KNES 377 Study Guide - Midterm Guide: Gait Training, Blood Vessel, Tendinosis
6 Nov 2016
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22 foot & ankle: review foot/ankle anatomy and arthrokinematics, discuss structural relationships of the foot/ankle and the kinetic chain, discuss gait, rom requirements, and ambulatory aides. Gait: eight phases: 60% of the time: stance, 40%: swing. Loading response: foot comes down and hits ground, knee is slightly bent. Mid stance: everything is in alignment; ankle is still at 0 degrees. Terminal stance: heel is rising, ankle is slightly dorsiflexed. Pre swing: toe is in contact with the ground, ankle is plantar flexed 20 degrees; great toe extends 60 degrees. Don(cid:859)t (cid:449)orr(cid:455) a(cid:271)out in(cid:448)ersion and e(cid:448)ersion degrees. Know why the foot pronates and supinates: loss of any of these motions and/or muscle weakness and contracture affects the smoothness of the gait pattern, kinetic chain influences: knee and hip impairments affect the ankle during gait. Crutches: can be difficult to use: this is often a balance issue because it is partially weight bearing.
