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    Rancho Gait Book

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    ineedsheetz
    The document summarizes the gait cycle from initial contact through mid-stance of one leg. Key points include: 1) Upon initial contact, the foot rolls over the heel which allows shock dissipation through knee flexion and subtalar inversion to eversion. 2) As weight transfers over the forefoot, the calf muscle works to control dorsiflexion and maintain forward progression. 3) Moving through mid-stance, the calf muscle reaches its peak demand as the center of mass moves ahead of the base of support.

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    Rancho Gait Book

    Uploaded by

    ineedsheetz
    105 views36 pages
    The document summarizes the gait cycle from initial contact through mid-stance of one leg. Key points include: 1) Upon initial contact, the foot rolls over the heel which allows shock dissipation through knee flexion and subtalar inversion to eversion. 2) As weight transfers over the forefoot, the calf muscle works to control dorsiflexion and maintain forward progression. 3) Moving through mid-stance, the calf muscle reaches its peak demand as the center of mass moves ahead of the base of support.

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    The document summarizes the gait cycle from initial contact through mid-stance of one leg. Key points include: 1) Upon initial contact, the foot rolls over the heel which allows shock dissipation through knee flexion and subtalar inversion to eversion. 2) As weight transfers over the forefoot, the calf muscle works to control dorsiflexion and maintain forward progression. 3) Moving through mid-stance, the calf muscle reaches its peak demand as the center of mass moves ahead of the base of support.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    105 views36 pages

    Rancho Gait Book

    Uploaded by

    ineedsheetz
    The document summarizes the gait cycle from initial contact through mid-stance of one leg. Key points include: 1) Upon initial contact, the foot rolls over the heel which allows shock dissipation through knee flexion and subtalar inversion to eversion. 2) As weight transfers over the forefoot, the calf muscle works to control dorsiflexion and maintain forward progression. 3) Moving through mid-stance, the calf muscle reaches its peak demand as the center of mass moves ahead of the base of support.

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    posterolateral part of the foot should contact the ground

    double limb support phase


    shock dissipated through movement from knee flexion from 0-15º
    shock occurs at subtalar from inversion to eversion
    rolling over heel
    opposite initial contact
    weight transfers over the forefoot (center of mass moves in front of base of support)
    toe off of the opposite limb
    "apparent" anterior rotation of innominate (difficult to quantify)
    calf starts to slow down tibia
    only + 5º of dorsiflexion because gastroc-soleus is controlling (limit) movement to come up on ball of foot
    femur continues at constant speed to induce knee ext
    peak demand of gastroc-soleus complex (b/c COM is so far in front of BOS; even though you are in dorsiflexion instead of plantarflexion)
    hip moves to neutral from flexed position
    BW moving over the limb (momentum element moving body forward)
    lack of sufficient dorsiflexion with compensatory pronation tightens plantar fascia (limits toe extension, results in hallux abductus valgus
    rolled over the ankle (maintain forward progression)
    seen as spinning and rotation of forefoot)
    there is no great demand for stability because center of mass is over ankle
    peak demand of ankle flexibility with knee extended

    trailing limb posture


    unloading stance leg tibia is vertical

    hip is starting to flex (actively) - iliopsoas to induce hip flexion hip flexion 15-25º
    inducing knee flexion 0-40º by induction of iliopsoas knee is still flexed to 25º (large ROM)
    combination of being unweighted and initiating hip flexion and consequently knee flexion angular velocity of tibia must be greater than the femur because it has a large ROM to go through over a smaller period of time
    in the closed kinetic chain, the motions are eccentric activities (pretibial, gastroc-soleus)

    With this open kinetic chain, it is more concentric motions to initiate momentum (hamstrings control hip extension to reduce to 20º
    for terminal swing

    toe-off of reference limb

    Quadriceps concentrically fire to reduce knee flexion and will eccentrically fire during loading response

    knee flexion 40-60º


    hip goes from 10º of ext to 15º of flexion relatively rapidly by iliopsoas with knee flexing with additional 20º
    short head of biceps fem will help with knee flexion

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