes include:

  1. Decreased gait velocity (most frequent gait deviation for patients with neurological deficits)
  2. Decreased vertical oscillation of centre of mass
  3. Delayed heel off


ADD INFORMATION re: Fritz 2009 article about gait speed

Gait Deviations[edit | edit source]

Gait Deviation Expected Movement Pattern Deviant Movement Pattern Secondary Signs Associated with Deviant Movement
Increased Vertical Oscillation of Centre of Mass
  • "Too much up and down motion"
Choose a fixed location such as the top of the head, sacrum, or belt line. Compare the highest point during swing phase to the lowest point during stance phase.
  • When running: 6-8 cm or 2-3 inches (ADD Souza 2016)
  • When walking: 9.5cm or 3.5 inches
  • When running: greater than 8 cm or 3 inches
  • When walking: greater than 9.5 cm or 3.5 inches
  • Increased float time in running
  • A loud foot strike
  • Extra vibration during treadmill running
  • Early heel off

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]