Gait

General

Present in : Walking, Jogging, Skipping, Running

Develops: 9-18Mo

Later - Suggestive of Developmental Disorders - NMD: Cerebral Palsy, Spina Bifida, Lysosomal Storage Diseases.

Mechanical ⇒ Limp

Assessment

• Symmetry
• Pace
  • Slowed by Pain, Reduced ROM
• Posturing
  • Head, Trunk, Back (Lumbar)
• Head to Toe ROM
  • Arm Swing
  • Pelvic Position/Rotation
  • Hip & Knee Position/Motion
  • Ankle, Foot Position/Motion: Pro/Sup.
• Average for Individual

Netter’s Gait Cycle

Gait Cycle

Stride: Initial Contact Ref. Limb ⇒ Second Contact Ref. Limb

Step:

Stance Phase - Foot Contact w/ Floor ($\approx60$%) Also: Double Limb Stance (Occurs 2x Per Cycle) Decreases with Inc. Speed of Locomotion. Absent in Run.

1. Initial Contact

   Absorbs Shock, Provides Stability, Generate Push Force

2. Loading Response

3. Mid-Stance

4. Terminal Stance

5. Pre-Swing “Toe-off”